Month: June 2022

Clinical Support Tool Regard $ 15.3M

Regard the Clinical Support Tool, which was previously known HealthTensor has raised $ 15.3 million in a Series A funding round led by Calibrate Ventures and Foundry Group.

Other participants in the raise include TenOneTen Ventures, Susa Ventures, Brook Byers of Byers Capital and Dropbox co-founder and CEO Drew Houston. The startup had earlier announced that it was Seeds raised $ 5 million in early 2021.

What does this mean?

Regard is developing a clinical support tool that integrates with EHR. The agency says it uses artificial intelligence to suggest patient history, relevant surface information and possible diagnostic advice.

Regard’s software is designed to recognize about 50 common medical conditions and is currently partnering with EHR company Epic and Serner.

The startup says the capital will go to new recruits so it can support more clients and integrate its technology more quickly.

Eli Ben-Joseph, CEO and co-founder of Regard, said in a statement, “This round of funding underscores Regard’s goal of creating technologies to enrich and advance healthcare.”

“Healthcare technology today often makes the work of a physician difficult, not easy and takes time away from patient care. We have created Regard as a solution to improve physicians’ workflow and enable them to focus on the most important issues. Providing the best available care and improving health outcomes. It’s exciting to know that we’ve created software that doctors love to use and look forward to continuing this growth. “

Snapshots of the market

Clinician burnout is a growing serious concern in the wake of the Kovid-19 epidemic. Some research Refers to understanding technology and EHR as part of the problem – although certainly not the only contributor.

Tech giant Google is also working on tools that work to improve the workflow of physicians. In early 2021, it Care Studio Roll Out, a search tool that allows providers to access information across EHRs used in healthcare systems and find relevant data. It also released a mobile version and released the terms earlier this year, which aims to organize information about a specific health concern and highlight where data is missing.

Suki, a voice tool that helps doctors take notes and find information in the EHR, has announced a $ 55 million Series C late last year. Meanwhile, Notable, which aims to automate clinical administrative tasks such as scheduling, referrals and acceptance, raised $ 100 million in November.

Ask a Health Instructor: Early Dating

Hey guys, board-certified health instructor Erin Power is here to answer your questions about early dating. If you are wondering when and how to “break the news”, we’ve got strategies, tips and backups! Do you have a question you would like to ask our health coach? Leave it in the comments on the Marks Daily Apple Facebook group or above.

Who asked:
“I was primal for a year and didn’t really feel good! It was hard at first but now it comes naturally and makes me feel a lot lighter. I lost 10 pounds, which doesn’t hurt! Problem: I’m newly unmarried and on a dating app. I don’t want to stop guys with high maintenance. Do I mention primitive in my profile? Or wait until the first date? Or wait to see how things go? Help! ”

Men and women are sharing food on dinner dates

First of all, congratulations on your primal eating and living year, whoa! Wonderful how you feel light and good. Huge recognition for exploring this question and considering how eating and lifestyle play a role in dating and relationships. Feeling healthier and more confident and comfortable in one’s body can be so exciting. This creates a compelling luster that goes beyond the “purpose” indicator, such as body weight or beauty.

Not only this, with the advent of dating you can do great things. However, the issue is up front: how to navigate to the suitors to announce your initial status.

Ask and say. Or don’t do that.

Nowadays, when sharing food with someone for the first time, it is much more common for people to ask and mention their “eating identity” or preferences. While we are focusing on dating here, it also applies to new friends, acquaintances and colleagues. The point is, eating in any particular way is not uncommon these days. That said, I fully understand how the conversations that navigate around food and lifestyle can be complicated in a relationship – perhaps even more so when it comes to new dating.

The good news is, you’re coming up with an empty slate and a fresh start. As a primary health trainer, I work with many clients who are making changes and are struggling to explain their new primary ways to partners, friends and family members. If this is important to you, you may want to share this aspect of yourself with new and old acquaintances

But here’s another option: just don’t say anything. At least, not immediately. It may not be necessary.

The person you’re dating will probably not notice anything wrong with your eating habits. If you order a large donkey salad, a delicious steak, or a low-sugar cocktail at a restaurant, it won’t raise any red flags. The decision to abandon the basket of bread? No problem: avoiding or limiting bread is becoming increasingly common even in non-primary circles.

Priorities and values

Beyond that, you probably want to be with someone whose priorities and values ​​are your own. That doesn’t mean they have to embrace the 10 basic blueprint rules (even if they do, what a catch!) It means you may want to consider whether they’re as interested in a healthier lifestyle and healthier food as you are. If they lean towards a few healthy food choices, it could be a sign that they are not the right match for you.

No matter what you do, don’t enter into a new relationship with the expectation of changing how the other person eats. Acknowledge where they are and, if it doesn’t align with an early lifestyle, decide if it’s right for you or the dealbreaker. Also know that modeling healthy foods without stress or judgment is probably the best way to get people to encourage change and try Primal.

Eating and living in a way that makes you feel your best, not high maintenance. It is one of the most important, most influential forms of self-care. Also, to support your own vitality and longevity, you are able to look better for others. Early eating is definitely working for you. It would be a shame to leave that slide to be considered “low maintenance”. Don’t give up your own values.

Early Dating Basics and Strategies

Key points briefly:

  • Respect your primal-ness without feeling the need to declare it, owning it or going with the flow, along with any other important thing like saying your character’s side.
  • Don’t try or expect anyone else to change.
  • Determine if your potential priorities and values ​​are aligned with your own.

I know sometimes it can seem easier to “go along” than to explain what you’re eating and why. And, to be clear, don’t think you have to explain anything! Nevertheless, leaning towards the above basic issues makes a good policy. This will probably increase the chances of finding a perfect match … and make it more permanent.

As well as the above, make it easy on yourself! Try these 3 simple tips:

1. Eat out.

If new dating means eating out, make sure you have a strategy. Free Primal and Keto Guide to Eating is a great start. Also, suggest restaurants or food trucks that have primal options that you will enjoy. Being able to order separately removes the stress of the need to eat the same thing as your partner.

2. A picnic pack.

Alternatively, offer to cook dinner or pack a picnic at home! It provides a perfect opportunity to ask about the other person’s preferences and to mention your own. This ensures that you will get delicious primary food to enjoy, no matter what the date turns out to be.

3. Find an initial date.

In addition to announcing your nutritional preferences on your online dating profile, consider places where paleo and primitive ideologies are more widespread. Find groups and events (whether online or in real life) that feature topics like keto, non-stop fasting, effective drugs, and biohacking.

Conferences like the Ketocon or Metabolic Health Summit are examples of large-scale health conferences where you will find some preliminary-aligned allies. The gym and Facebook groups are also a great starting point.

For an initial backup of navigating the dating pool while staying true to your wellness goals, I recommend hiring a coach. External responsibility is really a game changer, and we can help you solve your specific situation and complex social situation. Even working with a coach for a month or two can help you create tough strategies for staying primal when dating or hanging out with family and friends. Visit myprimalcoach.com to learn more and get started!

Did you come out as a primal when you first met someone? Have any initial dating tips to share? Let us know and drop other questions for me in the comments!

myPrimalCoach

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If you continue to test positive for covid, when will you be able to stop being isolated? : Shot

Science is not entirely sure whether a rapid antigen test will indicate whether a person is still contagious.

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Science is not entirely sure whether a rapid antigen test will indicate whether a person is still contagious.

Massimiliano Finji / Getty Images

Many Americans wrestled with this dilemma during the epidemic, yet it still seems to come up again and again: When can you stop being isolated after the Kovid-19 infection? The question is especially annoying if you feel good but are still testing positive on the fast test.

Even with the arrival of the new subvariant, the basic rules have not changed since Omicron first appeared: the Centers for Disease Control and Prevention says that if one is free of fever for 24 hours, the isolation can stop after five days and they start to get better – until then. They spend five more days wearing masks around others.

Some researchers have criticized these rules, pointing to studies that show that some people can stay infected even after five days. And many experts advise to wait until the negative test in the house-to-house test before going out.

But if you feel good, the wait can be frustrating, especially if you’re on a subset of those who have tested positive in the last 10 days.

James Hay, who studies the dynamics of infectious diseases, remembers earlier this year when his sister ran a positive test for two weeks. Their family plan was to get together on the holidays – a gathering to include an elderly relative who was at risk for Kovid.

“For us, it wasn’t worth the risk,” said Hay, a research fellow at the Harvard TH Chan School of Public Health. “Going to the store after the mask, consider it a different kind of risk.”

The test is tempting to come out of isolation because it promises a simple answer. Unfortunately – and perhaps surprisingly – science is not completely settled.

“We don’t have anything that says you’re contagious or definitely not,” said Dr. Emily Landon, an infectious disease specialist at Uchihago Medicine. “The best thing for us is this quick antigen test.”

In contrast to PCR testing, which searches for genetic material from a virus, rapid antigen tests work by looking for proteins packed inside the virus. A positive test is usually associated with the presence of an infectious virus. Scientists can determine if taking samples from an infected person and trying to spread the virus in a lab – which is known as a viral culture.

Generally, most people who become infected do not test positive for antigen even 10 days after the onset of symptoms.

If you have enough viruses in your system that make one of these tests positive, it means your body probably still hasn’t completely cleared the infection, ”O says.

But there is no perfect study that shows how much it is possible Dr. Geoffrey Baird, chair of the Department of Laboratory Medicine and Pathology at the University of Washington School of Medicine, said a positive test in rapid testing translates into a sufficient amount of virus secretion that you can actually infect another person.

“The answer is as clear as mud,” he says.

In fact, infectious disease specialists have a different tendency when it comes to deciding whether they are infected and whether it is safe to rejoin the outside world.

After all, Baird noted that these tests were never designed to act as isolation cards. It’s very hard to rely on results to tell if you’re really still contagious, he says.

“There’s actually a lot more discrepancy than anyone would be happy with,” he says.

A positive antigen test could be basically picking out the remaining viral “garbage”, including “dead virus, mangled virus … viruses that are 90% packed together but won’t really work,” Baird said. And the amount may vary depending on each person’s immune system, form, stage of infection, and so on.

That’s partly because Baird didn’t bother to take a quick test when he recently contracted covid and had to decide when to return to work. A week later, when he felt better, he returned to the office, where everyone had to wear an N95 mask.

Even though it is an imperfect tool, not everyone uses a quick antigen test.

Landon says it’s additional information that can help you figure out how to move forward, especially if people are banking on CDC guidelines to determine if they need to end isolation. That’s because some people will Still Will be contagious after five days, he says.

In fact, a London co-author of the study followed healthcare workers at the University of Chicago who were infected but mostly felt better and went to the test five days later. They found that more than half of them tested positive for antigen even after six days.

Track this with other studies. For example, a study analyzing data from an experimental site in San Francisco during the January Omicron increase suggested that many people were still testing positive five days later. And research by the CDC shows that about half of people were still testing positive for antigen within five to nine days of the onset of symptoms or diagnosis.

“You would be mistaken in terms of caution if you follow the test and say,‘ I’m not going to give up my isolation until my test is negative, ’” he says.

Preliminary data from scientists at Harvard and MIT show that about 25% of people with symptoms had the COVID-19 virus, which can be transmitted eight days after the onset of symptoms or their first test.

But Hey warns that there are considerable differences in research among other factors such as the size of small samples, different populations, how quickly they are tested, who is being tested and how healthy they are.

“It explains a lot of diversity across the study, but I think it’s still quite consistent as a whole search that if you’re antigen positive, you’re more likely to be contagious,” he says.

Some studies have aligned more closely with CDC isolation guidelines, which assume that most people will no longer be contagious after five days. A preprint survey of about 100 vaccinated college students at Boston University found that most were no longer contagious. Five days later.

Dr. Karen Jacobson, an infectious disease specialist at the Boston University School of Medicine and one of the authors of the study, said: There were very few viruses that could be transmitted eight days after the onset of symptoms.

His study found that a negative rapid antigen test on the fifth day was a “perfect” indicator of whether the virus could be transmitted to a lab. In other words, anyone who tested negative five days or more after the initial diagnosis no longer had a detectable virus.

The flip side was that if you were a positive fast [test]”About half of the people still had the culture virus, and half didn’t,” Jacobsen said. “

At the end of the day, if you still test positive, feel better and are symptom-free, then the decision to go out of the world comes into play. If you’re going to spend time with high-risk people, think twice, says Landon.

“If you’re thinking of going to a nursing home to see your grandmother, this is not the time to do it,” she says.

But if you need to do something necessary, don’t feel trapped in your room. Do it but keep your mask on, he adds.

He could barely walk and had to give up golf. What was wrong?

It was in the spring that the 69-year-old man missed the game of golf the most. How he loved the cool morning of South Carolina, the feeling of the club in his hands, his arms and his body moving under that perfect pressure. But before he could stop, he noticed a change. The sensations in his fingers slowly disappeared, then their energy. He quit the game after almost cloning a friend; At the end of his stroke his club flew out of his hands. Inches miss him.

There were many things he could not do. He couldn’t open the jar, couldn’t turn the door. His wife gave him a special tool so he could button his own shirt. He had to wear slip-on shoes. He could not even cut his own flesh. He was always independent, and every new loss felt devastating.

He told his doctor about it a few years before he left the game. He was concerned and referred her to a neurologist. Specialists diagnosed him with carpal-tunnel syndrome. He explained that the nerve that carries sensations from his fingers to his brain was known as the carpal tunnel as it passed through the passages of his wrist bones. It was an overuse use injury, and rest and splint use usually helps. Not now. And it soon became clear that it was not just his hands. Her legs start to burn and then they also lose the ability to feel. At last he felt as if he were walking on a piece of wood. Then his legs began to weaken.

As his condition worsened he saw a complete lineup of experts. More neurologists and rheumatologists – and since she was diagnosed with cancer 20 years ago and had radiation therapy in her neck and chest for treatment, she has seen a few oncologists. Virtually everyone could tell him what he had: a peripheral neuropathy, decreased nerve function in his arms and legs, and more recently in his arms and legs. But why did he have it, where did it come from and how could it be stopped – the essentials are to avoid them.

Her blood, urine, nerves have been tested. Six years later, he realized that he had dozens of terrible diseases that he did not have. It was not diabetes, HIV, Lyme disease or hepatitis. The radiation treatment he had for his cancer had thyroid shutting down, but he was taking thyroid hormone every day. His level was always perfect. Her vitamin levels were just right.

Most recently a rheumatologist tested him for every autoimmune disease he could think of, and even when no tests showed up, he tried a course of high-dose prednisone. If this is the case with his immune system, then suppressing the system that prednisone does will help. When that didn’t happen, the doctor told him he didn’t know what else he could do. At this point, an academic medical center specialist was what the patient needed. They have looked at a wide range of diseases and have kept pace with new research. He advised a rheumatology group a few hours south of South Carolina Medical University in Charleston. The man called them immediately but could not get an appointment for several months. And until then, he and his wife will live in coastal New Jersey, where they spend every summer with their older children.

Instead, he reached out to the University of Pennsylvania Health System at Philadelphia. It was just an hour away from their beach house and a few years ago he found a pacemaker there. The following week he received a telehealth appointment with a pain neurologist, from his home in North Myrtle Beach, SC.

After the patient signed in to watch her video, Dr. Mariam Salib listened intently as she described the activities she could no longer follow and described her growing weakness and disability. He could barely walk, and he has lost about 40 pounds in the last few years. He was only 69 years old but felt like an old man. Saleb got up and asked him to show him how he was walking. He leaned forward and used his arm to push himself into a straight position.

Even in the video, Saleb sees that the patient’s hand is almost skeletal, as if the fat and muscle have just melted. Her arms were also much thinner than she expected from her build. His walking was awkward, his legs spread far beyond the width of his buttocks, giving his movements a Frankenstein-monster quality, and he couldn’t lift his right toe, so he dragged it while walking. She needs some extra testing. When can he come to his office? Soon, he told her. They were traveling north in six weeks.

When he finally sees the patient, Saleb mentions that the man was thinner than he was when he visited the video. And there was almost no feeling in his legs. When he tapped her with the point of the safety pin, she did not blink until she came to her knees. His hand was almost bad. And he was right – he was very weak. He shot small pulses of electricity into a nerve and measured the signal strength and examined the nerves in his arms and legs to see how long it would take to get from one point to another. There was almost no signal from his lower leg to his feet, and there was a trace from his hand to his arm.

There are hundreds of possible causes of peripheral neuropathy. Diabetes is probably the most common. Alcohol abuse can do this. So too little vitamin B12 or too much vitamin B6 can be. Several medications can cause this type of neuropathy, as well as some toxins. It can also lead to autoimmune diseases and inherited diseases.

Most peripheral neuropathies first affect sensation. He had what is called stockings-and-glove neuropathy: which starts in the legs and moves upwards towards the arms and continues. Most of the time, the legs and arms burn and sting as if they are stuck with pins and needles and then slowly, usually over the years, the sensation dies. But the weakness combined with such rapid progressive and deeply sensitive damage was a red flag. Saleb wasn’t sure what he had, but he was sure he would see someone more specialist and referred him to a clinic that focuses on neuromuscular disease.

Dr. Margaret means the first doctor who expressed confidence that a diagnosis could be found. After his test, he said, “You’ve really got a lot on your plate, but I know we’re going to go under it.” Then he disappeared. Ten minutes later he returned with a tall man wearing a scrub whom he introduced as Dr. Shafiq Karam.

Karam asked a few questions and reviewed the records brought by the patient. After a brief examination, he told the patient that they would send him to the lab for more blood work, but at first they wanted to take a biopsy of the fat under his abdomen to look for a condition known as amyloidosis. In this disorder, the liver produces abnormal proteins that make up the fibers that travel throughout the body, invading organs and nerves and even fat and skin. These fibers interfere with the normal functioning of the body by being there. They are a cause of peripheral neuropathy.

Two weeks later, Karam called with the results. What he had, Karam explained, was very rare, there are probably 10,000 cases all over the world. It is a type of amyloidosis caused by a genetic abnormality that he inherited from one of his parents. And this abnormality was the cause of many of his medical problems. This is why he needed a pacemaker – because the fibers interfered with his heart’s ability to control his rhythm. That’s why he was losing weight. Her digestive system had trouble absorbing the nutrients she ate. And this is certainly why he had this debilitating neuropathy. The patient thought of his parents, both of whom had been dead for many years. They both deal with their confidence as they choose to embark on their play activities.

Her children were at risk, Karam told her: there was a 50-50 chance that she had given them this unusual gene. None of her children have been tested yet, and the patient is worried about what they might find. Nevertheless, there are new drugs that can slow down the process, although they cannot repair the damage already done. The patient is now on these two medications and the deterioration of his physical ability has stopped. He can walk slowly. And he has admitted that he will never play golf again. These days, somehow it’s just enough to see.

Lisa Sanders, MD, is a contributing writer for the magazine. Her latest book is “Diagnosis: The Solution to the Most Confusing Medical Mysteries.” If you have a case to resolve, please write to [email protected]

Mesh Bio, to build AI-driven insights on Multiomic Health Asian Metabolics

Singapore-based health technology startup Mesh Bio and UK-based drug discovery company Multiomic Health have begun collaborating to create a huge multi-Omix dataset that will provide insights into metabolic syndrome-related conditions among Asians.

What is it about

According to a press release, Mesh Bio will tap into the network of healthcare providers to recruit participants for their study, especially patients with chronic metabolic disease and increased risk of complications such as chronic kidney disease.

On its part, Multiomic Anonymous will generate genomic, proteomic, metabolic and other omix data from body fluid samples. These omics data will be combined with anonymous data from clinical and diagnostic tests to create a rich multi-omics dataset and to achieve AI-based computational biology models.

The companies will conduct joint projects with other biopharmaceutical and medical technology companies to increase patient stratification for R&D programs at the clinical level.

Why it matters

The large multi-omix datasets they are creating will enable companies to advance their respective R&D programs to develop precise therapeutic and diagnostic products for patients with metabolic syndrome-related conditions.

“Longitudinal multi-omix data combined with in-depth clinical phenotyping are essential for the development of transformative therapeutics and diagnostics in chronic multi-factorial disease,” said Angeli Moller, co-founder of Global Advocacy Group Alliance.

Moller added that the study would help create “specific new and much-needed insights for the Asian population” that have been presented in historical studies of metabolic diseases.

Prior to the epidemic, metabolic diseases, including type 2 diabetes mellitus and chronic kidney disease, accounted for half of the world’s deaths, and multiomic estimates put global healthcare spending at about $ 2 trillion.

During an epidemic, patients with metabolic syndrome constitute a “significant” portion of COVID-19-related hospitalization and death, according to a study published in the medical journal Diabetes Care. Recent studies have further indicated that COVID-19 survivors have an increased risk of developing type 2 diabetes and chronic kidney disease.

Greater trend

Singapore-based intestinal microbiome company AMILI is another organization that aims to fill the gap in intestinal health research representing the Asian population. The company is building a large, multi-ethnic collection of microbiome data and samples from Asia that will help academic institutions and biotech organizations identify new biomarkers for making intestinal health products. Earlier this month, AMILI raised $ 10.5 million in Series A funds that will support its further expansion across Asia.

In other news, metabolic health-centric fitness apps HealthifyMe has recently come up with a new offer that combines health tracking and smart diagnostics. HealthifyPro is a fitness plan that comes with a biosensor system that includes an uninterrupted glucose monitor; An attached smart scale metabolic panel; And support from in-house fitness coach and AI assistant, Rhea.

The best tool for self-myofacial release

Massage is expensive. And your favorite place is always booked. But there is a reason why many top athletes massage every day: they improve recovery, aid healing and increase the mobility of your joints and muscles. Although most of us can’t massage as many times as we want, we can get some benefits by performing self-myofascial releases ourselves.

What is self-myofascial release?

Women use foam rollers on their legs when exercising in a gym.

Self-myofascial release, or SMR, is a type of self-massage that focuses on the adhesive, knot, or soft spot on the muscle — and the fascia that surrounds and envelops it-often using tools to bring about real change. The popular notion is that SMR is “dissociating” the muscle knot in the actual physical sense, but this is probably not the case. What you are doing is a neuromuscular response that reduces tenderness and allows better, more fluid movement through the affected tissues.

You are “educating” your nervous system when the tissue is pricked and the movement or movement begins so there is no tension and tightness. You are dulling the pain and clearing the movement pattern slate so you can go inside and place a new, better pattern.

How to do self-myofascial release in the right way

The way I see most people doing SMR is that they sit on a foam roller (or lacrosse ball, or whatever tool you are using) for an hour, exploring all their tissues, hitting every part of the body, and staying extremely thorough. Sounds nice, but it’s the wrong way. Basically, you don’t want to turn self-myofascial release into a full-fledged physical exercise, because you’re denying the real opportunity to present the exercise.

Mobility before training

SMR works best on the short-term horizon. When you hit a soft spot and it starts to feel better, you should work that tissue right away – especially under load. This helps to establish a healthy, good movement pattern. You are effectively clearing the movement pattern slate and then placing a higher one.

The thing is the effect SMR is passing. If you wait too long for a movement training after hitting an area, the “neuromuscular inhibiting effect” disappears, or at least diminishes.

Sit on the lacrosse ball, hit the foam roller, or whatever you want to apply, and then load the tissues as soon as you’re “free.” This will allow you to enter the types of open movements you have just started and start moving the tissues the way they are designed to move.

If you shrug your shoulders, immediately do some rows, pull-ups, pushups and / or presses. If you move your buttocks or calf, do some squats.

Do the movements that the tissues were blocking or “sticking” to, and start entering new, healthier patterns. There isn’t a lot of mandatory clinical research support for self-myofascial release and I think the primary reason is that people aren’t doing it properly. They are not “freeing” the tissue and loading it with resistance training to “cement” the type of advanced movement.

Stress release after a long day

It is also understandable to do SMR at rest, perhaps while you are watching TV or something else. Get down on the floor and make the otherwise “non-productive” time suddenly fruitful. It’s a great way to relax, an active form of meditation. I often do this after sunbathing: warm those tissues, make them more “flexible” and then release some light self-myofascial.

Do not tension

When you do real SMR, relax in it. Don’t get tense, even if it’s painful (and it will be painful at times). Do not shake hard. External manifestations of pain and discomfort will register with your nervous system. What you are trying to do here is reassure your body that you can handle the pain, the pain is not so bad and the tissues can start to feel better.

Focus on the tissues above and below the painful area

If your knee hurts, releasing the knee itself probably won’t help. If your calf hurts, massaging the calves can help, but not exactly where the calf hurts. Instead, focus on the tissues above and below the painful area. Keep rolling / loosening / massaging / scraping the tissues around the painful area, working your way up and down until you find the soft spot.

The best self-myofascial release tools and how to use them

1. Scraper

A scraper is a metal tool like a dull blade that you can use to massage the fascia. First, use it with muscle fibers – “with grain” lengths, to “lengthen” the fascia. To make sure you’re going with the grain, look at the muscular physiological figure and look for the muscle you’re noticing. Next, scrape the muscle granules at an angle of 45 ° -90 and consider “extending” the fascia.

You can do superficial scraping or targeted scraping across the entire limb that focuses on individual muscles and muscle bundles. Don’t go Too Hard it shouldn’t hurt, but it can be uncomfortable. This scraper is a good one.

2. Lacrosse balls (or two)

Lacrosse balls are hard, dense, heavy balls the size of a tennis ball that you can use to identify hard-to-reach tissues. Specific points of the hamstrings, TFL, glutes, pecs, and thoracic spine respond well to the lacrosse ball. They offer more direct, targeted pressure and can really go deeper there. Tape the two balls together to provide more stability and hit the tissue from different angles.

3. Foam roller

A foam roller is a blunt and wide SMR device. It can hit large parts of the tissues. You can adjust the resistance by placing as much or as little of your weight on the roller.

Explore the range of motion as you roll. When you find a tight, soft spot in your quad, stay in that place, for example. Then stretch and flex your knees through the full range of motion. If you are on the scene with zero movement through the knees, this seems to make foam rolling more effective.

4. Theragun or Hyperis massage gun

Both Theragun and HyperVolt devices are mechanical percussive massage devices that effectively vibrate against your tissues.

These can help improve the range of motion, increase mobility and create the possibility of adopting the most effective pre-workout or a new motor pattern – just like the other tools listed here. However, you must be careful. These can be powerful small tools, and I know that a cyclist is giving himself rhabdomyolysis through excessive use. Use a small amount of it and do not leave it on a single tissue for more than a minute.

5. Massage the cane

The cane is bent with proper ergonomics to hit areas where you may have difficulty reaching otherwise, such as the back, neck and shoulders. Also nice is the double dense ball at one end, which you can use like two lacrosse balls taped together. This massage cane is a good one.

6. Voodoo Floss Band

These are compressive wraps that apply pressure to tight tissues and help increase (and thus heal) blood flow to those areas. If your knees feel tense and uncomfortable while squatting, for example, you can bend the quadriceps just above the knee, then squat. Or if you have pain in the elbow, wrap it above or below the elbow and then practice bending and extending. After a few sets of voodoo flushing, remove the bands and try the movement again. It should feel better than before treatment.

7. MobilityWOD Battlestar Kit

This kit of massaging rollers is a great investment if you want to do a really thorough SMR. Designed by Kelly Starrate of MobilityWOD / Ready State, this collection will help you hit almost every tissue you can expect to reach.

8. Your elbows

If you don’t have anything, digging soft spots using your own elbows can work quite well. You are obviously limited in what tissue your elbow can reach, but you can be quite creative.

What should I use for self myofacial release?

For me, I’m not a big fan of self-myofascial release. I think frequent movement, walking a lot, being immersed in the cold, usually reducing stress, and never doing extra work in the gym are the keys to my good movement and pain-free tissues. If I were still competing in high endurance sports, I would probably change my tune and fill my closet with every tool under the sun – or massage every day.

I like voodoo bands and scrapers and I put a lacrosse ball or two to work my glutes, hips or thoracic spine when I need to.

What about you, folks? Ever tried self-myofascial liberation? What tools do you want to use?

Take care, everyone.

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Mark Season is the founder of Mark’s Daily Apple, the godfather of the early food and lifestyle movement New York Times Its bestselling author Keto Reset Diet. His latest book Cato for life, Where he discusses how to combine the keto diet with early lifestyle for optimal health and longevity. Author of many more books, including Mark Early blueprintWho was credited in 2009 with turbocharging for the growth of the early / Paleo movement. After three decades of researching and educating why food is a key ingredient for achieving and maintaining optimal well-being, Mark started Primal Kitchen, a real-food company. Which forms the main component of Primal / Paleo, Keto and Hole30-friendly kitchens.

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Behind the scenes, the McKinsey Guided Company is at the center of the opioid crisis

In 2017, less than two years later, citing the serious public health consequences of the FDA’s abuse, Endo took the rare step of demanding that Opana be removed from the market. The company complied.

In the five years since the advent of the Blood-Disease cluster in Tennessee, the painkiller has brought in more than 4 844 million in revenue, according to corporate filings.

In Indiana, law enforcement officers broke a drug trafficking ring in 2016. One person admitted that Opana was found in Detroit and sold it in bulk to a dealer. He was sentenced to six years in prison.

“The health care, the school, the welfare department, the whole thing is breaking down because of the drugs, the drugs that you helped make available,” the judge warned him.

“You’re certainly not responsible for that, but you did your part.”

In June 2017, Tom Latkovich rose to address a healthcare conference in Chicago sponsored by his employer, McKinsey.

“I start today by asking, ‘Why do we pay people who have an incredibly high tendency to abuse them to prescribe, distribute, pay for opioid prescriptions that we know or at least we know?'”

Mr. Latkovic, a senior partner, was not a member of McKinsey’s pharmaceutical practice. Instead, his team focused on using data analysis tools to address complex healthcare problems, and this led to an increasingly opioid epidemic.

Credit …CSPAN

Hoping to expand this work, Mr. Latkovich told the audience, “We are launching a new center focusing on opioids and insights.”

The client list for the new venture included state government, insurers and the health system. One of McKinsey’s more ambitious endeavors was Philadelphia, a city with the highest mortality rate in the country from opioid overdoses.

In 2019, the consultants spent nearly two months working with the city government, according to two who were local officials at the time. Both praised McKinsey’s work, which came to town free of charge but was later removed after the Covid-19.

Yet when Mr. Latkovic’s team tried to deal with the opioid epidemic, the firm was often blamed for spreading it, Purdue did not stop serving the company. And on at least two occasions, the documents show, drafts of publications prepared by Mr. Latkovich’s team were given to consultants for review by pharmaceutical clients. The purpose, a manager of pharmaceutical practice wrote, “was to assess whether it could create any wave from social media or journalists that could be harmful to our pharma clients.”

With negative news coverage and lawsuits mounted against Purdue, some advisers were internally upset that the investigation could extend as far as McKinsey.

In 2019, during the Philadelphia project, McKinsey decided to stop advising companies about opioids – after the firm’s 15-year relationship with Purdue became public as part of a lawsuit filed in the Massachusetts Attorney General’s Office. Since Mr. Latkovic’s 2017 speech, McKinsey has collected $ 7.8 million in fees from Purdue, documents show.

The revelation that McKinsey advised Purdue led to controversy within the firm. “We may not have done anything wrong, but have we asked ourselves what were the negative consequences of what we were doing and how to reduce it?” Wrote a consultant.

Dr. Ghatak, the driving force behind McKinsey’s work for Purdue and Endor, finds himself in the spotlight. As he did for pharmaceutical executives, this time he made a point of speaking for himself.

“The opioid crisis is horrendous,” he wrote. “Acknowledge up front.” But by advising clients to develop products that would be more difficult to abuse, “We were working directly to address the public health crisis, not the Silver Bullet, but of course a solution.”

In 2020, documents published as part of a Purdue legal lawsuit indicate that Dr. Ghatak and another consultant, Martin Ealing, discussed destroying the records. McKinsey soon fired them.

The firm settled with the state attorney general in early 2021.

Some of McKinsey’s former clients have faced potential damages in court. Purdue filed for bankruptcy protection in 2019 and MalinCroud did the same the following year. Johnson & Johnson had previously sold its drug business to a private investment firm and settled several lawsuits related to the marketing of its opioids, which the company said in a statement was “appropriate and responsible.”

Endo has also ruled out the possibility of bankruptcy in the wake of a wave of lawsuits over its opioids, especially Opana marketing. The agency said in a regulatory filing that it received a subpoena from the U.S. Attorney’s Office for the Western District of Virginia in 2020, which was convicted by Purdue executives years ago. This time, according to the endorsement, the office sought McKinsey’s information.

Top image of Mark Weaver.

Study: Internet search for abortion drugs has increased since the Row Draft leak

Online searches for abortion drugs have increased after a while The Supreme Court’s draft decision overturning Rowe v. Wade was leaked in early May, according to a published analysis. Clothing Internal Medicine.

Researchers have analyzed Google searches in the United States that refer to terms such as “abortion pills” or drugs “mifepristone / mifeprex” or “misoprostol / cytotech”. They pulled data from January 1, 2004 to May 8, 2022 and studied the search volume 72 hours before and after the leak.

The analysis found “record national heights” for abortion pill-related search terms, with about 350,000 searches in the weeks from May 1 to May 8. The researchers noted that the search spike was “instantaneous” after the leak and that searches were 162% higher than expected within 72 hours after the draft was released.

In addition, abortion pill searches were more common in states that were more restricted about reproductive rights or had less access to care. Nebraska has the highest search volume in the 72 hours since the leak, followed by Iowa and Missouri.

Why it matters

The researchers noted that their study could not confirm which of these investigations were involved in the actual abortion attempt or determine the population data of people seeking abortion drugs.

However, they said the increase should make physicians aware that their patients may decide to use abortion pills whether providers are involved or not.

“Although mifepristone / mifeprex or misoprostol / cytotec require a prescription and their use is restricted in some states, Internet searches may reflect how people explore the safety and efficacy of these drugs, how to obtain them or stockpile them in anticipation of low access,” they wrote.

“Some researchers are looking for alternative and / or illegal abortion drugs. It is essential that information on where women can get abortion drugs legally and safely is accessible online; including telemedicine consultations with healthcare professionals.”

Greater trend

Drug abortions have become increasingly popular since mifepristone was approved by the FDA in 2000 as a method of abortion. According to the Gutmachar Institute, a reproductive health research institute that supports the right to abortion, drug abortions accounted for 54% of U.S. abortions in 2020, up from 37% in 2017.

Even before With the Supreme Court’s final decision overturning Rock last week, many states have already restricted abortion access to drugs supplied through telehealth. Following the ruling, Attorney General Merrick Garland said in a statement that states could not ban the use of mifepristone because the drug was approved by the FDA.

On Tuesday, HHS Secretary Xavier Besser said the agency would support access to drug abortions, safe travel to states that allow abortions, and health privacy.

“There are no magic bullets,” Besara said. “But if we can do something, we’ll find out and we’ll do it on HHS. In fact, I got this instruction from the President of the United States.”

The main health care system closes the Plan B offer in the Kansas City area: Shot

St. Louis Hospital in Kansas City has stopped providing emergency contraception due to a state abortion ban. Emergency contraception and other reproductive care services are available at Kansas locations on the hospital network.

Carlos Moreno / KCUR


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St. Louis Hospital in Kansas City has stopped providing emergency contraception due to a state abortion ban. Emergency contraception and other reproductive care services are available at Kansas locations on the hospital network.

Carlos Moreno / KCUR

St. Luke’s Health System, which operates 17 hospitals, pharmacies and emergency care clinics in the Kansas City area, said state law prohibits almost all abortions so it will no longer provide Plan B in its Missouri locations.

After the US Supreme Court overturned the verdict last week Rowe vs. WadeAbortion providers in Missouri could face criminal trial and face up to five to 15 years in prison.

In a statement, Laurel Gifford, a spokeswoman for St. Luke’s, said the hospital’s network had made its decision because of a lot of caution.

“To ensure we comply with all state and federal laws – and until the law in this area is better defined – St. Luke’s will not provide emergency contraception in our Missouri-based locations,” Gifford said.

University Health, formerly Truman Medical Center, said it would offer emergency contraception in Missouri. University health spokeswoman Leslie Carto said the hospital did not believe it was in conflict with state abortion laws.

At a news conference in St. Louis on Tuesday, Missouri Governor Mike Parson was unclear about whether birth control access should be a concern. He said the Department of Health is in the process of clearing the law.

Missouri’s abortion law specifically states emergency contraceptives such as Plan B, commonly known as the “Morning-After Pill,” and Planned Parenthood, for one, said it does not believe the law will affect access to birth control.

Nonetheless, Gifford said St. Luke could not take risks about the possibility of his healthcare providers being judged.

“Missouri law is vague, but can be interpreted as an emergency contraceptive offense,” she said. “As a system that cares deeply about its team, we can’t just put our doctors in a position that could lead to criminal proceedings.”

Emergency contraception and other reproductive care services are available at Kansas locations on the hospital network.

“It may not always be the most convenient option for our patients, but for now, it’s the best solution available,” Gifford said.

Read St. Luke’s full statement below:

Statement of St. Luke’s Health System

St. Luke continues to assess the impact of overturning the Supreme Court ruling Rowe vs. Wade And the subsequent implementation of the Missouri Trigger Act to limit abortion.

To ensure we comply with all state and federal laws – and until the law in this area is better defined – St. Luke’s will not provide emergency contraception in our Missouri-based locations.

The reasons for this are twofold:

  • First, Missouri law is vague but emergency contraception can be interpreted as criminal. As a system that cares deeply about its team, we can’t simply put our physicians in a position that could lead to criminal prosecution.
  • Second, as a large bi-national health care system, this care can be delivered safely to our Kansas-based facilities, legally and without putting our physicians at legal risk. This may not always be the most convenient option for our patients, but for now, it is the best solution available.

St. Lucas will continue to monitor the situation to ensure that we provide reproductive care, including abortion for maternity medical emergencies, in full compliance with all applicable laws.

Ria Health scores M 18M for Virtual Alcohol Use Disorders

Virtual Alcohol Use Disorder Treatment Company Rhea Health SV has completed a round of funding in a $ 18 million series led by health investors.

Other participants in the round include SV Limited Partners, BPEA Private Equity and previous investors SOSV.

What does this mean?

Rhea provides virtual care for alcohol-related disorders, including drug-assisted treatments such as naltrexone, acamprosate, and gabapentin that can reduce thirst.

Patients also receive recovery coaching that can help them set goals, develop coping strategies, evaluate their progress, and refer them to local therapy and support groups if necessary. They can also access Rhea’s app, where they can conduct virtual sessions, manage their prescriptions, and monitor results from a connected breathalyzer.

The startup says it plans to use the capital to expand its care-delivery capabilities.

“E.g. Alcoholism has increased dramatically during the epidemic, and Rhea Health’s talented founders and management team have paved the way for innovative treatments for alcoholism through a combination of pharmacological and behavioral support, ”said Michael Balmuth, SV’s managing partner in a statement. He has joined the board of startups as part of funding.

“Rhea Health’s clinical approach and high-quality results will continue to transform the substance use treatment industry.”

Snapshots of the market

According to According to the 2019 National Survey on Drug Use and Health, approximately 15 million people aged 12 or older in the United States have an alcohol use disorder, but less than 10% of those who had the condition last year received no treatment. About 95,000 people die each year from alcohol-related causes.

There are a number of digital health startups focused on substance use disorders, e.g. Drug overdoses have also increased in the Covid-19 epidemic. Earlier this month, Boulder Care, which focuses on opioid and alcohol use, announced that it had received $ 36 million in Series B funding.

In April, Eleanor Health scooped সি 50 million in Series C funding, of which $ 20 million is in Series B. Workit Health and Quit Genius are also less than a year away from finishing the funding round last year.

Peer Therapeutics, which already provides prescription digital therapeutics for substance and opioid use disorders, In November, the FDA designated a product for alcoholism as a breakthrough device.