Tag Archives: There are 72 Hours in a Day

Ten Simple Steps to Lower Your Risk of Acquiring COVID-19

Introduction

It’s time for health self-empowerment in the fight to lower your risk of acquiring COVID-19. Here are ten specific recommendations to give you and yours the best chance to get through these next few months. Adjust your lifestyle.

Do These!

  • If you have a medical concern, call your physician or any accessible nurse line, telehealth or telemedicine outlet.
  • If you have moderate to severe medical symptoms, find your local urgent care or emergency room. Newsflash: call around first to see how busy the ER is. There actually are quite a few small community hospitals around that aren’t as busy as you’d think.
  • If you leave the house, put on a mask. Any mask. Any covering.
  • If you are going to be in contact with anyone. Put on a mask. Any mask. Any covering. Stay away from anyone sick.
  • When you return to your house, wash your hands first thing.

Here are Five More!

  • If you are touching objects, sanitize them first and wash your hands after. If you are wearing gloves, replace them after you’ve contacted an object.
  • Do not touch your face without having washed your hands first.
  • Do not spew (cough, sneezing, yell, sing) outdoors or in the presence of anyone. Use your elbows. Do it while wearing a mask.
  • Find your inspiration and happiness wherever you can without violating the other considerations. Your mental health matters. Keep living your lives as best you can. Just be smart.
  • Focus on your overall health. Eat healthy. Stay active. Keep your immune system strong. The healthier you are, the better your body’s defenses will be.

We started by saying take steps to avoid catching the disease. We amended that to say act as if you have the disease and don’t want to spread it to others. You should now behave as if you are a part of a national lottery of death (yes, I know, but it’s true), and you don’t want to end up being mourned. Own your lives and your health.

Follow us!

Feel free to #asksterlingmd any questions you may have on this topic. Take the #72HoursChallenge, and join the community. As a thank you, we’re offering you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!

Order your copy of Dr. Sterling’s books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.jeffreysterlingbooks.com. Receive introductory pricing with orders!

Thanks for liking and following Straight, No Chaser! This public service provides a sample what you can get from http://www.docadviceline.com. Please share our page with your friends on WordPress! Like us on Facebook @ SterlingMedicalAdvice.com! Follow us on Twitter at @asksterlingmd.

Copyright © 2020 · Sterling Initiatives, LLC · Powered by WordPress

Coping with COVID-19

Introduction

How are you coping with COVID-19? This disease has produced and is producing more cases in the U.S. than any other country in the world. Therefore, it’s time to appreciate that we all can and in some way likely will be touched by it. Sadly, for some that means dying from the disease. For others, that means contracting the disease and recovering. Perhaps, we’ll watch someone we love become ill, not knowing if or that we were the cause of transmitting it. For others, our employment may be terminated or our relationships will be strained. For others still, we watch and wait.

Are You Coping?

However, for all of us, there is a measure of uncertainly. Every day, we have to either choose to socially isolate or not. We have to actually pay attention to when and how to wash and touch our faces. We have to be measured in how we show greetings and affection. Did you ever imagine the day would come that we’d question whether or not hand shaking was still appropriate? Can you imagine the anguish in needing to adjust the way we conduct funeral services?

Whether or not you’ve realized it yet, everything has changed – including us. However, the issue of how we come out of this pandemic is not yet the issue. How we cope with the stress and uncertainty currently before us is something we each should take a moment to reflect upon.

Tools for Coping with COVID-19

Let’s refer you to these two Straight, No Chaser posts that address stress management and how to develop a stress management plan.

Things To Do!

Now let’s acknowledge that the stress we’re enduring is a different kind and level of mental trauma than most of us have previously had to endure. Please consider the following suggestions about keeping focused and even productive during this time.

Break

COVID-19 has consumed our lives. Give yourself a break from news and social media engagement around the topic. It’s stressful!

Virtual

We are social creatures. If used correctly, social media can be quite the uplift. Engage in a virtual happy hour, class reunion, dance party or book club. Phone a friend. Often.

Activity

Yes, binge watching those television shows and movies you’ve always wanted to catch up on are options. Engage them! However, take advantage of this time to meditate, get in shape, learn a new language or develop a new hobby. I hear some of you have taken to sewing face masks!

Take Care of You and Yours

Make sure you’re getting sleep. Find things that make you smile. Learn to appreciate your time away. Create your own home vacation world. Get creative! And don’t forget about the kids!

Medical Information and Advice

Your health is a big source of stress right now. You should take comfort in knowing that nurse advice lines, telehealth and telemedicine are a phone call away. These vehicles can and should be your first steps in addressing any developing health concerns (assuming that your primary physician can’t be reached of course).

Whatever your level of stress, you’ll do better by not facing it alone, literally and figuratively. Remember, an idle mind is the devil’s workshop. Stay active and engaged so the stress created by coping with COVID-19 is left behind.

Follow us!

Feel free to #asksterlingmd any questions you may have on this topic. Take the #72HoursChallenge, and join the community. As a thank you, we’re offering you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!

Order your copy of Dr. Sterling’s books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.jeffreysterlingbooks.com. Receive introductory pricing with orders!

Thanks for liking and following Straight, No Chaser! This public service provides a sample what you can get from http://www.docadviceline.com. Please share our page with your friends on WordPress! Like us on Facebook @ SterlingMedicalAdvice.com! Follow us on Twitter at @asksterlingmd.

Copyright © 2020 · Sterling Initiatives, LLC · Powered by WordPress

Why Isn’t There a Coronavirus Vaccine?

Introduction

Creating a coronavirus vaccine seems like such a simple thing, doesn’t it? However, creating any vaccine is among the most complicated and arduous endeavors in medicine. As opposed to most medicines, a successful vaccine will be distributed to billions of people worldwide. In this Straight, No Chaser, we’ll look at the general process of vaccine creation as a means of understanding what has to happen prior to having a safe and effective coronavirus vaccine.

The Decision to Make Any Vaccine

The decision and process of making a vaccine is quite involved. I’ll summarize several of the considerations here.

Rationale and Target Immunization Rates

  • First, there has to be a public health rationale for a vaccine. There has to be an infectious disease present that’s severe and frequent enough to pursue a vaccine beyond other preventive strategies. That’s why there’s no vaccine for the common cold. Although everyone gets it, the body handles it just fine.
  • The ability to achieve target immunization rates has to seem reasonable. The World Health Organization has a target of 90% coverage for all vaccines by 2020. That level of coverage ensures protection for the others in the population who can’t receive the vaccines due to allergies or other reasons. If this goal can’t be approximated by the verbalized support of target populations around the world, the effectiveness of the vaccine may not be enough to justify the process of developing it.

Efficacy and Side Effects

  • Efficacy of the vaccine in preventing the disease sounds like a given, but it’s not. First, a vaccine needs to stimulate an immune system response that doesn’t under react or overreact. Either scenario could be deadly, so a level of precision is a must. This also involves discovering if a live vaccine or inactivated particle proteins from the virus can be used to stimulate that response. Furthermore, good efficacy takes into consideration that viruses are quite adept at mutating. The art of vaccines involves adjusting to keep current with the different viral strains and the viruses’ efforts to stay alive. We can expect this coronavirus to be an adaptor and/or mutator because it’s an animal virus. It’s already proven able to adapt from the environment of bats to humans.
  • The frequency and severity of vaccine side effects and adverse reactions are equally as important as efficacy. Can you imagine the consequences of giving a deadly vaccine to billions of people without having fully tested it? In a world prone to medical skepticism anyway, it’s a must that at least the medical, public health and regulatory communities are in agreement about safety considerations based on science, even if the public is not. Typically, each stage of studies (including pre-clinical, animal and human trials) will need to be replicated at multiple medical institutions in multiple different types of populations to ensure the results of one anecdotal case or study weren’t a dangerous random event.

Remembering that a pharmaceutical company is pursuing the development, testing and distribution of a vaccine, there has to be a business case for one. Vaccines don’t get made just because a new disease shows up. The costs of development ultimately will need to be recouped. However, the public will be equally insistent that the vaccine be cost-effective. There’s a lot to consider. There certainly appears to be justification for creating a coronavirus vaccine.

The Incentives to Make Any Vaccine

Here’s where I remind you that it’s not a governmental endeavor to make vaccines. These are decisions made by pharmaceutical companies. Potential vaccines are subject to approval by the equivalent of FDAs (Food and Drug Administrations) countries around the world. There are many regulatory hurdles to be cleared by the FDA before a coronavirus vaccine could be given widely to the US population.

This process is so arduous that it historically has taken between two and fifteen years to develop a vaccine. In fact, the most recent vaccine with which you may be familiar (the varicella vaccine, for prevention of chicken pox) took about 11 years to be licensed by the US FDA.

Considering all of that, think of the investment that must be made into making a coronavirus vaccine. There’s the study of a new virus, with the need to learn its genetic code, the means of causing disease and how it reacts to different threats. Mutation and other modes of adaptation need to be considered. There is a ton of work to be done before the process of creating a vaccine can even begin. Then the process has to go through animal models and rounds of human clinical trials prior to approval. As noted, the “chickenpox vaccine” took about an 11-year investment that needed to be paid for by the pharmaceutical manufacturer. That’s a long time and a big financial risk to take. Even while the public is demanding cost-effectiveness, somehow the manufacturer has to recoup its investment and make a profit.

The Prospects of a Coronavirus Vaccine

Now having discussed these things, consider where we are with a vaccine for the virus causing COVID-19. It’s named SARS-CoV-2, by the way. As a reminder, the world outside of China first gained access to the RNA sequence of the virus in January – just two months ago. There are now facilities in the US, Europe, Australia and possibly China already beginning the arduous process of learning enough about the virus that a vaccine may be proposed, developed, tested and approved.

Honestly, there is no way to predict when a SARS-CoV-2 vaccine will be available because there are multiple substantial steps to be taken. Each of these steps come with challenges, potential obstacles and potential setbacks. It would be irresponsible to even present a best-case scenario (but a target of 12-18 months has been placed as a challenge). However, you can rest assured that multiple entities across the world are putting forth their best efforts. In the meantime, prevention and early detection remain our best defenses while efforts continue on a coronavirus vaccine and effective treatment.

Follow us!

Feel free to #asksterlingmd any questions you may have on this topic. Take the #72HoursChallenge, and join the community. As a thank you, we’re offering you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!

Order your copy of Dr. Sterling’s books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.jeffreysterlingbooks.com. Receive introductory pricing with orders!

Thanks for liking and following Straight, No Chaser! This public service provides a sample what you can get from http://www.docadviceline.com. Please share our page with your friends on WordPress! Like us on Facebook @ SterlingMedicalAdvice.com! Follow us on Twitter at @asksterlingmd.

Copyright © 2020 · Sterling Initiatives, LLC · Powered by WordPress

COVID-19 Update, Actions and Next Steps

Introduction

This Straight, No Chaser addresses the latest on COVID-19 and discusses actions and next steps.

Number of Cases

The United States is now contracting 40% of the new cases of COVID-19 worldwide. As of this morning, there have been 428,220 cases and 19,101 deaths around the world. In the US, there have now been 55,330 confirmed cases and 804 deaths. That is more American than have died in the Afghanistan war in the last 8 years. Even if that was a hard stop, it would be horrific. But it’s only the end of the beginning.

You should reflect on the fact that we’ve only been dealing with this a short time. The next three weeks will be horrific. #PrayForNY #CaliforniaYoureNext #IllinoisKeepFighting

The Trajectory

Look at this chart of the disease trajectory. It’s not a curve. It’s a straight line. The curve has not yet bent. Cases are doubling every three days. This is not a game or a casual happenstance. This is science and medicine. Any individual’s (even the President’s) exhortations about their opinions or wishes about when and how this will end means next to nothing. Even if you’ve never heard of it, epidemiology is a branch of medicine addressing the incidence, distribution, and possible control of diseases and other factors relating to health. In other words, this is foreseeable and predictable. It could have been controllable much sooner. It is yet to be determined when it will be controlled.

Now look at this chart. Most US states are actually on the same trajectory. It’s not just New York. If anything, NY is the canary in the coal mine. Forewarned should be forearmed.

What’s Next: Actions and Next Steps

The next three weeks are going to be scary to many and deadly for a lot of Americans. The state of New York’s health care system is about to become overrun as if hit by a tsunami. As much as can be illustrated, the depictions of the numbers of people about to die will be shocking. However, it was still foreseeable. Predictable. Controllable.

And still, it can get worst. There are two sides to #FlattenTheCurve. You must still continue with the need to #StayAtHome. You must engage in vigorous, frequent hand washing. Cough or sneeze into your elbow. Keep your hands away from your eyes, nose and mouth. Sanitize items before and after you touch them. Stay six feet away from others. Avoid gathering of any size, and certainly more than ten people.

Regarding the other side of #FlattenTheCurve, it is not politics to ask the government to engage in public health best practices. We need widespread testing of symptomatic and high risk patients to identify the infected instead of just the seriously sick. #WhereAreTheTests We need to quarantine the infected. We need enforced isolation and treatment of the sick. #WhereAreTheSupplies We need to implement the Defense Protection Act today.

Ongoing half measures, stops and starts and variations from the standard continue to propel the disease forward. It pains me to opine that we have neither seen quick nor decisive action, often due to efforts to weigh other national considerations, including the economy. Pandemics don’t work that way. The best chance for these peripheral considerations to be addressed as soon as possible is to fully address the disease as soon as possible.

Thank you to my colleagues across health care and other essential services for continuing to put your lives on the line to combat this disease. Now, more than ever, health empowerment needs to be your mantra. When our system falls short (or even when it doesn’t), ultimately the responsibility for your health falls in your hands. Please take the actions and next steps recommended. Act as if you already have the disease and don’t want to transmit it.

Follow us!

Feel free to #asksterlingmd any questions you may have on this topic. Take the #72HoursChallenge, and join the community. As a thank you, we’re offering you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!

Order your copy of Dr. Sterling’s books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.jeffreysterlingbooks.com. Receive introductory pricing with orders!

Thanks for liking and following Straight, No Chaser! This public service provides a sample what you can get from http://www.docadviceline.com. Please share our page with your friends on WordPress! Like us on Facebook @ SterlingMedicalAdvice.com! Follow us on Twitter at @asksterlingmd.

Copyright © 2020 · Sterling Initiatives, LLC · Powered by WordPress

Actual Criteria for Coronavirus Testing

Introduction

Do you have any idea about the actual criteria for coronavirus testing? Even if you don’t want to know, if you’re talking or visiting a physician, you should be aware of what’s being used to determine (under current recommendations) your eligibility. This Straight, No Chaser presents an active set of criteria for your review.

Meanwhile, the need to expand coronavirus testing criteria and to expand the availability of tests continues. Let your voices be heard. #WhereAreTheTests

Whom Should Physicians Test for COVID-19?

Physicians may test any patient with symptoms consistent with COVID-19. Examples of these typically include fever, cough and shortness of breath. As commercial testing becomes even more increasingly accessible, expect criteria to expand.

However, the following patients should be prioritized for testing:

  • Critically ill patients receiving ICU-level care with unexplained viral pneumonia or respiratory failure. This is regardless of travel history or close contact with suspected or confirmed COVD-19 patients. This is meant to inform decisions about infection control and investigational therapeutics.
  • Any persons with fever (subjective or confirmed) and/or symptoms of a lower respiratory tract illness and a history of close contact with a laboratory-confirmed COVID-19 patient within 14 days of symptom onset. This includes all residents of a long-term care facility that have had a laboratory-confirmed COVID-19 case.
    1. “Close contact” is defined as being within approximately six feet of a COVID-19 case for a prolonged period. A prolonged period equals more than about 10 minutes per current public health contact-tracing practice. It also includes those having direct contact with infectious secretions of a COVID-19 case (e.g., being coughed on).
    2. Here’s when physicians and other health care personnel (e.g., nurses and administrative staff) should be tested. Testing may be considered if there has been exposure to a person with suspected COVID-19 even without laboratory confirmation. Even mild signs and symptoms (e.g., sore throat) of COVID-19 should be evaluated among potentially exposed health care personnel. This is warranted given their extensive and close contact with vulnerable patients in health care settings.
  • Any symptomatic individuals with a history of travel within 14 days of symptom onset to geographic regions where sustained community transmission has been identified.
  • Any symptomatic individuals who may be at higher risk of poor outcomes. These include those who are ≥ 65 years of age, immunosuppressed, or have high-risk chronic medical conditions (e.g., diabetes, heart disease, chronic lung disease, chronic kidney disease).
  • Individuals with fever and/or symptoms of a lower respiratory tract illness who are critical to pandemic response. These include health care personnel, public health officials, and other essential leaders.

Whom should physicians NOT test for COVID-19?

  • Asymptomatic individuals are not recommended to be tested for COVID-19, regardless of exposure history.
  • If an alternative diagnosis can be determined (e.g., rapid strep, rapid flu, BioFire viral panel), a clinical determination can be made that a COVID-19 test is not necessary. This is especially true if there is not yet community transmission of the disease in your area.
  • CDC recommends that mildly ill patients should be encouraged to stay home. You should contact your physician by phone for guidance about clinical management. If telemedicine is available and determines that symptoms are mild, patient’s should be referred to a mobile testing site if available. Otherwise, your doctor may elect to test you at the end of the day in the office away from other patients. This can protect staff and other patients and preserves the use of personal protective equipment.  

You would do well to print this out. Use it as a guide to determine if your symptoms meet criteria for coronavirus testing under current guidelines. Use it to insist on testing if you meet criteria. #KnowledgeIsPower #KnowledgeIsHealth

Follow us!

Feel free to #asksterlingmd any questions you may have on this topic. Take the #72HoursChallenge, and join the community. As a thank you, we’re offering you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!

Order your copy of Dr. Sterling’s books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.jeffreysterlingbooks.com. Receive introductory pricing with orders!

Thanks for liking and following Straight, No Chaser! This public service provides a sample what you can get from http://www.docadviceline.com. Please share our page with your friends on WordPress! Like us on Facebook @ SterlingMedicalAdvice.com! Follow us on Twitter at @asksterlingmd.

Copyright © 2020 · Sterling Initiatives, LLC · Powered by WordPress

The Coronavirus Good News Post

Introduction

Would you believe me if told you there was Coronavirus good news? Even in the first of what is likely to be weeks of a shutdown of activity for many places across the nation, it’s my professional inclination to look at things from multiple angles. I want to make a good faith effort to point out where we are from about as optimistic of a point of view as possible. Consider this an academic exercise as much as a reflection of any reality.

This has been a conversation about style, preferences and metrics. We’d do well to be reminded that the current process of combating the disease is based on a different philosophy (for better or worse) than has presently been used. This philosophy is based on less reliance on the federal government, with outsourcing of solutions to the states and the private sector. This is still America, and even with a slow start and what appears to be half measures when compared to best practices, we have seen a relatively low amount of deaths and the abilities of American innovation begin to come to bear on our behalf.

Coronavirus Good News

Here are five particularly positive developments and innovations of note from America and around the world.

  • Cleveland Clinic developed a COVID-19 test that gives results in hours. (Source: News 5 Cleveland)
  • South Korea has not only “flattened the curve,” but recoveries from documented cases now outnumber new cases. These occurred after implementation of mass testing. (Source: NBC News)
  • Isreali scientists are poised to announce the development of a coronavirus vaccine. (Source: The Economic Times)
  • The first three Maryland residents to test positive for coronavirus have completed treatment and are now doing well. (Source: WBAL)
  • The Japanese drugmaker Takeda Pharmaceutical Co. said it was developing a new coronavirus drug derived from the blood plasma of people who have recovered from Covid-19. Its approach is based on the idea that antibodies developed by recovered patients might strengthen the immune system of new patients. This is the type of effort that led to dramatic improvements during the pandemic of 1918.

Stay Calm and Do Your Part

Furthermore, the response from the most at-risk States and citizens across the country has been quite admirable (with a few notable exceptions). The ongoing enforcement of CDC recommendations, which are now mostly being endorsed (if not enforced) by the federal government will substantially improve the outcomes of Americans and people around the world.

Of course, all of this is to be balanced against other information. The situation will get worse before it gets better. However, in total, circumstances speak to the need to maintain diligence and determination instead of panic and feelings of helplessness. We can come out on the other side of this better and more self-empowered in our health.

Follow us!

Feel free to #asksterlingmd any questions you may have on this topic. Take the #72HoursChallenge, and join the community. As a thank you, we’re offering you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!

Order your copy of Dr. Sterling’s books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.jeffreysterlingbooks.com. Receive introductory pricing with orders!

Thanks for liking and following Straight, No Chaser! This public service provides a sample what you can get from http://www.docadviceline.com. Please share our page with your friends on WordPress! Like us on Facebook @ SterlingMedicalAdvice.com! Follow us on Twitter at @asksterlingmd.

Copyright © 2020 · Sterling Initiatives, LLC · Powered by WordPress

Coronavirus Myths, Part I

Introduction

Yes, Coronavirus myths are a thing. Coronavirus is not an all-powerful entity that spells the end of mankind. We just have to be diligent in attacking this pandemic. There’s so much information and misinformation out there that Straight, No Chaser needs to clarify some of the more important facts to know and egregious myths to avoid.

Myth: The virus is a variant of the common cold

No, it’s not, but it is part of the Coronavirus family of viruses. Different Coronaviruses cause different disease, and in fact four different members of that family cause common colds. However, SARS-CoV-2, the specific virus that causes COVID-19 is not one of them. So if you have the cold, don’t worry. The world isn’t about to end!

Myth: The virus was made in a lab

This particular Coronavirus myth/conspiracy theory is easy to combat (no pun intended) if you believe in science. All evidence suggests that SARS-CoV-2 (the virus that causes the disease of COVID-19) seems to have originated in bats. Also, there is no evidence that the virus was man-made.  Furthermore, there are other viruses that have originated in animals that migrated to humans.  This particular virus’ characteristics and activity fall in line with that of those other examples.

Myth: Any face mask protects you from Coronavirus

The problems with regular surgical masks is those viral particles aren’t blocked from penetration. However, the masks do have value in potentially blocking large respiratory droplets that you expel when coughing or sneezing. The most effective masks are the N95 respirators that medical staffs use. However, these need to be fitted to prevent air from escaping around the edges. Also, they must be checked for ongoing effectiveness after each use. Truthfully, it’s a matter of risks. Use the best option you have, and focus on prevention.

Myth: Getting COVID-19 is guaranteed to kill you

Here’s the data. Just over 2% of people infected with COVID-19 are killed by it. About 14% contract a severe illiness (significant shortness of breath), and just under 5% are critical (respiratory or multi-organ failure or septic shock). Over 80% of the infect have mild infections that may not include symptoms. The elderly and those otherwise immunocompromised are those most at risk, but there is some level of risk of severe disease and death for every individual contracting the disease.

Myth: The worst has passed in the US

We’ve continued to tell you (and most experts are agreeing) that the worst of COVID-19 has yet to come. We have seen incremental steps toward full quarantine and isolation in the US, seemingly in hopes that it won’t become necessary. However, as testing reveals the full extent of the disease, expect more of the school closures, athletic arena fan bans, city curfews, airport screening of the need to fly and other once-thought draconian measures to take hold, complete with military enforcement of the new rules. You probably didn’t know this, but state and federal laws are already in place for these considerations in the face of a public health emergency.

There are a lot more Coronavirus myths out there for us to beat down. If you have some you’d like us to address, leave them in the comments section. Stay tuned!

Follow us!

Feel free to #asksterlingmd any questions you may have on this topic. Take the #72HoursChallenge, and join the community. As a thank you, we’re offering you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!

Order your copy of Dr. Sterling’s books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.jeffreysterlingbooks.com. Receive introductory pricing with orders!

Thanks for liking and following Straight, No Chaser! This public service provides a sample what you can get from http://www.docadviceline.com. Please share our page with your friends on WordPress! Like us on Facebook @ SterlingMedicalAdvice.com! Follow us on Twitter at @asksterlingmd.

Copyright © 2020 · Sterling Initiatives, LLC · Powered by WordPress

Self Empowering Weight Loss Strategies

Introduction

When you’ve tried, what have been your weight loss strategies? Excuse me for being Straight, No Chaser, but here it goes! Unless you have one of a few medical conditions or take medications that promote weight gain, weight loss strategies are simple and mostly variations of the same theme. Also, no, the best answers aren’t found in a pill.

If you actually want to loss weight – and regardless of the method – you must demystify the process. Your weight is simply a function of calories in or out. You spend your days consuming and burning them. Whether you lose or gain is dependent on the relative ratio of those two considerations. Simply put, weight loss (or gain) is nothing more than a math equation. If you take in more than you expend, you’ll gain. If you burn more calories than you consume, you’ll lose weight.

Nothing anyone ever tells you will be more simple or true than those facts. Diets and exercise routines are just means to an end. They’re all variations of a theme: close your mouth and get off your rear!

This next post in the Straight, No Chaser empowerment series gives you some basics. If you focus on these in the midst of everything you do, you will be pleased with the outcome. Meanwhile, those of you with medicines or medical conditions causing weight gain, have a conversation with your physician – early and often.

Straight, No Chaser Resources

Here are some posts to help empower you. They’re simple, effective and to the point.

Follow us!

Feel free to ask your SMA expert consultant any questions you may have on this topic. Take the #72HoursChallenge, and join the community. As a thank you, we’re offering you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!

Order your copy of Dr. Sterling’s books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.jeffreysterlingbooks.com. Receive introductory pricing with orders!

Thanks for liking and following Straight, No Chaser! This public service provides a sample of http://www.SterlingMedicalAdvice.com (SMA) and 844-SMA-TALK. Please share our page with your friends on WordPress! Like us on Facebook @ SterlingMedicalAdvice.com! Follow us on Twitter at @asksterlingmd.

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Healthy Eating is Healthy Living

Introduction

Healthy eating is about as fundamental a proposition as you get on your journey to taking control of your own health. This Straight, No Chaser offers you tips that represent the basics of nourishing your body!

healthy eating tips

If you want to eat healthy, you really must learn about and try to eat in accordance with the Healthy Eating Plate. It doesn’t get more complicated that that, and you shouldn’t attempt to make it much more complicated.

Today, I’m going to speak on recommendations from the U.S. Department of Agriculture Center for Nutrition Policy and Promotion, which I’m building upon for your success. These bakers’ dozen of healthy eating tips represent simple, easy-to-do tasks to keep your meals healthy.

Your Healthy Eating Tips

  • Eat at home. This accomplishes so many things. If you eat at home, you know exactly what you’re eating. That quality control is important, and it allows you to both save money and get creative in your pursuit of health.
  • If possible, take the cooking out of your hands. Those of you with less self-discipline would do well to simply express your healthy desires to your loved one. Give her or him directions on your health goals and eat what’s brought to you.
  • Use a smaller plate. This act with help you with portion control. If you’re one of those who must finish your plate, this will help prevent you from overeating.
  • Stop eating when you’re full. The body actually is trying to tell you when you’re hungry and when you’re not. Try to overcome that voice in your head that tells you “finish your plate.” Calorie control is the vital component of health.
healthy eating tips - fruits!
  • Make half your plate colorful fruits and vegetables. If you just remember dark green, red and orange colors are consistently full of nutrients and healthy, you’ll do well. Think of tomatoes, sweet potatoes and broccoli as examples.
  • Eat slowly. Even if you’re not chewing each morsel 20-25 times before swallowing, learning to savor your food will improve your eating experience and promote a sense of fullness and satisfaction with smaller portions. No, it won’t necessarily make you want even more.

More healthy eating tips

  • Lean Protein. Limit your red meat. Learn to appreciate lean meats, such as chicken, turkey and seafood. Beans and tofu are also excellent protein sources. When you do eat beef and/or pork, ask for lean cuts.
  • Seafood, not see (more) food. Make it your main course at least twice a week.
healthy eating tips - whole grain
  • Whole grains. Just say the words and look for the words. When you’re buying breads, look for 100% whole grain. At a restaurant? Specifically ask for whole grains in your breadbasket. You cannot assume your breads are whole grain otherwise.
  • Avoid the extra fat. There’s no good in eating healthy if you cover the goodness with heavy sauces, gravies, syrups or salad dressings. Ask if low fat, low-calorie alternatives exist.
  • Got dairy? Learn to move beyond whole milk. Fat-free, low-fat, soy or almond milks (or yogurt without a daily drink) are all better options and provide the same amount of calcium and other nutrients without all the fat and calories.
  • Satisfy your sweet tooth in a different way. Learn to enjoy a fruit cocktail, yogurt parfait, baked apples or other healthy options as your dessert. All you’re really wanting is a dab of sugar anyway!
  • Learn variety; build your choices. Have you ever tried mango, kiwi, lentils or kale? If so, did you give up after the first taste? Many healthy foods need to be prepared to your liking. Think seasonings and preparation. Get creative!

Whatever you do, fast food is not the option. Invest a touch of time into these very simple tips and undo the bad luck to be found in most of your diets.

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Feel free to ask your SMA expert consultant any questions you may have on this topic. Take the #72HoursChallenge, and join the community. As a thank you, we’re offering you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!

Order your copy of Dr. Sterling’s books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.jeffreysterlingbooks.com. Receive introductory pricing with orders!

Thanks for liking and following Straight, No Chaser! This public service provides a sample of http://www.SterlingMedicalAdvice.com (SMA) and 844-SMA-TALK. Please share our page with your friends on WordPress! Like us on Facebook @ SterlingMedicalAdvice.com! Follow us on Twitter at @asksterlingmd.

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ask your physician

Ten Questions to Ask Your Physician

Introduction

Today’s message is simple: Ask Your Physician! Straight, No Chaser continues this empowerment series with this simple direction. Think about it. When exactly was the last time you took questions into your physician’s office to ask? This post compiles a top ten list of questions we suggest you should ask and get addressed ASAP! Knowledge is health!

Questions

What’s the best approach to preventive care?

This question is a great lead in to a discussion on medical screenings and vaccinations. You should also use it to get direction on diet and exercise.

What internet resources can I trust for medical information?

There’s a big difference between you asking a physician about something you googled and you asking your physician’s thoughts on where you can go for good information on the internet. Don’t be surprised if you get sent back to www.jeffreysterlingmd.com!

Why am I taking/receiving this medicine?

Blind trust is much less important than informed empowerment. Understand why you need to take medicines and if there are alternatives to taking them. Be very careful about any substances you place in your body that change the way you function!

How do sleep and stress impact my health?

These are two rarely discussed topics during physician visits. Adequate sleep and being relatively stress-free are fundamental considerations upon which you build a foundation of health. Make sure you’re right on these!

How do you (the physician) protect your own health?

No, this isn’t imposing! There’s a lot to learn by this question. There’s not much that I’m doing for myself that I wouldn’t recommend for you!

Do I (or my child) really need an antibiotic?

If only you’d ask this question. However, it requires more insight than fear. You really do yourself a disservice by inappropriately and unnecessarily taking antibiotics. There will come a day that you really need them to work. Let’s hope whatever is infecting you hasn’t become immune due to using them for viruses that would have gotten better in a few days anyway and without them.

I’m really afraid about this? How concerned should I be?

You’re spending a ton of money on your fears. Why not address them directly during your physician visit. Or are you the type that’s going to do what you think is best anyway? Don’t let your fears overwhelm facts.

Can we discuss my wishes for end-of-life care?

No one seems to ask end-of-life considerations unsolicited in advance. Unfortunately, not doing so seems to extend family arguments until the most inappropriate time. There’s a way to have the conversation in a sensitive way. And no, it won’t lead to any death panels invading your home.

When do I need to be seen again and what would make being seen earlier necessary?

Between visits, you will have fears, concerns and issues that arise. Get clarity on these matters in advance.

What should I do if I think I need to go to the emergency room for something?

Although you have the right to go to the ER for anything you think could be an emergency, that can come with a tremendous cost and expenditure of a lot of time. It’s good to understand options for options for emergency visits with your doctor’s office. You should also get his/her advice on how to use call centers, urgent care and 911 for different levels of threats.

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Feel free to ask your SMA expert consultant any questions you may have on this topic. Take the #72HoursChallenge, and join the community. As a thank you, we’re offering you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!

Order your copy of Dr. Sterling’s books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.jeffreysterlingbooks.com. Receive introductory pricing with orders!

Thanks for liking and following Straight, No Chaser! This public service provides a sample of http://www.SterlingMedicalAdvice.com (SMA) and 844-SMA-TALK. Please share our page with your friends on WordPress! Like us on Facebook @ SterlingMedicalAdvice.com! Follow us on Twitter at @asksterlingmd.

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Holiday Season Health Considerations

Holiday Season Health Considerations

Are holiday season health considerations a thing? Yes! We want the holidays to be a time of happiness and health. Part of that involves being physically and mentally strong enough to enjoy it all! Let’s review some of the various considerations that can help you do just that.

Your Holiday Health Guide

We’ll offer this guide with links to previous Straight, No Chaser posts that address the following topics:

Tips on Buying Safe Toys and Gifts

Tips to Deal with Depression and The Holiday Blues

The Holiday Heart Syndrome

Other Thoughts

Given that the holidays are a time of reflection, remembrance and giving, take the time to check on your loved ones. In addition to depression and grieving being prevalent this time of year, your check-ins promote happiness and good will. Enjoy the better things life has to offer. Communicate as a means of coping with your challenges. Your actions have meaning. It matters! Happy Holidays!

Follow us!

Feel free to ask your SMA expert consultant any questions you may have on this topic. Take the #72HoursChallenge, and join the community. As a thank you, we’re offering you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!

Order your copy of Dr. Sterling’s books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.jeffreysterlingbooks.com. Receive introductory pricing with orders!

Thanks for liking and following Straight, No Chaser! This public service provides a sample of http://www.SterlingMedicalAdvice.com (SMA) and 844-SMA-TALK. Please share our page with your friends on WordPress! Like us on Facebook @ SterlingMedicalAdvice.com! Follow us on Twitter at @asksterlingmd.

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Avoiding the Most Frequent Causes of Death

Introduction

This Straight, No Chaser is all about avoiding the most frequent causes of death because… life!

avoiding the most frequent causes of death

It is interesting and curious to hear everyone obsess over how esoteric and rare conditions can potentially kill you. Here are some words to the wise: common things happen commonly.  I’m going to make this a very simple post (with links to previous Straight, No Chaser posts covering the individual topics in greater detail). Let’s help you extend your life expectancy by offering very simple tips (three to five for each) key to avoiding the most frequent causes of death. This list is by no means comprehensive, but if you follow the achievable steps mentioned, you’ll be much better off than if you don’t.

The Five Most Frequent Causes of Death

According to the Centers for Disease Control and Prevention (CDC), here are the five most common causes of death in the United States for the year ending 2016. I’ve also included the number of annual deaths per condition; click on the heading for those blogs.

  • Heart disease: 635,260
  • Cancer: 598,038
  • Accidents (unintentional injuries): 169,936
  • Chronic lower respiratory diseases: 160,201  (e.g., asthmaCOPDemphysemachronic bronchitis)
  • Stroke (cerebrovascular diseases): 142,142

Heart disease

Learn early recognition of heart attacks.

 agingheart

  • Stop smoking and exposing yourself to second-hand smoke.
  • Exercise daily. Walk at least two miles each day. It’s a final common denomination of other problems and is a major contributor to cardiovascular disease. You want your LDL (“bad cholesterol” levels) low and your HDL (“good cholesterol” levels) high. If your LDL and/or overall levels are high, it’s an immediate prompt to reduce your belly, change your diet and exercise more.
  • Limit your calories. Never supersize anything. Eat only until you’re full. Learn about healthy plate sizes.

Cancer

Get screened! Early detection is the key to survival.

cancer

  • Don’t use tobacco in any form.
  • Eat more fruits and vegetables and less red meat.
  • Become physically active: strive for at least 30 minutes of moderate to vigorous activity at least five days a week.
  • Limit sun exposure and avoid tanning. (Skin cancer is the most common of all cancers.)
  • Limit alcohol intake to one to two drinks/day (women and men, respectively).

Accidents

Secure your surroundings!

impact of motor vehicle crashes

  • Learn CPR.
  • Wear safety belts (shoulder and lap) every trip. Seat belts reduce auto crashes by approximately 50%.
  • Stop all distracted driving (drinking, cell phone use, eating, etc.).
  • If you’re going to swim, and even if you know how to swim, take a formal lesson that focuses on life-saving maneuvers.
  • Install smoke and carbon monoxide detectors in your home.

Chronic lower respiratory diseases

Asthma and COPD can take your breath away.

COPDer

  • Stop smoking and exposing yourself to second-hand smoke.
  • Get your home tested for radon.
  • Follow workplace guidelines for workplace exposures to particles known to cause cancer.

Stroke

Learn early detection.

strokerecog

  • Control your blood pressure. This is the most important risk factor in stroke prevention. High blood pressure increases your risk for a stroke four-fold.
  • Control your blood sugar levels. Diabetics have a 1.5 times higher risk of stroke.
  • Control your cholesterol.
  • Stop smoking. Smoking increases your risk for a stroke between 1.5-2.5 times above the risk of non-smokers.
  • Control your weight through diet and exercise, which is bundled in each of the first three considerations.

There is no fountain of youth. Your cure won’t be found in a bottle, a fad or any other quick fix. It really is about diet, exercise and risk management. The choices you make matter. Remember, although these tips were focused on prevention, early detection and treatment at the time of crisis give you the best chance to survive. Learn early detection of heart attacks and strokeslearn CPRget screened for cancer and learn how to survive car crashes. It’s not that hard if you’re actually trying.

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Feel free to ask your SMA expert consultant any questions you may have on this topic. Take the #72HoursChallenge, and join the community. As a thank you, we’re offering you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!

Order your copy of Dr. Sterling’s books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.jeffreysterlingbooks.com. Receive introductory pricing with orders!

Thanks for liking and following Straight, No Chaser! This public service provides a sample of http://www.SterlingMedicalAdvice.com (SMA) and 844-SMA-TALK. Please share our page with your friends on WordPress! Like us on Facebook SterlingMedicalAdvice.com! Follow us on Twitter at @asksterlingmd.

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It’s Handwashing Awareness Week – You’re Doing It Wrong!

Introduction

This Straight, No Chaser is for National Handwashing Awareness Week and its related activities.

handwashing awareness week

Yes, we need to have this conversation. I see you all day everyday. The simplest of acts – washing your hands – is also one of your most important daily acts. Doing it right helps you avoid all manner of illness. Doing it incorrect creates opportunities for disease to exist at multiple places on and in your body.

Of course the above picture is not an actual photo, but it’s a good depiction of what’s happening. Simply put, most of the day, your hands are pretty disgusting. You handle money that’s been handed hundreds if not thousands of times and never cleaned. You grab handles and door knobs all day long. You’re coughing and sneezing throughout the day, spewing germs into the air to be inhaled by others. And you spend time in the restroom. Your unclean hands contribute to many ailments, including colds, influenza, conjunctivitis (pink eye) and gastroenteritis (vomiting and diarrhea) and skin infections.

Are you sickly or do you get colds more frequently than others? Respectfully, a big part of that is because you have habits that put you at risk. Common things happen commonly.

Simple Steps to Lower Your Risk

sneeze_in_arm

  1. Do it right

    Experts recommend washing your hands with soap and clean water for at least 20 seconds. Be sure to get a good lather going and clean the back of the hands, between the fingers and under the nails. Dry them using a clean towel. There is a lot of science behind these recommendations, so be sure to follow them each time you wash your hands.

  2. Memorize the five steps

    The Centers for Disease Control and Prevention calls hand washing “a do-it-yourself vaccine” and suggests remembering five easy steps: Wet, lather, scrub, rinse, dry.

  3. Learn the Four Principles of Hand Awareness

    Endorsed by the American Medical Association and American Academy of Family Physicians, the four principles are: 1) Wash your hands when they are dirty and before eating; 2) Do not cough into hands; 3) Do not sneeze into hands; and 4) Don’t put your fingers in your eyes, nose or mouth.

These important points are simple things you can do to lower your risk for infections. First, you have to stop assuming you know more than you do about basic hygiene and allow yourself to start practicing better habits. For example …

  • When you sneeze, do you sneeze into your hands or into the air around you? Please learn the habit covering your mouth and nose when you sneeze or cough by sneezing/coughing into your elbow and not your hands.
  • How often do you wash your hands? You must wash every time you begin to cook, before you eat, after you use the rest room, before you change a diaper and before you apply any topical medicine.
  • Have you ever noticed how much you keep your hands on parts of you that can become infected by doing so? Keep your hands out of your eyes, mouth and nose, and stop picking at your skin!

handwashing hygiene

Follow us!

Feel free to ask your SMA expert consultant any questions you may have on this topic. Take the #72HoursChallenge, and join the community. As a thank you, we’re offering you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!

Order your copy of Dr. Sterling’s books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.jeffreysterlingbooks.com. Receive introductory pricing with orders!

Thanks for liking and following Straight, No Chaser! This public service provides a sample of http://www.SterlingMedicalAdvice.com (SMA) and 844-SMA-TALK. Please share our page with your friends on WordPress! Like us on Facebook SterlingMedicalAdvice.com! Follow us on Twitter at @asksterlingmd.

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25 Tips That WILL Increase Your Life Expectancy

Introduction

life expectancy

Want to increase your life expectancy and live better longer? You may want to keep this post. I haven’t exactly found the Fountain of Youth, but I do know what activities lead to a longer life expectancy. In honor of Thanksgiving, and in the spirit of being thankful for life, here are 25 tips that you can incorporate into your daily life to help you live a younger life every day and a longer life.

Tips 1-5

1. Take a walk. Just give yourself a brisk 30-minute walk three times a week. Effect? Reverse your age by about 10 years.

2. Eat more fish. Doing so one to two times a week can reduce your heart attack risk by approximately one-third.

3. Lift weights. Yes, it gets tougher, but I’m not recommending a Schwarzenegger workout. Lifting reverses muscle and bone loss if you do it twice weekly. For those in their 50s or 60s, it can produce strength scores similar to those in their late 30s.

4. Get a pet. This is a pretty easy way to avoid depression and all that comes with it.

5. Hydrate. Your body is almost 70% water. Not soda, water. Learn to embrace clear fluids. When you’re not going clear, coffee and wine also have significant health benefits.

women increase your life expectancy

Tips 6-10

6. Equip your home. Everyone should have a functioning smoke alarm, carbon monoxide detector and fire extinguish, and everyone in your home should know where they are and how to use them.

7. Put a helmet on your head. 1,000 people die every year in the U.S. from motorcycle, bicycle, scooter or skydiving injuries related to not wearing protective helmet.

8. Engage in safe sex. Yes, people are still dying prematurely and living compromised lives because of the failure to wear condoms while others protect themselves.

9. Be optimistic. This keeps the negative effects of the body’s physiologic stress response from harming you.

10. Reduce your red meat intake. Even the daily intake of just one serving of red meat equivalent to the size of your fist decreases life expectancy by approximately 13 percent.

life expectancy

Tips 11-15

11. Spend time with friends. Healthy social networks have been shown to add as much to your life expectancy as healthy endeavors such as lowering high blood pressure and reducing high cholesterol levels.

12. Be generous. Studies consistently show that those who help others report better health than those who don’t. It may just be correlation, but being on the right side of this fence makes the world a better place.

13. Sleep. Seven hours a day gets done what your body needs to function optimally.

14. Discover blueberries. There’s been much talk about “superfoods.” Blueberries meet the criteria. Consuming approximately two cups a day has been shown to prevent chronic diseases, reduce depression and improve memory.

15. Enjoy sex and orgasms. There are a million jokes about the benefits of sex, but legitimate benefits include burning calories, reducing stress, inducing sleep and reducing pain.

life expectancy by race and gender

Tips 16-20

16. Snack on nuts. Healthier nuts include almonds, cashews and pistachios. Eating them five days a week has been shown to add nearly three years to your life expectancy.

17. Get up! Sitting for more than three hours at a time independent of other activities can reduce your life expectancy. Take breaks, stretch and move around.

18. Maintain adequate intake of vitamins. You shouldn’t need supplemental vitamins if your diet is appropriate, buy if it’s not, here are the daily requirements that ensure optimal function. Vit C (1200 mg/day), Vit D (400-600 IU/day), Vit E (400 IU/day), Vit B6 (6 mg/day), calcium (1000-1200 mg/day) and folate (400 mcg/day).

19. Measure your blood pressure. Work to maintain your blood pressure at or below 115/75. This will help you function as much as approximately 25 years younger than someone of a blood pressure at or about 160/90.

20. Brush. Floss. Daily brushing and flossing can improve your functioning by approximately six years.

life expect throughout history

Tips 21-25

21. Wear your seatbelt. The combination of seatbelt wearing and driving within five MPH of the posted speed limit can improve your life expectancy by approximately three and a half years.

22. Eat fiber. The number to know here is 25. If you get 25 grams of daily fiber in your diet, that improves your function by approximately two and a half years over consuming half that amount. Look for high fiber dietary options.

23. Learn to laugh. Laughter actually does have clinical benefits. It strengthens your immune system by decreasing the stress-induced release of certain hormones. Learn to take or tell a joke!

24. Love fruits and vegetables. The more fruits and vegetables you eat compared to red meat, the better your life expectancy becomes.

25. Consume medical care, information and advice. Being proactive about your health increases both your life expectancy and life functioning compared to someone a dozen years younger  who does not. This includes getting recommended screenings and immunizations. Also, have you heard of www.sterlingmedicaladvice.com?

Here’s a bonus tip: Avoid getting hit by that truck.

Follow us!

Feel free to ask your SMA expert consultant any questions you may have on this topic. Take the #72HoursChallenge, and join the community. As a thank you, we’re offering you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!

Order your copy of Dr. Sterling’s books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.jeffreysterlingbooks.com. Receive introductory pricing with orders!

Thanks for liking and following Straight, No Chaser! This public service provides a sample of http://www.SterlingMedicalAdvice.com (SMA) and 844-SMA-TALK. Please share our page with your friends on WordPress! Like us on Facebook SterlingMedicalAdvice.com! Follow us on Twitter at @asksterlingmd.

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November is COPD Awareness Month

IntroductionCOPDer

November is COPD Awareness Month. Unfortunately, you already know a lot about COPD without realizing it or even having to think about it. You’ve seen patients walking around with the oxygen tanks or tubes in their noses. However, that’s just the extreme. COPD is the third or fourth leading cause of death in the US depending on the source, with millions of individuals diagnosed. You also know COPD and cancers are why your doctors always warn you against smoking in any form. You know smoking is the leading cause of this. This Straight, No Chaser provides a brief overview of COPD and answers some key questions.

What Is COPD?

emphysema
Chronic obstructive pulmonary disease is a lung disease that makes it hard to breathe and advances in severity over time.
Appreciate that air goes from your mouth or nose through the windpipe (trachea) through several branches of airways, eventually connecting to blood vessels meant to carry oxygen to the organs of your body. These same blood vessels drop off waste gas known as carbon dioxide, which we exhale with each breath out.

Airway Changes Causing COPD

In COPD, less air flows in and out of the airways because of one or more of the following:

  • The airways and air sacs lose their elasticity. Elasticity is the stretchiness your lungs need to fill up with and push out air. In COPD, these sacs act less like a balloon and more like a lead pipe.
  • The airways make more mucus than usual, which clog them and make breathing more difficult. The inflammation caused by smoke and other irritants produce mucus. It’s not a good thing when instead of breathing air, you’re attempting to breathe a smoke-filled swamp of snot-like material.
  • The walls of the airways become thick and inflamed. Over time, inflammation can cause permanent changes in the walls of the airways to compensate for the environment you’ve created.
  • The walls between many of the air sacs are destroyed. Ongoing inflammation overwhelms the body’s ability to repair itself, and eventually sheets of tissue in your airways are destroyed beyond repair, providing you with less tissue to exchange oxygen from the lungs to the blood vessels that carry oxygen through the body.

COPD

What causes COPD? 

Cigarette smoking is far and away the leading cause of COPD. Most of those with COPD are current or former smokers. Heredity, childhood respiratory infections, and long-term exposure to other lung irritants, such as air pollution, chemical fumes, or dust may contribute to or cause COPD.COPD pix

I’ve been told I have bronchitis. Is that the same thing?

There’s acute bronchitis, and there’s chronic bronchitis. In the US, COPD refers to two separate but similar conditions, emphysema and chronic bronchitis; most with COPD have both conditions. Now if you have acute bronchitis, it means something (like and likely cigarette smoke) is currently inflaming your airways. Over time this can permanently damage the airways and produce an ongoing state of inflammation – chronic bronchitis – with airway wall thickening and increased mucus production within the lungs. Let the smoker beware.

How is this different from emphysema?

In emphysema, the walls between many of the air sacs are damaged, losing their shape and elasticity. This damage also can destroy the walls of the air sacs, leading to fewer, larger and less efficient air sacs instead of many more efficient tiny ones. If this happens, the amount of gas exchange in the lungs is reduced, meaning you’re not getting enough oxygen in you and enough carbon dioxide out of you.

What are some symptoms of COPD?

copd sxCOPD can cause coughing with mucus production, wheezing, shortness of breath, chest tightness, decreased ability to exert yourself and walk around. Even more symptoms may develop as a result of inadequate oxygen supply and inadequate carbon dioxide disposal.

How can I know if I have COPD?

One big problem with COPD is many have the disease and don’t know it until it starts becoming quite advanced. It’s safe to assume that if you’re a smoker and have difficulty breathing, you’re experiencing changes to your airways that aren’t in your best interest. You are advised to get evaluated. You are best advised to remove yourself from the source of the inflammation (in other words, stop smoking).

How does COPD affect my life?

For starters, it shortens it. It also markedly increases your cancer risk. At some point all the damage and changes to your lungs is going to cause some abnormality. Given this is the area you use to breathe, deliver oxygen to your organs and eliminate toxins from your body, all manners of things can go wrong, and they often do. COPD is a chronic, progressive disease. You may or may not pick up on the slow creep of diminishing ability to perform routine activities, or maybe you’ll just attribute them to aging (COPD occurs most often in middle-aged to elderly individuals). Once severe enough, COPD may prevent you from doing even basic activities like walking, breathing without difficulty, or taking care of yourself.

What’s the cure for this? 

Here’s the frightening part: we’re talking about irreversible lung tissue change and destruction. Once layers of your airways have been ripped out (figuratively), they aren’t coming back. The damage is done. Prevention is your best defense.
COPD treatment-chart

So how is it treated?

There is no real treatment without removing the trigger feeding the ongoing inflammation. In other words, you’ll have to stop smoking to stop further progression. Additional measures involve support.

  • Supplemental oxygen may be needed to deliver enough oxygen to the tissues as an effort to combat the destruction and inflammation of tissue meant to facilitate oxygen exchange.
  • Medicines to reduce the inflammation and mucus may be prescribed.
  • Medicines to better open the airways past the clogging caused by inflammation and mucus may be prescribed.

Your physician will discuss these and other options. The truth is COPD has no cure. Once you have been diagnosed with COPD, efforts switch to slowing the progression and implementing measures to improve the quality of your life within the parameters defined by the advancement of your disease.

Finally, here is a short video from the National Institutes of Health.

Follow us!

Feel free to ask your SMA expert consultant any questions you may have on this topic. Take the #72HoursChallenge, and join the community. As a thank you, we’re offering you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!

Order your copy of Dr. Sterling’s books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.jeffreysterlingbooks.com. Receive introductory pricing with orders!

Thanks for liking and following Straight, No Chaser! This public service provides a sample of http://www.SterlingMedicalAdvice.com (SMA) and 844-SMA-TALK. Please share our page with your friends on WordPress! Like us on Facebook SterlingMedicalAdvice.com! Follow us on Twitter at @asksterlingmd.

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National Diabetes Month – Diabetes Awareness

Introduction

November is National Diabetes Month. The National Heart, Lung, and Blood Institute (NHLBI) has chosen to focus on the link between diabetes and cardiovascular disease. You must come to understand that diabetes isn’t just contained to itself. This disease causes devastation across the entire body. For example, adults with diabetes are nearly twice as likely to die from heart disease or stroke as people without diabetes.

Get Empowered During National Diabetes Month

There are steps you can take to manage your diabetes. These same steps can also help lower your chances of having heart disease or a stroke. Try these.

  • Stop smoking or using other tobacco products.
  • Know and manage your A1C, blood pressure, and cholesterol levels.
  • Develop or maintain healthy lifestyle habits. Be more physically active and learn ways to manage stress.
  • Take medicines as prescribed by your doctor, not based on how you “feel.”

Wait, There’s More!

Click on the below links for any and all of these Straight, No Chaser posts Diabetes.

Follow us!

Feel free to ask your SMA expert consultant any questions you may have on this topic. Take the #72HoursChallenge, and join the community. As a thank you, we’re offering you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!

Order your copy of Dr. Sterling’s books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.jeffreysterlingbooks.com. Receive introductory pricing with orders!

Thanks for liking and following Straight, No Chaser! This public service provides a sample of http://www.SterlingMedicalAdvice.com (SMA) and 844-SMA-TALK. Please share our page with your friends on WordPress! Like us on Facebook SterlingMedicalAdvice.com! Follow us on Twitter at @asksterlingmd.

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A Challenge to Prevent Alhzeimer’s Disease

Introduction

Prevent Alzheimer's Disease

Who wouldn’t want to prevent Alzheimer’s Disease? We’ve done a few challenges in this space. However, remember that we’re never as interested in the activity as we are the accomplishment. In other words, the best challenges aren’t as concerned with the exercise as the underlying health benefit. We’re not doing a formal challenge today, but I do want to give you five simple tips. If you accept the challenge of implementing them into your habits, they will dramatically reduce the risk of Alzheimer’s Disease and dementia.

This is an overly simplistic presentation with the goal of giving you achievable tasks toward holding off Alzheimer’s Disease.

Let’s Prevent Alzheimer’s Disease

Prevent Alzheimer's Disease

To be clear: there is presently no cure for Alzheimer’s. Therefore, the effort to prevent Alzheimer’s Disease is as good as it gets. We’ve discussed it at length in this space, and we offer links to better understand it. What we want you to know today is incorporation of a series of healthy lifestyle habits can offer a 60% lower risk of developing Alzheimer’s Disease than those practicing one or none of these habits. Simply put, according to multiple medical studies, the more healthy habits you adopt, the lower your risk will be of cognition decline.

Here’s the list:

  • Regular exercise (moderate to vigorous for at least 150 minutes a week)
  • Cognitive stimulation (engaging in later-in-life “brain exercise” activities)
  • Eating a brain-healthy diet
  • Not smoking
  • Light to moderate alcohol consumption

Regarding diet, the brain healthy diet is made of leafy green vegetables, nuts, poultry, beans and olive oil. It avoids red meat, sweet and fried foods (similar to the MIND diet).

Alzheimer’s is the sixth leading cause of death, according to the CDC (Centers for Disease Control and Prevention). It is the most common form of dementia. These interventions lower your risk regardless of any generic risk.

Wait, There’s More!

Click on the below links for any and all of these Straight, No Chaser posts on Alzheimer’s Disease.

Follow us!

Feel free to ask your SMA expert consultant any questions you may have on this topic. Take the #72HoursChallenge, and join the community. As a thank you, we’re offering you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!

Order your copy of Dr. Sterling’s books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.jeffreysterlingbooks.com. Receive introductory pricing with orders!

Thanks for liking and following Straight, No Chaser! This public service provides a sample of http://www.SterlingMedicalAdvice.com (SMA) and 844-SMA-TALK. Please share our page with your friends on WordPress! Like us on Facebook SterlingMedicalAdvice.com! Follow us on Twitter at @asksterlingmd.

Copyright © 2019 · Sterling Initiatives, LLC · Powered by WordPress

It’s ADHD Awareness Month!

Introduction

It’s ADHD Awareness Month, and this Straight, No Chaser discusses Attention Deficit Hyperactivity Disorder (aka ADD). To begin with, let’s set aside the jokes or casual nature often applied to ADHD. “Everyone” doesn’t have a “little” attention deficit disorder. It’s not something everyone can expect to outgrow. It’s not a response to a lack of discipline. Let’s clarify some things.

ADHD Awareness Month

What is ADHD?

ADHD is one of the most common neurodevelopmental disorders of childhood. This suggests imbalance in the chemical makeup needed for perfectly performing brains. Although it’s typically diagnosed in childhood, it can last into adulthood. In fact, of the more than 6 million children with ADHD, about 2 million were diagnosed between ages 2-5.

Types of ADHD

  • Predominantly Inattentive Presentation: There is difficulty organizing or finishing tasks, paying attention to details, or following instructions or conversations. Distractibility is high, as is the frequency of forgetting details of daily routines.
  • Predominantly Hyperactive-Impulsive Presentation: Here’s where you see fidgeting and a seeming pressure to talk a lot. These individuals find it hard to sit still, doing homework or even finish meals. Impulsivity is frequent, resulting in habits of interrupting, grabbing and other signs of restlessness such as running, jumping or climbing. This can result in frequent accidents and injuries.
  • Combined Presentation: The above two types are not mutually exclusive, and patients may exhibit characteristics of both. Furthermore, symptoms and presentations may change over time. 

Signs and Symptoms

Children with ADHD may have trouble paying attention, controlling impulsive behaviors (may act without thinking about what the result will be), or be overly active. It is normal for children to have trouble focusing and behaving at one time or another. The symptoms can be severe and can cause difficulty at school, at home, or with friends.

ADHD Awareness Month

A child with ADHD might:

  • daydream a lot
  • forget or lose things a lot
  • squirm or fidget
  • talk too much
  • make careless mistakes or take unnecessary risks
  • find resisting temptation difficult
  • have trouble taking turns
  • have difficulty getting along with others

Causes of ADHD

The cause(s) and risk factors for ADHD are unknown, but current research shows that genetics plays an important role. The following addition considerations are currently the topics of research:

  • Brain injury
  • Exposure to environmental (e.g., lead) during pregnancy or at a young age
  • Alcohol and tobacco use during pregnancy
  • Premature delivery
  • Low birth weight

Myths about Causes

Research does not support the popularly held views that ADHD is caused by the following (although in the individual patient, these considerations may worsens symptoms):

  • eating too much sugar
  • watching too much television
  • parenting
  • social and environmental factors such as poverty or family chaos.

Diagnosis

There is no single test to diagnose ADHD. Other behavior problems can have similar symptoms. One step of the process involves having a medical exam, including hearing and vision tests, to rule out other problems with symptoms like ADHD. Diagnosing ADHD usually includes a checklist for rating ADHD symptoms and taking a history of the child from parents, teachers, and sometimes, the child.

Treatments

In most cases, ADHD is best treated with a combination of behavior therapy and medication. For preschool-aged children (4-5 years of age) with ADHD, behavior therapy, particularly training for parents, is recommended as the first line of treatment before medication is tried. What works best can depend on the child and family. Good treatment plans will include close monitoring, follow-ups, and making changes, if needed, along the way.

Allow me to restate that: medication is not the first line of therapy for ADHD.

Managing Symptoms: Staying Healthy

Healthy habits give all patients the best opportunity for the best possible outcomes, and that’s the case with ADHD. Here are some recommended health behaviors.

Get Help!

If you or your doctor have concerns about ADHD, you can take your child to a specialist such as a child psychologist or developmental pediatrician, or you can contact your local early intervention agency (for children under 3) or public school (for children 3 and older).

The National Resource Center operates a call center (1-800-233-4050) with trained staff to answer questions about ADHD.

ADHD in Adults

ADHD often lasts into adulthood. For more information about diagnosis and treatment throughout the lifespan, please visit the websites of the National Resource Center on ADHDexternal icon and the National Institutes of Mental Healthexternal icon.

Follow us!

Feel free to ask your SMA expert consultant any questions you may have on this topic. Take the #72HoursChallenge, and join the community. As a thank you, we’re offering you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!

Order your copy of Dr. Sterling’s books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.jeffreysterlingbooks.com. Receive introductory pricing with orders!

Thanks for liking and following Straight, No Chaser! This public service provides a sample of http://www.SterlingMedicalAdvice.com (SMA) and 844-SMA-TALK. Please share our page with your friends on WordPress! Like us on Facebook SterlingMedicalAdvice.com! Follow us on Twitter at @asksterlingmd.

Copyright © 2019 · Sterling Initiatives, LLC · Powered by WordPress

National Dental Hygiene Month

Introduction

This Straight, No Chaser post gives you the information you need for National Dental Hygiene Month.

national dental hygiene month

If you ignore your teeth, they’ll go away.

You may not think that bad dental hygiene can land you in the emergency room, but it does! One thing in particular I’ve noticed over the years is how oblivious some people are to their smiles—especially their teeth. We see it all: loose teeth, missing teeth, broken teeth, infected teeth, sensitive teeth, erupted wisdom teeth, gingivitis, bad breath, dental infections (especially abscesses), things stuck in the teeth, mouth cancer, yeast infections, rashes inside the mouth and other conditions. The mouth is the gateway to the body. Through it, you introduce many substances that can infect or otherwise damage you. Clinically, the appearance of your mouth, gums and teeth are often a direct statement about how well you care for the rest of your body.

You would think dental hygiene is an especially difficult proposition, but it’s actually quite simple. According to the American Dental Association (ADA), all you really need to commit to good dental hygiene is less than five minutes at a time, at least twice a day. Surely that’s not too much to ask of yourself for yourself, is it?

Let’s identify three sets of conditions you should be prepared to address with your activities. Each measure contains simple tips and habits you should employ to keep your smile making the right kind of introduction.

Dental Hygiene Prevention and Self-maintenance

toothbrush
Brushing and flossing keep your gums and teeth healthy by removing plaque and food particles that can serve as a source for infection and tooth decay. Here are your essentials.

  • Brush for two minutes at a time.
  • Brush at least twice a day and preferably after each meal.
  • Flossing is important. There are particles that collect under the gums and between the teeth that your toothbrush can’t reach.

Avoid the stainers. Tobacco products (e.g., cigarettes, chewing tobacco and cigars), excessive red wine and coffee contain a high quantity of very strong chemicals that stain and damage your teeth. Cranberry and grape juices also may stain teeth if consumed in excess. Besides cosmetic considerations, the staining isn’t the problem as much as fact that the chemicals causing the staining are also damaging your teeth and gums.

Prevention and Professional Maintenance

dentist for National Dental Hygiene Month

Do you have a dentist?

  • Regular dental checkups are very important for the ongoing maintenance of your teeth and the early identification of dental problems—before excessively expensive and painful options are needed.
  • Dental exams provide an opportunity for identification of several medical conditions and diseases whose symptoms can appear in the oral cavity (mouth).

Recognizing Possible Dental Emergencies

dentalers
It is simultaneously understandable and befuddling that patients go without dental care as long as they do. By the time they come to the ER, invariably, some of these symptoms have been present and were ignored. If you’re experiencing the following symptoms, you’d do well to see the dentist early, before you end up in the ER.

  • Teeth have become sensitive to hot or cold stimuli
  • Gums are swollen and/or they bleed with brushing, flossing or eating
  • Continually bad breath or bad taste in your mouth
  • Difficulty chewing or swallowing
  • Pain or swelling in your mouth, face or neck
  • Spots or a sore that doesn’t look or feel right in your mouth and it isn’t going away
  • Jaw sometimes pops or is painful when opening and closing, chewing or when you first wake up
  • An uneven bite
  • Mouth is becoming unexplainably more dry than normal
  • You have a medical condition such as diabetes, cardiovascular disease, eating disorder or are HIV positive with new dental problems.
  • You are undergoing medical treatment such as radiation, chemotherapy or hormone replacement therapy with new dental problems.

Follow us!

Feel free to ask your SMA expert consultant any questions you may have on this topic. Take the #72HoursChallenge, and join the community. As a thank you, we’re offering you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!

Order your copy of Dr. Sterling’s books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.jeffreysterlingbooks.com. Receive introductory pricing with orders!

Thanks for liking and following Straight, No Chaser! This public service provides a sample of http://www.SterlingMedicalAdvice.com (SMA) and 844-SMA-TALK. Please share our page with your friends on WordPress! Like us on Facebook SterlingMedicalAdvice.com! Follow us on Twitter at @asksterlingmd.

Copyright © 2019 · Sterling Initiatives, LLC · Powered by WordPress

Domestic Violence Awareness Month

Introduction

Domestic Violence

October is Domestic Violence Awareness Month, although it doesn’t take a break during other months. Are you concerned about domestic violence? Probably, you should be. You are not alone. Domestic violence (DV) occurs in every culture and society. Also, it occurs in all age groups and in men and women. DV occurs in all races, income levels and religions. Likewise, it occurs in heterosexual and homosexual relationships. Furthermore, it is estimated that one in four women and one in nine men will be victims of DV at some point in their lives. That’s right. As a result, many (if not most) emergency rooms now screen every single woman for domestic violence. Therefore, you need to know the signs of danger and what you can do to get help.

A Simple Definition of Domestic Violence

Domestic violence is the abuse that one person with control in a household inflicts on another. Perpetrators can include parents or other caregivers, siblings, spouses or intimate partners. DV reveals itself in several forms, including sexual (e.g., rape), physical (e.g., biting, hitting, kicking) and mental abuse (e.g., constant criticisms or threats, limiting ability to lead otherwise normal lives). These forms tend to center around abnormal control of an aspect of another’s life. Even more, the level of mental control is such that victims of DV often internalize the activity as normal. They also assign fault to themselves and/or accept responsibility for the abuse.

Domestic violence is a crime in all 50 states of the U.S.

First of all, it is a crime.

Above all, victims do not cause abuse and are not responsible for it.

national domestic violence hotline

Domestic Violence Awareness and Mental Health

Domestic violence has consistent adverse effects on mental health.

  • Children suffering from domestic violence often display developmental delays and aggressive behavior. Also, they have difficulty performing in school and tend to have low self-esteem. Furthermore, they are at greater risk for being diagnosed with a psychiatric disorder.
  • Domestic violence increases the diagnoses of anxiety disorder, depression, panic attacks and post-traumatic stress disorder. It is also associated with an increase in substance abuse.
  • DV increases the incidence of psychotic episodes, suicide attempts and homelessness. Its presence also slows recovery from those suffering from other mental illness.
  • DV increases the risk of retaliatory violence against the perpetrators.

Please … contact us if you’re in need of support. Our expert crisis counselors are here for you, 24/7. 1-844-724-7754 or www.SterlingMedicalAdvice.com. You don’t have to “endure with dignity.”

There’s More!

Read these additional Straight, No Chaser posts as part of Domestic Violence Awareness Month.

Follow us!

Feel free to ask your SMA expert consultant any questions you may have on this topic. Take the #72HoursChallenge, and join the community. As a thank you, we’re offering you a complimentary 30-day membership at www.72hourslife.com. Just use the code #NoChaser, and yes, it’s ok if you share!

Order your copy of Dr. Sterling’s books There are 72 Hours in a Day: Using Efficiency to Better Enjoy Every Part of Your Life and The 72 Hours in a Day Workbook: The Journey to The 72 Hours Life in 72 Days at Amazon or at www.jeffreysterlingbooks.com. Receive introductory pricing with orders!

Thanks for liking and following Straight, No Chaser! This public service provides a sample of http://www.SterlingMedicalAdvice.com (SMA) and 844-SMA-TALK. Please share our page with your friends on WordPress! Like us on Facebook SterlingMedicalAdvice.com! Follow us on Twitter at @asksterlingmd.

Copyright © 2018 · Sterling Initiatives, LLC · Powered by WordPress

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