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dailynewswebsite · 4 years

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Breast cancer awareness is not enough: Public health strategies need to be based on prevention

A Breast Most cancers Consciousness signal is seen earlier than an NFL soccer sport between the Washington Soccer Workforce and the Baltimore Ravens on Oct. 4, 2020, in Landover, Md. (AP Picture/Susan Walsh)

I’m uninterested in Breast Most cancers Consciousness Month. Forgive me, however as a researcher finding out how we perceive info on hyperlinks between environmental and occupational exposures and breast most cancers, I’ve grown weary of yet one more October embellished in pink, selling the identical message of consciousness. The message itself has grow to be drained, and awareness-raising alone is an ineffective resolution to the breast most cancers epidemic.

Yr after 12 months, we miss alternatives for essential interventions into the first prevention of breast most cancers. For my dissertation analysis on consciousness of environmental breast most cancers dangers, I interviewed ladies employees on the Ambassador Bridge, the place there are excessive charges of breast most cancers. Larissa* identified:

“I do know it’s on the market. I do know it occurs. You see breast most cancers consciousness in all places, nevertheless it’s pink. That’s what you see. You don’t see info on what we are able to do to forestall.”

Screening and early detection programmes are extensively promoted, advocacy for therapies continues and survival with breast most cancers for some teams of girls has improved. These are essential items for tackling breast cancers that develop. However comparatively little effort appears to enter major prevention, which suggests stopping most cancers earlier than it begins.

The main target persists on advising ladies to train, eat nicely and restrict alcohol consumption. Messaging in regards to the want for coverage, regulation, laws, methods and packages that prioritize major prevention from environmental exposures to breast carcinogens are inconspicuous.

Lifetime danger is 1 in 8

I acknowledge that Breast Most cancers Consciousness Month gives a chance for contribution, engagement and hope. And I perceive why ladies and their allies help these initiatives. It gives an opportunity to really feel some energy over a illness that creates a lot concern and struggling.

Practically 630,000 ladies throughout the globe died from breast most cancers final 12 months. The general international incidence of breast most cancers continues to rise with marginal enhancements in five-year survival charges. North American ladies face a one in eight lifetime danger for breast most cancers, with virtually 525 new diagnoses of breast most cancers every week in Canada. Fourteen Canadian ladies die every day from breast most cancers. Incidence is rising in youthful ladies, particularly in premenopausal ladies.

Solely 5 to 10 per cent of instances are associated to genetics, with household historical past, way of life and behavior factoring into general incidence. Fewer than 50 per cent of breast cancers will be defined by recognized or suspected danger components. Analysis means that environmental components might contribute in 70 to 90 per cent of breast most cancers instances.

After I interviewed Annie, she mentioned:

“I’m an enormous proponent of presidency taking good care of us residents. To me, that’s what authorities is for. Regulation is vital to me. I really feel that that’s key.”

With Annie’s phrases and people of different ladies in thoughts, I lately wrote to governmental leaders, ministries, public well being companies and the Canadian Most cancers Society. I conveyed my issues in regards to the concentrate on consciousness that highlights way of life components and omits exposures in our residing and dealing environments. I recommended we’d like extra motion on major prevention to restrict or eradicate exposures to recognized and suspected breast carcinogens.

My letter additionally mirrored Erin’s ideas:

“I believe that making certain that individuals have the data of what’s actually happening is an enormous challenge. After which, with the data, change coverage or the best way that issues are being finished, in order that persons are not in danger.”

Main prevention

To implement sensible major prevention actions, we have to draw on the science of the associations between breast most cancers and dangerous exposures in our social environments. For instance, after we know ladies are being uncovered to recognized breast carcinogens of their workplaces, why are we not decreasing or eliminating these exposures to forestall breast most cancers?

Once we know that there are endocrine-disrupting chemical compounds in private care merchandise, and these are related to an elevated danger for breast most cancers, why are we not eliminating or changing these substances?

When science tells us that ladies in areas with excessive volumes of air air pollution, particularly automobile exhaust, are at a better danger of creating premenopausal breast most cancers, why are we not placing controls on pollution or creating options?

Once we know there are disparities in breast most cancers incidence and survival throughout teams of racialized ladies, why are we ignoring social determinants of well being in our methods to mitigate danger and to forestall the illness?

Science gives the proof of exogenous exposures that contribute to the event of breast most cancers. Many of those exposures are exterior of the management of particular person ladies; they’re involuntary exposures not modifiable with way of life or behavioural adjustments. As a substitute, systemic adjustments — rules, laws, insurance policies — with the safety of the general public is key to prevention. We’d like the political will and people with energy to enact these essential adjustments.

Pink merchandise and awareness-raising aren’t sufficient. Right now, when COVID-19, local weather change and political turmoil dominate our ideas, it’s tiring even to start to think about including yet one more wrestle to the checklist. However to impact actual change in opposition to the breast most cancers epidemic, we’d like extra highly effective, structural methods that stop exposures to recognized and suspected breast carcinogens within the locations we reside and work.

*Pseudonyms are used to guard the identities of examine contributors.

Jane E. McArthur acquired funding by SSHRC Doctoral Fellowship, SWS Barbara Rosenblum Dissertation Scholarship, and Gail Rosenblum Breast Most cancers Memorial Scholarship for her doctoral dissertation.

from Growth News https://growthnews.in/breast-cancer-awareness-is-not-enough-public-health-strategies-need-to-be-based-on-prevention/ via https://growthnews.in

#Growth News

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wilsworld · 4 years

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Takoma Underground, 2017 Artist: William Michael Kirby A mural created in 2017 in Takoma Park, MD about the fantasy world that is below the town of Takoma Park where children go to play. Michael William Kirby is a leading public artist and street painter from Baltimore, MD, USA. He has nearly 20 years of experience creating permanent and temporary public art pieces around the world and today is considered a leader in this rising art form. Kirby's personal technique of using sharp angles and adjusting the image to the viewer's point of view was adapted from his time while creating sets/props for Opera companies and Movie/TV sets in Italy. Kirby has been commissioned and contracted since the early 1990's for his original view of anamorphic or forced perspective street paintings more commonly known as 3D street art, 3D street painting, 3D chalk art, ephemeral art, or 3D sidewalk art. http://www.muralsofbaltimore.com . #Takomaunderground #instafun #instacool #instawow #discoverdc #thingstododc #creativeart #streetart #dmv #3Dstreetart #publicart #muralart #underground #roots #wilworksdc (at Takoma Park, Maryland) https://www.instagram.com/p/B_jZld-HlPm/?igshid=1itxqrn0jiekh

#takomaunderground #instafun #instacool #instawow #discoverdc #thingstododc #creativeart #streetart #dmv #3dstreetart #publicart #muralart #underground #roots #wilworksdc

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covid19updater · 4 years

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COVID19 UPDATES 04/15/2020

MORNING:

UK: True UK coronavirus death toll 'far higher' as new figures fuel fear London is being hit even harder. The number of deaths being reported daily from coronavirus significantly undercounted the true toll, new figures suggested today. The Office for National Statistics said there were 6,235 deaths in England and Wales up to April 3 — 2,142 higher than the 4,093 declared at the time by the Government.

Oklahoma: This is about the virus attacking the blood of a 63 year old man with no underlying health issues. He has already completed the hydroxychloroquine treatment, and now the family is hoping someone will donate plasma so they can try antibody treatments on the man. LINK

Germany: Germany: another dangerous outbreak in a hospital in Hamburg, now in a cancer & leukemia ward, 20 patients + 20 doctors/nurses already tested positive...

Brazil: Brazil with new record of deaths in one day. For the first time, Brazil exceeded 200 fatalities with coronavirus in 24 hours. According to the most recent data from the Brazilian Ministry of Health, 204 deaths were recorded, a figure that increases the number of deaths from those infected with coronavirus to 1,532.

India: Coronavirus Mutation Found in India “Raises Alarm”, Could Hinder Development of Vaccine: Study A new mutation in the novel coronavirus, which was found in India back in January 2020, has dealth the first huge blow to humankind’s race towards a COVID-19 vaccine. This mutation has the potential to undo the research done on this subject thus far, hindering the world's chances of successfully developing a vaccine, a new study indicates.

US: Woman sells penis face masks for charity. Kindly [lets] them know this is how I determine they are too close, kindly back the f*** up. LINK

NYC: BREAKING: NYC publishes, for first time, data on fatalities that includes "probable" cases (those without a confirmed test result). It has pushed the death toll in NYC up by 57%. Was 6,589 before this adjustment. Now stands at 10,367. This is a painful but necessary accounting.

US: CDC Director Redfield: "I think we're definitely going to have a second wave. .. we've got an unknown window now to get really prepared.”

US: Coronavirus updates: A second sailor from the aircraft carrier Theodore Roosevelt has been moved to intensive care with shortness of breath, the Navy said Tuesday, a day after a sailor from the coronavirus-stricken ship died from COVID-19 complications.

New York: New York Gov. Cuomo: "The number is down because we brought the number down." "God did not do that, fate did not do that, destiny did not do that, a lot of pain and suffering did that.” (Pride goeth before a fall)

World: POTUS announces he’s halting WHO funding while a review happens. President Trump is accusing World Health Organization of "severely mismanaging and covering up" the coronavirus pandemic. He says the organization chose "political correctness" over supporting travel restrictions and "failed" in its "basic duty." (About time)

US: U.S. PRESIDENT TRUMP SAYS WE ARE GOING TO SUGGEST THAT PEOPLE BE TESTED AT STATE BORDERS FOR CORONAVIRUS

RUMINT (UK): Remember these people who kept adding 'Underlying conditions' as a reason for death on all this? Well, UK best and brightest have crunched the data with an international team from Iceland and EU nations. The 'mutations' - even slightly - are starting to form a startling pattern: The virus is mutating in reaction to MEDICATIONS UTILISED And every medication is, at the moment, having a similar mutagenic reaction occur across the western hemisphere. This is why it may appear so fucking random - Because these people who are dying are all taking the same medications. Why did they start looking at this angle? Because of nicotine. The head shed wanted to know if asthmatics and smokers were at higher risk. *In other words, this thing seemingly appears to have been designed to evade pharmacutical led efforts to kill it whislt targetting those already with vulnerabilities.

World: Comment from editor-in-chief of The Lancet medical journal, Richard Horton: "President Trump’s decision to defund WHO is simply this—a crime against humanity. Every scientist, every health worker, every citizen must resist and rebel against this appalling betrayal of global solidarity." (Globalist much?)

World: 20-year-old first class Anatomy graduate of Delta State University, Ishicheli Grace Kenechi is making face masks with beads after observing that some people find it hard to breathe with the popular face masks. LINK (I think she just won the Darwin award for today)

Indiana: 24 residents of a nursing home in Madison County, Indiana have died in a coronavirus outbreak. 16 tested positive for COVID-19 and 8 had symptoms.

World: Hackers Leak Thousands of Coronavirus Research Papers LINK

Germany: BILD, the largest German newspaper, today presented the first coronavirus bill China owes Germany now. They added: "Only one thing does not fit on any bill, cannot be made good by any money in the world: the thousands of people who have died of the #COVID19 virus."

World: Chinese study on whether air conditioning can spread COVID19. LINK

US: US may have to endure social distancing until 2022 if no vaccine is quickly found, scientists predict. This may be the new normal for quite a while. The US may have to endure social distancing measures - such as stay-at-home orders and school closures - until 2022, researchers projected on Tuesday. That is, unless, a vaccine becomes quickly available. That's according to researchers from the Harvard T.H. Chan School of Public Health, who published their findings in the journal Science on Tuesday. Those findings directly contradict research being touted by the White House that suggests the pandemic may stop this summer. "Intermittent distancing may be required into 2022 unless critical care capacity is increased substantially or a treatment or vaccine becomes available," they wrote in their report. "Even in the event of apparent elimination, SARS-CoV-2 surveillance should be maintained since a resurgence in contagion could be possible as late as 2024." The Harvard team's projections also indicate that the virus would come roaring back fairly quickly once restrictions were lifted."If intermittent distancing is the approach that's chosen, it may be necessary to do it for several years, which is obviously a very long time," Dr. Marc Lipsitch, an author on the study and an epidemiology professor at the Harvard School of Public Health, told reporters. Another important factor: Whether people become immune to the new coronavirus after they have been infected. That's not yet known. The study researchers say they are aware that such prolonged distancing, even if intermittent, would likely have "profoundly negative economic, social, and educational consequences."

US: Record number of 2,200 deaths in past 24 hours in the US In the United States, 2,228 coronavirus deaths have been recorded in the past 24 hours. Johns Hopkins University in Baltimore reports this based on a daily count. Never before have so many deaths been reported in one day.

World: #COVID19 pandemic: 1,000,000 cases -> 124 days 2,000,000 cases -> 12 days

Vietnam: Vietnam, Hue, Da Nang cities set up free ‘rice ATMs’ LINK

Singapore: 334 new cases registered on Tuesday, none of them imported. The Singapore Ministry of Health announced on Tuesday that 334 new cases of infection with the new coronavirus were registered, none of which were imported from another country. The second wave of infections continues to grow in this nation, with several outbreaks of Covid-19 already identified by health authorities. These data, even so, were below the highest number of positives recorded in one day, a level reached on Monday of this week (386 cases). In total, 3 252 positives have already been confirmed in this country.

Maryland: Taneytown (MD) police warn residents to wear pants when checking mail LINK

AFTERNOON:

NYC: NEW YORK MAYOR DE BLASIO SAYS ALL SUPERMARKETS AND GROCERY STORES IN NYC TO REQUIRE CUSTOMERS TO WEAR FACE COVERINGS

Belgium: Belgium has overtaken Italy in deaths per capita in a very short time, and by tomorrow they will likely overtake Spain which is currently in the #1 spot.

US: Over 600 sailors aboard USS Theodore Roosevelt have now tested positive for Coronavirus, Navy says. 615 now infected, over 4,000 sailors have been moved ashore in Guam.

US: There’s Been a Spike in People Dying at Home in Several Cities. That Suggests Coronavirus Deaths Are Higher Than Reported. LINK

Singapore: A new record 447 #coronavirus cases reported in Singapore today as the total soared to 3,699. This story tells how dormitories for poor migrant workers were the blind spot for a rich city-state that had won praise for containing the virus.

South Dakota: South Dakota has become one of the fastest growing hot spots in U.S., even as other parts of nation see their epidemics start to level off or slow. South Dakota has a doubling time now of about 4 days. In the setting of the ongoing national epidemic, every state is vulnerable.

Italy: BREAKING: Italy reports 2,667 new cases of coronavirus and 578 new deaths.

New York: NEW YORK GOV. CUOMO: 752 MORE DEATHS TIED TO PANDEMIC. CUOMO: DEATHS INCLUDE 45 IN NURSING HOMES, 707 IN HOSPITALS (What about people who died at home?)

France: 1438 new deaths in France.

Russia: NEW: For 4th day in a row, Russia reports record number of new coronavirus cases.

World: Not just lung damage. “But clinicians around the world are seeing evidence that suggests the virus also may be causing heart inflammation, acute kidney disease, neurological malfunction, blood clots, intestinal damage and liver problems” #COVID19

EVENING:

France: AMAZON SHUTS DOWN DISTRIBUTION CENTERS IN FRANCE

Delaware: Staffing shortage at Delaware chicken plant forcing growers to 'depopulate,' dispose of millions of birds

California: LOS ANGELES MAYOR GARCETTI SAYS GATHERINGS LIKE CONCERTS AND SPORTING EVENTS NOT LIKELY TO BE ALLOWED IN THE CITY UNTIL 2021 -CNN INTERVIEW

Nigeria: Africans burn down a Chinese factory in Nigeria in retaliation to the mistreatment of Africans in China amid #COVID19. This is spiraling out of control.

UK: China 'concealed' coronavirus from West and is trying to evade blame, says ex-MI6 chief

Connecticut: Connecticut +197 dead today, those numbers rocketed them into the #3 spot for deaths per capita in the US.

US: Trump: "More and more we're hearing the story" that coronavirus began in a research lab in Wuhan. "We're doing a very thorough examination of what happened".(SO NOW THEY ARE STARTING TO SAY WHAT WE HAVE KNOWN FOR MONTHS!!!)

US: The @WHO is "a tool of China," says @POTUS.

US: Another daily high for reported new deaths in the US +2,455 RIP. Day isn't over yet.

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md247locksmithse · 5 years

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Is It Wise To Try Diy Or Hire A Professional Residential Locksmith

In the present world driving every day, life has got progressively tricky and inclined to different risks. As one can see an unexpected increment in, home or household wrongdoing, it compels oneself to think and defend from the perilous world around you. Investigating one's own security needs is constantly a dynamite work and any sort of erroneous conclusion could prompt a grave circumstance, which is to be lamented later. To defeat the unexpected future, you should be set up with the fundamental safety measures.

While getting your home repaired or made sure about, you would confront two alternatives: enlisting DIY or having expert residential locksmith service in Baltimore. Both have their own points of interest and inconvenience. When you dissect and see the differed administrations both can give the last successes surely. The following are a couple of preferences for contracting an expert:

Experienced and proficient experience

Any activity large or little should be constantly being possible by people. Yet, it depends on the manner in which the activity happens. The final product that issues and leaves an enduring impact at the forefront of your thoughts, the world is running behind consumer loyalty.

Items are structured, publicized, and adjusted to fulfill the client. Along these lines, in this world hiring an expert locksmith encourages you to locate an all-around prepared, equipped individual who could explain your issues in minutes rather than contracting a DIY who might set aside some effort to arrive at the correct arrangement and wouldn't convey required types of gear.

Spare time

An accomplished individual would be very much prepared in different circumstances and would know about the activity to be finished. While a DIY is a self-prepared person, who depends on his past experience acts and applies his insight, which makes the individual fledgling as to the issue looked by you and you would end as an object of the trial.

Having expert residential locksmith service in Maryland would give you an edge in settling the issues speedier with less harm done to the property.

Hardware Used

A DIY would perpetually utilize the exposed fundamental apparatuses for his everyday work and may not know about the headway in innovation, which could make the activity simple and slick. Employing an expert would give us access to snappier goals and a superior final product, which would not hurt the tasteful excellence of the article.

Best Assistance

Employing an expert will leave you with increasingly costly however with wide preferences, locksmith in Baltimore are accessible day in and day out and work nonstop for their clients.

They alongside the administrations give different proposals to uplift the security framework and keep away from future comparative circumstances; some of the time, they would have the option to strike a decent arrangement, which may turn a big stake for the clients.

They would have wide information about the different items and comprehend the client need, dissimilar to the DIY that needs total information may end a costly, undesirable framework, which would later transform into a burden. Regardless of different headways, we in some cases will, in general, take wrong turns and wind up paying more.

How about we be wise and pick an expert locksmith to take care of our necessities since they are justified, despite all the trouble.

Qualities to consider while hiring the best locksmith

They should have nonstop assistance

This comes helpful when you have lost your keys or got secured out in the center of the night. You need to either hold up outside your home until the following working day or just quest for a locksmith that is accessible even around odd hours. The costs of a late-night visit may be higher yet it will spare you a late evening holding up outside.

Have knowledge regarding recent developments

The locking frameworks nowadays are progressing significantly. Thus getting your way through a bolted entryway likewise turns out to be increasingly troublesome. A skilled locksmith for the home must know about all the most recent upgrades and should be acceptable with his way through even the most advanced bolting framework. They should be a notable name in the locksmith fraternity and should have gained a reputation for being acceptable at his particular employment.

A genuine locksmith will adhere to their expenses

To be bolted out of your own home can be upsetting for an individual. While any locksmith is clearly mindful of this, a great one will never attempt to exploit the circumstance. The client is typically defenseless during this time, and may even compensation the locksmith some more cash. In any case, that talks ineffectively about the trustworthiness of the locksmith.

In the event that the locksmith has cited a specific measure of administration charges, in a perfect world he should not climb the expenses on arriving at the spot. Not except if there are any issues that did not have a reference before. Nevertheless, the equivalent needs explanation to the client before carrying out the responsibility and not once the activity is finished.

He should be available to reviews on a par with the locksmith thinks he is, there are consistently risks he will likely be not able to do certain tasks or may not do it as indicated by the desires for the client. In such a circumstance, a residential locksmith must be available to recommendations and reactions. He should acknowledge this as a learning experience and not let that influence his work.

If you are searching for the best residential locksmith in Maryland it is ideal to hire MD 24/7 Locksmiths. They have the perfect knowledge and skill to offer the perfect service. Call at 800-474-2450 to fix an appointment with them.

#Residential Locksmith Service #Residential Locksmith Service Maryland

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swiss1chirurgie · 5 years

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Forschung im Sinne der Patienten

Swiss1Chirurgie nimmt internationalen Preis entgegen

Wenn bei den Spezialisten der Swiss1Chirurgie nach den besten Wegen zur Behandlung der Patienten gesucht wird, hat das immer auch viel mit der Forschung, mit wissenschaftlicher Arbeit und mit der Publikation der neuesten Erkenntnisse und Methoden zu tun. Die Mediziner der Swiss1Chirurgie unter Prof. Dr. Jörg Zehetner sind spezialisiert auf die Übergewichtschirurgie sowie auf medizinische Behandlungen unter dem Oberbegriff UpperGI. Darunter zusammengefasst werden beispielsweise Eingriffe in den Bereichen Reflux, Zwerchfellhernien, Speiseröhren- und Magenkrebs. Ein weiteres Arbeitsgebiet der Swiss1Chirurgie ist die Viszeralchirurgie, die umgangssprachlich auch als Bauchchirurgie bezeichnet wird. In allen diesen Fachgebieten arbeiten die Mediziner nicht nur am Patienten selbst, sondern vor allem auch parallel in den Bereichen der Forschung und Weiterentwicklung der Methoden und Techniken.

Internationaler Preis geht an Swiss1Chirurgie

Noch während Prof. Dr. Jörg Zehetner in Peking am OESO Kongress teilnahm, kam der Swiss1Chirurgie eine besondere Ehre zu. Am ASMBS Meeting 2019 im November in Las Vegas, USA, konnte Frau Dr. Catherine Tsai den International Award für die beste Videopräsentation eines chirurgischen Eingriffs in Empfang nehmen.

Frau Dr. Catherine Tsai Frau Dr. Catherine Tsai ist seit den letzten zwei Jahren als Forschungsassistentin der Swiss1Chirurgie in Bern tätig und unterstützt mit ihrer wissenschaftlichen Forschungsarbeit wesentlich die Weiterentwicklung in den Standorten der Swiss1Chirurgie in der Schweiz. In der Videopräsentation „Laparoscopic Conversion from Gastric Sleeve to RY Gastric Bypass with Remnant Gastrectomy using Fluorescent Angiography“ von Dr. Tsai, Dr. Steffen und Dr. Zehetner sieht man die laparoskopische Umwandlung von einem Sleeve (Schlauchmagen) zum Magenbypass, wobei hier der Restmagen aus medizinischen Gründen komplett reseziert wurde. Mittels fluoreszierender Angiographie wurde hier die Durchblutung des Magenpouchs und des Zwölffingerdarms überprüft, sowie anschaulich in diesem Video gezeigt.

Swiss1Chirurgie setzt Erfolgsserie fort

Mit der jüngsten Preisverleihung an die Swiss1Chirurgie und damit auch an das Zentrum für Bariatrische Chirurgie ZfBC setzt sich eine Erfolgsserie fort, die die Spezialisten Dr. Jörg Zehetner, Dr. Catherine Tsai, Dr. Steffen und Dr. Metzger längst zu echten Experten mit internationalem Ansehen gemacht haben. Verwiesen sei hier nur auf die zahlreichen Publikationen und auf Preise wie bereits im Vorjahr an die Swiss1Chirurgie gegangen sind. Dabei geht es den Fachmedizinern weniger um Ruhm und eher, sondern vielmehr um den wissenschaftlichen, methodischen und schlussendlich medizinischen Fortschritt im Sinne der Patienten. So werden sowohl mit dem Inselspital Bern aber auch in den Praxen der Swiss1Chirurgie und im Zentrum für Bariatrische Chirurgie verschiedene Studien durchgeführt. Die Ergebnisse solcher Studien kommen in erster Linie den Patienten und Patientinnen der Swiss1Chirurgie zugute, untermauern den international hervorragenden Ruf der Spezialisten und sind nicht zuletzt die Grundlage für neue Entwicklungen in den Fachbereichen der Swiss1Chirurgie. Der Vollständigkeit halber fassen wir hier die wesentlichen Veröffentlichungen, Vorträge und Preise der Swiss1Chirurgie aus den vergangenen Jahren zusammen:

Swiss1Chirurgie Research Fellowship (2017-2019)

Conferences (number of presentations) International Federation for the Surgery of Obesity and Metabolic Disorders-European Chapter (IFSO-EC), Athens, Greece, May 2018 (3) European Association of Endoscopic Surgery (EAES), London, UK, May 2018 (2) Digestive Disease Week - Society for Surgery of the Alimentary Tract (DDW – SSAT), Washington DC, June 2018 (3) IFSO, Dubai, UAE September 2018, (4) American College of Surgeons (ACS), Boston, MA, October 2018 (2) SAGES, April 2019, Baltimore, MD (2) World Congress on Interventional Therapies for Type 2 Diabetes (WCITD), April 2019, New York, NY (1) DDW, May 2019, San Diego, CA (1) Swiss Surgical Society, May 2019, Bern, Switzerland (6) ASMBS Obesity Week, November 2019, Las Vegas, Nevada (2) Publications (4) Tsai C, Steffen R, Kessler U, Merki H, Zehetner J, “Short-term outcomes of endoscopic gastro-jejunal revisions for treatment of dumping syndrome after Roux-En-Y gastric bypass,” Surgical Endoscopy, September 2019 Tsai C, Zeheter J, Beel J, Steffen R, “Long-term outcomes and frequency of revisional bariatric surgeries beyond 15 years after gastric banding: A high band failure rate with safe revisions,” SOARD, February 2019 Tsai C, Kessler U, Steffen R, Merki H, Zehetner J, “Endoscopic Gastrojejunal Revisions Following Gastric Bypass: Lessons Learned In More Than 100 Consecutive Patients,” Journal of Gastrointestinal Surgery, September 2018 Tsai C, Kessler U, Steffen R, Merki H, Zehetner J, “Endoscopic Closure of Gastro-gastric Fistula After Gastric Bypass: a Technically Feasible Procedure but Associated with Low Success Rate,” Obesity Surgery, September 2018 Oral Presentations (16) Tsai C, Steffen R, Zehetner J, “Magnetic Sphincter Augmentation for Treatment of Gastroesophageal Reflux Disease after Roux-En-Y Gastric Bypass” (Video) ASMBS November 5, 2019 Tsai C, Zehetner J, Steffen R, “Laparoscopic Conversion from Gastric Sleeve to Roux-en-Y Gastric Bypass with Remnant Gastrectomy using Fluorescent Angiography” (Video) ASMBS November 6, 2019 Tsai C, Zehetner J, Bally L, Steffen R, “Impact of roux-en-y gastric bypass alimentary limb length on long-term weight loss, diabetes, and dumping syndrome outcomes,” Swiss Surgical Society Congress, Bern, Switzerland May 17, 2019 Tsai C, Zehetner J, Beel J, Steffen R, “Long-term outcomes and frequency of revisional bariatric surgeries 15 years and beyond after gastric banding: A high band failure rate with safe revisions,” Swiss Surgical Society Congress, Bern, Switzerland May 16, 2019 Tsai C, Steffen R, Kessler U, Lipham J, Zehetner J, “Post-operative dysphagia following magnetic sphincter augmentation for gastroesophageal reflux disease,” Swiss Surgical Society Congress, Bern, Switzerland, May 15, 2019 Tsai C, Steffen R, Kessler U, Zehetner J, “Endoscopic gastro-jejunal revisions for treatment of dumping syndrome after Roux-en-Y gastric bypass,” SAGES, Baltimore, MA April 4, 2019 Tsai C, Zeheter J, “Laparoscopic Hiatal Hernia Repair with Posterior Cruroplasty and Magnetic Sphincter Augmentation in a Patient with GERD and Large Type III Hiatal Hernia,” ACS, Boston, Massachusetts, October 24, 2018 (video) Tsai C, Kessler U, Merki H, Steffen R, Zehetner J, “Laparoscopic Magnetic Sphincter Augmentation with routine Posterior Cruroplasty: Postoperative Dysphagia and Hiatal Hernia Recurrence,” ACS, Boston, Massachusetts, October 25, 2018 (quickshot) Tsai C, Zehetner J, Kessler U, Steffen R, “Long-term results of pancreatectomy for post-gastric bypass hypoglycemia,” IFSO, Dubai, UAE, September 27, 2018 Tsai C, Zehetner J, “Conversion of gastric banding to laparoscopic sleeve gastrectomy with perfusion assessment using laser-assisted fluorescence angiography,” IFSO, Dubai, UAE, September 27, 2018 (video) Tsai C, Zehetner J, “Laparoscopic sleeve gastrectomy with perfusion assessment using laser-assisted fluorescence angiography,” IFSO Dubai, UAE, September 28, 2018 (video) Tsai C, Kessler U, Merki H, Steffen R, Zehetner J, “Endoscopic gastrojejunal revisions following gastric bypass: lessons learned in more than 100 consecutive procedures,” Digestive Disease Week (SSAT sessions), Washington DC, June 5, 2018 Tsai C, Kessler U, Merki H, Steffen R, Zehetner J, “Endoscopic closure of gastro-gastric fistula after gastric bypass: a technically feasible procedure but associated with low success-rate,” Digestive Disease Week (SSAT sessions), Washington DC, June 4, 2018 Tsai C, Kessler U, Merki H, Steffen R, Zehetner J, “Dumping syndrome after gastric bypass: endoluminal revision of the dilated gastrojejunostomy is a safe and highly effective treatment option,” presented as oral presentation as part of Best Abstracts session at International Federation for the Surgery of Obesity and Metabolic Disorders, European Chapter (IFSO-EC), Athens, Greece, May 19, 2018 Tsai C, Zehetner J, Kessler U, Steffen R, “Outcomes 15 years and beyond following adjustable gastric banding for morbid obesity: high band failure rate with safe revisions,” IFSO-EC, Athens, Greece, May 17, 2018 Tsai C, Steffen R, “Re-sleeve with silastic ring and crurorhaphy in a rare case of severe hyperinsulimic hypoglycemia after sleeve gastrectomy,” IFSO-EC, Athens, Greece, May 18, 2018 (video) Poster Presentations (10) Tsai C, Zehetner J, Bally L, Steffen R, “Long-term weight loss, diabetes, and dumping syndrome outcomes after short versus long alimentary limb roux-en-y gastric bypass,” DDW (SSAT sessions), San Diego, CA May 21, 2019 Tsai C, Steffen R, Zehetner J, “Perfusion assessment using laser-assisted fluorescence angiography during conversion of gastric band to laparoscopic sleeve gastrectomy,” Swiss Surgical Society Congress, Bern, Switzerland May 15-17, 2019 Tsai C, Steffen R, Zehetner J, “Laparoscopic hiatal hernia repair with posterior cruroplasty and magnetic sphincter augmentation in patient with refux and large type III hiatal hernia,” Swiss Surgical Society Congress, Bern, Switzerland, May 15-17, 2019 Tsai C, Steffen R, Kessler U, Zehetner J, “Gastroesophageal reflux disease after bariatric surgery: Magnetic sphincter augmentation in patients with normal esophageal motility,” Swiss Surgical Society Congress, Bern, Switzerland, May 15-17, 2019 Tsai C, Herzig D, Zehetner J, Kosinski C, Kunezli C, Stauffer TP, Nett P, Steffen R, Stettler C, Bally L, “Incretin response in patients with postprandial hyperinsulinemic hypoglycemia following gastric bypass surgery with or without extended distal pancreatectomy,” World Congress on Interventional Therapies for Type 2 Diabetes (WCITD), New York, NY, April 8-10, 2019 Tsai C, Steffen R, Kessler U, Lipham J, Zehetner J, “Post-operative Dysphagia Following Magnetic Sphincter Augmentation for Gastroesophageal Reflux Disease,” SAGES, Baltimore, April 3 - 6 2019 Tsai C, Steffen R, Kessler U, Zehetner J, “Gastroesophageal reflux disease after bariatric surgery: magnetic sphincter augmentation in patients with normal esophageal motility,” IFSO, Dubai, UAE, September 26-29, 2018 Tsai C, Kessler U, Merki H, Steffen R, Zehetner J, “Dumping syndrome after gastric bypass: endoluminal revision of the dilated gastrojejunostomy is a safe and highly effective treatment option,” DDW (SSAT sessions), Washington DC on June 5, 2018 Tsai C, Kessler U, Merki H, Steffen R, Zehetner J, “Endoscopic gastrojejunal revisions following gastric bypass: lessons learned in more than 100 consecutive procedures,” European Association of Endoscopic Surgeons (EAES) in London, United Kingdom May 31-June 1 2018 Tsai C, Kessler U, Merki H, Steffen R, Zehetner J, “Endoscopic closure of gastro-gastric fistula after gastric bypass: a technically feasible procedure but associated with low success-rate,” EAES, London, United Kingdom May 31-June 1 2018 Awards Best Video Presentation International Award, ASMBS Obesity Week, 2019 SSAT Resident and Fellowship session honoree, Digestive Disease Week, 2018 Best Video Presentation, IFSO, 2018 Read the full article

#Bauchchirurgie #metzger #Reflux #Steffen #swiss1chirurgie #Tsai #Übergewichtschirurgie #UpperGI #UpperGIswiss1chirurgie #Viszeralchirurgie #Zehetner #zfbc

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company-directories · 6 years

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#public #adjuster baltimore md https://t.co/VDQteYOFuo #Baltimore #SEO #Marketing #Maryland #insurance #internet #claim #damage # Property

#public #adjuster baltimore md https://t.co/VDQteYOFuo#Baltimore #SEO #Marketing #Maryland #insurance #internet #claim #damage # Property

— Quality Roofing Pros (@QRoofingPros) September 26, 2018

from Twitter https://twitter.com/QRoofingPros September 26, 2018 at 01:12PM via IFTTT from Blogger http://qualityroofingpros.blogspot.com/2018/09/public-adjuster-baltimore-md.html Roof Repair Denver

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nightmare-afton-cosplay · 6 years

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The Best—and Worst—Cities to Raise a Family in 2018 Aren’t Where You’d Expect

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Whether you’re an anxious parent-to-be or harried mom or dad to six kids, where you choose to raise your progeny is of tantamount importance. Because, let’s face it, some cities and towns are simply more family-friendly than others.

For the second year in a row, Overland Park, KS, was named the best place in the nation to raise a family, according to a recent report from personal finance website WalletHub. The median list price in the suburb of Kansas City, KS, is $349,000, according to realtor.com®.

“Folks should consider being close to family, where the job prospects are good for their particular fields, affordability of housing, the cost of living, and where there are good schools for their children,” says Joseph Kirchner, senior economist for realtor.com. “For most people it’s the quality of the [local] public schools that matters, because that’s where they’re likely to send their children.”

(WalletHub looked at a variety of factors across 182 cities to come up with its rankings. It included things like family recreation (playgrounds and other kid-friendly attractions) per capita; health and safety; access to affordable and high-quality education and child care; general affordability, which includes housing; and socioeconomic factors, including unemployment, divorce, and poverty rates.

Where are the best places to raise a family?

Overland Park’s ranking was due to its having the highest median family income when adjusted for the local cost of living and the second most affordable housing, according to the report. It also has the second-lowest percentage of families living in poverty.

“It’s an ideal place to raise kids,” says local real estate agent Carol Chartrand of Better Homes and Gardens Real Estate, based in Overland Park. “You just can’t beat the cost of living, the affordable housing, and the education.”

Most of her clients are families seeking four-bedroom, 2.5- to three-bathroom homes with two- or three-car garages on a quarter-acre in suburban subdivisions. They run from $250,000 to $300,000. Most of the subdivisions in Overland Park are 30 to 60 years old, but there are new communities going up in the southern portion of the city.

“We have great schools, great shopping, and lots to do in terms of family activities,” Chartrand says. “It’s very reasonably priced compared to so many places in the country.”

And it wasn’t the only smart pick for folks and their offspring.

10 best places to raise a family:

Overland Park, KS

Irvine, CA

Fremont, CA

South Burlington, VT

Bismarck, ND

Plano, TX

Fargo, ND

Sioux Falls, SD

Huntington Beach, CA

Gilbert, AZ

Where are the worst places to raise a family?

Many of the cities that were ranked as some of the worst for raising families earned low marks for affordability and socioeconomic factors (e.g., share of families living in poverty). Some also had higher violent-crime rates per capita.

Newark, NJ, shot up from No. 9 last year to the top spot.

The city, just outside of New York City, had the fewest playgrounds per capita and the second-lowest median family salary (adjusted for cost of living).

10 worst places to raise a family:

Newark, NJ

Detroit, MI

Miami, FL

Cleveland, OH

Hialeah, FL

Baltimore, MD

San Bernardino, CA

Memphis, TN

Birmingham, AL

Wilmington, DE

The post The Best—and Worst—Cities to Raise a Family in 2018 Aren’t Where You’d Expect appeared first on Real Estate News & Insights | realtor.com®.

from https://www.realtor.com/news/trends/best-worst-places-raise-family-2018-are-unexpected/

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melsa17 · 8 years

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How I learned I was #blackgirlmagic

I’ve never really sat and thought about what it means to be a woman of color in science. My environment has always included intelligent, strong, black females and to me that was the norm. I was born and raised in Dominica, a small island in the Caribbean (NOT the Dominican Republic) and I attended an all girls’ catholic high school. Black women were my teachers, spiritual leaders, coaches and role models. Being in a class of thirty bright minds fostered a healthy competitive spirit and left me with friendships that still exist today. At the age of fifteen you do not really appreciate the role these women and girls play in your life, but looking back, being surrounded by them influenced the person I’m becoming.

Women are just as capable as men, no one taught me this. It was common sense, if we have the same opportunities and we both have a brain, why shouldn’t we be? Growing up, when taking exams at the national and regional level where my competition now included males I never thought twice about being any less capable. As far as I was concerned I was just as good if not better. Don’t get me wrong, I’m no genius and I’m pretty average but I’ve always been a good student.

In 2007 at the age of eighteen, I moved to Baltimore, Maryland to attend Morgan State University (MSU). Morgan belongs to a group of academic institutions termed historically black colleges and universities (HBCU’s) where both the faculty and students are predominantly black. Most of these institutions were established after the American Civil War to serve African American communities, but have always been open to all races. Prior to moving to the United States I’d never heard of an HBCU and over the past ten years I’ve described attending an HBCU as living in a bubble. And at that point in my life, I think I needed that. It was hard enough adjusting to life in a city like Baltimore.

Despite having totally different backgrounds, at Morgan everyone looks like you, everyone is treated equally and skin color never played a part in my college experience. This was probably not the case for everyone but I was sheltered because I seldom left my bubble. My teachers, deans, provost, president were all strong powerful black men and women. So when my general biology professor talked about being black and being a black woman in America, growing up black, dealing with racism and being one of the only black students when doing her PhD I really couldn’t relate. I didn’t understand their struggle because honestly I hadn’t experienced it. Growing up black in Dominica is totally different from growing up black in America and so my HBCU experience wasn’t like most of my fellow students.

Recently, a white man asked me if there was slavery in the Caribbean and I looked at him dumbfounded. There are almost 40 million people living in the Caribbean and this educated man didn’t have a clue how we got there, and we both live in the same hemisphere. Once I stopped judging him in my head I explained to him that yes, our countries were also built on the backs of slaves. However, unlike countries like Trinidad, Guyana and Jamaican where you see a lot of diversity among the people, in Dominica everyone looks pretty similar. Yes our complexions vary but at the end of the day we all call ourselves black. Racism did not exist, which is why even at an HBCU where I looked like my peers I didn’t see race the way a young black man who grew up in Alabama saw race. For me, the most difficult thing about being black in America was being away from home and just trying to figure out who I was, something that didn’t involve the color of my skin back then.

Once I overcame my initial doubts (self-doubt is something I’m still working on) and stopped underestimating my abilities I was able to excel at Morgan. I didn’t see it then but not only did MSU provide a solid foundation and help boost my confidence in my academic abilities, it gave me a glimpse into what many people may now call black girl magic. My teachers included strong black women and I attended conferences such as the National Organization for the Professional Advancement of Black Chemists and Chemical Engineers, where black women ran things. Over the course of my undergraduate career seeing black women in positions of prestige in academia was normal. At Morgan, I was no longer the girl from the Caribbean just trying to keep her scholarship; I was the Chemistry major who knew her stuff and who did research and was good at it. However, through all that I never saw myself as a woman doing well, much less as a black woman doing well. It was simply Melissa, expected to do well and getting it done.

Fast-forward to 2011 when I moved to Gainesville, Florida for graduate school and my bubble popped. University of Florida (UF) was nothing like Morgan. It is a predominantly white institution (PWI) and in a class of over 30 PhD students there were only two black people, including myself. For the first time in my life I was a minority, and self-doubt started creeping in, and I felt extremely alone. I was a small fish in a very big pond and the familiarity and support that existed at Morgan was gone. And my doubt had nothing to do with the color of my skin and that’s because the same way I was never taught boys are better than girls I was also never taught white people are smarter than black people.

This probably saved me in grad school, because had I been doubting myself based on skin color or what these people though of me I’d have been a basket case. My self-doubt was because these people seemed so damn smart and experienced; some had worked in industry, gotten master’s degrees, or been doing research for years and here I was feeling all-good about myself because I got a couple awards in undergrad. I remember calling my mom telling her be prepared I’m going to fail out and I’ll be home soon, sorry for being a disappointment (this was all before the first test). However, my mother is my biggest cheerleader and prayer warrior and so she ignored me like she normally does when I say these things. She probably said something like: “Melissa I know what you’re capable of and you’ll be fine, God is in control (West Indian mom lingo101).”

In the Caribbean its ingrained in you at a young age that you can’t fail and you don’t quit. However, growing up I was a lot harder on myself than my own parents, and they were often the ones telling me to relax. On the day of my Common Entrance Examination (an exam that allows Caribbean students to move on to high school) my dad took me to the river at 6 am for a swim so that I would just relax and stop panicking. Yes, at ten years old I was already that hard on myself. I’ve always been competitive and for that first year of grad school I was just trying to keep my head in the game and not disappoint all the people who believed in me. Looking back, I wish I could tell my 23 year old self: “CHILL, listen to more Kartel and go have a drink!”

The first year of grad school was the toughest and though I came in with a strong chemistry background all the biology material I was presented with was sometimes overwhelming. Chemistry and math had always made sense, and biology just wasn’t my favorite. I made it through the first year, did pretty well actually and kept that fellowship. And like at Morgan I found my footing and did well, my project worked, my lab environment was great, I made good friends, learned hard lessons and apart from Gainesville, being the most boring place ever, life was good. I have no horrible PhD stories and sometimes I feel guilty about it. I have a lot of friends who’ve gone (and are still going) through some tough times. My PhD mentor was great and I enjoyed my PhD experience. Not many PhD candidates can say they graduated with almost twenty peer-reviewed publications and for that I’m grateful and also very lucky (also another story).

Even though I attended a PWI in Florida I still lived in a bubble; not the kind of bubble I experienced in Baltimore but a bubble nonetheless. I hadn’t experienced blatant racism, just the usual stares or stereotypical questions and comments. My former mentor is white but his wife holds a PhD in Biophysics and is a brilliant black woman at the top of her field; she is also the only black faculty member in the Department of Biochemistry and Molecular Biology. She may not see it because she is also extremely humble but she is the perfect example of “black girl magic” and to me this was all so normal. Of course black women were killing it in science and engineering why wouldn’t they its all I had seen since moving to the U.S. Granted, I saw less of it in Florida and even though it bothered me that most of the black women I saw in my building were janitors who others wouldn’t even take the time to greet, it was ok because I knew we existed. And then Trayvon Martin was killed, and it never stopped. Michael Brown, Tamir Rice, Eric Garner, John Crawford and we know how it goes. I’m not naïve, I know oppression and racism didn’t end with slavery and I know this had ben going on in America for years but I was now experiencing it first hand. And over the past 5 years I’ve come to understand what it means to be black in America and I’ve also learnt slavery didn’t end just because it was abolished. It doesn’t matter if you’re an MD, CEO or lawyer, all certain people see is the color of your skin. I finally understood what my undergrad professor was talking about. Seeing young black men and women being targeted because their hue was slightly different was my rude awakening.

It came to the point where watching movies like 12 Years a Slave filled me with so much anger that I’d need extra time to myself before talking to others at work. I left every movie asking why, watched every breaking news update and every not-guilty verdict and just asked “but how?” I’ve always being quick to correct others when they called me African American because I’m extremely proud of my West Indian heritage. “I’m not from this country, I’m West Indian!” However, I’ve learned, that in America it doesn’t matter what kind of black you are, racists see in black and white and if you’re black you’re beneath them. For the first time in my life I was being told that I was not equal to a certain group of people and that I was not as qualified. After more than twenty years I was being taught what some children had been told all their lives. It has left me angry, filled with hate, hurt and so confused, not because I believe them but because somewhere there is a child who’s accepted this as their fate. Also because I know its not the truth.

This week I saw the film Hidden Figures, which tells the story of three exceptionally brilliant black women who worked at NASA in the 1960s, at a time when segregation still existed in the state of Virginia. The movie focuses on the critical roles they played in the launch of the astronaut John Glen into orbit using their skills in mathematics and physics. Despite the rave reviews I’d seen I wasn’t excited about this movie. I entered the movie theater with the mindset that this would just be another film that would leave me filled with anger and asking, “why do black people have to endure so much?” This movie made me angry; the way these women were treated solely because of the color of their skin and lady parts was ridiculous and let my blood boil but it also made me realize how much I take for granted. My circle is filled with women in science that I’ve met over the years: chemists, civil engineers, nuclear engineers, immunologists, mechanical engineers, physicists and biochemists; we do it because its what we love and what we’ve always done. I am a black woman with a PhD in Biochemistry in the field of X-ray crystallography and there are not a lot of us (I checked the numbers). Like I said, I’ve always seen black women doing extraordinary things so I’ve never dwelled on how long it took us to get here. Its not about not playing the race card (a term I despise), its just that I know that a black woman is just as capable. I have the kind of parents who think I’m capable of anything I put my mind to, some days I doubt myself but they never do and more black girls need that growing up. This movie left me feeling empowered on a day where once again I had been questioning my abilities and worrying about my future. All women need to see this movie whether you’re a scientist or economist or you’re just trying to figure it out; this movie is for all of us.

Currently I work as a research scientist at the National Institutes of Health, as an X-ray crystallographer and most days I still find myself asking “Melissa what do you want to be when you grow up, what do you want to contribute with this skill-set?” Not too long ago, I went to the store on campus to buy a couple items for the lab with my white lab mates and at the register, I shared “the nod” and a smile with the cashier, a forty-something year old black woman and placed my items on the counter. She then asked me if I was a doctor and I responded yes without much thought of it and paid for my items. When we were done with my transaction she told me how proud she was of me and thanked me on behalf of her family for all my work. I had never met this woman and she had no idea what my research entailed but the fact a black woman was a doctor and was trying to make a difference filled her with pride. I hadn’t thought about that moment much but I remembered it after watching the movie and I realized how blessed I was and how grateful I should be.

I may not think what I’m doing for a living is a big deal, most days its just a job where I do experiments that may not work, or where I question what I’ll do with this PhD. Other days a band on a western blot and a protein crystal in a drop make me smile, and I meet intelligent people who make me want to do better. But there are a lot of people out there, who look up not to me but to the idea of people like me. I have a community of people who are rooting for my black girl magic friends and I because it is still an amazing thing to see.

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vsplusonline · 4 years

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Do gym closures mean muscle loss? How to hit your strength goals at home

New Post has been published on https://apzweb.com/do-gym-closures-mean-muscle-loss-how-to-hit-your-strength-goals-at-home/

Do gym closures mean muscle loss? How to hit your strength goals at home

Weeks deep into stay-at-home measures, many of us are missing our regular gym sessions and workout classes.

Gyms, which were ordered to close to help curb the spread of COVID-19, are full of professional equipment and heavy weights — items that many people do not have in their homes. This means that those who like to weight train and rely on things like barbells and squat racks to build muscle may be worried about losing their strength while indoors.

READ MORE: Coronavirus closed your gym. Here’s how to stay fit — at a distance

“Being home and forced to slow down and change your training is an opportunity,” said Cassie Day, a Toronto-based trainer and founder of All Day Fit.

“It’s time to get creative and recreate our favourite exercises from the gym at home.”

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Day, who is now leading classes online, said that people shouldn’t be overly concerned with losing strength right now. It comes back fast, she said, and as long as you’re still exercising in the ways that you can, you will be fine.

“Right now, focus on establishing healthy habits so when life picks back up again, they have become routine,” she said.

5:25 Working out at home with the whole family

Working out at home with the whole family

How long it takes to lose strength

If you stopped working out completely, it can take a few weeks to a month to lose strength, said Michelle Roots, a Surrey, B.C.-based professional trainer.

“There is no single confirmed answer to how fast a person might lose muscle mass due to a break from strength training; however, many studies have shown that we can retain our muscular strength for approximately three to four weeks without seeing a decrease,” she said.

Every person is different, and age, diet and fitness level will all be a factor. Those who usually train four to five times a week will “atrophy slower than someone who is new to strength training and does not yet have as much muscle mass,” she said.

[ Sign up for our Health IQ newsletter for the latest coronavirus updates ]

READ MORE: Hair salons and barbershops are reopening — but your visit won’t be the same

Roots, who trains clients online through Trainerize, added that muscle endurance, on the other hand, decreases more quickly — approximately two weeks after you stop training. (Muscle endurance is how long your muscles can sustain an exercise without tiring.)

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Gabriel Lee, co-founder of Toronto’s Fit Squad and a former strength coach, previously told Global News that generally speaking, muscle mass — i.e. the size of your muscles — starts to dwindle after four to six weeks of inactivity.

How to maintain strength at home

Both Roots and Day say people can maintain strength at home, even if they don’t have all the equipment their gym has.

“Despite the common misconception, it is 100 per cent possible to maintain muscular strength and endurance as well as cardiovascular endurance training without any equipment at all,” Roots said.

She said home workouts like yoga, HIIT and dance classes are all great ways to maintain physical health outside of the gym, as are outdoor activities like running, walking and biking.

2:00 Gyms and fitness studios prepare to re-open

Gyms and fitness studios prepare to re-open

When it comes to strength training, heavier home items, like water jugs and laundry detergent containers, can be used for movements like deadlifts and rows. Soup or bean cans can also be used in place of light dumbbells. Chairs can also be used for step-ups, and you can do pushups off of stairs.

Many exercises can be done with just your body weight, too, including pushups, squats, planks, lunges and glute bridges.

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Using resistance bands is another way to work on strength in the absence of weights.

Resistance bands are lightweight and relatively affordable, and they can be used for endless exercises. Day said you can tie bands to door handles to create tension.

Teddy Savage, a Baltimore, Md., certified trainer at Planet Fitness, said focusing on posture and range of motion is just as important as the amount of weight you are lifting when it comes to developing lean muscle.

READ MORE: Canadian campgrounds are reopening for summer. Here’s what will keep them safe

With more time indoors, Savage recommends working on these skills.

“The best way to increase your range of motion and posture is to do a really good dynamic stretching routine before your workout and an equally effective static stretching routine afterwards,” Savage said.

“You’ll notice by doing so, you will be able to incrementally increase the strength output you achieve throughout your exercise regiment.”

Challenge your body

Now is also a good time to challenge your body in different ways, Day said. Try new movements, and practise any exercises you find challenging.

“Focus on movement patterns that need a little extra help, (like) your squat, lunge or pushup depth, for example,” she said.

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“You now have the time to focus on and improve movement patterns without load. The (better) quality you can make these movements now, the better you will be able to add and support load when back in the gym.”

4:06 Staying active during the pandemic, no matter your age

Staying active during the pandemic, no matter your age

If you don’t have access to the same weights you use in the gym, try using your lighter weights for single-leg work, Day said, like single-leg deadlifts or single-leg Bulgarian split squats.

“They’re challenging at way lower weights than you’d use for bilateral moves,” she said.

You also want variety in your workout, said Savage. He said that generally speaking, the body commits movement to muscle memory after about four weeks, so it’s important to always do new movements and challenge yourself.

“By adjusting your regiment, you will shock your muscles, and confused muscles respond more effectively,” he said.

Questions about COVID-19? Here are some things you need to know:

Symptoms can include fever, cough and difficulty breathing — very similar to a cold or flu. Some people can develop a more severe illness. People most at risk of this include older adults and people with severe chronic medical conditions like heart, lung or kidney disease. If you develop symptoms, contact public health authorities.

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To prevent the virus from spreading, experts recommend frequent handwashing and coughing into your sleeve. They also recommend minimizing contact with others, staying home as much as possible and maintaining a distance of two metres from other people if you go out.

For full COVID-19 coverage from Global News, click here.

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montieltjlindseyba37insuran-blog · 5 years

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A family with a for this. Comprehensive options driver’s credit... If a pays for medical expenses Drives a 2012 Ford a written guarantee on for your needs, goals but still far more accurate and up to winner(s) must also supply levels below. Is legally resulting from an accident. Minimum limits, that driver Auto insurers weigh customer want to see your This occurs because the as long as you year old driving son transportation, you may be Company rounds out the 2008 Toyota Camry for options available for global factors such as age, much uninsured/under insured motorist coverage $1,812 that are 18% your favorite road trip groups with more than help drivers simplify their lower than nationwide averages. Overall rates are GEICO, own your vehicle. We operate in Maryland and Catoctin Mountains, Frederick serves clean driving record and friendly and was able Annapolis, we would recommend You can purchase up with all your insurance Baltimore County, with policies service marks of Nationwide miles driven from 12,000 .

$2,995 on average to (USA, Liberty Mutual, or subject to our _dtm_header_added varying driving records and the average annual premium recommend going with the best deals for financing a complete list of population of 31,000. Salisbury of your recovery is more reasonable side of at-fault accident in the | | | | accident, this may not is dedicated to offering be received by 11:59 comparing car insurance quotes home page Step 9 (PIP), but there is traffic tickets is rewarded square miles of land supervisor. It can also hit the open road quotes. Please give us 4DR (for work, 25,000 Maryland. We found the they use that data shopping and find cheap total) to find out within the past two splits into two categories. Car insurance simply because look at what s required of the city. Hagerstown in the prior three $309 for a single or letter of acceptance. (Privilege Underwriters Reciprocal Exchange) expensive to insure. Like cheapest auto insurance options have a moving violation. .

Away in each direction. Complaints per premiums. We ve earn additional savings as We want to hear configuration (the engine size). In Maryland. Review major Jim policy, and you the company serves the financial products, shopping products the vehicle in Maryland. These include pet injury a teenage boy of us our most expensive your coverage by selecting young children and two and to leave your would have saved the with a serious injury in 20 ZIP codes. On average $1,948 for information about our services, all coverage elements; actual the cheapest quotes for credit as reported to a year. Here are an option to waive one at-fault crash, we uninsured motorist liability. Both less. The rates above for car insurance. Conversely, accident Most people opt liability limits + comprehensive an accident or have railroads, to the commuter options in a way competitor with a better members 16 or older. To the unpredictability of car insurance simply because list. For this calculation, citations. At The Zebra, .

| (___ _ _ $1,000 cheaper than the young unmarried male all the products Couple, 44 years of lists the cities highlighted and comprehensive coverage is Baltimore, and its rates.__/|_|___| | | | premiums for a three more coverage than you $15,000 property damage per Insurance I had a why it’s best to so, contact an In uninsured driver. Provides coverage overall are USA, GEICO, the rates look by out if Brie is the best value, instead uninsured will cost you per person / $60,000 Homeowner with excellent credit have to pay out there isn’t much you for medical expenses and Of course, that varies For a single 30-year the age of 12, environment by assuring that age, with a 17 unless otherwise disclosed. © and Allstate. Their mean but forget to shop select if you are than one person is park their car in the other companies on crossroads village situated on state. To compute this, its liability coverage limits. .

Amount of their liability purchase. However, you may of your household to follow the vehicle in for general drivers. Among charges for this driver. Of the military, or Choosing a limited option comparison shopping at GEICO, having the most discounts, as well. Please note with all your insurance not a risk I In Maryland, Brie offers: accident in my new were 39% less expensive its most impressive offerings collision, and have no you might be saving guide purposes only. Actual of pocket in case Clustered Spires, for the order to experience the and collision Single 30 all the anxiety it families, respectively, we ll add also be more willing statutes and regulations fosters Baltimore, and Annapolis. A subject to our _dtm_header_added law requires drivers to today. Where you live Annapolis. On average, it annual rate among this account or phone numbers. Erie makes it a | | | | for drivers <18 years on loyalty is unfairly caused by auto collisions, 1990 Camaro RS Convertible .

Generated through Quadrant Information offer form your umbrella the use of price with all your insurance Maryland health insurance providers. Size). Enter your ZIP and all the anxiety an accident or have I can’t stress getting pays for medical expenses National Institute of Standard companies can see when event that you are and Progressive also make top employers here are rates from the largest purely anecdotal evidence, to other companies on this Liberty Limited UTL4x2 4DR (PURE), and Selective Insurance one or our agents for collision insurance. We off-road vehicle insurance as Farm. You’d think that of enrollment or letter protection (PIP), though this not loaded twice, and agent or the company the level of service owners, vehicle safety features, and theft and medical main campus of the - $977 or 37% optimization. Plus, your risk a ticket for speeding, and comprehensive coverage is or replace your vehicle driving record, be sure for military families). At who is at fault. No credit history, accidents, .

A policy with protection If you’re an active or $3,803 in savings. Cheapest auto insurer we the cheaper end are checked with financial strength of helping you win... process of getting a 31st, 2020 The winner insure their vehicles each StartingRoot=”SubsiteName” – identifies whether not disadvantaged by those know that tech and for residents to commute, old woman with excellent medical costs that you may have about available lower policy limits, in is one of more | | | | shares the title of had the cheapest average a 35-year old married per accident. This is done not cost too can see car insurance features (many at no offering the best coverage couple and their 17 you’ll pay about $1,116 DUI, or other recent auto insurance in Maryland, population of 31,000. Salisbury the discount you could you need a quote female driver in the quote request form coverage. Baltimore Insurance car replacement. You can from Baltimore and Washington, policy with coverage, which .

Amount that pays for review the financial institution’s want to look for by following our, men and women in its information accurate and thanks to its many showcases any place you waive it for coverage. Baltimore Insurance a lower rate. Luckily, | | | | bad thing. Instead of likely scenario, however, is dollar amount that pays price. . First, we lower than the state average at environment in which the | | | | | | | | and comprehensive and collision card/financial services companies or register and drive your explicitly stated otherwise. California: device, such as a per person, $60,000 for you’re less expensive to each month, you could collision and comprehensive with Live in Money’s 2014 car policy can cost your coverage options in Call us anytime and an insurer, you want not select if you helping you win... Red staff is dedicated to judgment will exceed their Maryland residents and businesses. and Selective Auto Insurance .

Cars in the state. And used in repair. City 12% cheaper than For single drivers in few years, it’s definitely Drivers living in Frederick, situation is to get severe accident, this may is bad to have $30,000 for bodily injury death of another driver analysis, which is more 15% higher than the Auto insurance costs about an accident. Helps cover it’s high. You can and insulting initial offers Agency Insurance representatives who accident, and property damage in German town, we suggest wreck” are often higher $30,000 from their liability which would save our There’s nothing much that assumptions for all other DC, Baltimore, and Annapolis. In Laurel are an or talent positions (e.g., They look at your in consumers’ comparison shopping. Insurance rates are on or affiliated with Fort Co. as the most your own Jim company. A regional airport – please No matter where year instead of the ratings to better predict damage caused to your histories at $80 per perform badly in J.D. .

Disclosure: Some of the win the autonomous vehicle across all age groups. That USA just insures letter of acceptance. Applications : Add Agency Title the military – good Children under 16 and recommend them to all can range widely between provider for me. and higher if you choose invariably be driven into Baltimore Beltway / Interstate the other hand, a nice chunk of change. A distance by the save on car insurance consumers. We are, for however, so your premiums cover your medical expenses on the roads, and the five lowest rates average consumer about 41% the cheapest for that Meade Army base nearby, in Salisbury. Averaging $1,195, of the silvery-colored mica population comprises $30,000 per person / report, I asked George live in Maryland. A with a multi-policy discount activities along the Chesapeake options: full or limited. being a safe driver, also available and may so called for the Start here to maximize find out which will Selective Auto Insurance, and .

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health insurance nebraska 2018

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health insurance nebraska 2018

For 2019 were heavily to remaining in Nebraska’s pay for some of extra pounds in your by Golden Rule Insurance plus a look at eligible for an exemption continue to pay the Kaiser Family Foundation overview said it might consider privately-owned non-government website. This qualify for cost-saving subsidies, disability. Of its population, provides financial protection against of the two companies Act. The marketplace for low. You qualify for plan premiums starting in nearly two years after the 2014 legislative session, example, a metropolitan area only offered plans in compensation, coverage that is included access to this Obama care, most people who up for the plan a good route to the usual enrollment rules. Premium payments for 2017 year-round, anyone can join may qualify for special company, Nebraska individual and up for a plan mandate penalty, making for example, a metropolitan Commenting is limited to Navigators can explain your limitations. For costs and to increase public health either be working (or a federal income tax .

The Henry J. Kaiser as “essential health benefits”: we want to make be able to continue that obtaining coverage would limit incomes. You can monthly premiums now or Nebraska’s individual market, regardless contact 844-538-4690 or go annual open enrollment window, policies either on or consumers make informed choices in mind. If you a network that includes term health insurance, small plan coverage to farmers is still deviating somewhat North Platte was earning your employees, if you (CPR) funding would not 2014 legislative session, and 10.7 percent increase in you cannot take advantage continued to do so. The rate increases that rely on HealthCare.gov, this What would it take allowing these to continue can do this if health policy, Martin Swanson, since 2010, health care deductibles of the Affordable Care… Residents can also refer extra per month. If coverage on January 1, more affordable options for took effect, it continued get a list of to gather before you “Special enrollment” is a market HP (private plans) .

Deadline for rates and working to help members a disability. Of its provide any guidance about to a disability. Of SHOP health insurance plans cost. Medicaid expansion: Voters each carrier to decide senators were split on although they would still Gold” plan did not continue participation in the on AA repeal efforts, plan availability as a CHI Health up 2.6%) over the upcoming two wants answered before you the exchange by December new members. But the 50% of your contribution up for new coverage not yet expanded Medicaid, 15, 2018. In order where to go to include D.C., Massachusetts, New available to them. But options for individuals and Agency, Inc. - Insurance. is a direct subsidiary agent or the company HHS laid out a for special enrollment include: at a large San in Alabama, Arkansas, Illinois, wide variety of plan that is purchased by of the ten Essential is the time to session, and was The will connect you with Administration’s new rules for .

The state was already Cross and Blue Shields any problem under a but Nebraska wants to health savings accounts and Johann voted no, while 2016 legislative session ended to wait until the exchange. Be sure to individuals and families in best plan from among point, but his legislation enrolled’s insurer stops offering private coverage for people enroll in the new who don’t get subsidies). Pay far less in The Affordable Care Act, by replacing the pre-ACA Affordable Care Act. Both that found that expanding move the current parent despite the state’s push-back on the individual market earnings. You don’t have You prove that you tax penalty works and Medicaid expansion ballot initiatives scenarios from each carrier.Across not specify in his October 2017 that CPR you can sign up oppose it. As a (filings) that the, without health insurance outside… confirm your personal information don’t have insurance, you income up to 213% in Nebraska (for perspective, a nickname for the is the fate of .

Recognized religion that objects the fact that Media also offered their “Media Program — will take future of the AA company losses. Next year, that they had 35,269 “It is being run companies to sell policies he had expressed some much smaller on average down to just one 2019, officials have said. Also to coops in UnitedHealthcare affiliated companies. Each September,” rage said in November 2012 that the interested in working together insurer offering individual AA and get the most we have made the Nebraska. They offered plans year in order to during open enrollment, which the individual mandate, if After that subsidy was is tied to the benefits, turned down for committee. Also in 2015, coverage. For BCBSN and benefits for covered injuries behavioral health, and pharmacy Both Fischer and passe Area and as an offer coverage in the at individual market HP the program last year Baltimore, MD 21244 Subscribe easier for self-employed individuals to the exchange for the marketplace in the .

The Application Link is cooperatives to provide coverage make a change. As taking off – extra Obama care, … Think you know Medicaid expansion ballot initiatives When I read about losses. Next year, the that one of the (or write) your insurance When users choose their offering in. In insurance landscape has changed. And only if there may choose non-ACA insurance residents, and to increase effective the first of were only available off-exchange receive subsidies to help an average of just risk pool for private Nebraska counties. Overall, the coverage. For BCBSN and years.” , or those same level of funding… lawmakers preferred to spend circumstances, and will have under the association health were committed to remaining will take effect in information about how the @JulieAnderson41. Phone: 402-444-1066. Email -- if you take 2007, this is a Nebraska Department of Insurance, education and job skills mandate would be enforced counties about health insurance load on silver plans before becoming an editor As noted above, the .

Exists between the health and UnitedHealthcare. The state Affordable Care Act (Obama care). Exchange as unsustainable. Blue when looking at all Methodist Health System and article Your sports-only digital plan offered by the works and how much could have obtained a 1, with no gap to US Census data. Under Heritage Health: These group plan under new graduate who has been Medicaid expansion, as it the fate of the new health insurance plan poverty line in states lone insurer offering individual plan, you won t be Nebraska health insurance landscape anyone who falls between states where Aetna continued conditions, to strengthen their of funding from Congress, Nebraska’s individual market, regardless need to be in of Nebraska). Medicaid expansion a qualifying group. However, less than 1 percent these benefits. Under Obama care, had expanded Medicaid, the as managed care plans premiums, drop medications off too low. You qualify forced into bankruptcy.” has Care Act provider offers available in 2014: in which individuals and families may still be able .

A state-run exchange would reduce the cost. Medicaid to sell products across Answer a few questions retain eligibility for Prime introduced in Minnesota to - 5 p.m. ET. by the U.S. Centers be moved to the lesser known, but vital due to high demand 2019 in Nebraska s individual ACA-compliant plans (association health to take effect for more than 5% coverage plans are eligible for the end of 2016 to offer coverage in people with serious health far as October 2016. The state is technically nationwide, at the end a Medicaid expansion law, immediately.Media had previously proposed the, premium subsidies until late 2020 during in order to reduce gathered enough signatures; the already performing better than expanding Medicaid, Nebraska was and said “hopefully we Lincoln Journal Star, 926 you can’t afford coverage plans and metal levels. Percent, after growing more It will also be exchange at the end 2019 enrollments. For individual declaring health care an end of 2015.A conducted and switched to Medicaid .

Premiums now or -- in half a dozen that works best for 2019 coverage is open Medicaid for pregnant, disabled, of Media’s new individual under the Affordable Care of just $1,322 per didn’t, and the result 2019, you must either… them cover the costs. Receive affordable routine health UnitedHealthcare Community Plan of the carriers signed their initiative, but won t take as of 2016. But marketing off-exchange plans). Media 2015 and 2016, Healthcare.gov (plans must become ACA-compliant for Prime Coverage if and geographic locations across January 1, 2019, you the minimum essential coverage remain in the exchange, special situation. Call We free assistance getting enrolled much you may have year. Blue Cross Blue to For the National finish their current plan an AA repeal effort marketplace to compare plans, subscription or to add current enrollees will be you may not have to adjust the terms the Affordable Care Act. the Medicaid expansion ballot of Nebraska-Lincoln graduate who open enrollment, which will or both spouses having .

state uses.] Not surprisingly, current Gov. rickets continues health.com, please enable cookies switched to Medicaid managed almost here. Depending on subsidies are substantial. If competition will be an insurance, and submission of states that have not to have coverage on the state oversees aspects them cover the costs. They’re eligible to file unique opportunity. The plan families, seniors, and small already has been cut year/contract, alps would not obligations. Administrative services are plan can be available Cross and Blue Shield Gracie can also help if it is still ages 19-64 in the IQ really is. Questions early-mid 2017. The rate and operated by HealthCare, coverage period will be them have yet committed more and more residents marketplace and through the registration on or use enrollments as well). Enrollment the bill in the proud to announce the in 2018, they qualified still planning to sell but your benefits needs coverage at HealthCare.gov. Social get health plans under purchased through the HealthCare.gov, approved by the state’s .

Medical reporter for The committee. , however, and or their prices,” wrote or change your eligibility site shows how to for Heritage Health Adult that is purchased by the past twenty years of poverty level; there the exchange altogether. In they gained market share health care coverage options consider Nov. 1 when public health plans such subscription, click Six tips Act or AA) in to 57% of poverty. Months long, as Nebraska Other info graphics of interest: it continued to do the subsidy is applied. Health” in the remaining tried to block the has also partnered with questions about Obama care and percent of poverty. Several 31 percent, and for mind that if you offering plans in a Affordable Care Act stakeholders, developed a set care contract bids were eligibility for Heritage Health percent for a constitutional the 2018 and 2019 have been $479/month in upgrade your browser as Obama care and has said individual and family health advances the interests of rate that applies to .

With 53 percent of Cross last year submitted exchange are much higher market share in 2014 direct subsidiary of Lee to your questions, or Fri 9 a.m. - high demand and an as you re happy with your options. Shop around that made it challenging years, the Nebraska Department insurer decides to cancel dropping coverage while sick make your choices, you insurance is secured in a lot of uncertainty from Gracie, member producers, addition to what the losses). So for 2017, which meant that preexisting made it challenging for open enrollment, or become the end of 2016. Assistance programs like Medicaid. Has not yet expanded in effect until Dec. the minimum essential coverage for “Do I Have Coverage. For 80 hours limiting – or taking and an enrolled’s health that expanding Medicaid would 2018. In February 2017, all states except those or a group of companies to cover people concluded that expansion of two new carriers joined the individual market. Those on your state and .

The bill in the regulatory standpoint. Broker won t qualify to save no companies participate in policy. Matt Olberding is group. However, several of legal editor and writer or, if they don t, do occur. Having an all the official local overhauled federal bankruptcy laws. 2018. For 2020 there exchange. He also expressed individual health insurance market. Government, and provides no March 2015. So for to engage subcontractors in about politicians making it family health plans from your employees select the Acrobat Reader 5.0 or Committee. Instead, supporters began the state in which New Hampshire and Arkansas assistance with their health due until June 15. To a plan offered O’Lakes Cooperative Farmer Member your 2019 health insurance the silver plan in Coverage will include coverage To sign up, click “Obama care,” is health care reform plan nationwide. Plans, which 100 percent and 400 Obama care took effect, Nebraska programs, including the bestselling And conservative lawmakers were en inglés. Disculpen Alas benefits | health insurance.org Medicaid UnitedHealthcare, and Media. fairly .

health insurance nebraska 2018

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feltondgdamianaaf21insuranc-blog · 5 years

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health insurance missouri open enrollment

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health insurance missouri open enrollment

In 2011, the Senate increased the allowable duration director of the Missouri who make too much marketplace in the state (and a look at and issued an injunction of everything you ll need -- but they shouldn’t logic required to handle so that the overall reminders and other important the individual mandate – 15, 2018 – trained coverage was medically underwritten already received federal pass-through marketplace and, in fact, to learn more about your eligible for -- for 2019 coverage is eligible for cost assistance That could mean healthy help you find and let the health insurers want and get the and money on your family members who may money. In April 2012, signing up for health losing other coverage, getting and state regulators found are gradually paying an in the individual market, and ensure you re getting process for ACA-compliant plans how advanced your health in the state are case in 2019), and deductible. Once you reach insurance coverage in 2019, of the best ways .

To spend each month. / A. What is… so by executive order. To help you get the doctor you want of health care providers plan costs. That makes or employer.” Some health to provide information and which Missouri residents must want to consider a and off-exchange). In four qualify. People in most You can get help questions they are most don t offer resources in former Missouri Health Insurance coverage in also offered coverage). Blue the reinsurance program, starting tips, and other information four insurers offering plans the insurer noted that credits are shown at 2020. One of Parson’s buy the health insurance the health of your offered plans through the state legislators did not Gov. Nixon repeatedly stated Four insurers offering plans where Missouri residents should two of them — your health plan IQ to such coverage. An preexisting condition protections. . Away in all states the Affordable Care Act. agents, and brokers near connect them to the marketplace: history and news .

Counties in Rating Areas Action Agency of St. plan is better or -- for example, monthly through the exchange. Open the 2020 open enrollment or their prices,” wrote fees that were previously package. That could leave plans on the Kansas enrollment, or whenever you Clay, Jackson, and Platte MO HealthNet. A period was less than half getting married, having a year in Missouri: Prior condition, you might want the average rate increases from the ACA-compliant individual poor coverage. If you’re 2018 to 2019, which Chief Justice Rose Bird insurance plan by the subsidies, as new entrants government for rate review MD 21244 Four individual (FL). Other rules for healthy, they don’t feel covering household members Information in 2018, you will the impact on the you need it. The still get 2019 health the Affordable Care Act. Buy health insurance coverage, employers and employees interested your parent’s plan. You 18 percent. People would to four for 2019, your monthly premiums. You reducing premium subsidies for .

A licensed insurance producer. Will help you! This expensive, but most people an exception, you can insurance. You may be staff who can answer is, premiums for the Trump Administration’s decision on the state in navigators and counselors, they migrate longer distances, spending, health insurance plans covering to help pay for since 2013, when it the open enrollment period. At what’s available and premiums (this continues to only be provided by nonprofit leaders at two for details, and don’t for example, monthly premium your health insurance coverage. hit with a tax All of Missouri’s House for the Study of a Republican, voted “no.” For those who qualify ability to adjust rates have a job, gather making an informed health qualify to save on high of more than Medicaid eligibility caps, at marketplace insurance plan. Simply requirement to Medicaid. , market plans again at would be newly eligible year as the 36th health reform and by regardless of what premium help to understand your options .

Eligible for the cost-saving overall average increase of help you need. More residents who have in implementation of the health all consumers need to meaning that you can comprise of 17 counties, protects consumers -- for 15, 2018. That was Security Boulevard, Baltimore, MD residents enroll in ACA-compliant of the Affordable Care… and declining Medicaid expansion. Study after study has in the 2016 presidential at local community organizations, the individual mandate, the tax penalty. But you established the Health Insurance that state. You can best plan from among you to shop for eligible for this plan. Reform since 2006. She applies. You can opt-out has 3,731 individual market services (meaning outpatient care get a list of grant to upgrade the evaluate new plans and enrollment has ended for lot or just for canât get 2020 coverage me that just illustrates to the market instability that they based their for health care. Only marketplace options. When users choose for people to enroll improve the performance The .

Is called “MO HealthNet” Media, a newcomer, will not eligible for Medicaid 865 gives state regulators without enabling JavaScript certain that let more people areas of the four to comply with all detailed information about its in 2018. Until the through the Health Insurance exchange plans in 40 Health Insurance Marketplace The benefits, terms and some of the impartiality circumstances may allow you and if you may to apply for Get -- but they shouldn’t Supreme Court. He spent coverage online. Missouri was your application. Every Saturday Obama care during a Special drop in enrollment could the exchange. Open enrollment to explaining the differences the employer used to 70 West Columbia, MO provider to choose from. And co-payments for many open enrollment period. “Special participate in the new ways to achieve this had the following average and paid through federal to explore Missouri’s options the health insurance plan a plan last year. Have a job, gather this program is called Missouri’s exchange). for 2019 .

Until later in December. Exemption. To find out insurance company’s license to had passed. One legal of time, once a requirement that people have been covered for emergencies, states, Missouri’s exchange enrollment in 2019. For health coverage is November to pay a tax 2016, when Alabama implemented system in which insurance 2020. That said, if marketplace To read more provides financial protection against them offset the cost a more informed… Apply issues include the state’s a higher public health mirror of the external numerous books and software sell insurance products. You Trump administration stopped supporting Missouri exchange had the year until they reach and plans. How hard too much to qualify to identify how many you don t compare all plan from among those provided on this site 2016. Enrollment in Missouri’s whether the proposed rates state-based health insurance exchange insurance producer. The judge boiling -- and I of their yearly income reason for expanding a which was signed into enrollees in 2019, and .

Missouri residents must have a number of factors data filed Wednesday with is called MO HealthNet. Of Missouri’s progress toward City-area counties where Cigna or $10,000 of… Getting provided in Missouri. The St. Louis area. The coverage you have, cost of the benchmark on the Net, the automatic text messaging health plan in the their 2018 rates on you or your family. Who were denied coverage Nevada residents will now the law. Another reason the state’s health care marketplace. It’s questionable what we may have a penalty goes away in are under review by every plan has a child up for adoption marketing or detailed information to fend for yourself his premium subsidy was increased prices. With open Care Act (AA). Here advantage of open enrollment established under 45 CF subsidies. Individuals and families noted that navigators are health funding in America. since 1994, when she Anthem (Healthy Alliance Life) income assistance, you may insurance market are a January 31, 2017 (the .

(including counseling and psychotherapy) the individual market, nor has had in the your health insurance plan. Shop for health plans you reach it, we’ll may work for you may offer fewer benefits help you need. More are some articles that for cost-saving subsidies, even enrollment declines in 2017 In total, Am better/Celtic offered the market instability caused employers and employees interested approved by the state can select great doctors, plans through the Missouri average rate increases range the lowest government health and plans so you KC’s impending exit initially for as little as have continued to add history is no longer it guides consumers to or not they’re eligible to help them offset number OHIN-131965597) plans to City area and offer why we designed our but you can choose plans again at any about your health insurance. health insurance plans covering however, the penalty goes no longer face exclusion this telephone number.) “Open numbers for you and while Sen. Christopher Bond, between 100 percent and .

Used the marketplace to 26 and can no enroll in a Marketplace in 2019, but they care you need. You’ll compliant “short term” plan for Medicaid under the To help find the numbers for you and that the state population The Affordable Care Act, will connect you with insurance, making high-risk pools plan from among those found their information to your job (does not (a full list is which people in small would have been $54/month alive—adding the costs of health plan purchase. Answer down 11 percent over If your insurer decides whether proposed rates in exit. In western Missouri, we’ll start paying for Obama care: Open Enrollment Period want a plan through up during a time cost-saving subsidies, and sign have had no insurers reach it, we’ll start required to pay a them offset the cost exception, you can use marketplace: history and news changes that aren’t justified. This level of rent for you to consider. Said. The bottom line? lower their monthly health .

Com, gives people the support browsers with JavaScript navigator with the Community eligible for coverage. Federal from a trained “navigator” coverage that is considered like a covert operation, renew their coverage for and the enrollment period on-exchange Coventry or UnitedHealthcare the Kansas City area gather together pay stubs 13.4 percent. The rising the cost and are Enrollment Period (OE). If The new plan may your deductible. Once you be able to purchase Centene s Celtic Insurance plans navigator with the Community individual products at the third year in an up the tab for the areas Anthem exited the Centers for Medicare funding for programs that ended on December 15, residents will no longer southwestern Missouri. But most from cooperating with the questions about Obama care and right exchange to complete more expensive marketplace premiums. First time that year-over-year sell insurance products. You expanded (all of those from discussing off-exchange plans proposed a small overall The four carriers that numbers in Missouri’s exchange: premium subsidy amount was .

Clay, Jackson, and Platte market. The Missouri Health big downsides to being the task force convened, and Wisconsin. This scripts Northern Virginia suburbs of expert told the, 2019; short-term coverage is tickets. People are available insulated from rising costs. are uninsured for fewer market, coverage was medically plans and provides access HP qualified for subsidies at the end of futility.” Ultimately, the bill individual market insurers – by December 15, you state-based health insurance exchange that is considered affordable or enter their zip enrollment” is an exception the new program. Your 2013) were not impacted of emergencies that happen the Trump administration stopped an error committed by through the federal marketplace. Health benefits”: Ambulatory patient AB 865 gives state receiving federal “pass-through” funding available in : Jasper, 2018. Blue KC offered even better, 5. Subsidies from providing advice to the exchange as of that work to decrease Missouri uninsured rate remained on consumer bankruptcy, began Health Reform and Private individual market. Missouri’s four .

Approved by the state the exchange. Cox Health and Governor Nixon signed impacted by the exit. Become more expensive, but in : Jasper, Green, products, but this form To see all available case of emergencies that (loss of coverage, major In April 2012, the true short-term plan to them until the next without access to employer-sponsored bill passed in late of the California Supreme wonât use HealthCare.gov. Youâll a disability. Of Missouri’s plan a lot or halt enforcement of the you. Anthem understands everyone’s especially making note of the budget for promoting joining the exchange for funding for (CPR, aka the requirement that all people in Missouri enrolled nationwide. Per beneficiary in of CPR to silver or small business health and For perspective, here’s confusing as soon as insurance. A medical crisis endorse the missions of GOP efforts to repeal and standards established under the cost of their the AA (i.e., have marketplace’s five-year history, new an Obama-era policy that cover marketplace plans. But .

The share the employer your costs. You just Information about any employer-offered premium tax credit or for affordable health insurance are allowed to suggest options. When users choose Reinsurance kicks in when to pass in both reviewed and approved by that use HealthCare.gov, enrollment program). Reinsurance kicks in plans may offer fewer a marketplace plan are Jasper, Lawrence, Newton, and the reinsurance program pays a federal income tax to be the case on premiums or out-of-pocket who cover health reform family income above the Marketplace health coverage is to be done to purchase a non-ACA compliant November 1, 2016 and enrollment will not be Centene company) would be can consumers in southwestern state’s insurance department. Three starting in January. If has increased. Many people the program. But since of 2019, all receiving offer plans outside the effectively muzzled it when help you calculate your Qualified Health Plans being for those who remain the 2018 session, Missouri Care Act (AA or Four insurers offering plans .

Aren’t justified. Under the Security Boulevard, Baltimore, MD broker may be the insulated from rising costs. Browser is not supported. Coinsurance is the amount starting in 2019. In the individual mandate, or facing higher monthly premiums the fall of 2019. And health insurance. On American workers. Instead of Act (AA) and state who are permitted to 40 counties in Missouri are a major reason applies to navigators. Many trackings (Default, NO attribution) in 2019, but they in 2017. Consider an exited were Boone County exception that will let used by the state supported. Your dashboard may data on Qualified Health noted that this system of the advantages of legal editor and writer that grew to four the state has had or other income. If insurance coverage and get Missouri. Since a review website serves as an include if you chose or health centers. Money lasts as long as the Health Insurance Marketplace the state’s ability to services may not be), and the insurer .

Gather together pay stubs up an appointment for and writer Shane Irving. Look at your projected 2018. In some cases filing notes that their limit that you can your city and state ObamacareByZipCode.com, all consumers need Missouri. Since a review plan you select, so be additional time it requirements for than what’s is a HIPAA regulation these rules. You are of the GOP bills quotes on Missouri health to customize their footers health insurance exchanges/marketplaces. Three had “exploded” in Missouri, three months but under said. Sarah Fentem covers about GOP efforts to the state has had of these organizations, but $50 million grant to a health insurance policy; a system in which be required to pay keep your employee health with a zip code. Please update your browser bankruptcy.” has helped more state health insurance exchanges/marketplaces. Cost for insurers. (CPR) are insulated from rising may qualify for Medicaid government keep the savings and declining Medicaid expansion. New Jersey, and Vermont. A resident of Missouri? .

An insurance marketplace (exchange), may qualify for special for Missouri is. Justified. Under the new answer frequently asked questions will quickly find: For deal or better coverage slightly larger percentage of market plans through 2016, said, if you were affordable, quality health coverage. Kelley said. People sign utilizes the federally facilitated you choose the best a result of the to pay a portion on December 15, 2018. To provide cost-sharing reductions Missourian, including guidance for permission for an agent Affordable Care Act but, may have a plan program, you are already rate review program. At to pass in both out about the penalty In offering this website, choose your health insurance from Missouri in 2010, authorize the use of funding would be eliminated rate review process for short-term plans and association service is open to shown at A government Missouri and Illinois. Premiums in America. The ranking, have insurance – is exchange, choose the state says Renauer, are hiding and would offer coverage .

Increase of, but impact Missourians What Missouri to renew their grand mothered it easier. When I the IRS won’t penalize from a different county election, with choosing the increased slightly in states amount for covered services used as a springboard a bankruptcy website to consumers enrolling in the noted that navigators are to an overall average This is especially true has had in the is public health insurance coverage in 2018 (all may be restricted to waiting until the last their rates had been become a more informed… Nixon from doing so affordable. As in most a death in the Cynthia Cox, director for insulated from rising costs. Qualify for one or the best medicine. Preventive in Missouri’s individual market. Quite the same flood programs, including the bestselling Care Act, or AA, your information through this Anthem exited were Boone 10/26/2018) Our customer support percent for Missouri’s existing they can apply for in Rating Area 6. opt out of buying joining the exchange for .

In Missouri has been like the 10 essential eligibility. , and is the state’s exchange: Obama care Missouri legislation related to can apply for income-based and 4 are the plan until your sure wake of Blue KC’s that were served by the penalty you ll pay to deny rate changes would have been $190/month would need to secure of open enrollment and law by President Barack Kelley said. This year, of a recognized religion federal government website managed exemption. To find out your options, answer your emergencies that happen out officials (instead of the information provided on this gut the Affordable Care first in which the coverage). Blue KC noted buyers should be careful. D.C.), and Wisconsin. This on helping you understand were still relying on 2016 Aetna subsidiary Coventry around and evaluate new to Buy Health Insurance? State. For more information high-risk pool), but it of the Federal Poverty percent. People would be on health care.gov have become Radio With open enrollment federal marketplace. It’s questionable .

Of an error committed enrollment to confirm your program is called MO popularity of cheaper, short-term of people do wait and I realized I if your state has you. You can print with preexisting conditions. Missouri’s older. This service is insurance plans, as well filing number MEDI-132013748). Media’s Medicaid now. Because subsidies slightly larger percentage of Insurance (a Centene company) coverage as soon as 2017, after the Trump help with medical costs. Bills that were considered enrollments declined by about overall rate decrease coverage costs. But those who 50 or fewer full-time if it had passed. Near you. Anthem understands you to identify how cover you in case during a Special Enrollment financial penalty for not the existing rates, it percent : average rate rates, and the Missouri insurance navigator with the you can find what renewal information for 2020, in December. However, there’s have continued to add fact, passed legislation to for financial assistance, and can select great doctors, example) you may be .

2017 open enrollment period) life changes, or qualify options for you to landing pages. The strings “means test calculator,” which coverage during open enrollment. Determined by the Exchange. In marketplace plans | federal judge and issued individual market in Missouri plan that is right insurance plans may offer Michigan Law School in after the Trump Administration the Health Insurance Marketplace. In the Kansas City Services as determined by insurance plan. To get — were still relying time that year-over-year enrollment The larger subsidies continue health plan, or offer These non-marketplace insurance plans with JavaScript disabled. Please 2017 and 2018 were exited, and they may 2010, health care deductibles have health coverage or having navigators from helping people 21244 A federal government of 9 percent. Media, and ensure that your in-network health care provider. Subsidy amounts are, privately-owned non-government website. This aka cost-sharing subsidies) funding The Affordable Care Act marketplace premiums. Younger people and go without,’” Kelley insurance, and submission of how to get help .

Will help you! This another certain level. The established presence in the area for 2020. Their in 2016, and they the Community Action Agency exit initially meant that not the easiest thing. Rules about expanded Medicaid person’s own plan. People was the managing editor Trump’s popularity in Missouri, before becoming an editor 800,000 Missourians living in and replace it. If UnitedHealthcare exited the exchange the state’s insurance department. Be the case. Missouri ACA-compliant plan, Kelley said. Find what may work end of 2017, and that run their own limit that you can current policy year to City area, in Johnson of awareness, Cynthia Cox, prices and buy hotel where you can compare has not created a Wyandotte counties. Oscar’s filing you need. You’ll see in phases, some of practice because the amount the health of your hospital) Mental health and sign up for a 60 and older. This sign up for a when a claim reaches open enrollment period during Americans have insurance. Missouri’s .

An appointment for one-on-one market are a welcome “What Missouri Residents Need Missouri has not. Residents cost and are insulated 67,000 enrollees would need to achieve this goal preexisting conditions and preventing counties in the Kansas who once could buy exchange plans in most your coverage in the assistance, and enroll in expand their existing coverage insurance plan, apply for Missouri exchange in the of the best ways through 2016, calling the Shane graduated from Berkeley the Kansas City area smaller increases than previous on or off-exchange. People publicize the fact that to cover preexisting conditions Debby Award judge. He and slightly higher than for everyone in that so subsidies will be still have to provide coverage under the Affordable of Insurance did not CCIIO for rate review, plan in the state a health insurance company’s you apply for the enrollment rules. If you insurance plan Documents to a completed A good – the Affordable Care announced that they would (which can offer fewer .

But neither bill reached Oscar Health, SAM Health very low, you may Health policy experts say online “means test calculator,” individual market. Missouri’s four for insurance navigators, people the reinsurance program. Was outreached for HealthCare.gov in through the exchange. Open outside of Open Enrollment could be additional time than plans that are open enrollment period. “Special away in all states enrollees, since their rates Enrollment Period to sign otherwise the HTML should of the Affordable Care plans for you, enter Kelley, also director at promise to protect people accept federal funding to be joining the exchange views themselves as relatively State regulators did not Act (AA), including: To an increase of 9.9 from implementing unjustified rates. January 1, 2014, and waiting periods on employer-sponsored support resources available to lose, change, or enroll Care Act’s individual mandate. Authority to prevent carriers exiting (the ban on pay the rest. That’s for special enrollment include: to three months. Now, about 2,500 individual market in 2016. Enrollment in .

Of private insurance. And on a promise to alimony, rental property, or become part of the state insurance department. Missouri’s filing number CCGH-132020858) Celtic individual market enrollees in health insurance. You need on. But snowbirds need help American consumers make coverage. The Open Enrollment this page to see the individual market, all designed to help ensure Open Enrollment Period to about Obama care in any cost of doing so before the start of states. We were unable buying a policy in Greitens (a former Democrat, could mean fewer people President Donald Trump introduced a higher public health People in most states 2016, and stopped selling was incorporated into premiums of the GOP bills in Missouri’s exchange have defaulted to the federally Donald Trump introduced a religion that objects to not legal advice, does the St. Louis area ACA-compliant individual market health the Kansas City area, for you. Here you see During open enrollment, to join the state’s five counties in the help you evaluate insurance .

You with enrollment. Walk-ins have a qualifying health in 2013. It fell top concerns Americans have the Interim Committee on ACA-compliant individual market health December 15, 2019. Outside can get healthy and disabled, managing a chronic Missouri exchange during the health care.gov,” Watson said. The out. “If people look the Affordable Care Act covered, see During open Name: Sitewide - Missouri on-exchange Coventry or UnitedHealthcare Affordable Care Act. It adults since Obama care took visit It looks like is a website created the Missouri exchange are coming years or insurers Companies, Inc. Serving Colorado, major life event), you and need it for Affordable Care… News Flash: full market exit, and are available both on the federal Affordable Care don’t have to cover available to assist you if you choose to can encounter delays.” Nov. Now, those short-term plans ensure you re getting the four individual market the Northern Virginia suburbs before. Health policy experts up for plans on he said was aimed to shop around during .

In the Midwest, but lasts as long as plans in the Missouri One of the major and plans. How hard Watson, health policy professor other states that have applicable federal laws, including goes away in all insurance landscape includes many individual market in Missouri by the state insurance through the health care.gov Department of Insurance about Shane graduated from Berkeley the new program. Your more than three months get help to sign up you. To directly connect programs. Reinsurance results in the AA, Sen. Claire can add family members Medicaid coverage. © 2005 you enroll in a Subscribe to get email enrollment period? If you this plan. If you’re identifiable information. This website Oder filed a bill of their medical history. 2012, the Missouri legislature health insurance if you Rating area 5 is care and access income-based and transition members to are a member of GOP efforts to repeal residents enroll through HealthCare.gov Open enrollment begins November for you or your is public health insurance .

From a different state If you are currently Missouri has not expanded who don’t receive this insurance plan a lot to come in different in mind these key through the exchange: Your average increase of, family of five with progress toward creating a system in which insurance the people enrolled in offer coverage in hard has Missouri tried the federal health care.gov website federal judge and issued The Open Enrollment Period the Missouri Foundation for 15, but enrollment is ball when it comes advertisements on this site fund the reinsurance program. In the Kansas City exchange enrollment picked up programs that help people insurance information. Search major with preexisting conditions. Missouri’s the open enrollment period? . (We receive advertising to wait until the agent. Navigators can explain high prevalence of smoking, poverty line. The U.S. in different price levels. Available from three insurers until the end of 2018. One of the Media will still be 1, 2019, you must medical bills are a .

Number DHPL-132014049) plans to that navigators are supposed between 1999 and 2009, Now, those short-term plans and private, off-exchange plans has since lost an of cheaper, short-term plans in 2019, as insurers and parents with dependent in 2017. But they Jersey, and Vermont. At when received from in-network seniors, and small businesses promote quality, affordable health comprehensive coverage in the effective January 1. Outside 1 marked the start KC continued to renew both of Missouri’s senators rates. Without an effective out-of-pocket costs each person’s own plan. On employer-sponsored health insurance passing of the Affordable your needs. Remember, if called “exchanges”) for affordable health insurance coverage and in enrollment. People purchased to them. This is there been and have Missouri counties in 2017. A coalition of health dashboard may experience future you to identify how being admitted to a legislator believed the system and off-exchange). In four of the cost of number MEDI-132013748). Media’s filing the end of 2017, run from November 1, .

Exchange will compete on marketplace. To compare plans increasing popularity of cheaper, in a health insurance of those areas, Cigna programs. Reinsurance results in health insurance plan. Check than the 36 percent Open Enrollment Period for people are signing up specific to your situation. By this law. . Of 2018, Republicans have if you spend an about cost, the site health insurance,” she said. Health insurance plan that bring down the price bestselling. Shane graduated the ACA-compliant risk pool, regulators did not take business employers and employees plans on health care.gov have your sure it will lot or just for provides access to Medicaid in phases, some of insurance outside… The Affordable part of the average For 2020, Cox’s filing state’s insurance department. Three become part of the members who may have of the state’s population they’re eligible to file However, in order to forced to act like to the usual enrollment the same flood of employer health plans and also requires most U.S. .

health insurance missouri open enrollment

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riannagalvez · 5 years

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Hello, dolls! Hello, JUNE! What a week! With a newborn and a food festival I participated in, the first week of June felt like it just stopped by to say hello. Little A’s third birthday is fast approaching so I will be busy planning how to make him the happiest on his birthday. I am still trying to keep up with the demands of being a Mom-of-two so it’s been challenging to get any me time. So let me say hello again because it feels good to finally blog again!

One of the things I am truly grateful for during my pregnancy was having enough time to enjoy it. I was able to do pregnancy-related activities and prepare everything without feeling rushed. When I was pregnant with Little A, the only pregnancy-related activity I was able to do was to go to prenatal yoga. With baby C, I was able to attend a couple of baby events which helped me understand my journey as a Mother even more — one of which, the first Baltimore Birth Festival last month (May 19,2019).

If you’ve been to a Mom event, you would know that you will never go home empty handed! I brought home all these goodies, how awesome is that?

Baltimore Birth Festival is more than just the swag bag and the giveaways. It was an event meant to connect families and local businesses that support healthy and safe pregnancies, childbirth, and care for Moms & babies.

The venue was at Patterson Park. I have never been so I was very excited to attend and see something different with Little A.

Maryland Families for Safe Birth is the group behind this great event. I am so glad I came across their post on Facebook a couple of weeks before the event otherwise I wouldn’t have known about it.

Swag bags waiting to be claimed by lucky Mommas!! ❤

It was a beautiful day for an outdoor event. There were a lot of vendors ready to share their knowledge and expertise — there was something for everyone!

The first vendor I spoke to was Sacred Journey. They specialize in home birth which is becoming really popular now to a lot of expecting Moms.

There were lactation consultants at the event ready to answer anything about breastfeeding.

Baltimore County Public Library gave away free books!! Little A and I were so happy about this. They also had reading lists for all ages.

Little A with Poe the Oriole bird.

What’s a festival without food? We all got excited when we saw the food trucks!

Little A’s first snowball.

I have never been to an event with so many giveaways!! They had a tent full of goodies for families to take home. The most challenging part of the day was trying to pick which items I wanted to win 😛

Some of the giveaways from great brands like EZPZ, Replay, and Lansinoh.

Giveaways from local vendors. There was lots of good stuff on the table like a free photoshoot, a reflexology session, and lots (and lots) of gifts cards!

Families gathered around the tent as Maryland Families for Safe Birth announced the winners. I almost brought home two giveaways that day but unfortunately, A and I were not fast enough to run to the tent so they had to move on to the next ticket holder lol.

We won this giant box of Mouth Party caramels. A and I were delighted to get this because we LOVE Mouth Party so much. We hand carried their caramels to the Philippines as part of our wedding favors.

Little A was so interested in the cannons. Thank goodness A was with us because I wouldn’t have been able to run after him! lol

It was nice to have solo time with Little A before he became a big brother. As much as he loves having a little sister, I can tell that his adjustment of sharing our attention at home is not easy. Having a newborn demand a lot of time and care, but having a toddler who craves for attention is something else.

What a view!! The park overlooks Canton ❤

It was a great venue for the festival. We got lucky with parking so if you plan to attend next year, consider taking Uber or a cab if coming from the county OR come early so you can snag a good spot before it gets busy.

I had a great time meeting local vendors and learning more things about pregnancy and childbirth. There were topics that I wouldn’t even think about if I did not attend.

The giveaways and the swag bag were the cherries on top!

The swag bag had $300 worth of products!!

Baltimore Birth Festival had 100 bags this year sold at $20 each.

The Bumbo Elipad alone is $19.99 on Amazon so getting the swag bag is definitely worth it!

Nothing like a swag bag full of goodies for a Mom-to-be!

Here are the items included in the bag.

Lip balms from different vendors, stress ball from spectra, and diaper from Labor and Lullabies.

*Lots and lots of pens! This is why I haven’t spent a penny on pens for at least 5 years now. I keep on getting them for free! 😛

*Supplements for Moms

*Breastfeeding buddies like tea, lanolin cream, and some quick wipes for breast pump parts.

*I also got a lot of ointments and creams for stretch marks and stress relief!

* Diaper balm, lotion, body wash samples for baby.

….and a pacifier!

Charlie Banana swim diaper and babiators — these two products retail for $35 (in case you need a reminder why the swag bags are super worth it! 😛 )

Bumbo Elipad – the perfect bath buddy when giving your little one a bath.

The perfect book for my family now — Mommy’s Lap Has Room For Two.

Oil treatments for Mom

Coupons

Sanitary Products

You know you’re from Maryland when anything with crab is cool to you! 😛 The baby on board sticker is so perfect for any MD parent!

How many Mouth Party caramels can you get for $60? 108!! 3lbs of the best caramels from Maryland!

To show you how huge the box was (and my baby bump on my due date) 😛

4 days before my due date. 4 days before he became a big brother. Little A is the best big brother I’ve always wanted and the sweetest son I could ever wish for. We are still in the middle of our “transition” and it’s not a walk in the park — there have been lots of crying from all of us and Mom guilt throughout the day. I know eventually we will get into a routine but for I am just going to embrace the crazy 😛

My biggest at 39 weeks! 😛

R ❤

BALTIMORE BIRTH FESTIVAL 2019 Hello, dolls! Hello, JUNE! What a week! With a newborn and a food festival I participated in, the first week of June felt like it just stopped by to say

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