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  • Woman Suffocates, Dies During Cryotherapy Session at the Gym Due to Nitrogen Leak

    Woman Suffocates, Dies During Cryotherapy Session at the Gym Due to Nitrogen Leak

    A 29-year-old woman has died and another is in intensive care after a nitrogen leak during a cryotherapy session at a Paris gym led to a fatal case of suffocation, prompting a criminal investigation.

    Cryotherapy, which exposes the body to extreme cold for therapeutic purposes, typically involves nitrogen gas to achieve ultra-low temperatures. Safety concerns have persisted for years, with organizations like the European Industrial Gases Association warning in 2018 of asphyxiation risks tied to improper nitrogen use.

    Emergency services responded to an incident at the On Air gym in east-central Paris shortly before 6:30 p.m. local time on April 14, the Guardian reported. Two women were found in cardiorespiratory arrest, believed to be caused by a nitrogen leak in a cryotherapy chamber that had been repaired earlier that day.

    The 29-year-old victim, an employee of the gym, was declared dead on the scene. The second woman, aged 34, was listed in critical condition.

    Three others were hospitalized after attempting resuscitation, and 150 people were evacuated from the building. The Paris prosecutor’s office has launched an investigation into the incident, involving both police and workplace safety inspectors.

    An autopsy and toxicology report are pending to confirm the exact cause of death. Authorities are also scrutinizing the maintenance and safety protocols surrounding the repaired cryotherapy chamber.

    Originally published on Latin Times

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  • Treating Active Tuberculosis Disease | Tuberculosis (TB)

    Treating Active Tuberculosis Disease | Tuberculosis (TB)

    Treatment overview

    TB germs become active if the immune system can’t stop them from growing. When TB germs are active (multiplying in your body), this is called active TB disease. People with active TB disease feel sick. They may also be able to spread the germs to people they spend time with every day. Without treatment, active TB disease can be fatal.

    If you have active TB disease, you can be treated with medicine. You will need to take several different TB medicines. This is because there are many TB germs to be killed. Taking several TB medicines will do a better job of killing all the TB germs and preventing them from becoming resistant to the medicines.

    TB germs are strong, and it can take a long time for them to die. Even if you start to feel better, it is important to take and finish all TB medicines exactly as your health care provider recommends:

    • If you stop taking the medicines too soon, you can become sick again;
    • if you do not take the medicines correctly, the TB germs that are still alive may become resistant to those medicines. TB that is resistant to medicines is harder to treat.

    Treatment options

    There are several safe and effective treatment plans recommended in the United States for active TB disease. A treatment plan (also called treatment regimen) for active TB disease is a schedule to take TB medicines to kill all the TB germs. Your treatment plan for active TB disease will include:

    • The types of TB medicines to take,
    • How much TB medicine to take,
    • How often to take the TB medicines,
    • How long to take the medicines,
    • How to monitor yourself for any side effects of your TB medicine, and
    • The health care provider(s) who will support you through the treatment process.

    You and your health care provider will discuss which treatment plan is best for you depending on your medical history and any medications you are currently taking. Your health care provider will make sure the medications can kill the TB germs in your body.

    Treatment for active TB disease can take four, six, or nine months depending on the treatment plan.

    The treatment plans for active TB disease use different combinations of medicines that may include:

    • Ethambutol
    • Isoniazid
    • Moxifloxacin
    • Rifampin
    • Rifapentine
    • Pyrazinamide

    Before starting treatment

    Tell your health care provider about all medicines you are taking.

    • Some medicines can interact with the TB medicines and cause a possible side effect or reaction after taking medicine.
    • Some oral contraceptives (birth control pills) may not work as well when you take them with medicines for active TB disease.
      • TB medicines can sometimes interfere with birth control pills and possibly make the birth control pills less effective.
      • If you are taking birth control pills, talk with your health care provider before beginning any new medicines.

    Tell your health care provider if you are or think you may be pregnant, or are breastfeeding before you start any TB medicines.

    Your health care provider can recommend a treatment plan.

    Drinking alcoholic beverages while taking medicines for TB can be dangerous and may hurt your liver.

    Alcoholic beverages include wine, beer, or liquor. Ask your health care provider about things to avoid while taking medicines for active TB disease.

    Side effects

    Most people can take their TB medicines without any problems. However, like all medicines, the medicine you take for active TB disease can have side effects.

    People react differently to medicines. Tell your health care provider about anything you think is wrong.

    Some side effects are minor.

    For example, any TB medicine can cause a skin rash. Other TB medicines may cause an upset stomach or nausea. Taking your TB medicine with food can help your body absorb the medicine better.

    The rifampin or rifapentine medicines may cause some body fluids, to turn an orange color, such as:

    • Urine (pee),
    • Saliva,
    • Tears,
    • Sweat, and
    • Breast milk.

    This is normal and harmless. The color may fade over time. Your health care provider may tell you not to wear soft contact lenses because they may get permanently stained.

    If you have any of these side effects, you can continue taking your medicine.

    Other side effects are more serious.

    If you have a serious side effect, call your health care provider immediately. You may be told to stop taking your medicines or to return to the clinic for tests. Serious side effects include:

    • Liver injury
      • Abdominal pain
      • Nausea and vomiting
      • Skin and eyes turning yellow (also called jaundice)
    • Dizziness or lightheadedness
    • Loss of appetite
    • Flu-like symptoms
    • Tingling or numbness in your hands or feet

    If you are taking isoniazid, you may have tingling or numbness in your hands and feet. Your health care provider may add vitamin B6 to your treatment plan to prevent this.

    Special considerations

    Children

    Treatment for active TB disease in children may take four months, six months, or longer. Health care providers will consider a child’s age, weight, and other factors when prescribing treatment.

    People with HIV

    There are several TB treatment options for people with HIV and active TB disease. Your health care provider will help make sure your TB medicines do not interfere with your HIV medicines.

    Pregnancy

    If you are diagnosed with active TB disease during pregnancy, you should start treatment right away. Your health care provider will choose TB medicines that are recommended for use during pregnancy. Although the TB medicines used in recommended treatment plans cross the placenta, these medicines are not known to have harmful effects on the baby.

    Your health care provider will monitor you and your baby during treatment for active TB disease. Tell your health care provider if you have any problems taking your medicine.

    Completing treatment

    Treating active TB disease takes several months. Your health care provider will work with you to make sure you can complete your treatment.

    Take all TB medicines exactly as prescribed.

    Do not miss any doses and do not stop treatment early. It can be very dangerous to stop taking your medicines or not to take all your medicines regularly.

    It takes a long time for the medicines to kill all the TB germs. You will probably start feeling well after only a few weeks of treatment, but beware! The TB germs are still alive in your body, even if you feel better. You must continue to take your medicines until all the TB germs are dead, even though you may feel better and have no more symptoms of TB disease.

    If you become infectious again, you could give TB germs to your family, friends, or anyone else who spends time with you.

    You may take your medicine through directly observed therapy (DOT), on your own, or a combination of both.

    Directly observed therapy (DOT) is the best way to remember to take your TB medicines.

    Through DOT, you will meet with a health care worker every day or several times a week. These meetings may be in-person or virtual (through a smartphone, tablet, or computer). The health care worker will watch you take your TB medicines and make sure that the TB medicines are working as they should.

    If you take TB medicines on your own

    If you take TB medicines on your own, here are tips to help you to remember to take your TB medicines:

    • Take your pills at the same time every day—for example, you can take them before eating breakfast, during a regular coffee break, or after brushing your teeth.
    • Set an alarm for the time you need to take your medicine.
    • Write yourself a note as a reminder to take your medicine. Put it in a place where you can see it, like on your bathroom mirror or on your refrigerator.
    • Ask a family member or a friend to remind you to take your pills.
    • Mark off each day on a calendar as you take your medicine.
    • Put your pills in a weekly pill dispenser that you keep by your bed or in your purse or pocket.
    • Use a medicine tracker to organize and manage your pills.

    NOTE: Remember to keep all medicine out of reach of children.

    If you forget to take your pills one day, skip that dose and take the next scheduled dose. Tell your health care provider that you missed a dose. You may also call your health care provider for instructions.

    Talk to your health care provider if you have any questions or concerns about treatment for active TB disease.

    Your health care provider will monitor your treatment.

    Your health care provider will ask you about side effects and perform tests to see how the medicines are working. Depending on your treatment plan, your health care provider may ask for blood, sputum (phlegm), or urine tests while you are on treatment. These tests help show if the TB medicines are working the right way and how your body is handling the medicine. You may also get additional chest x-rays.

    If you have active TB disease and other health problems, like HIV infection or diabetes, you may need to have blood, sputum (phlegm), or urine tests before and after treatment.

    Be sure to keep your clinic appointments and talk to your health care provider if you have any problems with your medicines.

    Keep a record of your treatment.

    Even after you finish taking all of your medicine for active TB disease, you may still have a positive test result on future TB blood tests or TB skin tests.

    Ask your health care provider for a written record that you have finished treatment for active TB disease. This will be helpful if you are asked to have another TB test in the future.

    Most healthy people will not need to be treated for active TB disease ever again.

    However, the treatment you completed only kills the TB germs in your body now. If you are around someone with active TB disease, there is a chance that you can get new TB germs in your body.

    Getting support

    It is very important to take and finish all TB medicines exactly as prescribed by your health care provider. Talk to your health care provider if you have any questions or concerns about treatment for active TB disease. Tell your health care provider if you:

    • Have side effects from the TB medicine.
    • Need help taking your TB medicine.
      • This includes food, clean water, or transportation.

    If you need additional assistance or support in completing treatment for active TB disease

    Talk to your health care provider.

    The state or local TB program may be able to provide support or have resources to help you.

    Ask your family or friends for support.

    If you need support while completing treatment for active TB disease, ask your family or friends. A family member or friend can help you to remember to take your TB medicines. It can be hard taking TB medicine for several months. A family member or friend can provide emotional support and may be able to help you get resources such as food and groceries if you have to stay away from others while being treated for active TB disease.

    Connect with other TB survivors.

    We are TB, and Somos TB for Spanish-speakers, is a community of TB survivors, people being treated for TB, and their family members, committed to the common goal of eliminating TB. The group provides comprehensive peer support for current TB patients and TB clinics.

    You can learn about people’s experiences of being diagnosed and treated for active TB disease through CDC’s Tuberculosis Personal Stories.

    Resources

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  • Do Heart Stents Benefit Angina Chest Pain? 

    Do Heart Stents Benefit Angina Chest Pain? 

    Sham surgery trials prove that procedures like non-emergency stents offer no benefit for angina pain—only risk to millions of patients.

    Angioplasty and stents—percutaneous coronary intervention (PCI)—for stable, non-emergency coronary artery disease are among “the most common invasive procedures performed in the United States.” Though they appeared to offer immediate relief of angina chest pain in stable patients with coronary artery disease, that didn’t actually translate into a lower risk of heart attack or death. This is because the atherosclerotic plaques that narrow blood flow tend not to be the ones that burst and kill us. Symptom control is important, though, and is much of what we do in medicine, but cardiology has a bad track record when it comes to performing procedures that don’t actually end up helping at all.

    Case in point: internal mammary artery ligation. Though it didn’t make much anatomical sense—why would tying off arteries to the chest wall and breast somehow improve coronary artery circulation?—it worked like a charm with immediate improvement in 95 percent of hundreds of patients. Could it have just been an elaborate placebo effect, and surgeons were cutting into people for nothing? There’s only one way to find out: Cut into people for nothing.

    As I discuss in my video Do Heart Stent Procedures Work for Angina Chest Pain?, people were randomized to get the actual surgery or a sham (or fake) surgery where patients were cut open and the surgeon got to the last step but didn’t actually tie off those arteries. The result? “Patients who underwent a sham operation experienced the same relief.” Check out the testimonials: “Practically immediately, I felt better.” “I’m about 95 percent better.” “No chest trouble even with exercise.” “Believe I’m cured.” And these are all people who got the fake surgery. So, it was just an extravagant placebo effect. Think about it. “The frightened, poorly informed man with angina [chest pain], winding himself tighter and tighter, sensitizing himself to every twinge of chest discomfort, who then comes into the environment of a great medical center and a powerful positive personality and sees and hears the results to be anticipated from the suggested therapy is not the same total patient who leaves the institution with the trademark scar.” He hears how great he’s going to feel, goes through the whole operation, and leaves a new man with that trademark scar.

    One sham patient was actually cured, though. “The patient is optimistic and says he feels much better.” The next day’s office note reads: “Patient dropped dead following moderate exertion.” This has happened over and over.

    What if we burn holes into the heart muscle with lasers to create channels for blood flow? It seemed to work great until it was proven that it doesn’t work at all. Cutting the nerves to our kidneys was heralded as a cure for hard-to-treat high blood pressure until sham surgery proved that procedure was a sham, too. “The necessity for placebo-controlled trials has been rediscovered several times in cardiology, typically to considerable surprise.” Before they are debunked, “often a therapy is thought to be so beneficial that a placebo-controlled trial is deemed unnecessary and perhaps unethical.” That was the case with stents.

    Hundreds of thousands of angioplasties and stents are done every year, yet placebo-controlled trials have never been done. Why? Because cardiologists were so unquestioningly sure it worked “that it might be unethical to expose patients to an invasive placebo procedure.” Why perform a fake surgery to prove something we already know is true? “When patients are aware they have had PCI, they have a clear reduction in angina and improved quality of life.” But what if they weren’t aware they had a stent placed inside them? Would it still work?  

    Enter the ORBITA trial. After all, “anti-anginal medication is only taken seriously if there is blinded evidence of symptom relief” against a placebo pill, so why not pit stents against a placebo procedure? “In both groups, doctors threaded a catheter through the groin or wrist of the patient and, with X-ray guidance, up to the blocked artery. Once the catheter reached the blockage, the doctor inserted a stent or, if the patient was getting the sham procedure, simply pulled the catheter out.”

    The researchers had problems getting the study funded. They were told: “We know the answer to this question—of course, PCI works.” And that’s even what the researchers themselves thought. They were interventional cardiologists themselves. They just wanted to prove it. Boy, were they surprised. Even in patients with severe coronary artery narrowing, angioplasty and stents did not increase exercise time more than the fake procedure.

    “Unbelievable,” read the New York Times headline, remarking that the results “stunned leading cardiologists by countering decades of clinical experience.” In response to the blowback, the researchers wrote that they “sympathize with our community’s shock and its instinct to invalidate the trial. Applying a positive spin could have smoothed the reception of the trial, but as authors we have a duty to preserve scientific integrity.”

    While some “commended them for challenging the existing dogma around a procedure that has become routine, ingrained, and profitable,” others questioned their ethics. After all, four patients in the placebo group had complications from the insertion of the guide wire and required emergency measures to seal the tear made in the artery. There were also three major bleeding events in the placebo group, so they suffered risks without even a chance of benefit. But “far from demonstrating the risks of sham-controlled PCI trials, this demonstrates exactly what patients are being subjected to on a routine basis, without evidence of benefit.”

    Those few complications in the trial “are dwarfed in magnitude” by the thousands who have been maimed or even killed by the procedure over the years. Do you want unethical? How about the fact that an invasive procedure has been performed on millions of people before it was ever actually put to the test? Maybe “we should consider the absence, not the presence, of sham control trials to be the greater injustice.”

    When a former commissioner of the U.S. Food and Drug Administration was asked at the American Heart Association meeting “whether sham controls should be required for device approval, he thought that it was more of a decision for the clinical community: ‘Do you want to get the truth or not?’”



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  • ‘I Shudder to Think What Could Have Happened to Me’

    ‘I Shudder to Think What Could Have Happened to Me’

    Beyoncé‘s mom, Tina Knowles, has opened up about her private battle with breast cancer and shared and urgent message for other women.

    The author, who recently published her book “Matriarch,” spoke with People about the harrowing time in her life. In the interview, she reveals that she was diagnosed with stage 1 breast cancer in July 2024.

    “I struggled with whether I would share that journey [in the book] because I’m very private. But I decided to share it because I think it’s a lot of lessons in it for other women,” Knowles told People. “And I think as women, sometimes we get so busy and we get so wrapped up and running around, but you must go get your test. Because if I had not gotten my test early, I mean, I shudder to think what could have happened to me.”

    In “Matriarch,” Knowles has revealed how her daughters, Beyoncé and Solange, reacted to the news of her cancer diagnosis. She writes that Beyoncé “took it well, staying positive, and I could already feel her mind racing, focusing on this as a task to tackle with precision.” Meanwhile, Solange voiced her support for her mother.

    Knowles has since undergone surgery to remove the tumor and insists that she is now “doing great.”

    “Cancer-free and incredibly blessed that God allowed me to find it early,” Knowles told the outlet.

    The business woman encouraged other women to get scanned for the disease.

    “Matriarch” is out now and has already been picked for Oprah’s next book club pick.

    Originally published on Music Times

    © {{Year}} MusicTimes.com All rights reserved. Do not reproduce without permission.

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  • Help Curb the Habit of Gossiping With A 10-Minute Practice

    Help Curb the Habit of Gossiping With A 10-Minute Practice

    Summary:

    • “Fake news” is now a common phrase, but we can understand gossip as frequently-fake news on a personal level.
    • If you want to challenge your habit of gossiping, it is helpful to cultivate awareness both of how you speak and of how you listen.
    • In this 10-minute audio meditation, you’ll practice shifting from an in-the-moment urge to gossip toward a state of appreciation and gratitude.

    We live in a political moment where we don’t just disagree about matters of policy—we disagree about reality. To some degree, this has always been the case.

    Writing in 1922, the American philosopher Walter Lippmann, described the modern human condition as one of living in “pseudo-environments”—mental worlds that define our values, beliefs, and opinions. As a result, he observed that citizens “live in the same world, but they think and feel in different ones.”

    More than 100 years later, we are experiencing this kind of polarization like never before. 24-hour cable news, Facebook, blogs, Twitter, and the fracturing of media have made it so that we can each filter our news, entertainment, and social interactions to reinforce our existing beliefs and shield ourselves from oppositional views—not to mention the fake news out there deliberately trying to separate us.

    This catchphrase has come to define the modern moment—“fake news.” Anything that doesn’t fit with our reality is now seen as unreal, make-believe, and at the same time, some of the news in our feeds is actually made up. These are crazy days.

    There is a serious conversation to be had around how to restructure the media and political institutions to mitigate this problem.

    Gossip is rarely based on fact, it’s more of an expression of the stories we make up in our heads about other people.

    In the meantime, we wanted to explore a different landscape of “fake news.” Sure, there are many people out there consciously spreading “fake news.” But it’s also interesting to look at how we might be doing it every day without really recognizing it.

    That’s right, we’re talking about gossip—our ordinary habit of talking about others behind their back. Gossip is rarely based on fact, it’s more of an expression of the stories we make up in our heads about other people.

    What is Gossip?

    The habit of gossiping can be defined in any number of ways. Webster’s defines it as “rumor or report of an intimate nature.” In the book The 15 Commitments of Conscious Leadership, the authors define gossip as: “any statement about another that the speaker would be unwilling to share in exactly the same way if that person were in the same room.”

    This definition points to the contextual nature of gossip. If I tell my co-worker Gena that “Dave’s feedback on my presentation today was incredibly disrespectful,” it may or may not be gossip. If I don’t share this feedback with Dave, then it’s a clear case of gossip. But if I do share it with Dave, with the same emotional tone, then it is not gossip.

    Why bring greater awareness to your gossip habit? After all, it’s often entertaining, even pleasurable, to talk about the faults of celebrities, political leaders, or that person in your social circle who drives you crazy.

    The first reason is that a habit of gossiping almost always arises from stories in our mind, which may or may not be true. So one reason to refrain from gossip is to do your part to curb the spread of “fake news.”

    Another reason is that gossip often involves a subtle breach of integrity. In the language of the philosopher Immanuel Kant, when we gossip about someone, we’re treating them as a “mere means” to our own sense of pleasure or superiority. If I tell a humiliating story about someone, I’m using their misfortune as a way to generate laughter, titillate my audience, or make myself feel like I’m better than them.

    And while it may be pleasurable in the moment, it almost always leaves a moral stain. For the speaker of gossip, there’s a subtle feeling of guilt that arises. For the people listening, there’s a sense of distrust that follows in the wake of gossip. “If he talks that way about others when they’re not in the room,” they are left thinking, “how does he talk about me when I’m not in the room?”

    Need proof? Conduct a quick experiment. In your next interaction with a friend or colleague, dish out some juicy negative tidbit about a mutual colleague or acquaintance. Then check in to see how you feel. If they respond in kind, notice how you feel about their trustworthiness and the strength of your relationship.

    2 Key Ways to Shift the Habit of Gossiping

    So how can we become more aware of our gossip habit? The key is mindfulness–training the skill of Notice-Shift-Rewire each time we’re tempted to gossip or each time others begin gossiping. This awareness takes two forms: awareness of speech and awareness of listening.

    1) Awareness of Speech

    The practice here is simple. Notice when you feel the urge to say something negative about another person – a friend, a co-worker, or even a political figure. And when you notice, pay attention to the physical sensations of gossip. We have found that the urge to gossip often corresponds to an energetic state–a subtle pattern of sensations in the body.

    In fact, the urge to gossip is, in many ways, similar to the urge to read about gossip in the form of celebrity tabloids or political chatter. In both cases, we’re drawn to the momentary burst of pleasure that arises from speaking or hearing gossip. And yet it’s a behavior that is always unsatisfying, leaving us with the desire for more.

    Noticing the urge to gossip opens the space to Shift your speech. This could be as simple as not saying anything at all or reframing your statement to something you would be willing to share with the other person, were they in the room.

    The Shift might also be to follow through on the urge to gossip but to do it with awareness – to gossip consciously. This sounds strange but you may find that it’s impossible and, at times, undesirable to get rid of all gossip. In conversations with your spouse or partner, for instance, saying things about others that you wouldn’t share with them in the room might play an essential role in building trust and intimacy with your partner. Talking through a difficult situation with another family member or a problem at work, for example, may require talking candidly about others in ways that you would not were this other person in the room. In these cases, the goal might not be to end gossip but to simply be more aware and mindful of it.

    The final move is to Rewire. Savor the experience of bringing greater awareness to this ordinary habit of gossip.

    2) Awareness of Listening

    Even if we refrain from gossip, we will undoubtedly encounter it in the speech of others. Whether it’s neighbors, co-workers, or family members, the habit of gossip is so common that it’s impossible to avoid. Awareness of listening is the practice of noticing gossip whenever it arises in conversations with others.

    Of course, this leads to an important question: when we notice the person we’re talking to gossiping, what are we to do? How are we to respond?

    The authors of The 15 Commitments of Conscious Leadership liken this situation to a game of ping-pong: “the speaker and the listener each hold a paddle. If a listener says he doesn’t want to listen and symbolically puts down his paddle, the game is over.”

    This is sound advice. And yet it requires discernment and skillful means to figure out how to put down your paddle without shaming the other person. It might involve injecting a positive comment into the conversation, changing the subject, or, at times, making the outright request to not gossip.

    A 10-Minute Practice on Gossip Awareness

    1. To begin, find a comfortable seat. Sitting, if possible, with a straight spine. Close your eyes and begin by relaxing. Feel how the chair supports the weight of your body. Feel your feet as they rest against the support of the floor. Notice how you’re supported by each inhale and exhale. Allow yourself to breathe. Allow yourself to be. Let your breath move in and out effortlessly and without any attempt to control it. The goal of this practice is to create more awareness around the effect of gossip.
    2. With that in mind, as you relax deeply, see if you can bring to mind a moment in the past. A moment when you heard something about a friend or a coworker, another parent at school, a neighbor. Or when you dished it out to someone else. I know it’s not the most glamorous thing, but we’ve all had those moments when we had that juicy piece of gossip. So, see if you can just travel back in time to a moment like that, you can go back to childhood if nothing is coming up from adulthood.
    3. Observe any feelings or sensations that arise as you go back to that moment in time when you offered that juicy tidbit of gossip. You might notice a mixture of emotions. Excitement. Shame. Fear. Curiosity.
    4. Now, let’s imagine we had the opportunity to go back in time and experience this very same moment. With a slight twist. This time, I want you to think of a statement of gratitude for this person. Rather than a juicy piece of gossip about them, think of what you would say. If you were forced to tell someone why you appreciate this person or why you’re grateful for them.
    5. Now, imagine saying a word of appreciation instead of a piece of gossip. I appreciate Hank for always being there on time and for the intensity he brings to each conversation. I appreciate my mother-in-law, for how passionate she is about bringing us all together.
    6. Notice again, with this statement of gratitude, what are the emotions that arise in your body? See if you can pay close attention to any differences between the impact of gossip and gratitude for you in your experience. See if you can keep this experience and remain aware of the difference in your emotional state between gossip and gratitude and mind? And see if you can bring this midst of everyday life.
    7. Notice moments when you hold that juicy piece of gossip and there’s a part of you that wants to tell someone and dish it out. In those moments, see what happens when you shift to appreciation or gratitude instead
    8. To close this practice on the habit of gossiping, take a few more breaths. Bring your attention back to each inhale and exhale sensation of breath. And then when you feel ready, slowly open up your eyes. Coming back into the room. And see what happens when you bring this spirit of gratitude with you. Throughout the rest of your day.

    The 24-Hour Gossip Challenge:

    To experience this first hand, see what happens when you bring greater awareness to gossip over the next 24 hours. Pay special attention to your speech and the speech of those around you. See if you can go an entire day without the habit of gossiping.

    You may find that it’s an almost impossible task to eliminate the habit of gossiping entirely. But that’s not really the goal of this experiment. The goal is to bring awareness to the urge to gossip – to notice where you are contributing to the spread of “fake news.” This simple sense of awareness may not lead you to stop gossiping altogether. But it will help you bring greater compassion, care, and awareness into even the most ordinary conversations.

    Share your experiences in the comments below.

    This article was originally published on Mindful.org in March 2018.



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  • The Rare Surgery That Saved Their Lives

    The Rare Surgery That Saved Their Lives

    Born twice? It sounds impossible, but that’s exactly the story of miracle baby Rafferty Isaac in the U.K. At just 20 weeks, he was temporarily removed while in the womb so doctors could perform life-saving surgery on his mother, who had been diagnosed with ovarian cancer. After the complex five-hour procedure, Rafferty was placed back into the womb to finish growing and was “born again” at full term in January.

    Rafferty’s mother, 32-year-old Lucy Isaac, was just 12 weeks pregnant when she received the devastating diagnosis of ovarian cancer. The cancerous cells needed to be removed urgently, as delaying treatment until after childbirth would allow the disease to spread, threatening the life. But by then, Lucy had already entered her second trimester, so doctors ruled out the possibility of performing standard keyhole surgery.

    That’s when a team of surgeons at John Radcliffe Hospital in Oxford proposed a bold, life-saving solution: an extraordinary and rare procedure that involved temporarily removing Lucy’s womb, still carrying her unborn baby, from her abdomen to reach the cancerous cells hidden behind it, before carefully repositioning it to allow her pregnancy to continue. The surgery was risky to both mother and child and was carried out very rarely.

    However, trusting the expertise of her medical team, Lucy agreed to the high-risk surgery in October. During the operation, doctors successfully removed the tumors, which had already progressed to grade two, and began invading the tissues surrounding her ovaries.

    During the procedure, Lucy’s womb was outside for two hours, carefully wrapped in a sterile, warm saline pack to replicate the conditions inside the body and maintain the proper temperature. Throughout the operation, two medics closely monitored the child’s heart rate and temperature to ensure his safety.

    Rafferty’s birth as a healthy, full-term baby in January, weighing 6lb 5oz, was not just a medical triumph but a deeply emotional milestone for the Isaac family. Just two years earlier, Lucy’s husband, Adam, 42, had undergone a kidney transplant. “To finally hold Rafferty in our arms after everything we have been through was the most amazing moment,” Adam told the Daily Mail.

    In the weeks after the delivery, Lucy returned to John Radcliffe Hospital with her miracle baby to express their gratitude to the medical team. “It felt as if I had met him previously. It was a rare and a very emotional experience for me,” said surgeon Hooman Soleymani Majd, who led the team.

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  • Tuberculosis in Pregnancy | Tuberculosis (TB)

    Tuberculosis in Pregnancy | Tuberculosis (TB)

    Overview

    Tuberculosis (TB) is caused by a bacterium (or germ) called Mycobacterium tuberculosis.

    TB usually affects the lungs. TB can also affect other parts of the body, such as the brain, the kidneys, or the spine. TB can also affect multiple parts of the body at the same time. For example, TB can affect both the lungs and lymph nodes.

    Not everyone infected with TB germs becomes sick. As a result, two TB-related conditions exist: inactive TB (or latent TB infection) and active TB disease.

    Inactive TB

    TB germs can live in the body without making you sick. This is called inactive TB. People with inactive TB are infected with TB germs, but they do not have active TB disease.
    They do not feel sick, do not have symptoms of TB disease, and cannot spread TB to others.

    Active TB disease

    TB germs become active if the immune system can’t stop them from growing. When TB germs are active (multiplying in your body), this is called active TB disease. People with active TB disease feel sick. TB germs can spread to people around them, including their baby, before or after birth. Tell your health care provider if you have symptoms of TB disease.

    Pregnant women diagnosed with active TB disease can take medicine to treat the disease.

    Risk factors

    Pregnant women who have recently spent time with someone with active TB disease, or who have a weaker immune system because of certain medications or health conditions such as diabetes, cancer, or HIV should be tested for TB infection, as they may have a higher risk of developing active TB disease once infected.

    Babies born to women with untreated active TB disease may have a lower birth weight than babies born to women without active TB disease. In rare cases, a baby may be born with TB. Babies may also be at risk for TB through close contact with a person with active TB disease.

    Pregnant women may have other risk factors for TB, including:

    Talk to your health care provider about your TB risk.

    Testing and diagnosis

    Anyone, including pregnant women, with a positive test result for TB infection (TB blood test or TB skin test), symptoms of TB disease, or who have spent time with a person with active TB disease should receive a medical evaluation for TB.

    A medical evaluation for TB disease includes:

    1. Medical history
    2. Physical examination
    3. Test for TB infection (TB blood test or TB skin test)
    4. Chest x-ray
    5. Laboratory tests to see if TB germs are present (sputum smear and culture)
    6. Laboratory tests for drug resistance

    Testing for TB infection

    There are two types of tests for TB infection: the TB blood test and the TB skin test.

    The TB blood test is safe to use during pregnancy but has not been fully evaluated for diagnosing TB infection in pregnant women.

    The TB skin test is both safe and reliable to use throughout pregnancy.

    TB Blood Test

    TB blood tests (also called interferon-gamma release assays or IGRAs) use a blood sample to find out if someone is infected with TB germs. The tests measure how the immune system reacts when a small amount of blood is mixed with TB proteins.

    Tell your health care provider if you have received the TB vaccine (BCG vaccine). The TB vaccine can cause a false positive TB skin test reaction. Unlike the TB skin test, TB blood tests are not affected by the TB vaccine.

    TB Skin Test

    For the TB skin test, a health care provider uses a small needle to put some testing material under the skin. You will need to return to your health care provider in two to three days to see if there is a reaction.

    Understanding TB Blood Test or TB Skin Test Results

    A positive test result for TB infection means you have TB germs in your body. A health care provider will do other tests to determine if you have inactive TB or active TB disease. These tests may include a chest x-ray, and a test of the sputum (phlegm) you cough up.

    A negative test result for TB infection means inactive TB or active TB disease is unlikely, but your health care provider may do more tests, especially if:

    • You have symptoms of active TB disease, like coughing, chest pain, fever, weight loss, or tiredness.
    • You have HIV.
    • You were recently exposed to TB germs.

    Chest x-ray

    Health care providers may use a chest x-ray to look for signs of TB disease of the lungs.

    Laboratory tests

    Your health care provider may collect samples from you. A common sample is a sputum (phlegm) specimen to test for TB of the lungs. Your health care provider may also collect a urine sample, take tissue samples, or do other tests. These tests can find TB germs that may be outside your lungs.

    The laboratory will do tests, such as a smear test and a culture test to see whether there are TB germs in your sample. If the laboratory finds TB germs in your sample, they will also do tests to see which TB medicines can kill the TB germs.

    Diagnosis

    Inactive TB

    If you have a positive TB blood test or TB skin test, but your health care provider does not find evidence of TB disease after a medical evaluation, you may be diagnosed with inactive TB.

    Active TB Disease

    If you have symptoms of TB disease, a positive TB blood test or TB skin test and your health care provider finds evidence of active TB disease during the medical evaluation, you may be diagnosed with active TB disease.

    Treatment and recovery

    Your health care provider will choose TB medicines that are recommended to use during pregnancy and monitor you and your baby during treatment for inactive TB or active TB disease. Tell your health care provider if you have any problems taking your medicine.

    Inactive TB treatment during pregnancy

    In most cases, women who are diagnosed with inactive TB during pregnancy can delay treatment for inactive TB until 2-3 months post-partum. If you have a high risk of developing TB disease once infected, your health care provider may recommend starting treatment for inactive TB right away.

    Active TB disease treatment during pregnancy

    Women who are diagnosed with active TB disease during pregnancy should start treatment right away. Although the TB medicines used in recommended treatment regimens cross the placenta, these medicines are not known to have harmful effects on the baby.

    Breastfeeding

    Rifampin, one of the medicines that health care providers can use to treat TB, can cause orange discoloration of body fluids, including breast milk. This is expected and harmless.

    Resources

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  • ‘Usually Only Seen in Elite Bodybuilders’

    ‘Usually Only Seen in Elite Bodybuilders’

    A TikTok video featuring a ChatGPT response has gone viral after it declared President Donald Trump‘s reported physical results “virtually impossible,” and compared them to those of elite-level bodybuilders.

    In a viral TikTok video posted by @coughbuddy, ChatGPT is shown analyzing Trump’s alleged physical stats—specifically, a 215-pound weight at 6’3″—and responding that such figures are “virtually impossible” for someone of his build and age.



    “That combination creates a bit of a biological paradox: a sedentary 78-year-old man with average age-related muscle loss and 4.8% body fat is virtually impossible,” ChatGPT’s response read.

    The TikTok user was prompted to ask ChatGPT about his results after the AI program provided an image of a muscular man when asked to create a “physical image” based on Trump’s numbers.



    The AI assistant noted that those proportions are “usually only seen in elite bodybuilders at peak conditioning,” prompting a wave of skepticism and humor online.

    Trump’s physical fitness and medical records have often been a source of public speculation. The president underwent his latest physical on April 11, sparking rumors and ridicule after users questioned some results. Aside from Trump’s fat percentage and weight, the president’s height particularly drew questions online after Trump reportedly grew an inch.

    Originally published on Latin Times



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