#osteoporosis screening

[mcatmemoranda]

Bone density screening is recommended for all postmenopausal patients 65 years and older. Younger patients with an estimated fracture risk of greater than 8.4% also benefit from screening. Osteoporosis is common in women, and one-half of women will experience an osteoporotic fracture in their lifetime.

• Routine exercise, including aerobic and resistance activities, helps prevent bone loss; exercise also helps prevent falls in older adults.

• Calcium and vitamin D supplementation has not been shown to reduce fracture risk.

Source

[redavexat]

In case you missed any of the text, all of it is written here:

Medical transition works

80% of individuals reported significant improvement in dysphoria

78% of individuals reported significant improvements in psychological symptoms

72% of individuals reported significant improvement in sexual function

positive results across the board, even in 15- year follow ups

Source for all above: https://pubmed.ncbi.nlm.nih.gov/19473181/

"Wellbeing was similar to or better than same-age young adults from the general population" source for the above:

Quality of life increases dramatically with 'gender affirming treatment

source for the above: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6224813/

Long term follow-ups: https://www.jsm.jsexmed.org/article/S1743-6095(15)32422-X/fulltext

The above link shows as unsafe when you open it, it'll give you a message before sending you to the page. I'm not familiar enough with how websites work to confirm whether proceeding past that point is safe, click past the pop-up message at your own risk. I did, and the article IS there.

social transition works

"Shown to correlate with improved psychological functioning"

Source for above: https://www.sciencedirect.com/science/article/abs/pii/S1054139X1630146X

levels of depression and anxiety which closesly match levels reported by cisgender children

Source for above: https://www.jaacap.org/article/S0890-8567%2816%2931941-4/fulltext

puberty blockers are safe and reversible

Hormone blockers are the only treatment used on adolescents that are completely reversible.

Source for above: https://assets2.hrc.org/files/documents/SupportingCaringforTransChildren.pdf

"Current evidence Does not support an adverse impact of gender- affirming hormone therapy on cognitive performance"

"Our results suggest that there are no detrimental effects of GNRHA on EF"

source for above: https://www.sciencedirect.com/science/article/pii/S0306453020301402?via%3Dihub

"Relieves stress for trans adolescents"

"is reversible"

Source for above: https://academic.oup.com/jcem/article/102/11/3869/4157558

"Poorer psychological well-being before treatment"

Source for above: https://www.sciencedirect.com/science/article/abs/pii/S1054139X20300276

"Behavioural and emotional problems and depressive symptoms decreased"

source for above: https://sciencedirect.com/science/article/abs/pii/S1743609515336171

Hormone blockers are not new: "Since the mid 1990s..." and "The Royal college of psychiatrists, in 1998..."

source for above: https://www.tandfonline.com/doi/full/10.1080/26895269.2020.1747768

Many more studies: This screen of the video is far too small and compressed for me to read most of these links. If anyone knows of a higher quality version, thatd be great.

Puberty blockers aren't harmful to bone density: https://www.eurekalert.org/news-releases/842073

Puberty blockers don't cause osteoporosis or sterility: https://academic.oup.com/jcem/article/84/12/4583/2864749 Transphobia is real [personal side note, this comment isn't in the video: Does this really need a source to begin with?]: https://fra.europa.eu/sites/default/files/eu-lgbt-survey-results-at-a-glance_en.pdf

46% felt discriminated against or harrassed within the past year for being trans

29% felt discriminated against when it came to looking for employment

70% hid being trans during schooling before becoming 18 years old

55% had an incident of violence within the past year in part or whole because of them being trans

The ~40-50% Suicide rate is fake It's the attempt rate: https://transequality.org/sites/default/files/docs/resources/NTDS_Report.pdf

The suicide rate is undocument and doesn't exist.

Discrimination is harmful

The attempt rate rises for people who: Lost a job due to bias (55%) were harrassed/ Bullied in school (51%) Had low household income were the victim of physical assault (61%) were the victim of sexual assault (64%)

Same source as above for attempt rate

Other factors include: gender-based victimisation discrimination bullying violence being rejected by the family, friends, and community harrassmentby intimate partner, family members, police and public discrimination and ill treatment at health-care system

source for above: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC5178031/

[Another illegible "Many more studies" screen]

Social/ familial support helps:

[Top link doesn't work]

[next is too illegible]

It can decrease the likelihood of a suicide attempt 57% -> 4%

Chosen name/ pronoun use does the same:

https://www.jahonline.org/article/S1054-139X(18)30085-5/abstract 71% drop in severe depression 34% drop suicidal ideation 65% drop in suicide attempts

Gender and sex aren't the same These institutions and organisations would like to disagree with you: American Psychological association American medical association American psychoanalytic association Human rights campaign american academy of pediatrics american college of osteopathic pediatricians royal college of psychiatrists United Nations United Kingdom's National Health Service (NHS) American academy of child and adolescent psychiatry American academy of dermatology American academy of family physicians American academy of Nursing American academy of physician assistants American college health association American college of nurse-midwives American college of obstetricians and gynecologists American college of Physicians American counselling association American heart association American medical association American medical student association American nurses association American osteopathic association American psychiatric assocation American Psychological association American public health association American society of plastic surgeons Endocrine society GLMA National association of nurse practitioners in women's health national assocation of social workers National commission on correctional health care pediatric endocrine society society for adolescent health and medicine world medical association world professional association for transgender health world health organisation (WHO) Stanford medical American pediatrician association National institutes of health Canadian institute of health research scientific american

[optimal-living-lab]

Health and Fitness: Tips and Benefits

Health and fitness are two interrelated concepts that affect our well-being and quality of life. Being healthy means having a good physical and mental condition, free from diseases and disorders. Being fit means having the ability to perform physical activities with ease, strength, and endurance. Both health and fitness can be improved by following some simple tips and enjoying some benefits.

Tips for Health and Fitness

One of the most important tips for health and fitness is to exercise daily for at least an hour. Exercise can help you burn calories, strengthen your muscles, improve your cardiovascular system, and boost your mood. You can choose any type of exercise that suits your preferences and goals, such as walking, running, cycling, swimming, dancing, or lifting weights. The key is to be consistent and challenge yourself gradually.

Another tip for health and fitness is to eat the right foods and portion each meal. Eating a balanced diet that includes fruits, vegetables, whole grains, lean proteins, healthy fats, and water can provide you with the nutrients you need to function properly and prevent diseases. You should also avoid or limit foods that are high in sugar, salt, saturated fat, and processed ingredients. Additionally, you should control your portion sizes and avoid overeating or skipping meals.

A third tip for health and fitness is to keep track of calories and food intake per day. Knowing how many calories you consume, and burn can help you balance your energy intake and expenditure. This can help you maintain a healthy weight or lose weight if needed. You can use a food diary, an app, or a website to record what you eat and drink every day. You can also use a calorie calculator to estimate how many calories you need based on your age, gender, height, weight, and activity level.

A fourth tip for health and fitness is to be sure to get enough sleep. Sleep is essential for your body and mind to recover from the day’s activities and prepare for the next one. Sleep can also affect your appetite, metabolism, immune system, mood, memory, and concentration. You should aim to get at least seven to nine hours of quality sleep every night. To improve your sleep hygiene, you should follow a regular sleep schedule, avoid caffeine, alcohol, nicotine, and screens before bed, create a comfortable and dark sleeping environment, and relax before sleeping.

A fifth tip for health and fitness is to stay motivated. Motivation is the driving force that keeps you going despite the challenges and obstacles you may face. To stay motivated, you should set realistic and specific goals, track your progress, celebrate your achievements, reward yourself, seek support from others, join a group or a class, find a workout buddy, or hire a personal trainer. You should also remind yourself of the reasons why you want to be healthy and fit.

Benefits of Health and Fitness

Health and fitness have many benefits for your physical and mental well-being. Some of the benefits are:

Reduced risk of chronic diseases: Being healthy and fit can lower your chances of developing conditions such as heart disease, stroke, diabetes, cancer, osteoporosis, arthritis, and obesity.

Improved balance and coordination: Being fit can enhance your ability to maintain your posture, move gracefully, avoid falls and injuries.

Increased energy levels: Being healthy can boost your metabolism and provide you with more fuel to perform your daily tasks.

Enhanced mood: Being fit can release endorphins in your brain that make you feel happy. Being healthy can also reduce stress hormones that cause anxiety.

Better self-esteem: Being healthy and fit can improve your appearance, confidence, and self-respect.

Conclusion

Health and fitness are important aspects of our lives that we should not neglect. By following some simple tips such as exercising daily, eating right, tracking calories, getting enough sleep, and staying motivated, we can improve our health and fitness levels. By doing so, we can enjoy many benefits such as reduced risk of chronic diseases, improved balance and coordination, increased energy levels, enhanced mood, and better self-esteem. Health and fitness are not only good for us but also for those around us who care about us. So, let’s start today!

[doctorjackdaw]

can’t sleep so i’m up thinking about jack running a test-lab with hector… jack’s 7 months pregnant, so he moves a few rooms away for any active x-raying that hector performs, but he’s there for the preliminary screening with the patient / test subject, and intends to return to discuss the results.

hector (he/him) / jack (he/him), belly kink (in general!)

when jack arrives, 5 minutes early and prompt, he isn’t surprised to see hector, there already, chatting with the patient and charismatic at ever.

he is surprised to see hector’s form, no different save for an unmistakable swell to his belly. he looks pregnant - if jack had to field a guess, he’d place the shape and size of his coworker’s belly at about 6 months, although realistically, this is impossible - hector wasn’t pregnant a month ago. if jack recalled correctly, hector wasn’t currently able to be pregnant - nothing audrey couldn’t fix if hector was willing, but the surgery necessary to complete a trans-uterine pregnancy had a time frame that hector’s recent expansion couldn’t account for.

“doctor kagawa?”

only then did jack realize he’d been staring hector straight in the gut for the past 2 minutes. there was an even humor to hector’s smile as jacks eyes slowly shifted up to meet his.

“god, sorry- sorry, doctor florez, were you… ready to begin?”

“of course. now, miss, if you’d like back for me here…”

hector took charge easily, quick to forgive and forget jack’s straying focus. the volunteer with them would be undergoing a test pregnancy and assisting in the record of effects of a new drug - one of the major purported side effects was a possible dilapidation of bone strength, predisposing users to fractures and early-onset osteoporosis. this first meeting, prior to the pregnancy, would involve hector taking multiple and comprehensive x-rays.

first, though, he checked over the volunteer’s form. his confident hands poked and prodded, asking careful questions to get a physical assessment of her current bone strength and pain tolerance.

his belly pushed into the table.

jack was stuck - he really ought to have been asking questions, providing answers on the dawning pregnancy for their patient, but all he could do was watch as hector reached over and around the cot, his belly jammed up into the side of it.

“alright… i’ve got a few more preparations to make, and we’ll start on those scans. i’d you’ll excuse myself and dr. kagawa for a moment?”

the volunteer nodded, and hector swiftly escorted himself and jack to the adjacent room; his office.

“jack.”

jack already had his face in his hands as hector smiled down at him.

“hector, i am so sorry. i understand i’ve been unprofessional, it’s- a terrible look! i’m.. distracted, today, but i’ll put it behind me-“

“distracted seems like a bit of an understatement,” hector murmured, and before jack had a chance to retort, the taller man had strode across the room and placed himself directly in front of him.

“you’ve been staring - right at my belly, no less! i’m surprised, really - yours is far more interesting.”

jack’s face was burning with a dark blush that only grew deeper as hector pushed one loose fist against his pregnant belly, gently massaging into his womb through the layers of scrubs he wore to keep bit covered.

“i-i beg to differ! i’m used to being pregnant, i’m not used to you-“ jack paused, pushing one hand to his eyes. “whatever you have going on!”

the stress of being trapped in his own shameful arousal by hector, who seemed completely content to tease him, made him lash out a little, but the radiologist seemed completely unfazed.

“why don’t you figure it out for yourself? go on, you can touch. i’d be honored to satiate your curiosity, doctor.”

his voice dropped so low as he said it that jack visibly shivered, but he didn’t wait long to accept hector’s offer. in seconds, his gloved hands shifted forward and laid on hector’s belly, pushing up at his green scrubs and revealing the expanse of skin and dark fuzz underneath. to reveal the whole swell, jack also found himself hooking his fingers in hector’s waistband and pulling down his slacks, moving all the fabric out of the way to frame the belly he’d been fascinated by since he noticed it just fifteen minutes before.

it… was softer than he’d expected. no scars to be seen, no visible entry point for some kind of host or substance. hector’s guts were far too quiet for him to be maintaining any volume of an enema, although he’d heard a draining gurgle or two from his upper stomach.

“it’s soft,” jack confirmed, and hector almost broke out laughing.

“figured it out yet, doc?” hector punctuated his laughter by pressing jack’s palm into the apex of his belly while he laughed, feeling it shake just a little.

jack blinked hard.

“higher levels of subcutaneous… and visceral fat. but is that-“

“that, plus the kind of breakfast that’s been increasing my levels of subcutaneous and visceral fat.” hector mimicked jack’s words to point out the mild absurdity of his differentiating the two, and jack’s jaw dropped a little.

“so you’re-“

“i’m just putting on fat. looks different on me, hmm? it was casey’s idea, and i owed them a favor - plus, like i was gonna say no to four good meals a day, and mel and keats are helping keep me stocked.”

jack was mortified for a good few seconds.

“i… am so sorry if i offende-“

“do i look offended? jack, it’s alright. you had every right to assume something else was going on, even i was surprised at how quickly my body started storing fat… and how it all went right to my gut.”

as hector assuaged his embarrassment, jack’s arousal took over. the phrase it all went right to my gut had him whimpering aloud, and hector didn’t hesitate to press his colleague back to the wall, and slowly, achingly pressed his new gut into jack’s pregnant belly.

“h-hector, oh shit,” jack murmured, “we have to get back- oh, god, it looks so good on you, and you feel good too…”

hector took that moment to push jack’s scrubs out of the way and press their bellies together, skin to skin, each rounded and heavy. he braced his broad palms and long fingers against the wall while he gyrated his hips, creating almost a massage between the two of them as their bellies rubbed sensually against one another. jack managed to get one hand on hector’s side, as if he had a handle on their little dance, but the other covered his mouth and betrayed just how turned on he really was, shaking there at the touch of hector’s fat belly alone.

all at once, hector pulled away, but not before tilting jack’s face and kissing his cheek warmly.

“i’ll see you at my apartment tonight, won’t i?”

jack nodded. he’d go just about anywhere to finish that scene, if he could come back down to earth before evening came.

[justforbooks]

Craig Jordan

Pharmacologist whose research into tamoxifen helped many women with breast cancer to live longer

In the 1970s only 40% of women diagnosed with breast cancer could expect to survive for 10 years or more. Today that figure is over 75%. Screening and early diagnosis have played a part, but one of the key reasons for the improvement is the drug tamoxifen, which massively reduces the risk of cancer recurring after surgery.

The British-American pharmacologist Craig Jordan, who has died aged 76, was the first to show that tamoxifen could stop tumours growing by blocking the female hormone oestrogen from locking on to cells in the breast at specific sites called oestrogen receptors.

Breast cancer is the commonest cancer in women across the world and 80% of women with the disease have receptors that make them sensitive to oestrogen, which can stimulate cells in the breast to reproduce uncontrollably and form tumours.

Jordan’s lifelong study of tamoxifen led to the discovery of a range of other effective treatments for breast cancer that either blocked oestrogen receptors or reduced the amount of the hormone the body produces. His studies have also improved women’s health by shedding light on other conditions including endometrial cancer, osteoporosis and menopausal symptoms.

He made his discoveries in the face of huge scepticism from the medical community. He was not a medical doctor but a laboratory scientist who conducted his research on rats and mice. Tamoxifen does not kill cancer cells, it simply stops them from growing. The received wisdom in the 70s when he began his work was that the only way to deal with cancer was to cut it out, or blast it with radiation or powerful chemicals to destroy every trace of the tumour. Such treatments, though they can be effective, are distressing for patients and have many side effects.

“There was an obsession with the idea that that combination chemotherapies were going to cure all cancers,” Jordan told the website Oncology Central in 2019. “It felt like we were trying to swim upstream as we were saying no, target the [o]estrogen receptor and give tamoxifen forever and people will stay alive.”

It took decades before the evidence for tamoxifen’s effectiveness became undeniable. A number of clinical research groups, encouraged by Jordan’s laboratory results, had tested tamoxifen in patients, but the results, though encouraging, were too marginal to change practice.

In 1998 the Early Breast Cancer Triallists Collaborative Group, based in Oxford, combined the data from studies of 37,000 women to show that those with oestrogen-sensitive tumours who took tamoxifen for five years after surgery experienced a 47% reduction in the risk of the cancer returning and a 26% reduction in the risk of dying within 10 years.

Tamoxifen and other selective oestrogen receptor modulators are now part of the standard treatment for women who have had surgery for oestrogen-sensitive breast cancers.

Jordan’s mother, Cynthia Mottram, was a GI bride who met his father, Virgil Johnson, when he was in service as a soldier with the US army in Britain during the second world war. They returned to New Braunfels in Texas, where Jordan was born, but the marriage broke down and she brought her son back to her home in Cheshire when he was a toddler.

He attended Moseley Hall grammar school in Cheadle, where he took to chemistry with such enthusiasm that his mother let him set up a laboratory at home (leading to the kinds of near-disaster that punctuate the early lives of many successful scientists). After his mother remarried, Craig was adopted by his stepfather, Geoffrey Jordan, and took his name.

At first his ambition did not reach beyond working as a technician at the nearby ICI laboratories, but he successfully obtained a place at the University of Leeds to study pharmacology. Taking a summer job with ICI, he met the endocrinologist Arthur Walpole, who had been part of the team that developed tamoxifen, then known as ICI 46,474.

It was supposed to be a contraceptive, but early trials led to more pregnancies, rather than fewer. During his PhD at Leeds, Jordan developed strong links with the ICI scientists, who funded the early stages of his work on oestrogen receptors.

In 1972 Jordan went to the Worcester Foundation for Experimental Biology in Massachusetts. The lab focused on contraception, but as ICI 46,474 had failed as a contraceptive Jordan began to examine its effects on breast cancer in rats. Meanwhile, in 1973, ICI had given the drug a name, tamoxifen, and launched it as a not particularly effective treatment for late-stage breast cancer.

The following year Jordan returned to Leeds as a lecturer, where he continued to collaborate with ICI. His key discoveries in this period were that given over a period of years, tamoxifen could be used to prevent cancer coming back after surgery; and that it could prevent cancer developing in women whose biology put them at particularly high risk. He also discovered a very effective breakdown product of tamoxifen that went on to form the basis of other drugs that prevent postmenopausal women from losing bone density.

In 1980 he moved permanently to the US, where he held senior positions at a succession of leading research universities, setting up a “tamoxifen team” at each, before finally settling in 2014 as a professor and chair of cancer research at the University of Texas MD Anderson Cancer Center in Houston. His further discoveries included a small increased risk of endometrial cancer with tamoxifen, so that doctors now screen their patients before prescribing the drug.

For much of his life, Jordan had an unusual parallel career as an adviser on biological and chemical weapons – and illicit drug use – to the British and US armies.

His family had a strong military heritage and he had joined the Officers’ Training Corps while a student at Leeds, combining his PhD research with stints with the army in Germany during the cold war. He went on to be recruited into the intelligence corps with the rank of captain, and subsequently became a member of the SAS reserve. He was an avid collector of antique weapons, and described himself as an “outstanding shot”.

He received many honours in the course of his career, and was appointed CMG in the Queen’s birthday honours in 2019 for services to women’s health. In turn he funded prizes, scholarships and special lectures at the universities of Leeds and Oxford, conscious of the debt he owed to British society for his early education and research opportunities. He was open about his diagnosis with kidney cancer in 2018 and continued working until shortly before his death.

Craig Jordan was married three times, each marriage ending in divorce. He is survived by Alexandra and Helen, his daughters from his first marriage, to Marion Williams, and five grandchildren.

🔔 Virgil Craig Jordan, pharmacologist, born 25 July 1947; died 9 June 2024

Daily inspiration. Discover more photos at Just for Books…?

[slutdge]

freaked him nasty style after his osteoporosis screening

[fooltemps]

Leukemia and Lymphoma Awareness Flags!!

This flag was designed by us, as we currently have a family member with Leukemia and wish to bring awareness to this kind of cancer.

color meaning:

#FF2D34: Myeloma

#00DC0E: Non-Hodgkin Lymphoma

#FF8C2E: Leukemia

#D12DFF: Hodgkin Lymphoma

Below is information all about Leukemia and Lymphoma Cancers.

Leukemia and Lymphoma are both cancers that are not associated with a tumor. Lymphomas are cancers that affect the lymph system and start in cells called lymphocytes. Leukemia is a cancer of the early blood-forming tissues, including your bone marrow and lymph system.

There are many types of lymphoma. Some grow and spread slowly and some are more aggressive. There are two main types of Lymphoma:

1. Hodgkin Lymphoma is cancer that starts in the B lymphocytes (B cells) of the lymph system. Your lymph system helps you fight infection and control the fluids in your body.

2. Non-Hodgkin Lymphoma (NHL) is cancer that starts in the lymphocytes anywhere lymph tissue is found:

Lymph nodes

Spleen

Bone marrow

Thymus

Adenoids and tonsils, or

The digestive track.

Leukemia typically involves white blood cells, the cells that are your infection fighters. Leukemia can be divided into categories: fast growing (acute) and slow growing (chronic); and by which white blood cells are affected:

Acute lymphocytic leukemia (ALL)

Acute myelogenous leukemia (AML)

Chronic lymphocytic leukemia (CLL

Chronic myelogenous leukemia (CML)

A screening test is used to detect cancers in people who may be at higher risk for developing the disease. With leukemia and lymphoma, there are no early detection tests. The best way to find them is to be aware of the symptoms:

Swollen lymph nodes which can appear as a lump in the neck, armpit or groin;

Fever

Night sweats

Weight loss without trying, and

Fatigue.

Leukemia can have similar symptoms but also can include:

Easy bleeding or bruising;

Recurring nosebleeds; and

Bone pain or tenderness

Myeloma is cancer of the plasma cells. Plasma cells are white blood cells that produce disease- and infection-fighting antibodies in your body. Myeloma cells prevent the normal production of antibodies, leaving your body's immune system weakened and susceptible to infection. The multiplication of myeloma cells also interferes with the normal production and function of red and white blood cells. An abnormally high amount of these dysfunctional antibodies in the bloodstream can cause kidney damage. Additionally, the myeloma cells commonly produce substances that cause bone destruction, leading to bone pain and/or fractures.

Myeloma cells are produced in the bone marrow, the soft tissue inside your bones. Sometimes myeloma cells will travel through your blood stream and collect in other bones in your body. Because myeloma frequently occurs at many sites in the bone marrow, it is often referred to as multiple myeloma.

Signs and symptoms of myeloma include the following:

Hypercalcemia (excessive calcium in the blood)

Anemia (shortage or reduced function of red blood cells)

Renal damage (kidney failure)

Susceptibility to infection

Osteoporosis, bone pain, bone swelling, or fracture

High protein levels in the blood and/or urine

Weight loss

In 2022, more than 62,650 people are expected to be diagnosed with leukemia. In addition:

Leukemia accounts for 3.6% of all new cancer cases.

The overall 5-year survival rate for leukemia has more than quadrupled since 1960.

62.7% of leukemia patients survive 5 years or more.

The diagnosis of leukemia requires specific blood tests, including an examination of cells in the blood and marrow.

Treatment and prognosis depend on the type of blood cell affected and whether the leukemia is acute or chronic. Chemotherapy and blood and marrow transplant are often used to treat leukemia.

If you wish to read more about Leukemia and Lymphoma cancer, please visit this website!

[pyreofsunflowers]

I love how the anti aging movement is obsessed with all the superficial parts of aging.

Look man, getting old fucking blows. Especially if you face complications and become disabled. It's really hard to loose your life like that. I would know, I've seen it happen.

But that's not what they care about. they don't want you to exercise daily to prevent arthritis, high blood pressure, osteoporosis and blood clots. They don't want you to stop smoking so your teeth won't fall out and you won't get COPD. They aren't advocating for you to get your cancer screenings, to wear sunscreen and to drink in moderation.

No they just care about wrinkles and grey hair and sagging breasts. The things that will happen no matter what, whether you're a 80 year old trail runner or bed bound with late stage Alzheimer's.

Maybe my perception of aging has been skewed by working in Hospice. I don't know. But it's just so strange to me.

[drsudeshbanaji]

Internal Medicine's Role in Aging Well: How Physicians Support Health Across Decades

Aging is a complex, natural process, and maintaining health across decades requires specialized attention and continuous care. Internal medicine offers a comprehensive approach to aging well, with physicians skilled in treating adults through every stage of life. Internists, or doctors specializing in internal medicine, provide preventive care, diagnose complex conditions, and help manage chronic diseases over the long term. This article explores the critical role of internal medicine in promoting healthy aging, enabling individuals to maintain quality of life and independence as they grow older.

The Holistic Approach of Internal Medicine in Aging Care

Internal medicine embraces a holistic approach, addressing the full spectrum of adult health concerns. Internists consider all aspects of a patient's health rather than focusing solely on isolated symptoms or conditions. This broad perspective is precious for aging individuals, who often experience a combination of health challenges affecting various systems of the body. Internists excel at diagnosing and managing these interconnected issues, ensuring that treatment plans are comprehensive and cohesive. By viewing each patient as a whole, internists can create personalized strategies that support well-being over the long term.

Preventive Care: Building a Foundation for Lifelong Health

Preventive care is central to the philosophy of internal medicine, aiming to identify potential health issues before they develop into severe conditions. For older adults, preventive care includes regular screenings for heart disease, cancer, osteoporosis, and other age-related illnesses. Internists also advise on lifestyle factors, such as diet, exercise, and sleep, which are fundamental to aging well. By addressing risk factors early, internists help patients take proactive steps toward maintaining health. This preventive focus supports longevity and enables older adults to enjoy a higher quality of life with fewer medical complications.

Chronic Disease Management: Navigating the Complexities of Aging

Chronic disease management is one of the primary services provided by internists, as chronic conditions like hypertension, diabetes, and arthritis become more familiar with age. Managing these conditions effectively requires consistent monitoring, medication adjustments, and regular check-ups. Internists are skilled at creating personalized management plans that evolve as the patient's needs change. They closely monitor symptoms, respond to any health changes, and modify treatment plans to ensure optimal outcomes. By coordinating long-term care, internists help prevent complications associated with chronic illnesses, improving both the length and quality of life for aging patients.

Internal Medicine's Role in Mental Health for Older Adults

Mental health is a vital aspect of overall wellness, and it becomes essential as individuals age. Aging adults may face increased risks of depression, anxiety, and cognitive decline, partly due to physical health changes, social isolation, or the loss of loved ones. Internists often serve as the first line of defense in recognizing mental health issues, offering support or referrals to mental health specialists when necessary. Internists help patients manage mental health conditions with a compassionate, integrated approach that considers both physical and psychological health. This comprehensive focus allows internists to foster an environment where aging patients feel supported in all aspects of their health journey.

Geriatric Care: Specialized Knowledge for the Aging Population

As patients age, their healthcare needs become increasingly unique and complex. Internists specializing in geriatric care provide dedicated support for older adults, addressing age-specific health challenges such as mobility issues, frailty, and memory concerns. Geriatric internists tailor their approach to meet the needs of older adults, often coordinating with family members and caregivers to develop a support system that promotes independence and quality of life. This specialized knowledge is invaluable, as it helps elderly patients manage multiple health concerns while retaining as much autonomy as possible. Geriatric care within internal medicine embodies the compassionate, individualized care that older adults require for aging well.

The Importance of Continuity of Care in Aging

One of the most significant benefits of internal medicine is the continuity of care that internists provide over decades. This long-term relationship allows internists to understand their patients' health histories, lifestyle factors, and personal goals, enabling them to tailor healthcare strategies accordingly. Continuity of care is essential in aging well, as it allows internists to recognize subtle health changes and address them promptly. Patients who have established relationships with their internists are more likely to engage in preventive care and adhere to treatment recommendations. This continuity fosters trust, enhances communication, and creates a stable healthcare environment that supports patients in their journey through the aging process.

Internal Medicine and the Role of Family Involvement in Elderly Care

As individuals age, the role of family and close relationships in their healthcare often becomes more prominent. Internists recognize the value of family involvement, especially in cases where patients require assistance with medication management, daily activities, or emotional support. Internists often work with family members to develop comprehensive care plans, guiding how they can best support their loved ones. This collaboration is crucial, as it enhances the patient's support network and ensures that everyone involved is aligned with the patient's healthcare objectives. Family involvement is a valuable aspect of aging well, and internists facilitate this by fostering open, constructive communication with all parties involved.

Promoting Independence and Quality of Life in Aging

Internal medicine focuses not only on managing diseases but also on promoting independence and quality of life for aging patients. Internists work with older adults to address mobility challenges, pain management, and other issues that may impact daily life. They recommend physical therapy, exercise programs, or lifestyle adjustments to help patients maintain independence for as long as possible. This focus on functional health is essential in aging well, as it allows patients to engage in activities they enjoy and maintain a sense of control over their lives. By supporting both physical and mental wellness, internists help aging patients lead fulfilling lives with minimal limitations.

The Lasting Impact of Internal Medicine in Healthy Aging

Internal medicine is a cornerstone of healthy aging, providing the tools and guidance needed to navigate the complexities of growing older. From preventive care to chronic disease management, mental health support, and geriatric specialization, internists play a crucial role in supporting health across decades. The continuity of care and personalized approach of internal medicine allows patients to maintain health, independence, and quality of life as they age. Through a comprehensive approach, internists empower patients to embrace the aging process with confidence, making aging well not just a possibility but a reality.

[thenhscenter]

The Importance of Osteoporosis Screening Consultations For Early Detection

Osteoporosis screening consultations involve a comprehensive evaluation of an individual's bone health. These consultations are designed to identify those at risk of osteoporosis and provide a foundation for timely intervention.

[dr-smita-goel-homeopathy-clinic]

*Dr. Smita Goel Homeopathy Clinic*

www.thehomeopathyclinic.co.in

Joints are the parts of your body where your bones meet. Joints allow the bones of your skeleton to move. Joints include:

• shoulders

• hips

• elbows

• knees

Joint pain refers to discomfort, aches, and soreness in any of the body’s joints. Joint pain is a common complaint. It doesn’t typically require a hospital visit. Sometimes, joint pain is the result of an illness or injury. Arthritis is also a common cause of joint pain. However, it can also be due to other conditions or factors.

Arthritis

One of the most common causes of joint pain is arthritis. The two main forms of arthritis are osteoarthritis (OA) and rheumatoid arthritis (RA).

According to many medical orgainisation, OA is most common in adults over the age of 40. It progresses slowly and tends to affect commonly used joints like the:

• wrists

• hands

• hips

• knees

Joint pain due to OA results from a breakdown of the cartilage that serves as a cushion and shock absorber for the joints.

The second form of arthritis is RA. It more commonly affects women than men. It can deform and debilitate the joints over time. RA causes pain, inflammation, and fluid buildup in the joints as the body’s immune system attacks the membrane that lines the joints.

Other Causes

Joint pain can be caused by:

• bursitis, or inflammation of the cushioning pads around joints

• lupus

• gout

• certain infectious diseases, such as mumps, influenza, and hepatitis

• chondromalacia of the patella, or a breakdown of the cartilage in the kneecap

• an injury

• tendinitis, or inflammation of the tendon

• an infection of the bone

• overuse of a joint

• cancer

• fibromyalgia

• osteoporosis

• sarcoidosis

• rickets

Symptoms

In some cases, your joint pain will require you to see a doctor. You should make an appointment if you don’t know the cause of your joint pain and are experiencing other unexplained symptoms. You should also see a doctor if the area around the joint is swollen, red, tender, or warm to the touch, the pain persists for three days or more, or you have a fever but no other signs of the flu.

Go to the emergency room if any of the following occurs:

• You’ve experienced a serious injury.

• The joint appears deformed.

• Swelling of the joint occurs suddenly.

• The joint is completely immobile.

• You have severe joint pain.

Diagnosed

Your doctor will probably perform a physical exam. They’ll also ask you a series of questions about your joint pain. This may help to narrow down the potential causes.

A joint X-ray may be necessary to identify arthritis-related joint damage. If your doctor suspects there’s another cause, they may perform a blood test to screen for certain autoimmune disorders. They may also perform a sedimentation rate test to measure the level of inflammation in the body or a complete blood count.

Complications Associated with Joint Pain

Joint pain is often a result of the damage that occurs through normal wear and tear. However, it can also be a sign of an infection or potentially debilitating RA.

You should see your doctor if you have any unexplained joint pain, especially if it doesn’t go away on its own after a few days. Early detection and diagnosis can allow for effective treatment of the underlying cause of your discomfort.

[halfwayinlight]

the best parts about this episode are:

Alley Mills back on my screen

Carly calling herself and Michael pathetic

Lois being absolutely unable to let it go

Lois shouting out every conspiracy theory she can think up in the Savoy

Lois actually getting it correct

Nina having to squirm under Cyrus's thumb

Alexis and Gregory- dang that's gonna hurt at some point, tho

ok but Lois better get everything OUT before someone interrupts her because I need Sonny to know

Beecher's Corners throwback-- ok this might be from Thursday because I watched them back to back

Missed opportunities:

Alexis getting to say no and have it respected because fear is valid and also her freaking osteoporosis

Drew's return because... he adds literally nothing to these plots

Why Drew's first visit wasn't to Scout and why he doesn't have the flu now, too. I see where your priorities are, bro, and they suck

Sam defending her kid and telling Drew that, as well intended as he may be, Scout doesn't want to change schools so she's staying where she is

random: Nina REALLY thought she was going to keep her secret forever????

[mcatmemoranda]

Going through questions:

The U.S. Preventive Services Task Force (USPSTF) recommends exercise interventions to prevent falls in community-dwelling adults ≥65 years of age who are at increased risk for falls (B recommendation). Falls occur at least once annually in approximately 30% of community-dwelling adults 65 years or older, and the USPSTF recommendation is based on studies that demonstrated improved fall-related outcomes for patients who participated in exercise programs.

Most evidence included group exercise, but supervised individual interventions also appeared to be of benefit. Gait, balance, and functional training; resistance training; flexibility work; and endurance training all appeared to be effective for reducing falls.

Other interventions associated with a reduction in falls or fall-related fractures include an annual fall risk assessment, assistive devices such as grab bars or walkers, and environmental assessment and modifications such as the removal of trip hazards from the home. However, the evidence for in-home assessment of environmental hazards is less robust.

There is no evidence for psychological evaluation in the prevention of falls. The USPSTF recommends against vitamin D supplementation to prevent falls in community-dwelling adults ≥65 years of age in those who are not known to have osteoporosis or vitamin D deficiency (D recommendation).

Above image:

The pearly, papular appearance of this patient’s growth and the overlying telangiectasia makes the most likely diagnosis a nodular basal cell carcinoma. Basal cell carcinoma is the most common cutaneous malignancy. The incidence increases with age and occurs most commonly in Fitzpatrick skin types 1 and 2. The tumors appear most frequently on the face, scalp, ears, and neck, and less frequently on the torso and extremities. In-office dermoscopy may make the branching blood vessels or telangiectasias characteristic of basal cell carcinoma easier to see. In pigmented basal cell carcinomas, dermoscopy can highlight pigmented globules or other areas of abnormal deposition not easily seen without a dermatoscope. Basal cell carcinoma can be locally destructive but rarely metastasizes.

A 55-year-old male with a 40-pack-year smoking history comes to your office with the results of spirometry he had at a health fair. He quit smoking 1 year ago. He does not have any cough, dyspnea, wheezing, or sputum production, but he is concerned that the spirometry results show an FEV1/FVC ratio of 0.65 and an FEV1 of 70% of predicted, which indicates mild to moderate airflow obstruction.

Based on the best available evidence, which one of the following should you recommend in order to prevent the development of symptomatic airflow obstruction?

Answer: No treatment

There is no evidence from randomized, controlled trials to show that treating asymptomatic individuals who have mild to moderate airflow obstruction on spirometry prevents future respiratory symptoms or reduces subsequent declines in lung function. Partly for this reason, the U.S. Preventive Services Task Force and joint guidelines issued by the American College of Physicians, American College of Chest Physicians, American Thoracic Society, and European Respiratory Society recommend against screening for COPD in asymptomatic adults. Regardless of the results of this patient’s spirometry testing, treatment should not be initiated in the absence of symptoms. Detailed history-taking would be appropriate to detect patients who have limited their activity in order to avoid symptoms. A long-acting anticholinergic, a long-acting β-agonist (LABA), an inhaled corticosteroid (ICS), and combination therapy with an ICS and a LABA would not be recommended for this patient.

Family physicians are often required to manage dyspnea and evaluate common office spirometry results. The American Thoracic Society recommends complete pulmonary function testing with diffusing capacity of the lungs for carbon monoxide (DLCO) measurement when office spirometry suggests a restrictive pattern, which is defined as an FVC less than 80% of predicted. This level of pulmonary function testing gives further information about gas exchange and lung volumes, allowing a more definitive diagnosis.

The 6-minute walk test is used to evaluate the treatment response for known cardiopulmonary disease. Bronchoprovocation testing helps identify asthma triggered by allergens or exercise when office spirometry is normal.

Pearly papules of the penis are a benign, normal anatomic variant and are not sexually transmitted. They are dome-shaped, skin-colored papules 1–4 mm in size with a ring-like distribution around the corona of the glans penis, more commonly found along the dorsal side of the corona. They are present in up to 15%–40% of males. They most commonly occur in late puberty and early adulthood. Circumcised males have a lower incidence. The differential diagnosis includes condyloma acuminata; Tyson glands, which are modified sebaceous glands in a parafrenular distribution; or molluscum contagiosum.

Angiokeratomas are well-circumscribed red or blue papules that are 1–6 mm in size. Genital warts are raised masses that can be pearly and smooth or have a rough, cauliflower-like appearance, and are not confined to the penile corona. Lichen nitidus consists of discrete, hypopigmented, 1-mm papules that are not confined to the corona and can also occur on the upper extremities and abdomen. Squamous cell carcinoma may be endophytic (ulcerated) or exophytic (thickened skin or wart-like growths that can progress to a large, irregularly shaped, fungating mass).

Adhesive capsulitis is characterized by worsening shoulder pain that is hard to localize. The underlying pathology is contraction of the glenohumeral capsule resulting in decreased active and passive range of motion. It is an idiopathic condition but has an increased prevalence in patients with diabetes mellitus and hypothyroidism. Adhesive capsulitis is often self-limited but can persist for years in some patients. Nonsurgical treatment options include physical therapy, oral or intra-articular corticosteroids, acupuncture, and hydrodilatation.

Osteoarthritis is more common among older patients and typically develops more chronically than the subacute presentation of adhesive capsulitis. There is often a history of trauma, previous surgery, or repetitive work. Superior labrum anterior to posterior (SLAP) lesions can be acute (e.g., sustained during a fall on an outstretched hand) or chronic (e.g., in throwing athletes or other high-risk professions). Passive range of motion may be sustained. Infraspinatus tendinopathy may show pain with resisted external rotation. It may also arise due to acute injury or chronic repetitive overuse. Supraspinatus tendinopathy may present with normal strength but positive impingement testing as well as a positive Jobe test or empty can test.

[corneliaavenue-ao3]

About the diseases’ game Molly Weasley or McGonagall

Molly has had 7 children, so she has an increased risk for some gynecologic complications. Endocervical polyps and Adenomyosis are common.

Endocervical polyps are benign and present with painless vaginal bleeding. No change in uterus shape. Adenomyosis causes dysmenorrhea and heavy menstraul bleeding because there are endometrial glandular tissue within the myometrium. When palpating the uterus, it will feel diffusely large (unlike fibroids where you will feel a bulky, irregularly shaped uterus).

Any post-menopausal bleeding is concerning for endometrial cancer. Transvaginal US can help diagnose this (>4mm in size) and endometrial biopsy is diagnositic.

McGonagall will be my screening guidelines patient. (In America, she gets her treatment in America, I don't know Britain's guideliens)

Starting at 21 she will get pap smears every 3 years (this has changed depending on who you ask, but boards says 3 years.) After 29, she can get them every 5 years with HPV cotesting. At 65, she can stop getting them done as long as her last 3 alone pap smears have been normal or her last 2 co-tests were normal.

At 50 she will get her first colonoscopy unless she has family with colon cancer, then she would get it done 10 years before they were diagnosed (45 year old diagnosed, you get it done at 35) or age 40, whatever comes first. If normal, she can repeat it every 10 years.

At 50 she also starts getting mammograms every 2 years until she is 74.

At 65 she is getting a bone density scan to test for osteoporosis/osteopenia

[connectseo-blog]

https://regenphd.com/blog/dexa-scan-machine

Knowing the DEXA scan machine cost can help you invest in essential bone density testing technology for reliable osteoporosis screening.

[drmamtamehta1]

Best Gynecologist in Jaipur: Finding the Right Care for Women’s Health

When it comes to women’s health, finding the right gynecologist is crucial for ensuring comprehensive care and a comfortable experience. In Jaipur, a city known for its growing healthcare facilities, there are numerous gynecologists who provide specialized services for women of all ages. Whether it’s for routine check-ups, pregnancy care, fertility treatments, or managing health issues like PCOD, fibroids, or menopause, choosing the right gynecologist can make all the difference in a woman’s health journey.

What to Look for in the Best Gynecologist?

The best gynecologist combines several key qualities: professionalism, expertise, compassion, and accessibility. The ideal gynecologist will not only have the necessary medical qualifications and experience but also be someone who listens attentively to concerns, offers clear guidance, and makes patients feel comfortable throughout their consultation.

Expertise in Women’s Health Conditions

A top gynecologist in Jaipur should possess deep knowledge and expertise in various aspects of women’s health. These include:

Pregnancy & Maternity Care: A skilled gynecologist provides essential care throughout pregnancy, ensuring both maternal and fetal health. From early screenings to prenatal checkups, ultrasound evaluations, and postnatal care, their role is pivotal in guiding women through a healthy pregnancy.

Menstrual Disorders: Common issues like heavy bleeding, irregular cycles, and painful menstruation can significantly impact a woman’s quality of life. A good gynecologist will offer effective treatment options to manage these conditions, often using a blend of medication, lifestyle changes, and sometimes surgical procedures.

Fertility and Infertility: For women struggling with fertility, seeing an experienced gynecologist can help determine the cause and create a tailored treatment plan. This may include hormone therapies, intrauterine insemination (IUI), in vitro fertilization (IVF), and other fertility treatments.

PCOD and Fibroids: Conditions such as polycystic ovary syndrome (PCOD) and uterine fibroids are common among women, often leading to irregular periods, pain, or difficulty conceiving. A leading gynecologist in Jaipur will be adept at diagnosing and providing suitable treatments for these conditions, which may include medications, lifestyle modifications, or surgery.

Menopause Management: As women approach menopause, they experience significant hormonal changes that can lead to symptoms like hot flashes, mood swings, and osteoporosis. The best gynecologists are equipped to offer treatments that ease these symptoms and maintain overall health during this phase. Our services in Best Gynecologist in Jaipur.

Personalized and Compassionate Care

A great gynecologist not only treats the medical condition but also offers compassionate care. They understand the emotional and psychological aspects of women’s health, particularly when dealing with sensitive issues like fertility problems or menopausal symptoms. Their approach should be empathetic, offering support and reassurance to their patients.

Advanced Treatment Methods

The best gynecologists in Jaipur stay updated on the latest advancements in medical technology and treatment methods. From advanced laparoscopic surgeries for fibroid removal to minimally invasive treatments for pelvic conditions, these specialists ensure patients benefit from the most effective and cutting-edge techniques available.

The Role of Patient Reviews and Recommendations

One of the best ways to find a reliable gynecologist is through patient reviews and recommendations. Women who have had positive experiences often provide valuable insights regarding the quality of care, treatment options, and overall satisfaction. With Jaipur’s growing healthcare community, many experienced gynecologists come highly recommended by their patients for their expertise, care, and commitment to women’s health.

Conclusion

Choosing the best gynecologist in Jaipur is a decision that directly impacts a woman’s health and well-being. By considering factors such as expertise in various gynecological conditions, compassionate care, and modern treatment methods, women can ensure they receive the highest quality healthcare. Whether it’s a routine check-up or a specific treatment, the right gynecologist will guide women through every stage of life, from adolescence to menopause and beyond, ensuring long-term health and happiness.