October is Breast Cancer Awareness Month: What to know about the latest developments in breast cancer research, treatment and prevention

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Breast Cancer Awareness Month kicks off on Monday.

Often associated with pink ribbons and 5K walks, the movement has been wildly popular: National Cancer Institute (NCI) funding for breast cancer totaled $520 million in 2016.

The increasing breast cancer awareness comes at a time when women can find substantial improvements in breast cancer treatment.

Here’s what you need to know about the latest developments.

How common is breast cancer?

According to the U.S. Centers for Disease Control and Prevention, breast cancer is the most common cancer in women (besides skin cancer), and the second most common cause of cancer death in women.

Approximately 266,000 women will be diagnosed with invasive breast cancer by the end of 2018.

In 2015, there were an estimated 3.4 million women living with breast cancer.

What you can do

We’ve known for a while that your risk of breast cancer gets lower with some lifestyle changes. Women who exercise, don’t smoke, don’t binge drink, stay a healthy weight after menopause, and use the pill for a shorter number of years have a lower risk.

Breast mammography, although imperfect, has been instrumental in detecting breast cancer when it does occur. Recommendations regarding screening are controversial: the question is the age that screening should begin.

The American College of Radiology (ACR) recommends annual screening starting at age 40, while the United States Preventive Services Task Force (USPSTF) believes that you should be screened every two years starting at age 50.

The American Cancer Society (ACS) recommends annual screening at age 45, with the option for women to be screened when they’re 40 if they prefer. The differences reflect changing opinions on what age the benefits of screening outweigh the risks.

New to the scene is breast tomosynthesis, a 3-D screening tool that received FDA approval in 2011. Research has shown better cancer detection rates with tomosynthesis, and fewer “false alarms,” when women with no disease are mistakenly called back for further testing.

In patients with dense breast tissue, screening ultrasounds can improve detection rates. In patients with the highest risk of developing breast cancer, screening breast MRIs, in combination with mammography, have been shown to improve survival.

Continue onto ABC News to read the complete article.

It’s Cool to be Kind: 5 Cyberbullying Prevention Tips

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Here are 5 cyberbullying prevention tips. Number one is The Golden Rule.

1. The Golden Rule. It’s important to remind ourselves that behind every username and avatar there’s a real person with real feelings. The “golden rule” is just as important online as it is in real life. Kids can take the high road by applying the concept of “treat others as you would like to be treated” to their actions online, creating positive impact for others and disempowering bullying behavior.

2. Promote Kindness. It’s important to teach kindness. But it’s just as important to model the lessons of kindness that we teach. How you and your friends treat each other online can model behavior for younger generations. Respect others’ differences and use the power of the Internet to spread positivity.

3. Move from bystander to upstander. Often kids want to help out a target of bullying but don’t know what to do. According to StopBullying.gov, only 20-30 percent of students notify adults about bullying. Encourage kids to speak up against and report online bullying. If they find themselves a bystander when harassment or bullying happens, they have the power to intervene and report cruel behavior. Kids can choose to be an upstander by deciding not to support mean behavior and standing up for kindness and positivity.

4. Turn negative to positive. Kids are exposed to all kinds of online content, some of it with negative messages that promote bad behavior. Teach your kids that they can respond to negative emotions in constructive ways by rephrasing or reframing unfriendly comments and becoming more aware of tone in our online communication. Reacting to something negative with something positive can lead to a more fun and interesting conversation – which is a lot better than working to clean up a mess created by an unkind comment.

5. Mind Your Tone. Messages sent via chat and text can be interpreted differently than they would in person or over the phone. Encourage kids to think about a time that they were misunderstood in text. For example, have they ever texted a joke and their friend thought they were being serious – or even mean? It can be hard to understand how someone is really feeling when you’re reading a text. Be sure you choose the right tool for your next communication – and that you don’t read too much into things that people say to you online. If you are unsure what the other person meant, find out by talking with them in person or on the phone

Supporting teachers and their classrooms:
Google has teamed up with DonorsChoose.org, a nonprofit with a web platform that is part matchmaker, part Scholastic Fairy Godmother. Teachers post their school project wishes on the platform and people like you—or companies like us—find projects we’d love to sponsor. With DonorsChoose.org, Google has built a $1 million Classroom Rewards program to encourage and celebrate classroom achievement with Be Internet Awesome. Upon completion of the program, K-6 teachers can unlock a $100 credit towards their DonorsChoose.org project. Teachers can kick off the Be Internet Awesome lessons with one called #ItsCoolToBeKind. 💚 Check out the details on DonorsChoose.

Be Internet Awesome is Google’s free, digital citizenship and online safety program that teaches kids the skills they need to be safe and smart online. Parents can find additional resources in English, Spanish and Portuguese, such as downloadable materials for the home at g.co/BeInternetAwesome.

How This Psychologist Is Making Therapy More Accessible For Black Millennial Women

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According to the U.S Department of Health and Human Services Office of Minority Services, African-Americans are 20%  more likely to experience psychological distress such as depression, suicide, PTSD and anxiety than their non-Hispanic white counterparts.

Meet Dr. Bradford, a licensed psychologist based in Atlanta, Georgia and founder of Therapy for Black Girls. Passionate about changing the stigma surrounding mental health issues and therapy which often prevents black women from taking the step of seeing a therapist, Bradford aims to alleviate the process of seeking relief for mental health-related issues within the black community, by fostering a safe space to present mental health topics to black millennial women in a digestible way.

Previously a college counselor, Bradford leveraged her people person and problem solver skills to create the Therapy for Black Girls platform in 2014. The Therapy for Black Girls platform now reaches over 32,000 members with its blog, podcast, social media communities, and very own national therapist directory, that lists black women mental health providers nationally.

I spoke with Bradford about what inspired her to create Therapy for Black Girls, why there’s a stigma surrounding mental health in the black community and the challenges that isolate black women millennials from seeking mental health care.

Dominique Fluker: As a licensed psychologist, speaker and host of the wildly popular mental health podcast, Therapy for Black Girls, share why you decided to create the online space dedicated to encouraging the mental wellness of black women and girls? 

Dr. Joy Bradford: I created the space because I really wanted Black women to have a place to go to get information about mental health that felt relevant and accessible to them. I wanted to be able to share information about recognizing signs and symptoms of mental illness but also to have conversations about the kinds of things we can do to encourage mental wellness.

Fluker: How is the Therapy for Black Girls platform combating the stigma surrounding mental health issues and therapy for African-American women?

Bradford: I think it’s combating stigma because it is making topics that were once taboo, ok to be publicly discussed. I think that topics covered on the podcast have given people language for some of the things they may have been struggling with, and I think the directory has allowed scores of women to connect with mental health professionals across the country who are excited about providing high-quality care to them.

Fluker: What are the challenges that black women millennial face daily that might make them feel isolated from mental health care?

Bradford: I think that sometimes black millennial women worry that their issues are not “big” enough to go to therapy and so they don’t utilize the service. I also think that sadly a lot of black millennial women also don’t feel like providers will really get them and it feels really hard to go into space where you’re supposed to be very transparent but not able to be comfortable. Additionally, I think that the cost may be prohibitive for some people who may want to go to therapy. Even with insurance, it may be difficult to afford therapy, but without it, there can be a lot of hoops to jump through to find lower cost therapy that is a good fit.

Continue onto Forbes to read the complete article.

Taraji P. Henson Creates Foundation to Honor Her Late Father Who Battled Mental Health Issues

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Taraji Henson

Taraji P. Hensonis on a mission. In hopes of eradicating the stigma surrounding mental health in African-American communities, the actress just launched the Boris Lawrence Henson Foundation in honor of her late father. The organization will provide scholarships to African-American students majoring in mental health, offer mental health services to youth in urban schools and work to lower the recidivism rates of African-American men and women.

“I named the organization after my father because of his complete and unconditional love for me; his unabashed, unashamed ability to tell the truth, even if it hurt; and his strength to push through his own battles with mental health issues,” Henson said.

The Empire star chronicled her relationship with her father Boris, who died in 2006 at the age of 58 after battling liver cancer, in her 2016 memoir, Around the Way Girl. “My dad fought in the Vietnam War for our country, returned broken, and received little to no physical and emotional support,” she said. “I stand now in his absence, committed to offering support to African Americans who face trauma daily, simply because they are black.”

Continue on to PEOPLE to read the complete article.

Know Your Girls campaign encourages black women to understand breast cancer risks

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Actress and breast cancer survivor Vanessa Bell Calloway lends her voice to public service announcements

Actress and breast cancer survivor Vanessa Bell Calloway knows how important it is to get the word out about breast health.

In 2016, she shared her story of survival on Ebony.com. She caught the disease early, opted for a mastectomy and she’s been cancer-free since.

Now Calloway has teamed up with the Susan G. Komen organization and the Ad Council for a national campaign, Know Your Girls. Her role includes a voice-over for the campaign’s video public service announcements.

“I’m so happy to be a part of this important campaign because as a breast cancer survivor, I understand firsthand how important it is to know your girls literally and figuratively. Being in tuned with your girls can save your life. Know Your Girls can also mean know your real-life girlfriends and as a community of women help remind each other about the importance of breast health,” said Calloway.

The Know Your Girls announcements include singer Alicia Keys’ hit song “You Don’t Know My Name.” Other featured celebrities include celebrity stylist June Ambrose, actress and comedian Regina Hall, E! News co-anchor Zuri Hall, 2 Dope Queens co-creator and actress Jessica Williams, singer-songwriter, producer and actress Michelle Williams, and comedian and actress Kym Whitley; as well as digital creators Black Moms Blog, Ebony from Team2Moms, Glamtwinz: Kelsey and Kendra Murrell, Jade Kendle, Tianne King, Megan “Megz” Lytle and Jayla Watson.

The campaign is a response to dismal numbers concerning black women. Black women in the U.S. are 40 percent more likely to die from breast cancer than white women, according to the Ad Council. A recent study found that while 92 percent of black women agree breast health is important, only 25 percent have recently discussed breast health with their family, friends, or colleagues and only 17 percent have taken steps to understand their risk for breast cancer.

Black women are more likely to be diagnosed with breast cancer at a younger age, at later stages of the disease, and with more aggressive forms of the disease, which limits the options for treatment. The Know Your Girls campaign encourages black women between the ages of 30 and 55 to treat their breasts with the same attentiveness and understanding they share with the women in their lives.

“The Know Your Girls campaign introduces breast cancer education through a celebration of the powerful sisterhood between black women,” said Lisa Sherman, president and CEO of the Ad Council. “Instead of focusing on fear, the campaign provides tools and information that can help black women feel ownership around their breast health and encourages the sharing of those resources and messages with the women who support them throughout their lives.”

Besides the digital announcements, the campaign includes TV, radio, print and out-of-home ads that direct women to KnowYourGirls.org. The website features resources that help women navigate breast cancer risk factors, recognize changes in their breasts, and how to prepare to have a conversation with a doctor.

Continue onto FastCompany to read the complete article.

Famed for “Immortal” Cells, Henrietta Lacks is Immortalized in Portraiture

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In life, Virginia-born Henrietta Lacks did not aspire to international renown—she didn’t have the luxury. The great-great-granddaughter of a slave, Lacks was left motherless at a young age and deposited at her grandpa’s log cabin by a father who felt unfit to raise her. Never a woman of great means, Lacks wound up marrying a cousin she had grown up with and tending to their children—one of whom was developmentally impaired—while he served the 1940s war effort as a Bethlehem steelworker.After the Axis fell and her husband’s work died down, Lacks delivered three additional children, for a total of five. Sadly, fate denied her the chance to watch them grow. Visiting a hospital with complaints of a “knot” inside her, Lacks received news of a cancerous tumor in her cervix, which had escaped doctors’ notice during the birth of her fifth child. Treating Lacks’s cancer with crude radium implants—standard operating procedure in 1951—doctors were unable to save her life. At the age of 31, the person known as Henrietta Lacks ceased to exist.

And yet, curiously, a small biological part of Lacks lived on. Tissue samples collected as a part of her radiation treatment proved surprisingly robust in the lab. Doctors were accustomed to tissue samples dying off quickly once removed from their hosts, and were shocked at the unflagging replication rate of the cells from Lacks’s cervix.

Physicians recognized the value of Lacks’s tissue samples, but did not feel any ethical obligation to inform her surviving family of their work. As days, weeks, months and years passed, the initial samples continued cell reproduction with no signs of faltering, opening the door to all sorts of previously impossible disease testing. As copies of Lacks’s cells—dubbed “HeLa” cells as a nod to their source—circulated among the global scientific community, paving the way for such breakthroughs as Jonas Salk’s famous polio vaccine, Lacks’s family was never notified. Not only did they not affirmatively consent to the use of Henrietta’s tissue samples for continued research, they didn’t even know about the remarkable properties of HeLa tissue until 1975, when the brother-in-law of a family friend asked offhand about the Lacks cells his National Cancer Institute coworkers had been studying. For more than two decades, the Lacks family had been kept in the dark.

Lacks’s descendants never received compensation and were never asked for input, despite the ongoing worldwide use of Lacks’s cells for biomedical research into diseases running the gamut from HIV to Ebola to Parkinson’s. Her children welcomed the addition of a donated grave marker to her unmarked plot in 2010—“Here lies Henrietta Lacks. Her immortal cells will continue to help mankind forever.”—but the public debate over her exploitation by the scientific community rages on. Her story has been the subject of a widely acclaimed 2010 book and a 2017 HBO feature film produced by and starring Oprah Winfrey.

In the lead-up to the 2017 film, African-American portraitist Kadir Nelson, commissioned by HBO, set out to capture Lacks in a richly colored, larger-than-life oil painting. That visual rendering of the woman whose cells have saved millions was just jointly acquired by the National Museum of African American History of Culture and the National Portrait Gallery, and will be on view on the first floor of the latter through November 4, 2018.

“Nelson wanted to create a portrait that told the story of her life,” says painting and sculpture curator Dorothy Moss. “He was hoping to honor Henrietta Lacks with this portrait, because there was no painted portrait that existed of her.”

Continue onto Smithsonian to read the complete article.

CVS Health Fights Back on High Cost Drugs by Launching Industry’s Most Comprehensive Approach to Saving Patients Money

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New CVS Health initiative seeks to solve one of the nation’s most pressing problems and a major source of consumer financial worry.

Recognizing the threat of rising drug prices and high out-of-pocket costs, CVS Health providing most advanced solutions for prescribers, pharmacists and patients.

CVS Pharmacists are key resource for patients in identifying opportunities to maximize their prescription benefits and save money at the pharmacy counter in communities nationwide.

CVS Caremark mitigating impact of high drug costs by providing members and prescribers with robust information and innovative tools to choose lower-cost prescription drugs.

The high cost of prescription drugs is one of the nation’s most pressing problems and a major source of financial worry for consumers across the nation. While CVS Health (NYSE: CVS) has made significant progress in mitigating the impact of high list prices set by pharmaceutical manufacturers, for too many Americans annual out-of-pocket drug costs are still significant. In response, CVS Health announced today that it is fighting back by launching the most comprehensive program in the industry to help patients save money on their medications.

According to a recent national poll, commissioned by CVS Health, 83 percent of Americans said they were concerned personally about the impact of rising prescription drug prices.[1] As prescription drug prices continue to rise and enrollment in high deductible health plans grows, many patients are shouldering higher costs for their prescription medicine.

CVS Health will address this problem with a robust set of initiatives, including the new CVS Pharmacy Rx Savings Finder, which will enable the company’s retail pharmacists for the first time to evaluate quickly and seamlessly individual prescription savings opportunities right at the pharmacy counter. This new tool further enhances existing savings opportunities the company’s pharmacy benefit manager (PBM) CVS Caremark is currently offering its clients such as the preventive drug lists that make medications for many common, chronic conditions available at a $0 copay. In addition, CVS Caremark provides real-time, member-specific drug costs and lower-cost alternatives to prescribers through their electronic health record system and to CVS Caremark members through the member portal and newly updated app. These programs are part of CVS Health’s commitment to helping consumers find the lowest cost prescription drugs by offering more pricing transparency for prescribers, pharmacists and patients.

“Today’s consumers are faced with higher prescription drug prices than ever before and many of them are now paying for a larger share of their prescription drug costs out of their own pockets at the pharmacy counter due to growth in high deductible health plans,” said Thomas Moriarty, Chief Policy and External Affairs Officer, CVS Health. “Until now, patients haven’t had the appropriate tools available to them to help them manage these costs. To address this, CVS Health is giving expanded tools to patients, prescribers and pharmacists so they can evaluate prescription drug coverage in real-time and identify lower-cost alternatives. We are committed to finding the right drug at the lowest possible cost for patients to ensure they are able to access and stay on the medications they need. That’s our promise.”

At the Pharmacy Counter

The new CVS Pharmacy Rx Savings Finder enables the retail pharmacist to quickly and seamlessly review a patient’s prescription regimen, medication history and insurance plan information to determine the best way for them to save money on out-of-pocket costs – with the primary goal of helping the patient find the lowest cost alternative under their pharmacy benefits plan.

“Our direct experience is that patients who are confronted with high out-of-pocket costs at the pharmacy counter are less likely to pick up their prescriptions and are less likely to be adherent to their prescribed therapy,” said Kevin Hourican, Executive Vice President, Retail Pharmacy, CVS Pharmacy.

“Armed with the information available through our Rx Savings Finder, our more than 30,000 CVS pharmacists can play an important role by helping patients save money on their medications, providing advice on how and when to take them, and ultimately helping them achieve better health outcomes,” Hourican added. “We are beginning this process with our CVS Caremark PBM members and expect to roll it out more broadly throughout the year.”

The Rx Savings Finder will show pharmacy teams:

  1. First, if the prescribed medication is on the patient’s formulary and is the lowest cost option available.
  2. Second, if there are lower-cost options covered under the patient’s pharmacy benefit – such as a generic medication or therapeutic alternative with equivalent efficacy of treatment.
  3. Third, if the patient may be able to save money by filling a 90-day prescription rather than a 30-day prescription.
  4. Finally, if neither a generic nor a lower-cost alternative is available, other potential savings options for eligible or uninsured patients where allowed by applicable laws and regulation.[2]

Pharmacists can also help patients enroll in the ExtraCare Loyalty Program and sign them up for Pharmacy and Health Rewards. Through Pharmacy and Health Rewards, patients receive $5 in ExtraBucks for every 10 prescriptions filled, earning up to $50 in ExtraBucks annually.

At the Doctor’s Office

Another component of the company’s comprehensive savings approach is the recently launched real-time benefits program, which helps bring greater drug price transparency to prescribers and CVS Caremark members. At the point-of-prescribing, providers are able to see the member-specific cost for a selected drug, based on a member’s coverage, along with up to five lowest-cost, clinically appropriate therapeutic alternatives based on the patient’s formulary. PBM members have access to the same information on the CVS Caremark app and member portal. Early results show that prescribers accessing the real-time benefits information through their electronic health record switched their patient’s drug from a non-covered drug to a drug on formulary 85 percent of the time. In addition, when the patient’s drug is covered, prescribers using real-time benefits switch their patient to a lower-cost alternative 30 percent of the time. When the prescriber switched to a lower-cost drug, the difference was approximately $75 per prescription.
“We have been working hard to keep prescription medications affordable for patients,” said Troyen A. Brennan, M.D., Executive Vice President and Chief Medical Officer, CVS Health. “In fact, in 2017, nearly 90 percent of our PBM plan members spent less than $300 out-of-pocket for their prescription medicines. While this signals progress, for those patients that cost is not insignificant. That is why we are committed to doing even more across our enterprise to help patients find and access the lowest cost drug at the pharmacy which ultimately will help improve clinical outcomes and remove higher downstream medical costs from the system.”

Using Pharmacy Benefit Management Solutions

CVS Health is also making a variety of PBM solutions available to help further drive down drug trend for its PBM clients and drug costs for the patients they support. The company’s Point of Sale (POS) rebate offering allows the value of negotiated rebates on branded drugs to be passed on directly to patients when they fill their prescriptions – and the savings from this program can be significant. In 2013, CVS Health led the industry with the introduction of POS rebates to clients, and today nearly 10 million members are covered by and able to benefit from the program.

In 2017, despite manufacturer brand list price increases on drugs near 10 percent, CVS Health PBM strategies reduced drug trend for CVS Caremark commercial clients to the lowest level in five years, keeping drug price growth at a minimal 0.2 percent. In fact, 42 percent of CVS Caremark commercial clients spent less on their pharmacy benefit plan in 2017 than they had in 2016. CVS Caremark helped members reduce monthly out-of-pocket costs and improve adherence to its highest level in seven years in key categories such as diabetes, hypertension and hyperlipidemia.

Prescription drug trend is the measure of growth in prescription spending per member per month. Trend calculations take into account the effects of drug price, drug utilization and the mix of branded versus generic drugs as well as the positive effect of negotiated rebates on overall trend. The 2017 trend performance is based on a cohort of CVS Health PBM commercial clients, employers and health plans.

About CVS Health

CVS Health is a pharmacy innovation company helping people on their path to better health. Through its more than 9,800 retail locations, more than 1,100 walk-in medical clinics, a leading pharmacy benefits manager with more than 94 million plan members, a dedicated senior pharmacy care business serving more than one million patients per year, expanding specialty pharmacy services, and a leading stand-alone Medicare Part D prescription drug plan, the company enables people, businesses and communities to manage health in more affordable and effective ways. This unique integrated model increases access to quality care, delivers better health outcomes and lowers overall health care costs. Find more information about how CVS Health is shaping the future of health at https://www.cvshealth.com.

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[1] The Morning Consult poll was conducted from February 22-26, 2018, among a national sample of 1992 registered voters. The interviews were conducted online and the data were weighted to approximate a target sample of registered voters based on age, race/ethnicity, gender, educational attainment, and region. Results from the full survey have a margin of error of plus or minus 2 percentage points.

[2] Prescriptions submitted for reimbursement to Medicare, Medicaid or other federal or state programs are not eligible.

African-Americans at risk from unusual optometry practice

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By Joseph Hammond, Urban News Service

When Pat Raynor developed cataracts she hoped her optometrist would simply refer her to a qualified eye surgeon. But the 65-year old Virginia woman said the optometrist who handled her routine eye exams seemed more interested in business than medicine. He pressured her to accept a form of care known as co-management in which he – rather than the surgeon – would handle post-operative checkups.

“When I went home, I kept thinking about it, and I knew something was not right,” Raynor said, explaining her decision to seek successful treatment out of state. Raynor is one of the millions of Americans who develop cataracts – a common condition of aging in which a thick film that develops in part of the eye can lead to cloudy vision or in some cases a loss of vision if left untreated. According to the World Health Organization (WHO), cataracts are the leading cause of blindness in the world. More than half of all people in the United States will have a cataract or have had cataract surgery at the age of 80.

Evidence suggests that African-Americans like her may be more prone to certain types of cataracts. A study published in the Ophthalmology edition of the Journal of the American Medical Association found that 54% of African-American nursing home residents suffered from cataracts versus only 37% of whites.

That also makes African-Americans especially vulnerable to the ticking time bomb regarding eye care buried in the Medicare Act of 1992. Guidelines adopted then allowed a practice known as “co-management” for eye-surgery. In most surgical procedures the operating surgeon is responsible for post-operative care. Under a co-management relationship, an ophthalmologist or eye surgeon performs say a cataract operation on a patient with that patient’s optometrist performing post-operative care.

Optometrists are technicians who are specialized in preserving vision and the overall health of the eye. On average optometrists attend four years of college as well as graduate school. Though a few optometry schools allow applications from students, who didn’t complete an undergraduate degree. Some optometrists later earn doctorate degrees

The requirements for ophthalmologists are far more strenuous. After completing an undergraduate degree, they attend four years of medical school. Their medical degree complete a would be ophthalmologist then spends several years getting hands-on training. Usually, an internships which last at least one year is followed by three years of residency. Some also complete an additional fellowship year as well. Conversely, optometrists usually do not work in internships at hospitals or supervised residencies at medical facilities.

Co-management was intended for use only in limited circumstances, particularly by rural patients who might have trouble reaching an ophthalmologist. Instead, it has become a mechanism for sweetheart deals between optometrists and ophthalmologist who reward each other through mutual referrals.

Today roughly nearly one in five cataract surgeries are performed in a co-managed relationship experts say with almost all of them taking place in urban areas.

Since most elderly African-Americans live in urban areas, they stand a higher risk of being steered toward such arrangements.

Most individuals do not experience complications after eye surgery. But for those that do the consequences can be severe, especially if there follow-up care is with an optometrist, who is not a medical doctor, rather than an ophthalmologist. In 2009, a scandal at a veteran’s hospital in California revealed that many individuals treated for cataracts could have potentially had better health outcomes if they were treated by ophthalmologists.  Some individuals were blinded.

Nevertheless, many health care professional argue co-management offers safe and efficient care. “With the continued focus on patient-centered care, the co-management of surgical patients, such as those having cataracts removed or laser surgery, is the standard and optimal approach to pre- and post-operative care,” said Christopher J. Quinn. O.D., president of the American Optometric Association in a written statement to the American Media Institute, “…This is especially true in underserved areas, as it is estimated that 90% of people in the U.S. live within 15 minutes of a doctor of optometry. Co-management allows patients to receive care from a doctor they already know and trust, maintaining their patient-doctor relationship.”

Quinn also noted that optometrists and ophthalmologists have been co-managing patients for decades in many jurisdictions and that the practice is recognized in all 50 states recognize. He also said that co-management can occur in other types of medicine.

But those arrangements can be especially murky when it comes to eye care. A 2006 survey by the National Consumer League found that only 30% of consumers knew the difference between optometrists and ophthalmologists.

For her part, Raynor said that it important that patients be given the information they need – regarding both medical capabilities and financial relationships among providers – in order to make informed choices about their vision.

“A lot of people can’t afford cataract surgery, and I would have probably gone through with co-management but, I didn’t have a credit card,” she said.

She is glad she had her care overseen by ophthalmologist. “After my ordeal, I am just thankful to have my eyes, and now I can see even better than before cataracts, I was having a hard time just seeing and focusing. You know there used to be a house I would drive by this beige house but, after my cataracts were removed, I noticed the house was in fact pink.”

Urban News Service

This Geriatrician Says To Do These 5 Things to Live Longer

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A healthful diet can reduce risk for disease and increase longevity

Good nutrition plays an important role in how well you age. Eating a healthful diet helps keep your body strong and can help reduce your risk for heart disease, diabetes, stroke and osteoporosis. Studies even show a link between healthful eating and longevity.

“As we age, the body becomes less efficient at absorbing some key nutrients. Appetite and taste can suffer from loss of sense of smell and taste or from side effects of medications. Bad teeth can make some foods difficult to chew or digest,” said Arthur Hayward, MD, a geriatrician and the clinical lead physician for elder care with Kaiser Permanente’s Care Management Institute. “So choosing foods carefully is smart.”

Here are five tips to help you get the nutrition your body needs:

  1. Avoid empty calories.

Foods with empty calories may contain very few vitamins and minerals. “Convenience foods,” such as packaged snacks, chips and sodas, are common sources of empty calories. Avoid the “bad” carbs—foods that have white flour, refined sugar and white rice.

  1. Choose nutrient-rich foods.

Eat a variety of foods. The more you vary the foods you eat, the more vitamins, minerals and other nutrients you get. For example:

* Eat lots of fruits and vegetables—Choose fresh, frozen or no-salt canned vegetables and fruits in their own juice or light syrup.

* Eat foods with protein—Protein is found in lean meat, fish, poultry, eggs and cheese, cooked beans, peanut butter and nuts and seeds.

* Get enough calcium and vitamin D—Calcium and vitamin D are found in milk and milk products, including yogurt and cheese. They are also in green leafy vegetables (spinach, kale, collard greens) and tofu.

* Include foods high in vitamin B12—After 50, the body produces less gastric acid and absorbs less B12, which helps keep blood and nerves vital. B12 is found in milk, meat, poultry, fish, and eggs.

* Eat high-fiber foods—This includes fruits, vegetables, cooked dried beans, and whole grains.

  1. Drink plenty of fluids.

Drink plenty of fluids—enough so that your urine is light yellow or clear like water. Fiber and fluids help with constipation.

  1. If your appetite is poor, eat smaller meals.

Try eating smaller meals, several times a day, instead of one or two large meals. Eating while socializing with others may help your appetite. You might also ask about changing medicines. Medication can cause appetite or taste problems.

  1. Eat soft foods.

As we approach our senior years, chewing food is sometimes difficult. Choose low-sodium canned vegetables or cooked fruits and vegetables. These are often softer. Chop or shred meat, poultry or fish. Add sauce or gravy to the meat to help keep it moist.

For healthy recipe ideas, check out Kaiser Permanente’s Food for Health blog at https://foodforhealth.kaiserpermanente.org.

In addition to eating a balanced diet, aim for 150 minutes of physical activity each week. Ten-minute sessions several times a day on most days are fine. For more information, visit kp.org and everybodywalk.org. For questions or advice about a specific condition, talk with your physician.

Source: NewsUSA

3 Things to Know Before You Pick a Health Insurance Plan

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Choosing a health insurance plan can be complicated. Knowing just a few things before you compare plans can make it simpler.

  1. The 4 “metal” categories: There are 4 categories of health insurance plans: Bronze, Silver, Gold, and Platinum. These categories show how you and your plan share costs. Plan categories have nothing to do with quality of care.

Which metal category is right for you?

Bronze

  • Lowest monthly premium
  • Highest costs when you need care
  • Bronze plan deductibles — the amount of medical costs you pay yourself before your insurance plan starts to pay — can be thousands of dollars a year.
  • Good choice if: You want a low-cost way to protect yourself from worst-case medical scenarios, like serious sickness or injury. Your monthly premium will be low, but you’ll have to pay for most routine care yourself.

Silver

  • Moderate monthly premium
  • Moderate costs when you need care
  • Silver deductibles — the costs you pay yourself before your plan pays anything — are usually lower than those of Bronze plans.

Gold

  • High monthly premium
  • Low costs when you need care
  • Deductibles — the amount of medical costs you pay yourself before your plan pays — are usually low.
  • Good choice if: You’re willing to pay more each month to have more costs covered when you get medical treatment. If you use a lot of care, a Gold plan could be a good value.

Platinum

  • Highest monthly premium
  • Lowest costs when you get care
  • Deductibles are very low, meaning your plan starts paying its share earlier than for other categories of plans.
  1. Your total costs for health care: You pay a monthly bill to your insurance company (a “premium”), even if you don’t use medical services that month. You pay out-of-pocket costs, including a deductible, when you get care. It’s important to think about both kinds of costs when shopping for a plan.

When choosing a plan, it’s a good idea to think about your total health care costs, not just the bill (the “premium”) you pay to your insurance company every month.

Other amounts, sometimes called “out-of-pocket” costs, have a big impact on your total spending on health care – sometimes more than the premium itself.

Beyond your monthly premium: Deductible and out-of-pocket costs

  • Deductible: How much you have to spend for covered health services before your insurance company pays anything (except free preventive services)
  • Copayments and coinsurance: Payments you make each time you get a medical service after reaching your deductible
  • Out-of-pocket maximum: The most you have to spend for covered services in a year. After you reach this amount, the insurance company pays 100% for covered services.

So how do you find a category that works for you?

  • If you don’t expect to use regular medical services and don’t take regular prescriptions: You may want a Bronze plan. These plans can have very low monthly premiums, but have high deductibles and pay less of your costs when you need care.
  • If you qualify for extra savings on out-of-pocket costs OR want more of your costs covered: Silver plans probably offer the best value. If you qualify for extra savings (“cost-sharing reductions”) your deductible will be lower and you’ll pay less each time you get care. But you get these extra savings ONLY if you enroll in Silver plan. This can save you hundreds or even thousands of dollars a year if you use a lot of care. Even if you don’t qualify for extra savings, Silver plans offer good value — moderate premiums and deductibles, and better coverage of your out-of-pocket costs than a Bronze or Catastrophic plan provide.

If you expect a lot of doctor visits or need regular prescriptions: You may want a Gold plan or Platinum plan. These plans generally have higher monthly premiums but pay more of your costs when you need care.

  1. Plan and network types — HMO, PPO, POS, and EPO: Some plan types allow you to use almost any doctor or health care facility. Others limit your choices or charge you more if you use providers outside their network.

Types of Marketplace plans

Depending on how many plans are offered in your area, you may find plans of all or any of these types at each metal level – Bronze, Silver, Gold, and Platinum.

Some examples of plan types you’ll find in the Marketplace:

  • Exclusive Provider Organization (EPO): A managed care plan where services are covered only if you use doctors, specialists, or hospitals in the plan’s network (except in an emergency).
  • Health Maintenance Organization (HMO): A type of health insurance plan that usually limits coverage to care from doctors who work for or contract with the HMO. It generally won’t cover out-of-network care except in an emergency. An HMO may require you to live or work in its service area to be eligible for coverage. HMOs often provide integrated care and focus on prevention and wellness.
  • Point of Service (POS): A type of plan where you pay less if you use doctors, hospitals, and other health care providers that belong to the plan’s network. POS plans require you to get a referral from your primary care doctor in order to see a specialist.
  • Preferred Provider Organization (PPO): A type of health plan where you pay less if you use providers in the plan’s network. You can use doctors, hospitals, and providers outside of the network without a referral for an additional cost.

Source: Healthcare.gov

The V Foundation is helping fund cancer research in the black community

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Fund in memory of Stuart Scott focuses on poor survival rates among African-Americans

“Don’t give up … don’t ever give up.” These words were a staple for North Carolina State’s legendary basketball coach and ESPN commentator Jimmy Valvano. The V Foundation, formed in 1993 by ESPN and Valvano, raises money for cancer research. A huge part of the foundation’s mission is to build more opportunities for cancer research in minority communities.

There are more than 15.5 million cancer survivors today. Survival rates for many cancers continue to increase. New technology and a better understanding of genetics have allowed doctors to create individualized therapies, leading to more success. But according to the American Cancer Society, African-Americans have the highest death rate and shortest survival of any racial/ethnic group in the U.S. for most cancers.

According to the U.S. Centers for Disease Control and Prevention’s most recent data, black men have the highest cancer incidence rates, and black men and women both have a higher cancer death rate than their white counterparts. Cancer is the leading cause of death among Hispanics, accounting for 21 percent of deaths overall and 15 percent of deaths in children.

To combat the problem, the V Foundation, through the Stuart Scott Memorial Cancer Research Fund, is allocating dollars to minority researchers to fight cancer in minority communities. The funds will help continue Scott’s fight against cancer and assist some of the most vulnerable and disproportionately affected communities battling the disease.

The Stuart Scott Memorial Cancer Research Fund was formed by the V Foundation and Scott’s family. Near the end of his life, Scott participated in a clinical trial. He was a passionate voice for improving outcomes for African-Americans and other minorities with cancer. The Scott Fund supports research designed to discover why some cancers are more aggressive and more fatal in African-Americans.

“It was not lost on Stuart that his diligence and education about cancer research helped extend his life,” said Susan Scott, Stuart Scott’s sister. “Stuart’s passion for education was unmatched. He researched every aspect of his treatment to live with and beat cancer. His research revealed cancer’s disparities and the inequities faced in the African-American and Hispanic cancer-fighting communities. I know that he would be proud that the V Foundation is setting up this fund in his name to accelerate research for all communities.”

Continue onto The Undefeated to read the complete article.

Why Aren’t More People Eating Breakfast?

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We may know that breakfast is the most important meal of the day, but that doesn’t mean we are taking it to heart and having a hearty breakfast. In fact, although 97 percent of Americans agree breakfast is the most important meal of the day, only 44 percent eat it every day.

The most common reasons people skip breakfast are they weren’t hungry, didn’t feel like eating, or they were too busy. Females are more likely than males to skip a morning meal because of being busy or running late.

Why is breakfast so important? A good way to look at it is that you are breaking the fast. When you go without breakfast, you have deprived your body of calories since the last time you’ve eaten. These calories help feed your brain and without them you may lack energy, and your metabolism needs fuel to kick-start it into action. Breakfast is important, so it’s important to consume a sufficient amount.

Studies show that people who eat a good breakfast actually consume more vitamins and minerals, and less fat and cholesterol, than people who skip breakfast.

Those who make eat breakfast have been shown to be better learners. Children who have breakfast are more likely to have better concentration, problem-solving skills, and hand-eye coordination.

Smart choices for breakfast include whole grains, fruit, and low-fat dairy products.

The whole grains and fruit contain high amounts of fiber, which tend to fill you up faster and will delay symptoms of hunger for hours.

If choosing a dry cereal, look for whole grain as one of the first ingredients. It should contain 3 to 5 grams of fiber, and read the nutrition facts label to make sure sugar doesn’t appear as one of the first three ingredients. Sugar may be listed with a word that ends in “ose,” which means some form of sugar is in the product. Some of the sugar-coated or frosted cereals may have as much as 2-3 teaspoons of sugar for a one eighth cup serving.

Oatmeal is another high fiber choice, and with the instant oatmeal on the market today, it can be prepared in fewer than 2 minutes. When paired with fresh fruit and milk, you have a healthy breakfast in a matter of minutes.

If you just don’t have the time to grab something at home and must go through the drive through of a fast food restaurant, there are healthy choices for you. Many are offering warm oatmeal, whole-grain bagels, rolls, and English muffins. These are better than fat-filled doughnuts, scones, croissants, or biscuits. Skip the oversize breakfast sandwiches, whole milk, bacon and sausage. All of these contribute excessive fat, calories, and cholesterol to your diet.

Breakfast foods don’t have to be traditional. They can be any combination, just make them nutritious and well balanced, and they are limited only by your creativity and imagination.

Breakfast doesn’t have to be the full-course meal. Those can be reserved for weekends. There are many nutritious choices out there that can be ready in minutes.

As your busy day begins, take a few minutes to include breakfast into your morning schedule. Egg in a Nest is quick, healthy and only has 3 ingredients. As an added bonus, your kids may be able to make it themselves depending upon their age.

Rev. Jesse Jackson Diagnosed With Parkinson’s Disease

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The civil rights activist said he will be making “lifestyle changes” to slow the disease’s progression.

Civil rights leader and politician Rev. Jesse Jackson has been diagnosed with Parkinson’s disease, he announced Friday.

“My family and I began to notice changes about three years ago. For a while, I resisted interrupting my work to visit a doctor. But as my daily physical struggles intensified I could no longer ignore the symptoms, so I acquiesced,” he said in a statement posted to Twitter.

“After a battery of tests, my physicians identified the issue as Parkinson’s disease, a disease that bested my father.”

Jackson, 76, said he has recently experienced difficulty moving around and performing basic tasks.

Every year, roughly 60,000 Americans will be diagnosed with Parkinson’s, a neurological disease with no cure. The condition affects 1 percent of adults over the age of 60.

The disease affects everyone differently, but can cause stiffness, tremors, difficulty balancing, mood disorders and changes in language and memory.

In his statement, the two-time Democratic presidential candidate and civil rights activist said he would be making “lifestyle changes” and undergoing physical therapy.

He ended by saying, “As we continue the struggle for human rights, remember that God will see us through, even in our midnight moments. Keep hope alive!”

Continue onto the Huffington Post to read the complete article.

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