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Tick Talk

Blood-sucking ticks pose significant health risks this spring.

Ticks are tiny arachnids that latch onto hosts, including humans, pets, and wildlife, and carry a range of pathogens for several diseases. For example, in 2019, 50,865 cases of tickborne disease were reported to the CDC by state and local health departments. Ticks thrive in wooded, grassy, and humid environments. The most common tick-borne illnesses include Lyme Disease, Alpha-gal Syndrome, Rocky Mountain spotted fever, and Anaplasmosis.

More than 34,000 people tested positive for
alpha-gal IgE antibodies in the United States during 2010-2018.

Drawing of a tick

Know Your Tick

Lyme Disease is caused by the bacterium Borrelia burgdorferi and is transmitted primarily by the black-legged tick (Ixodes scapularis). Early symptoms include fever, headache, fatigue, and a characteristic skin rash resembling a bull’s-eye. If left untreated, it can lead to more severe complications affecting the joints, heart, and nervous system.

Alpha-gal syndrome (AGS), also known as red meat allergy, is triggered by the Lone Star tick (Amblyomma americanum). This tick’s bite can induce an immune response to alpha-gal, a carbohydrate found in red meat. Symptoms include hives, gastrointestinal issues, and, in severe cases, anaphylaxis.

Rocky Mountain spotted fever is transmitted by the American dog tick (Dermacentor variabilis), and can cause fever, headache, and a spotted rash. If not promptly treated with antibiotics, it can lead to serious complications affecting the heart, lungs, and kidneys.

Anaplasmosis is transmitted by the black-legged tick and the western black-legged tick (Ixodes pacificus). Symptoms include fever, muscle aches, and fatigue. Severe cases may result in respiratory failure or organ failure.

 

Prevention

  • Wear long-sleeved shirts, long pants, and closed shoes.
  • Wear tick-repellent clothing and/or use permethrin.
  • Apply EPA-approved insect repellents.
  • Perform regular tick checks.
  • Maintain tick-safe landscaping.

 

Treatment for Tick-Borne Diseases

Learn how to remove ticks if you find one on your skin. Early detection is crucial for effective treatment. If you experience symptoms after a tick bite, consult with a healthcare professional promptly for proper diagnosis and treatment. Most tick-borne diseases can be treated with antibiotics when diagnosed early.

Boosting Hair Growth

Most of us are no stranger to having our bodies change and evolve, but hair loss seems more personal. Hair loss — whether in men or women — can have a profound impact on one’s confidence.

 

What Causes Hair Loss?

Hair loss has many causes, and determining the cause can influence the appropriate course of treatment.

  • Age: Hair growth slows as you get older, which causes hair on the scalp to start thinning, losing its color, and the hairline to recede.
  • Hereditary: According to the American Academy of Dermatology Association, this is the most common cause of hair loss worldwide, impacting both men and women. Hereditary hair loss occurs when the genes you’ve inherited cause shrinking in your hair follicles until hair stops growing.
  • Scalp Disorders: Some conditions that could impact hair loss on the scalp include alopecia areata, scarring alopecia, scalp ringworm, and scalp psoriasis.
  • Cancer Treatment: Chemotherapy and radiation treatments often cause all or most of your hair to fall out within the first few weeks.
  • Thyroid Disorders: If you have a problem with your thyroid, you may lose your hair in clumps.
  • Hormones: Polycystic ovary syndrome (PCOS), changes in hormonal birth control, menopause, or if you’ve given birth recently can all have an impact on your hair health.
  • Diet and nutrition: If you aren’t getting enough biotin, iron, protein, or zinc, it can impact your hair health. Too much vitamin A can also cause hair loss.
  • Hair Care: The way you style and wear your hair can also impact your hair follicle health. If you wear your hair pulled back too tightly, or color, perm, or relax your hair regularly, it can damage the follicles, causing hair to not grow out of them.

But all is not lost. Depending on your situation and the recommendations from an expert (i.e. dermatologists specialize in treating skin, hair, and nails), there are different options to explore for hair regrowth.

 

Treatment Options

There is not a single, one-size-fits-all solution for encouraging hair growth. In some situations, hair may regrow on its own — for example, treating an underlying condition, after undergoing cancer treatment, or if you recently had a baby or lost weight. There are other treatment options you may consider if you want to prevent further loss or quicken the regrowth pace:

  • Over-the-counter (OTC) Products: These often contain ingredients like biotin, zinc, collagen, azelaic acid, omega fatty acids, vitamin E, and tea tree oil.
  • Rogaine®: This is also an OTC topical option that is FDA-approved to treat hereditary hair loss.
  • Prescription Medications: Finasteride, Spironolactone, and other medications prescribed may boost hair growth. It’s important to discuss these with your healthcare provider because they each can have different side effects.
  • Microneedling: Microneedling, using a device with tiny needles, can stimulate hair growth on the scalp when used in conjunction with other treatments.
  • Corticosteroids Injections: Corticosteroids can slow the speed of hair loss when injected into bald or thinning areas.
  • Hair Transplant Surgery: This is typically reserved for people who have tried less invasive hair loss treatments. The transplant takes small pieces of skin from a donor site (where hair grows healthily on the body) and is moved to the balding part of the scalp. Types of hair transplant surgery include grafting, scalp reduction, flap surgery, and tissue expansion.
  • Low-level Laser Therapy: Short periods of medical-grade light therapy on your scalp can stimulate hair follicles and result in hair regrowth after several sessions. Laser therapy has helped regrow the hair that was lost from hereditary causes, alopecia, and chemotherapy. It can also further stimulate hair growth after a transplant.
  • Platelet-rich Plasma (PRP): PRP speeds up your hair regrowth (and overall healing in the body) by separating platelets from blood plasma and then injecting the plasma back into the body during a blood draw.

Be cautious of advertisements, influencers, and promoters that try to sell a quick miracle fix for hair loss. It’s important to talk to your doctor or dermatologist about what you’re experiencing and the best approach for regrowth.

 

Embracing a New Style

While waiting for your hair to regrow, there are ways to both embrace or camouflage your hair’s current state:

  • Avoid harsh chemical treatments like hair dyes, perms, or relaxing.
  • Incorporate hats, scarves, or accessories to disguise areas you may feel uncomfortable with.
  • Get a shorter haircut that helps the regrowth blend better and reduce breakage.

Remember, it can take time before you see the results from your treatment. Be sure to take care of your mental and emotional health during the process, which can be overlooked when you experience hair loss.

 

Sources:

https://www.mayoclinic.org/diseases-conditions/hair-loss/diagnosis-treatment/drc-20372932
https://my.clevelandclinic.org/health/diseases/21753-hair-loss
https://www.webmd.com/healthy-aging/maintain-hair-growth-after-50
https://www.verywellhealth.com/hair-regrowth-7963548
https://www.aad.org/public/diseases/hair-loss/causes/18-causes

Volunteering as Self-Care

Volunteers

According to a study published in the Gerontologist, Middle-aged volunteers are less likely to have abdominal fat and high blood glucose than non-volunteers. They also had healthier levels of “good” HDL cholesterol. Older volunteers are less likely to have high blood pressure than their non-volunteer counterparts.

In a world that constantly prioritizes personal achievement, it’s easy to overlook the profound benefits of volunteering for one’s health. Beyond the warm feeling of making a difference, the act of giving back has far-reaching effects on both mental and physical well-being. Here are some of the surprising health benefits and why incorporating volunteering into your life can lead to a happier and healthier you.

Social Connection

Social connection is a key factor in maintaining good mental health, reducing feelings of isolation and loneliness, and volunteering provides ample opportunities for social interaction, fostering a sense of community and belonging. As you collaborate with others toward a shared goal, you build a support system that can be crucial during challenging times.

Stress Reduction

Volunteering acts as a natural stress reliever by shifting the focus from personal worries to the needs of others. The act of giving back releases endorphins, the body’s natural mood enhancers, which can create a sense of joy and fulfillment. This positive emotional state can counteract the effects of stress and contribute to an overall sense of well-being.

Physical Health Benefits

Believe it or not, volunteering can have tangible effects on your physical health. Studies have shown that individuals who engage in volunteer work experience lower blood pressure and a reduced risk of cardiovascular disease. The increased physical activity associated with many volunteer opportunities contributes to improved fitness levels, helping to maintain a healthy heart and body.

Sense of Purpose

One of the key determinants of well-being is having a sense of purpose in life. Volunteering provides a meaningful way to contribute to the greater good, instilling a sense of purpose and fulfillment. When individuals feel that their actions make a positive impact on the lives of others, it can lead to increased life satisfaction and a more positive outlook.

Cognitive Benefits

Engaging in volunteer activities often requires the development of new skills and the ability to adapt to different situations. This cognitive stimulation can lead to improved brain function and a reduced risk of cognitive decline as you age. Whether you’re learning new tasks, problem-solving, or collaborating with others, the mental agility required in volunteering contributes to the maintenance of cognitive health.

From fostering social connections to reducing stress and contributing to a sense of purpose, volunteering is a holistic approach to health that not only benefits the community but also enhances the quality of your own life. So, the next time you consider how to invest in your well-being, remember that volunteering might just be the prescription for a happier and healthier you.

Ready to volunteer? Sites like https://www.volunteermatch.org/ and https://www.unitedway.org/get-involved/volunteer# can help upcoming opportunities in your area and abroad.

Cognitive Crossroads

In 2019, dementia cost economies globally 1.3 trillion US dollars, approximately 50% of these costs are attributable to care provided by informal carers (e.g., family members and close friends), who provide on average 5 hours of care and supervision per day.

Degenerative memory disorders pose a considerable challenge for millions globally. These conditions, including Alzheimer’s disease and various forms of dementia, present significant hurdles for both the patient and their families and/or caretakers.

Degenerative memory disorders constitute a group of conditions characterized by the gradual deterioration of cognitive function, particularly memory loss. Symptoms typically encompass forgetfulness, confusion, and difficulties in performing daily tasks. However, changes in mood and behavior sometimes happen even before memory problems occur. These symptoms progressively erode an individual’s capacity to live independently.

Risk Factors

While genetic predispositions play a role, lifestyle factors such as diet, exercise, and social engagement also influence the risk of developing these conditions. Ongoing investigations into inflammation, oxidative stress, and other biological mechanisms further our understanding of disease progression.

Impact on Individuals and Families

The repercussions of degenerative memory disorders extend well beyond the affected individual though. Caregivers, often family members, navigate emotional strain, physical demands, and financial burdens as they witness their loved ones undergo profound changes in personality and capabilities. The toll on relationships and overall quality of life for both the patient and their caregivers is immeasurable.

Patients and caregivers alike can benefit from support groups, counseling, and education about the disorder. Establishing routines, maintaining a healthy lifestyle, and utilizing memory aids help in coping with daily challenges. Caregivers, in particular, should prioritize self-care and seek assistance from community resources to alleviate the caregiving burden.

Hope on the Horizon?

Despite the challenges, neurology researchers are making strides in understanding and treating degenerative memory diseases. Advances in brain imaging, biomarker research, and genetic studies provide valuable insights. Experimental drugs targeting beta-amyloid plaques and tau tangles, common hallmarks of Alzheimer’s disease, are in various stages of clinical trials. Lifestyle interventions, including cognitive stimulation and physical exercise, are also gaining attention for their potential to slow cognitive decline.

In-Network vs. Out-of-Network

In-Network vs Out-of-Network

The distinction between in-network and out-of-network for medical plans lies in the coverage of healthcare services. In-network refers to healthcare providers and facilities that have established agreements with the insurance company, offering services at discounted rates. Choosing in-network options typically results in lower out-of-pocket costs for the insured individual. On the other hand, out-of-network providers have no agreements, potentially leading to higher costs for the insured, as the insurance plan may cover a smaller percentage of the expenses. Understanding and selecting the right network is crucial for optimizing healthcare coverage and managing financial responsibilities.

Equity in Every Birth

Young Mothers

According to the CDC, over 80% of pregnancy-related deaths in the U.S. between 2017 and 2019 were determined to be preventable.

The disparities in maternal healthcare outcomes between Black and white women in the United States are staggering. Black women are three times more likely to die from pregnancy-related complications than white women, according to the CDC. With alarming statistics like this, Black maternal healthcare in the United States is a critical area of concern for Black women and healthcare providers alike.

One of the primary healthcare challenges facing Black women during pregnancy is access to quality healthcare. Many factors contribute to disparities in access:

  • Geographic Disparities: Black women are more likely to live in areas with limited healthcare infrastructure, which makes it difficult to access obstetric care services and prenatal care.
  • Socioeconomic Factors: Socioeconomic disparities often restrict access to healthcare. Lower-income Black women may lack health insurance, transportation, and childcare support, making it difficult to attend appointments and receive timely care.
  • Lack of Providers: The shortage of healthcare providers, particularly in rural and underserved communities, can lead to long wait times and insufficient follow-up care for pregnant Black women. Since January 2010, more than 100 rural hospitals have closed, with a disproportionate share occurring in the South. Between 2004 and 2014, 179 rural counties lost or closed their hospital obstetric services.

Another challenge is ensuring Black women receive unbiased high-quality care during pregnancy and childbirth. Healthcare providers undergo implicit bias training to address the unconscious stereotypes and attitudes that may impact their clinical decision-making. Cultural competency and providing patient-centered care that allows a Black woman to have a say in their healthcare decisions are also essential to providing high-quality care.

How do we address disparities in Black maternal healthcare?

There are several evidence-based solutions, many of which are covered by most insurance plans or supplemental services offered by employers (think Maven and Pomelo):

  • Prenatal Care Programs: Expanding access to comprehensive prenatal care programs that offer education, support, and medical care throughout the pregnancy, helping to identify and address potential issues early. Maternity care is considered “essential health benefits,” so all qualified health plans must cover the care.
  • Telehealth Services: Telehealth can improve access to care, particularly in rural and underserved areas. Offering virtual prenatal and postpartum care can help bridge geographical gaps. More and more insurance carriers are offering telehealth visits for your typical office visit fee, and some have specialty maternity services.
  • Doula and Midwifery Support: Doulas and midwives can provide additional support during pregnancy and childbirth. They often offer emotional, physical, and informational assistance, which can lead to better outcomes.
  • Mental Health Services: Providing mental health support, such as counseling and therapy, can help prevent and manage stress, anxiety, and depression.
  • Targeted Education: Education campaigns aimed at improving the health literacy of Black women can empower them to advocate for their health and make informed decisions.

Collaboration among healthcare providers, public health agencies, and community organizations is essential to decrease the disparities in maternal healthcare. Ultimately, the focus should be on providing equitable, high-quality care to all pregnant women, regardless of their race or background.