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SOBRE NOTICIAS EN Buy flagyl 400mg ESPAÑOLNoticias en español es una sección de Kaiser Health News que contiene traducciones de artículos de gran interés para la comunidad hispanohablante, viagra precio y contenido original enfocado en la población hispana que vive en los Estados Unidos. Use Nuestro Contenido Este contenido puede viagra precio usarse de manera gratuita (detalles). Lone Tree, Colorado.- Darcy Velásquez, de 42 años, y su madre, Roberta Truax, caminaban recientemente por el centro comercial Park Meadows, 15 millas al sur del centro de Denver, buscando regalos de Navidad para los dos hijos de Velásquez, cuando vieron una tienda con un exhibición de máscaras faciales adornadas con diamantes de fantasía.Brillantes ideales para una nena de 9 años. La tienda se viagra precio llama erectile dysfunction treatment Essentials.

Y bien puede ser la primera cadena minorista del país dedicada exclusivamente a una enfermedad infecciosa.Con el cierre de muchas tiendas en los Estados Unidos durante la pandemia de erectile dysfunction, especialmente dentro de los centros comerciales, los propietarios de esta cadena han sacado provecho del espacio vacío, así como de la creciente aceptación de que usar máscaras es una realidad que puede durar hasta 2021, o más.Las máscaras faciales han evolucionado de ser un producto utilitario, cualquier cosa podía servir para taparte la boca, a una forma de expresar la personalidad, las inclinaciones políticas o el fanatismo deportivo.Y los propietarios de erectile dysfunction treatment Essentials están apostando a que los estadounidenses están dispuestos a poner dinero en sus bocas. Los precios van desde $19,99 por una simple máscara para niños hasta $130 por una cubierta facial con un filtro N95 y un ventilador a batería.La cadena erectile dysfunction treatment Essentials viagra precio reconoce que la máscara ya es algo más que un inconveniente temporal. Será la norma hasta 2021, y tal vez más allá. (Markian Hawryluk/KHN)Casi todas las tiendas viagra precio en el centro comercial Park Meadows ahora venden máscaras.

Pero erectile dysfunction treatment Essentials también ofrece otros accesorios para la pandemia, en un espacio exclusivo. su logo es una imagen estilizada de una partícula de erectile dysfunction.Ubicado junto a la tienda de remeras UNTUCKit y frente a una sala de exhibición de viagra precio Tesla, no tiene el reconocimiento de marca ni el historial de un J.C. Penney. Pero la longevidad no parece haber ayudado a que la viagra precio cadena de ropa o muchas otras escaparan de la crisis por la pandemia.

Según los analistas de S&P Global Market Intelligence, las quiebras minoristas de enero a mediados de agosto alcanzaron su punto más alto en 10 años.No es que los propietarios de erectile dysfunction treatment Essentials quieran que sus productos tengan demanda para siempre.“Estoy ansioso por cerrar el negocio eventualmente”, dijo Nadav Benimetzky, un minorista de Miami que fundó erectile dysfunction treatment Essentials, que ahora tiene ocho tiendas en todo el país.Nathan Chen, propietario de la tienda Lone Tree con Benimetzky, tenía un negocio diferente en el aeropuerto de Denver, pero a medida que disminuyeron los vuelos, una alternativa centrada en erectile dysfunction treatment se perfiló como una empresa mucho mejor.Las máscaras han pasado de ser un producto utilitario a algo personalizado, que identifica al que la usa con un partido político o un equipo de fútbol americano.(Markian Hawryluk/KHN)Benimetzky abrió la primera tienda erectile dysfunction treatment Essentials en el Aventura Mall en los suburbios de Miami después de ver la demanda de máscaras N95 al principio de la pandemia. €œSon feas e incómodas, y viagra precio todo el mundo las odia”, dijo. €œSi vas a usar una máscara, también puede estar a la moda y ser bonita”.Eso podría significar una máscara de lentejuelas o satén para ocasiones más formales, o la sonrisa de una calavera para asuntos casuales. Algunos cubrebocas tienen cremalleras para facilitar la alimentación, o un orificio para una pajita, con cierre de velcro.La cadena tiene tiendas en la ciudad de Nueva York, Nueva Jersey, Philadelphia y Las Vegas, y está buscando abrir otras en California, donde los incendios forestales han aumentado la demanda de máscaras.Inicialmente, los propietarios realmente no estaban seguros de viagra precio que la idea funcionara.

Abrieron la primera tienda justo cuando los centros comerciales volvían a abrir después de las cuarentenas.“Realmente no comprendimos qué tan grande sería”, dijo Benimetzky. €œNo lo analizamos con la idea viagra precio de abrir muchas tiendas. Pero hemos estado ocupados desde el momento en que abrimos “.Un empleado de erectile dysfunction treatment Essentials decora una máscara con la palabra USA en piedras preciosas de fantasía.(Markian Hawryluk/KHN)Nancy Caeti, de 76 años, se detuvo en la tienda Lone Tree para comprar máscaras para sus nietos. Compró una transparente para su nieta, cuyo instructor de lenguaje de señas necesita ver sus labios viagra precio moverse.

Le compró a su hija, profesora de música y fanática de los Denver Broncos, una máscara con el logo del equipo de fútbol americano.“Sobreviví a la epidemia de polio”, contó Caeti. Recordó cómo su madre los puso en fila viagra precio a ella y a sus hermanos para recibir la vacuna contra la polio, y dijo que ella sería la primera en la fila para recibir la vacuna para erectile dysfunction treatment.Ese quizás sea el único “básico” que la tienda no vende. Pero tiene dispositivos similares a llaves para abrir puertas y presionar botones de ascensores sin tocarlos. Algunos tienen un abridor de botellas viagra precio incorporado.

Hay dispositivos de luz ultravioleta para desinfectar teléfonos y un desinfectante de manos exclusivo que los empleados rocían a los clientes como si fuera una muestra de perfume.Pero las máscaras son el mayor atractivo porque la tienda las puede personalizar.Al entrar, los clientes pueden verificar su temperatura con un escáner de frente digital con instrucciones audibles. €œAcérquese. Acércate. Temperatura normal.

Temperatura normal”.La tienda también ha agregado un fregadero cerca de la entrada para que los clientes puedan lavarse las manos antes de tocar los productos.Algunos pasan por la tienda desconcertados, deteniéndose para tomar fotos y publicarlas en las redes sociales. Una pareja mayor (blanca no hispana) con máscaras idénticas observó una máscara en el negocio con el lema “Black Lives Matter” y se alejó.El negocio no toma partido politico. Hay tres diseños de máscaras del presidente Donald Trump, y dos para el candidato presidencial demócrata Joe Biden.erectile dysfunction treatment Essentials vende dispositivos parecidos a llaves que sirven para abrir puertas y tocar el botón de los elevadores "a distancia". (Markian Hawryluk/KHN)Daniel Gurule, de 31 años, pasó por el centro comercial a la hora del almuerzo para comprar un Apple Watch, pero se aventuró a entrar en la tienda por una nueva máscara.

Dijo que normalmente usaba una máscara con ventilación, pero que no todos los lugares las permiten. (Protegen a los usuarios, pero no a las personas que los rodean). Compró una por $24,99 con el logo del equipo de baloncesto Denver Nuggets.“Nos quita un poco de nuestra personalidad cuando todo el mundo camina con máscaras desechables”, dijo Chen. €œParece un hospital, como si todo el mundo estuviera enfermo”.La mayoría de las máscaras están cosidas específicamente para la cadena, incluidas muchas hechas a mano.

Uno de sus proveedores es una familia de inmigrantes vietnamitas que cosen máscaras en su casa de Los Ángeles, dijo Benimetzky.Chen dijo que era difícil tener máscaras en stock y que todos los días hay un nuevo diseño que es éxito de ventas.Dorothy Lovett, de 80 años, se detuvo frente a la tienda, apoyada en un bastón con un diseño de estampado animal. €œTuve que retroceder y decir, ‘¿Qué diablos es esto?. €™â€, dijo. €œNunca antes había visto una tienda de máscaras”.Examinó la vitrina, notando que necesitaba encontrar una mejor opción que la versión de tela que estaba usando.“No puedo respirar con ésta”, dijo Lovett, antes de decidirse por su favorita.

€œMe gusta la máscara Black Lives Matter”. Markian Hawryluk. MarkianH@kff.org, @MarkianHawryluk Related Topics Noticias En Español Public Health States Colorado erectile dysfunction treatmentPETALUMA, Calif. €” Late on the night of Sept.

27, a bumper-to-bumper caravan of fleeing cars, horse trailers, RVs and overstuffed pickup trucks snaked east on Highway 12, the flames of the Glass Fire glowing orange in their rearview mirrors.With her cat, Bodhi, in his carrier in the back seat, 80-year-old Diana Dimas, who doesn’t see well at night, kept her eyes glued to the rear lights of her neighbor’s Toyota. She and Magdalena Mulay had met a few years before at a bingo night in their sprawling retirement community on the outskirts of Santa Rosa. Both Libras, each with two marriages behind her, the two women soon became the sort of friends who finish each other’s sentences.Now, for the second time in three years, they heard the alarms and fled together as fire consumed the golden hills of Northern California’s wine country.“I thought, where on earth are we going to go?. € recalled Dimas.

She remembered that when the catastrophic Tubbs Fire hit back in 2017, people had sought refuge outside well-lit supermarkets, which had water and bathrooms. Which is how Dimas and Mulay and dozens of other seniors ended up spending the night of the most recent evacuation in the parking lot of the Sonoma Safeway. Email Sign-Up Subscribe to KHN’s free Morning Briefing. At midnight, Mulay was trying to get comfortable enough to catch a few winks in her driver’s seat when her phone began to chirp.

A friend was calling to wish her a happy 74th birthday.The stories of that Sunday night — as a 20-acre fire started that morning merged with two other fires to become an 11,000-acre conflagration forcing tens of thousands from their homes in two counties — spotlight the challenges of evacuating elderly and infirm residents from the deadly wildfires that have become an annual occurrence in California. This year, the erectile dysfunction, which is especially dangerous to the elderly, has further complicated the problem.While the 2020 fire season will go down as the state’s biggest on record, rescuers have so far managed to avoid horrors on the scale of three years ago, when the firestorm that raced through California’s wine country killed 45 people. Almost all were over 65 — found in wheelchairs, trapped in their garages, isolated and hard of hearing, or simply too stubborn to leave. The same grim pattern emerged from the Camp Fire, which leveled the Northern California town of Paradise in 2018.Assisted care homes in particular came under scrutiny after the 2017 fire, when ill-equipped and untrained workers at two Santa Rosa facilities abandoned two dozen frail, elderly residents as the flames closed in, according to state investigators.

They concluded the seniors would have died in the flames had emergency workers and relatives not arrived at the last minute to rescue them.“The problem is we don’t value elders as a society,” said Debbie Toth, CEO of Choice in Aging, an advocacy group. €œIf children needed to be evacuated, we’d have a freaking Romper Room stood up overnight to entertain them so they wouldn’t be damaged by the experience.”The destructive effects of climate change in California have dovetailed with a rapidly graying population — which in a decade is projected to include 8.6 million senior citizens. That has fueled a growing demand for senior housing, from assisted care homes to swanky “active adult” facilities complete with golf courses and pools.Proximity to nature is a major selling point of Oakmont Village, Dimas and Mulay’s upscale community of nearly 5,000 over-55s, which has everything from bridge games to cannabis clubs. But the woodlands and vineyards surrounding this suburban sprawl have put thousands of elderly citizens in hazardous wildfire zones.“With seniors, there’s mobility issues, hearing issues — even the sense of smell is often gone in the later years,” said Marrianne McBride, who heads Sonoma County’s Council on Aging.

Getting out fast in an emergency is especially challenging for those who no longer drive. In Sunday’s evacuation, some residents who followed official advice to call ride services had to wait hours, until 3 or 4 a.m., for the overtaxed vans.Dimas and Mulay managed to scramble into their cars and get on the road shortly after 10 p.m., when a mandatory evacuation order went out for the thousands of seniors in Oakmont Village. But it was after midnight when residents of two Santa Rosa assisted care homes in the evacuation zone were shuffled onto city buses in their bathrobes, some with the aid of walkers. Off-duty drivers braved thick smoke and falling embers to ferry some of them to safety, only to spend hours being sent from one shelter to another as evacuation sites filled up fast because of social distancing rules designed to prevent the spread of erectile dysfunction treatment.Other precautions, including masks and temperature checks, were followed.

But health officials nonetheless voiced concerns that vulnerable people in their 80s and 90s — especially residents of skilled nursing homes, the source of most of Sonoma County’s erectile dysfunction deaths so far — had been moved among multiple locations, upping their chance for exposure.In the following days, shelters were fielding frantic calls from out-of-town relatives searching for their loved ones. €œWe were getting phone calls from Michigan, other places across the country, saying, ‘I’m trying to find my mother!. €™â€ said Allison Keaney, CEO of the Sonoma-Marin Fairgrounds, which sheltered several hundred horses, chickens, goats and llamas as well as displaced people.Bart Pettijohn rests on his cot with his dog, Clumsy, in an evacuation center at the Petaluma Veterans Memorial Building on Sept. 30.

Volunteer health care workers and a veterinarian were among those who checked up on dozens of seniors and pets forced out of their homes during the biggest wildfire season in California history. (Rachel Scheier for KHN)By Wednesday afternoon, a few dozen evacuees remained at the shelters, mostly seniors without relatives or friends nearby to take them in, like Dimas and Mulay. The two women had left the Safeway lot and were sleeping on folding cots in a gym at the Veterans Memorial Building in Petaluma, an old poultry industry town dotted with upscale subdivisions.This was their first time out and around other people since March, when the two friends had been planning a big night out to see Il Volo, an Italian pop group. Seven months later, the new outfits they bought for the concert still hang unworn in their closets.“All we do since the shutdown is stay home and talk on the phone,” said Mulay, who spoke to a reporter while sitting next to her friend on a folding chair outside the shelter.

€œNow, with all these crowds — it’s terrifying.”Dimas likened the viagra followed by the fires to “a ball rolling downhill, getting bigger and bigger. And then there we were, with the flashing lights all around us and the cops shouting, ‘Go this way!. €™ ‘Keep moving!. €™â€Listos California — an outreach program, for seniors and other vulnerable people, run out of the Governor’s Office of Emergency Services — allotted $50 million to engage dozens of nonprofits and community groups around the state to help warn and locate people during disasters.

(Listos means “Ready” in Spanish.)In Sonoma and Napa counties, where the Glass Fire had destroyed at least 630 structures by late last week, the bolstered threat of wildfires in recent years has promoted new alert systems — including a weather radio that has strobe lights for the deaf or can shake the bed to awaken you.But while counties are legally responsible for alerting people and providing shelter for them once they’re out, no public agency is responsible for overseeing the evacuation. Practices differ widely from county to county, said Listos co-director Karen Baker.If Sonoma County has learned anything from the disasters of the past few years, it’s not to depend too much on any system in an emergency. €œYou’ve got to have a neighborhood network,” McBride said. €œAs community members, we have to rely on each other when these things happen.”Early last week, word filtered through the shelters that the fire had consumed a triplex and two single-family homes in the Oakmont neighborhood, but firefighters had battled the blaze through the night with hoses, shovels and chainsaws and miraculously managed to save the rest of the community.A week later, to their relief, Oakmont’s senior residents were allowed to return home.

By then, Mulay had developed severe back pain. Dimas missed her TV.Back in her apartment with Bodhi, Dimas noted with horror that the blaze had come close enough to her building to incinerate several juniper bushes and scorch a redwood just 2 feet away.“The whole thing feels surreal, like ‘Oh, my God, did that really happen, or did I dream it?. €™â€ she said. This KHN story first published on California Healthline, a service of the California Health Care Foundation.

Rachel Scheier. @rachelscheier Related Topics Aging Public Health erectile dysfunction treatment Natural DisastersLONE TREE, Colo. €” Darcy Velasquez, 42, and her mother, Roberta Truax, were walking recently in the Park Meadows mall about 15 miles south of downtown Denver, looking for Christmas gifts for Velasquez’s two children, when they spotted a store with a display of rhinestone-studded masks.It’s an immutable truth of fashion. Sparkles can go a long way with a 9-year-old.The store is called erectile dysfunction treatment Essentials.

And it may well be the country’s first retail chain dedicated solely to an infectious disease.With many U.S. Stores closing during the erectile dysfunction viagra, especially inside malls, the owners of this chain have seized on the empty space, as well as the world’s growing acceptance that wearing masks is a reality that may last well into 2021, if not longer. Masks have evolved from a utilitarian, anything-you-can-find-that-works product into another way to express one’s personality, political leanings or sports fandom.And the owners of erectile dysfunction treatment Essentials are betting that Americans are willing to put their money where their mouth is. Prices range from $19.99 for a simple children’s mask to $130 for the top-of-the-line face covering, with an N95 filter and a battery-powered fan.The erectile dysfunction treatment Essentials chain recognizes that mask-wearing is more than a temporary inconvenience — it may become the norm well into 2021, or longer.(Markian Hawryluk/KHN)Almost all shops and many pop-up kiosks in the Park Meadows mall now sell masks.

But erectile dysfunction treatment Essentials also carries other accessories for the viagra, in a space that has a more established feel than a holiday pop-up store. Permanent signage above its glass doors includes a stylized image of a erectile dysfunction particle. Nestled beside the UNTUCKit shirt store and across from a Tesla showroom, it has neither the brand recognition nor the track record of a J.C. Penney.

But longevity doesn’t seem to have helped that clothing chain or many others escape industry upheaval during the viagra. According to analysts at S&P Global Market Intelligence, retail bankruptcies from January to mid-August reached a 10-year-high.Not that the erectile dysfunction treatment Essentials owners want their products to be in demand forever.“I can’t wait to go out of business eventually,” said Nadav Benimetzky, a Miami retailer who founded erectile dysfunction treatment Essentials, which now has eight locations around the country.That seemed to be the attitude of most of the customers who walked into the store on a recent Friday afternoon. Most understood the need for masks — face coverings are required to even enter the mall — and thus they recognized the business case for a erectile dysfunction treatment store. Still, they hoped masks would soon go the way of bell-bottoms or leg warmers.

For the time being, they’re making the best of the situation. Email Sign-Up Subscribe to KHN’s free Morning Briefing. Nathan Chen, who owns the Lone Tree store with Benimetzky, previously ran a different store at the Denver airport, but as air travel declined, a erectile dysfunction treatment-focused business seemed a much better venture. The viagra giveth and the viagra taketh away.Benimetzky opened the first erectile dysfunction treatment Essentials store in the Aventura Mall in suburban Miami after seeing the demand for N95 masks early in the viagra.

€œThey’re ugly and uncomfortable, and everybody hates them,” he said. €œI piggybacked off of that. If you’re going to wear a mask, you might as well make it fashionable and pretty.”Face masks have evolved from a utilitarian product into a customized accessory for personal expression.(Markian Hawryluk/KHN)That could mean a sequin or satin mask for more formal occasions, or the toothy grin of a skull mask for casual affairs. Some masks have zippers to make eating easier, or a hole for a straw, with a Velcro closure for when the cup is sucked dry.The chain has locations in New York City, New Jersey, Philadelphia and Las Vegas, and is looking to open stores in California, where wildfires have only added to the demand for masks.Initially, the owners really weren’t sure the idea would fly.

They opened the first store just as malls were reopening following the lockdowns.“We really didn’t grasp how big it would get,” Benimetzky said. €œWe didn’t go into it with the idea of opening many stores. But we got busy from the second we opened.”Nancy Caeti, 76, stopped in the Lone Tree store to buy masks for her grandchildren. She bought one with a clear panel for her granddaughter, whose sign language instructor needs to see her lips moving.

She bought her daughter, a music teacher and Denver Broncos fan, a mask with the football team’s logo.“I lived through the polio epidemic,” Caeti said, as her latex-gloved hand inserted her credit card into the card reader. €œIt reminds me of that, but that I don’t think was as bad.” She recalled how her mother had lined her and her siblings up to get the polio treatment, and said she’d be first in line for a erectile dysfunction treatment shot.That perhaps is the one essential the store does not carry. It hawks keylike devices for opening doors and pressing elevator buttons without touching them. Some have a built-in bottle opener.

There are ultraviolet-light devices for disinfecting phones and upscale hand sanitizer that employees spray on customers as if it were a department store perfume sample.But the masks are the biggest draw. The store can personalize them with rhinestone letters or the kind of iron-on patches that teens once wore on their jeans.A erectile dysfunction treatment Essentials employee decorates a face mask with rhinestone letters, spelling U-S-A.(Markian Hawryluk/KHN)Upon entry, customers can check their temperature with a digital forehead scanner with audible directions. €œStep closer. Step closer.

Temperature normal. Temperature normal.”The store also has added a sink near the entrance so customers can wash their hands before handling the merchandise.Some mallgoers walk by the store in bewilderment, stopping to take photos to post to social media with a you’ve-got-to-be-kidding message. One older white couple in matching masks noticed a mask emblazoned with the slogan “Black Lives Matter” in the storefront display, and walked away in disgust.The store takes no political sides. There are three designs of President Donald Trump campaign masks, two for Democratic presidential candidate and former Vice President Joe Biden.

One woman, who declined to give her name, came in wearing a mask below her nose and wondered whether a Trump mask would fit her smallish face. The Trump masks are among the more popular sellers, Chen said, so he keeps them in a bigger cabinet to accommodate the extra stock. It’s not clear if that will forecast the election results, as some have posited with Halloween mask sales.Daniel Gurule, 31, stopped by the mall on his lunch hour to pick up an Apple Watch but ventured into the store for a new mask. He said that he normally wore a vented mask but that not all places allowed those.

(They protect users but not the people around them.) He bought a $24.99 mask with the logo of the Denver Nuggets basketball team.“It takes away a little bit of our personalities when everybody is walking around in disposable masks,” Chen said. €œIt kind of looks like a hospital, like everybody is sick.”Most of the masks are sewn specifically for the chain, including many by hand. One of their suppliers is a family of Vietnamese immigrants who sew masks at their Los Angeles home, Benimetzky said. Chen said that it was hard to keep masks in stock, and that every day it seemed some other design became their best seller.erectile dysfunction treatment Essentials sells keylike devices to open doors and press elevator buttons without touching them.

Some even have built-in bottle openers.(Markian Hawryluk/KHN)Dorothy Lovett, 80, paused outside the store, leaning on a cane with an animal print design.“I had to back up and say, ‘What the heck is this?. €™â€ she said. €œI’ve never seen a mask store before.”She perused the display case, noting she needed to find a better option than the cloth version she was wearing.“I can’t breathe in this one,” said Lovett, who is white, before deciding on her favorite. €œI like the Black Lives Matter mask.” Markian Hawryluk.

MarkianH@kff.org, @MarkianHawryluk Related Topics Public Health States Colorado erectile dysfunction treatmentReferring to plans to combat erectile dysfunction treatment. €œThe reality is when you look at the Biden plan, it reads an awful lot like what President Trump and I and our task force have been doing every step of the way.”— Vice President Mike Pence on Oct. 7, 2020, during the vice presidential debate. During last week’s vice presidential debate, moderator Susan Page, USA Today’s Washington bureau chief, asked Vice President Mike Pence about the U.S.

erectile dysfunction treatment death toll. Pence replied by touting the Trump administration’s actions to combat the viagra, such as restrictions on travel from China, steps to expand testing and efforts to accelerate the production of a treatment. This story was produced in partnership with PolitiFact. This story can be republished for free (details). Pence also took a jab at Democratic presidential nominee Joe Biden, a strong critic of the Trump viagra response.

€œThe reality is, when you look at the Biden plan, it reads an awful lot like what President Trump and I and our task force have been doing every step of the way,” said Pence. €œAnd, quite frankly, when I look at their plan,” he added, “it looks a little bit like plagiarism, which is something Joe Biden knows a little bit about.”(Pence’s gibe about plagiarism is likely a reference to Biden copying phrases from a British politician’s speeches during his first run for president in 1987, an issue that caused him to drop out of the race. In 2019, the Biden campaign acknowledged it had inadvertently lifted language in its climate and education plans without attributing the sources.)Because erectile dysfunction treatment continues to spread throughout the United States, with nearly 8 million cases and upward of 215,000 deaths, we decided to examine both the Trump and Biden plans to curb the viagra and investigate whether Pence was on target in his charge that the Biden plan is rooted in Trump’s ideas.We reached out to both presidential campaigns for their candidates’ erectile dysfunction treatment plans. The Trump campaign did not respond to our request, but we looked at a campaign website timeline of administration actions on erectile dysfunction treatment, as well as a erectile dysfunction fact sheet from the White House.

The Biden campaign sent us a link to Biden’s erectile dysfunction treatment plan.At first glance, there are obvious similarities. Both declare goals like treatment development and expanding public availability of erectile dysfunction treatment tests.“Most viagra response plans should be at their core fairly similar, if they’re well executed,” said Nicolette Louissaint, executive director of Healthcare Ready, a nonprofit organization focused on strengthening the U.S. Health care supply chain.But public health experts also pointed to significant philosophical differences in how the plans are put into action.“You ought to think about it as two groups of people trying to make a car,” said Dr. Georges Benjamin, executive director of the American Public Health Association.

€œThey have to have four wheels, probably have to have a bumper, have some doors,” he said. It is how you build the car from that point forward that determines what the end product looks like.What Trump Has DoneAs Pence pointed out, the Trump administration has focused its efforts to combat erectile dysfunction treatment along a couple of lines.The administration formed the White House erectile dysfunction task force in January and issued travel restrictions for some people traveling from China and other countries in February. Federal social distancing guidelines were issued in March and expired on April 30. The administration launched Operation Warp Speed in April, with the goal of producing and delivering 300 million doses of a erectile dysfunction treatment beginning in January 2021.

A more detailed logistics plan to distribute a treatment was issued later. Trump activated the Defense Production Act for certain protective equipment and ventilators. His administration also has talked about efforts to expand erectile dysfunction treatment testing in partnership with the private sector, as well as initiatives to help cover costs for erectile dysfunction treatments and make tests free of charge.Importantly, the administration also shifted significant decision-making responsibility to states, leaving the development of testing plans, procurement of personal protective equipment and decrees on stay-at-home orders and mask mandates to the discretion of the governor or local governments. Despite that, Trump still urged states to reopen beginning in May, though in many areas cases of erectile dysfunction treatment remained high.

Don't Miss A Story Subscribe to KHN’s free Weekly Edition newsletter. What Biden Proposes to DoBiden’s plan would set out strong national standards for testing, contact tracing and social distancing — words that echo the Trump plan. It proposes working with states on mask mandates, establishing a “supply commander” in charge of shoring up PPE, aggressively using the Defense Production Act and accelerating treatment development.It also outlines plans to extend more fiscal relief, provide enhanced health insurance coverage, eliminate cost sharing for erectile dysfunction treatments, reestablish a team on the National Security Council to address viagra response and to maintain membership inthe World Health Organization. Trump announced earlier this summer that the U.S.

Would begin procedures to withdraw from the WHO, effective as of July 6, 2021.Biden has said he would follow scientific advice if indicators pointed to a need to dial up social distancing guidelines in light of another wave of erectile dysfunction treatment cases.What’s the Same, What’s Different Sources: The Boston Globe, “On the Campaign Trail, Trump and Biden Operate in Different Circles on erectile dysfunction treatment,” Oct. 6, 2020Department of Health and Human Services, “From the Factory to the Frontlines — The Operation Warp Speed Strategy for Distributing a erectile dysfunction treatment,” accessed Oct. 12, 2020Department of Health and Human Services, “Trump Administration Will Deploy 150 Million Rapid Tests in 2020,” Aug. 27, 2020DonaldJTrump.com, “Trump Campaign Announces President Trump’s 2nd Term Agenda.

Fighting for You!. € accessed Oct. 8, 2020DonaldJTrump.com, “Timeline. The Trump Administration’s Decisive Actions to Combat the erectile dysfunction,” accessed Oct.

9, 2020Email exchange with Joe Biden for President campaign staffer, Oct. 7, 2020Email interview with Dr. Rachel Vreeman, director of the Arnhold Institute for Global Health at the Icahn School of Medicine at Mount Sinai, Oct. 8, 2020JoeBiden.com, “The Biden Plan to Combat erectile dysfunction (erectile dysfunction treatment) and Prepare for Future Global Health Threats,” accessed Oct.

8, 2020KFF, “Comparing Trump and Biden on erectile dysfunction treatment,” Sept. 11, 2020Phone interview with Brooke Nichols, assistant professor of global health at Boston University, Oct. 9, 2020Phone interview with Josh Michaud, associate director for global health policy at KFF (Kaiser Family Foundation), Oct. 8, 2020Phone interview with Joseph Antos, Wilson H.

Taylor resident scholar in health care and retirement policy at the American Enterprise Institute, Oct. 8, 2020Phone interview with Dr. Georges Benjamin, executive director of the American Public Health Association, Oct. 8, 2020Phone interview with Dr.

Leana Wen, public health professor at George Washington University, Oct. 8, 2020Phone interview with Nicolette Louissaint, executive director and president of Healthcare Ready, Oct. 9, 2020Rev.com, “Kamala Harris &. Mike Pence 2020 Vice Presidential Debate Transcript,” Oct.

7, 2020Tableau, “erectile dysfunction treatment at the White House — Public Reports,” accessed Oct. 12, 2020Tradeoffs Podcast, “Season 1. Episode 71, Biden and erectile dysfunction treatment,” Sept. 24, 2020Tradeoffs Podcast, “All the President’s … Health Policies.

Where Do the Candidates Stand on Health Policy?. € Sept. 24, 2020The White House, “President Trump’s Historic erectile dysfunction Response,” Aug. 10, 2020The White House, “erectile dysfunction Guidelines,” March 16, 2020The Washington Post, “Echoes of Biden’s 1987 Plagiarism Scandal Continue to Reverberate,” June 5, 2019The Washington Post, “Joe Biden’s Campaign Acknowledges Lifting Language From Other Groups for Its Policy Plans,” June 4, 2019 Dr.

Rachel Vreeman, director of the Arnhold Institute for Global Health at the Icahn School of Medicine at Mount Sinai, noted in an email that a key likeness is that the two plans “sometimes used similar words, such as testing, PPE and treatments.”But “the overall philosophy from the start, from the White House and from Trump, has been to let states and local governments deal with this problem,” said Josh Michaud, associate director for global health policy at KFF. €œBiden would have a much more forceful role for the federal government in setting strategy and guidelines in regards to the public health response.” (KHN is an editorially independent program of KFF.)Even Pence pointed out this philosophical difference during the debate, saying that Democrats want to exert government control while Trump and Republicans left health choices up to individual Americans.Vreeman and others pointed to another contrast — that the Trump administration has yet to issue a comprehensive erectile dysfunction treatment response plan.“What plan?. I would really love it if someone could show me a plan. A press release is not a plan,” said Dr.

Leana Wen, a public health professor at George Washington University.Wen is right that the Trump administration has not issued a detailed plan, such as Biden’s document. The Trump administration has, however, offered a road map for how treatments would be distributed.Behavior Matters, TooAnother major distinction emerged in the way the candidates have communicated the threat of the erectile dysfunction to the public and reacted to public health guidelines, such as those issued by the Centers for Disease Control and Prevention.During most public outings and campaign rallies, Trump has chosen not to wear a mask — even after he tested positive and was treated for erectile dysfunction treatment. He has been known to mock others, including reporters and Biden, for wearing masks. And, Trump and members of his administration have not adhered to social distancing guidelines at official events.

The White House indoor reception and outdoor Rose Garden event held to mark the nomination of Amy Coney Barrett to the Supreme Court – at each one, few attendees followed these precautions – have been associated with the transmission of at least 11 cases of erectile dysfunction, according to a website tracking the cases from public reports. There are also multiple reported cases among White House and Trump campaign staff members.Throughout the viagra, Trump has downplayed the threat of erectile dysfunction treatment, touted unproven treatments for the disease such as bleach, hydroxychloroquine or UV light, questioned the effectiveness of face masks and criticized or contradicted public health officials’ statements about the viagra.In comparison, Biden has worn masks during his public campaign events and has encouraged Americans to do so as well. His events strictly adhere to public health guidelines, including wearing masks, social distancing and limiting the number of attendees.The two candidates’ approaches to listening to scientists are also different.“Biden has said he is going to look at science and value the best scientists,” said Benjamin. €œThe Trump administration has not walked the talk.

They have said one thing and done something else. If you go on the Trump administration website, you see guidelines that they didn’t follow themselves.”In the end, the Biden campaign has the distinction of being able to learn from the Trump administration’s early missteps, said the experts.There’s also a reality check. If Biden wins and attempts to implement his erectile dysfunction treatment plan, it’s important to consider that no matter how well thought out it looks on paper, he may not be able to accomplish everything.“There’s a lot of words in this plan,” said Joseph Antos, a resident scholar in health care policy at the American Enterprise Institute. €œBut until you’re in the job, a lot of this doesn’t really matter.”Our RulingPence claimed the Biden plan to address erectile dysfunction treatment was similar to the Trump administration’s plan “every step of the way.”A cursory, side-by-side look at the Trump administration’s erectile dysfunction treatment actions — no actual comprehensive plan has been released — and the Biden plan indicates some big picture overlap on securing a treatment and ramping up testing.

But that’s where the similarities end.Biden’s plan includes proposed actions the Trump administration has not pursued. It also is focused on federal rather than state authority, a significant distinction Pence himself pointed out during the debate.Additionally, the candidates’ behaviors toward erectile dysfunction treatment and views on science have been diametrically opposed, with Trump eschewing the use of face masks and social distancing, and Biden closely adhering to both.Pence’s statement ignores critical facts and realities, making it inaccurate and ridiculous.We rate it Pants On Fire. Victoria Knight. vknight@kff.org, @victoriaregisk Related Topics Elections Health Industry Public Health erectile dysfunction treatment KHN &.

PolitiFact HealthCheck Trump AdministrationJournalists from KHN and the Guardian have identified 1,290 workers who reportedly died of complications from erectile dysfunction treatment they contracted on the job. Reporters are working to confirm the cause of death and workplace conditions in each case. They are also writing about the people behind the statistics — their personalities, passions and quirks — and telling the story of every life lost.Explore the new interactive tool tracking those health worker deaths. More From This Series.

Related Topics Health Industry erectile dysfunction treatment Doctors Investigation Lost On The Frontline Nursing Homes.

SOBRE NOTICIAS EN ESPAÑOLNoticias en español es una sección de Kaiser Health News how to order viagra que contiene traducciones de artículos de gran interés para la Web Site comunidad hispanohablante, y contenido original enfocado en la población hispana que vive en los Estados Unidos. Use Nuestro Contenido Este how to order viagra contenido puede usarse de manera gratuita (detalles). Lone Tree, Colorado.- Darcy Velásquez, de 42 años, y su madre, Roberta Truax, caminaban recientemente por el centro comercial Park Meadows, 15 millas al sur del centro de Denver, buscando regalos de Navidad para los dos hijos de Velásquez, cuando vieron una tienda con un exhibición de máscaras faciales adornadas con diamantes de fantasía.Brillantes ideales para una nena de 9 años. La tienda se llama erectile dysfunction treatment Essentials how to order viagra.

Y bien puede ser la primera cadena minorista del país dedicada exclusivamente a una enfermedad infecciosa.Con el cierre de muchas tiendas en los Estados Unidos durante la pandemia de erectile dysfunction, especialmente dentro de los centros comerciales, los propietarios de esta cadena han sacado provecho del espacio vacío, así como de la creciente aceptación de que usar máscaras es una realidad que puede durar hasta 2021, o más.Las máscaras faciales han evolucionado de ser un producto utilitario, cualquier cosa podía servir para taparte la boca, a una forma de expresar la personalidad, las inclinaciones políticas o el fanatismo deportivo.Y los propietarios de erectile dysfunction treatment Essentials están apostando a que los estadounidenses están dispuestos a poner dinero en sus bocas. Los precios van desde $19,99 por una simple máscara para niños hasta $130 por una cubierta facial con un filtro how to order viagra N95 y un ventilador a batería.La cadena erectile dysfunction treatment Essentials reconoce que la máscara ya es algo más que un inconveniente temporal. Será la norma hasta 2021, y tal vez más allá. (Markian Hawryluk/KHN)Casi todas las tiendas en el how to order viagra centro comercial Park Meadows ahora venden máscaras.

Pero erectile dysfunction treatment Essentials también ofrece otros accesorios para la pandemia, en un espacio exclusivo. su how to order viagra logo es una imagen estilizada de una partícula de erectile dysfunction.Ubicado junto a la tienda de remeras UNTUCKit y frente a una sala de exhibición de Tesla, no tiene el reconocimiento de marca ni el historial de un J.C. Penney. Pero la longevidad no parece haber ayudado a que la how to order viagra cadena de ropa o muchas otras escaparan de la crisis por la pandemia.

Según los analistas de S&P Global Market Intelligence, las quiebras minoristas de enero a mediados de agosto alcanzaron su punto más alto en 10 años.No es que los propietarios de erectile dysfunction treatment Essentials quieran que sus productos tengan demanda para siempre.“Estoy ansioso por cerrar el negocio eventualmente”, dijo Nadav Benimetzky, un minorista de Miami que fundó erectile dysfunction treatment Essentials, que ahora tiene ocho tiendas en todo el país.Nathan Chen, propietario de la tienda Lone Tree con Benimetzky, tenía un negocio diferente en el aeropuerto de Denver, pero a medida que disminuyeron los vuelos, una alternativa centrada en erectile dysfunction treatment se perfiló como una empresa mucho mejor.Las máscaras han pasado de ser un producto utilitario a algo personalizado, que identifica al que la usa con un partido político o un equipo de fútbol americano.(Markian Hawryluk/KHN)Benimetzky abrió la primera tienda erectile dysfunction treatment Essentials en el Aventura Mall en los suburbios de Miami después de ver la demanda de máscaras N95 al principio de la pandemia. €œSon feas e incómodas, how to order viagra y todo el mundo las odia”, dijo. €œSi vas a usar una máscara, también puede estar a la moda y ser bonita”.Eso podría significar una máscara de lentejuelas o satén para ocasiones más formales, o la sonrisa de una calavera para asuntos casuales. Algunos cubrebocas tienen cremalleras para facilitar la alimentación, o un orificio para una pajita, con cierre de velcro.La cadena tiene tiendas en la ciudad de Nueva York, Nueva Jersey, Philadelphia y Las Vegas, y how to order viagra está buscando abrir otras en California, donde los incendios forestales han aumentado la demanda de máscaras.Inicialmente, los propietarios realmente no estaban seguros de que la idea funcionara.

Abrieron la primera tienda justo cuando los centros comerciales volvían a abrir después de las cuarentenas.“Realmente no comprendimos qué tan grande sería”, dijo Benimetzky. €œNo lo analizamos con how to order viagra la idea de abrir muchas tiendas. Pero hemos estado ocupados desde el momento en que abrimos “.Un empleado de erectile dysfunction treatment Essentials decora una máscara con la palabra USA en piedras preciosas de fantasía.(Markian Hawryluk/KHN)Nancy Caeti, de 76 años, se detuvo en la tienda Lone Tree para comprar máscaras para sus nietos. Compró una transparente para su nieta, cuyo instructor de lenguaje de how to order viagra señas necesita ver sus labios moverse.

Le compró a su hija, profesora de música y fanática de los Denver Broncos, una máscara con el logo del equipo de fútbol americano.“Sobreviví a la epidemia de polio”, contó Caeti. Recordó cómo su madre los puso en how to order viagra fila a ella y a sus hermanos para recibir la vacuna contra la polio, y dijo que ella sería la primera en la fila para recibir la vacuna para erectile dysfunction treatment.Ese quizás sea el único “básico” que la tienda no vende. Pero tiene dispositivos similares a llaves para abrir puertas y presionar botones de ascensores sin tocarlos. Algunos tienen un abridor de how to order viagra botellas incorporado.

Hay dispositivos de luz ultravioleta para desinfectar teléfonos y un desinfectante de manos exclusivo que los empleados rocían a los clientes como si fuera una muestra de perfume.Pero las máscaras son el mayor atractivo porque la tienda las puede personalizar.Al entrar, los clientes pueden verificar su temperatura con un escáner de frente digital con instrucciones audibles. €œAcérquese. Acércate. Temperatura normal.

Temperatura normal”.La tienda también ha agregado un fregadero cerca de la entrada para que los clientes puedan lavarse las manos antes de tocar los productos.Algunos pasan por la tienda desconcertados, deteniéndose para tomar fotos y publicarlas en las redes sociales. Una pareja mayor (blanca no hispana) con máscaras idénticas observó una máscara en el negocio con el lema “Black Lives Matter” y se alejó.El negocio no toma partido politico. Hay tres diseños de máscaras del presidente Donald Trump, y dos para el candidato presidencial demócrata Joe Biden.erectile dysfunction treatment Essentials vende dispositivos parecidos a llaves que sirven para abrir puertas y tocar el botón de los elevadores "a distancia". (Markian Hawryluk/KHN)Daniel Gurule, de 31 años, pasó por el centro comercial a la hora del almuerzo para comprar un Apple Watch, pero se aventuró a entrar en la tienda por una nueva máscara.

Dijo que normalmente usaba una máscara con ventilación, pero que no todos los lugares las permiten. (Protegen a los usuarios, pero no a las personas que los rodean). Compró una por $24,99 con el logo del equipo de baloncesto Denver Nuggets.“Nos quita un poco de nuestra personalidad cuando todo el mundo camina con máscaras desechables”, dijo Chen. €œParece un hospital, como si todo el mundo estuviera enfermo”.La mayoría de las máscaras están cosidas específicamente para la cadena, incluidas muchas hechas a mano.

Uno de sus proveedores es una familia de inmigrantes vietnamitas que cosen máscaras en su casa de Los Ángeles, dijo Benimetzky.Chen dijo que era difícil tener máscaras en stock y que todos los días hay un nuevo diseño que es éxito de ventas.Dorothy Lovett, de 80 años, se detuvo frente a la tienda, apoyada en un bastón con un diseño de estampado animal. €œTuve que retroceder y decir, ‘¿Qué diablos es esto?. €™â€, dijo. €œNunca antes había visto una tienda de máscaras”.Examinó la vitrina, notando que necesitaba encontrar una mejor opción que la versión de tela que estaba usando.“No puedo respirar con ésta”, dijo Lovett, antes de decidirse por su favorita.

€œMe gusta la máscara Black Lives Matter”. Markian Hawryluk. MarkianH@kff.org, @MarkianHawryluk Related Topics Noticias En Español Public Health States Colorado erectile dysfunction treatmentPETALUMA, Calif. €” Late on the night of Sept.

27, a bumper-to-bumper caravan of fleeing cars, horse trailers, RVs and overstuffed pickup trucks snaked east on Highway 12, the flames of the Glass Fire glowing orange in their rearview mirrors.With her cat, Bodhi, in his carrier in the back seat, 80-year-old Diana Dimas, who doesn’t see well at night, kept her eyes glued to the rear lights of her neighbor’s Toyota. She and Magdalena Mulay had met a few years before at a bingo night in their sprawling retirement community on the outskirts of Santa Rosa. Both Libras, each with two marriages behind her, the two women soon became the sort of friends who finish each other’s sentences.Now, for the second time in three years, they heard the alarms and fled together as fire consumed the golden hills of Northern California’s wine country.“I thought, where on earth are we going to go?. € recalled Dimas.

She remembered that when the catastrophic Tubbs Fire hit back in 2017, people had sought refuge outside well-lit supermarkets, which had water and bathrooms. Which is how Dimas and Mulay and dozens of other seniors ended up spending the night of the most recent evacuation in the parking lot of the Sonoma Safeway. Email Sign-Up Subscribe to KHN’s free Morning Briefing. At midnight, Mulay was trying to get comfortable enough to catch a few winks in her driver’s seat when her phone began to chirp.

A friend was calling to wish her a happy 74th birthday.The stories of that Sunday night — as a 20-acre fire started that morning merged with two other fires to become an 11,000-acre conflagration forcing tens of thousands from their homes in two counties — spotlight the challenges of evacuating elderly and infirm residents from the deadly wildfires that have become an annual occurrence in California. This year, the erectile dysfunction, which is especially dangerous to the elderly, has further complicated the problem.While the 2020 fire season will go down as the state’s biggest on record, rescuers have so far managed to avoid horrors on the scale of three years ago, when the firestorm that raced through California’s wine country killed 45 people. Almost all were over 65 — found in wheelchairs, trapped in their garages, isolated and hard of hearing, or simply too stubborn to leave. The same grim pattern emerged from the Camp Fire, which leveled the Northern California town of Paradise in 2018.Assisted care homes in particular came under scrutiny after the 2017 fire, when ill-equipped and untrained workers at two Santa Rosa facilities abandoned two dozen frail, elderly residents as the flames closed in, according to state investigators.

They concluded the seniors would have died in the flames had emergency workers and relatives not arrived at the last minute to rescue them.“The problem is we don’t value elders as a society,” said Debbie Toth, CEO of Choice in Aging, an advocacy group. €œIf children needed to be evacuated, we’d have a freaking Romper Room stood up overnight to entertain them so they wouldn’t be damaged by the experience.”The destructive effects of climate change in California have dovetailed with a rapidly graying population — which in a decade is projected to include 8.6 million senior citizens. That has fueled a growing demand for senior housing, from assisted care homes to swanky “active adult” facilities complete with golf courses and pools.Proximity to nature is a major selling point of Oakmont Village, Dimas and Mulay’s upscale community of nearly 5,000 over-55s, which has everything from bridge games to cannabis clubs. But the woodlands and vineyards surrounding this suburban sprawl have put thousands of elderly citizens in hazardous wildfire zones.“With seniors, there’s mobility issues, hearing issues — even the sense of smell is often gone in the later years,” said Marrianne McBride, who heads Sonoma County’s Council on Aging.

Getting out fast in an emergency is especially challenging for those who no longer drive. In Sunday’s evacuation, some residents who followed official advice to call ride services had to wait hours, until 3 or 4 a.m., for the overtaxed vans.Dimas and Mulay managed to scramble into their cars and get on the road shortly after 10 p.m., when a mandatory evacuation order went out for the thousands of seniors in Oakmont Village. But it was after midnight when residents of two Santa Rosa assisted care homes in the evacuation zone were shuffled onto city buses in their bathrobes, some with the aid of walkers. Off-duty drivers braved thick smoke and falling embers to ferry some of them to safety, only to spend hours being sent from one shelter to another as evacuation sites filled up fast because of social distancing rules designed to prevent the spread of erectile dysfunction treatment.Other precautions, including masks and temperature checks, were followed.

But health officials nonetheless voiced concerns that vulnerable people in their 80s and 90s — especially residents of skilled nursing homes, the source of most of Sonoma County’s erectile dysfunction deaths so far — had been moved among multiple locations, upping their chance for exposure.In the following days, shelters were fielding frantic calls from out-of-town relatives searching for their loved ones. €œWe were getting phone calls from Michigan, other places across the country, saying, ‘I’m trying to find my mother!. €™â€ said Allison Keaney, CEO of the Sonoma-Marin Fairgrounds, which sheltered several hundred horses, chickens, goats and llamas as well as displaced people.Bart Pettijohn rests on his cot with his dog, Clumsy, in an evacuation center at the Petaluma Veterans Memorial Building on Sept. 30.

Volunteer health care workers and a veterinarian were among those who checked up on dozens of seniors and pets forced out of their homes during the biggest wildfire season in California history. (Rachel Scheier for KHN)By Wednesday afternoon, a few dozen evacuees remained at the shelters, mostly seniors without relatives or friends nearby to take them in, like Dimas and Mulay. The two women had left the Safeway lot and were sleeping on folding cots in a gym at the Veterans Memorial Building in Petaluma, an old poultry industry town dotted with upscale subdivisions.This was their first time out and around other people since March, when the two friends had been planning a big night out to see Il Volo, an Italian pop group. Seven months later, the new outfits they bought for the concert still hang unworn in their closets.“All we do since the shutdown is stay home and talk on the phone,” said Mulay, who spoke to a reporter while sitting next to her friend on a folding chair outside the shelter.

€œNow, with all these crowds — it’s terrifying.”Dimas likened the viagra followed by the fires to “a ball rolling downhill, getting bigger and bigger. And then there we were, with the flashing lights all around us and the cops shouting, ‘Go this way!. €™ ‘Keep moving!. €™â€Listos California — an outreach program, for seniors and other vulnerable people, run out of the Governor’s Office of Emergency Services — allotted $50 million to engage dozens of nonprofits and community groups around the state to help warn and locate people during disasters.

(Listos means “Ready” in Spanish.)In Sonoma and Napa counties, where the Glass Fire had destroyed at least 630 structures by late last week, the bolstered threat of wildfires in recent years has promoted new alert systems — including a weather radio that has strobe lights for the deaf or can shake the bed to awaken you.But while counties are legally responsible for alerting people and providing shelter for them once they’re out, no public agency is responsible for overseeing the evacuation. Practices differ widely from county to county, said Listos co-director Karen Baker.If Sonoma County has learned anything from the disasters of the past few years, it’s not to depend too much on any system in an emergency. €œYou’ve got to have a neighborhood network,” McBride said. €œAs community members, we have to rely on each other when these things happen.”Early last week, word filtered through the shelters that the fire had consumed a triplex and two single-family homes in the Oakmont neighborhood, but firefighters had battled the blaze through the night with hoses, shovels and chainsaws and miraculously managed to save the rest of the community.A week later, to their relief, Oakmont’s senior residents were allowed to return home.

By then, Mulay had developed severe back pain. Dimas missed her TV.Back in her apartment with Bodhi, Dimas noted with horror that the blaze had come close enough to her building to incinerate several juniper bushes and scorch a redwood just 2 feet away.“The whole thing feels surreal, like ‘Oh, my God, did that really happen, or did I dream it?. €™â€ she said. This KHN story first published on California Healthline, a service of the California Health Care Foundation.

Rachel Scheier. @rachelscheier Related Topics Aging Public Health erectile dysfunction treatment Natural DisastersLONE TREE, Colo. €” Darcy Velasquez, 42, and her mother, Roberta Truax, were walking recently in the Park Meadows mall about 15 miles south of downtown Denver, looking for Christmas gifts for Velasquez’s two children, when they spotted a store with a display of rhinestone-studded masks.It’s an immutable truth of fashion. Sparkles can go a long way with a 9-year-old.The store is called erectile dysfunction treatment Essentials.

And it may well be the country’s first retail chain dedicated solely to an infectious disease.With many U.S. Stores closing during the erectile dysfunction viagra, especially inside malls, the owners of this chain have seized on the empty space, as well as the world’s growing acceptance that wearing masks is a reality that may last well into 2021, if not longer. Masks have evolved from a utilitarian, anything-you-can-find-that-works product into another way to express one’s personality, political leanings or sports fandom.And the owners of erectile dysfunction treatment Essentials are betting that Americans are willing to put their money where their mouth is. Prices range from $19.99 for a simple children’s mask to $130 for the top-of-the-line face covering, with an N95 filter and a battery-powered fan.The erectile dysfunction treatment Essentials chain recognizes that mask-wearing is more than a temporary inconvenience — it may become the norm well into 2021, or longer.(Markian Hawryluk/KHN)Almost all shops and many pop-up kiosks in the Park Meadows mall now sell masks.

But erectile dysfunction treatment Essentials also carries other accessories for the viagra, in a space that has a more established feel than a holiday pop-up store. Permanent signage above its glass doors includes a stylized image of a erectile dysfunction particle. Nestled beside the UNTUCKit shirt store and across from a Tesla showroom, it has neither the brand recognition nor the track record of a J.C. Penney.

But longevity doesn’t seem to have helped that clothing chain or many others escape industry upheaval during the viagra. According to analysts at S&P Global Market Intelligence, retail bankruptcies from January to mid-August reached a 10-year-high.Not that the erectile dysfunction treatment Essentials owners want their products to be in demand forever.“I can’t wait to go out of business eventually,” said Nadav Benimetzky, a Miami retailer who founded erectile dysfunction treatment Essentials, which now has eight locations around the country.That seemed to be the attitude of most of the customers who walked into the store on a recent Friday afternoon. Most understood the need for masks — face coverings are required to even enter the mall — and thus they recognized the business case for a erectile dysfunction treatment store. Still, they hoped masks would soon go the way of bell-bottoms or leg warmers.

For the time being, they’re making the best of the situation. Email Sign-Up Subscribe to KHN’s free Morning Briefing. Nathan Chen, who owns the Lone Tree store with Benimetzky, previously ran a different store at the Denver airport, but as air travel declined, a erectile dysfunction treatment-focused business seemed a much better venture. The viagra giveth and the viagra taketh away.Benimetzky opened the first erectile dysfunction treatment Essentials store in the Aventura Mall in suburban Miami after seeing the demand for N95 masks early in the viagra.

€œThey’re ugly and uncomfortable, and everybody hates them,” he said. €œI piggybacked off of that. If you’re going to wear a mask, you might as well make it fashionable and pretty.”Face masks have evolved from a utilitarian product into a customized accessory for personal expression.(Markian Hawryluk/KHN)That could mean a sequin or satin mask for more formal occasions, or the toothy grin of a skull mask for casual affairs. Some masks have zippers to make eating easier, or a hole for a straw, with a Velcro closure for when the cup is sucked dry.The chain has locations in New York City, New Jersey, Philadelphia and Las Vegas, and is looking to open stores in California, where wildfires have only added to the demand for masks.Initially, the owners really weren’t sure the idea would fly.

They opened the first store just as malls were reopening following the lockdowns.“We really didn’t grasp how big it would get,” Benimetzky said. €œWe didn’t go into it with the idea of opening many stores. But we got busy from the second we opened.”Nancy Caeti, 76, stopped in the Lone Tree store to buy masks for her grandchildren. She bought one with a clear panel for her granddaughter, whose sign language instructor needs to see her lips moving.

She bought her daughter, a music teacher and Denver Broncos fan, a mask with the football team’s logo.“I lived through the polio epidemic,” Caeti said, as her latex-gloved hand inserted her credit card into the card reader. €œIt reminds me of that, but that I don’t think was as bad.” She recalled how her mother had lined her and her siblings up to get the polio treatment, and said she’d be first in line for a erectile dysfunction treatment shot.That perhaps is the one essential the store does not carry. It hawks keylike devices for opening doors and pressing elevator buttons without touching them. Some have a built-in bottle opener.

There are ultraviolet-light devices for disinfecting phones and upscale hand sanitizer that employees spray on customers as if it were a department store perfume sample.But the masks are the biggest draw. The store can personalize them with rhinestone letters or the kind of iron-on patches that teens once wore on their jeans.A erectile dysfunction treatment Essentials employee decorates a face mask with rhinestone letters, spelling U-S-A.(Markian Hawryluk/KHN)Upon entry, customers can check their temperature with a digital forehead scanner with audible directions. €œStep closer. Step closer.

Temperature normal. Temperature normal.”The store also has added a sink near the entrance so customers can wash their hands before handling the merchandise.Some mallgoers walk by the store in bewilderment, stopping to take photos to post to social media with a you’ve-got-to-be-kidding message. One older white couple in matching masks noticed a mask emblazoned with the slogan “Black Lives Matter” in the storefront display, and walked away in disgust.The store takes no political sides. There are three designs of President Donald Trump campaign masks, two for Democratic presidential candidate and former Vice President Joe Biden.

One woman, who declined to give her name, came in wearing a mask below her nose and wondered whether a Trump mask would fit her smallish face. The Trump masks are among the more popular sellers, Chen said, so he keeps them in a bigger cabinet to accommodate the extra stock. It’s not clear if that will forecast the election results, as some have posited with Halloween mask sales.Daniel Gurule, 31, stopped by the mall on his lunch hour to pick up an Apple Watch but ventured into the store for a new mask. He said that he normally wore a vented mask but that not all places allowed those.

(They protect users but not the people around them.) He bought a $24.99 mask with the logo of the Denver Nuggets basketball team.“It takes away a little bit of our personalities when everybody is walking around in disposable masks,” Chen said. €œIt kind of looks like a hospital, like everybody is sick.”Most of the masks are sewn specifically for the chain, including many by hand. One of their suppliers is a family of Vietnamese immigrants who sew masks at their Los Angeles home, Benimetzky said. Chen said that it was hard to keep masks in stock, and that every day it seemed some other design became their best seller.erectile dysfunction treatment Essentials sells keylike devices to open doors and press elevator buttons without touching them.

Some even have built-in bottle openers.(Markian Hawryluk/KHN)Dorothy Lovett, 80, paused outside the store, leaning on a cane with an animal print design.“I had to back up and say, ‘What the heck is this?. €™â€ she said. €œI’ve never seen a mask store before.”She perused the display case, noting she needed to find a better option than the cloth version she was wearing.“I can’t breathe in this one,” said Lovett, who is white, before deciding on her favorite. €œI like the Black Lives Matter mask.” Markian Hawryluk.

MarkianH@kff.org, @MarkianHawryluk Related Topics Public Health States Colorado erectile dysfunction treatmentReferring to plans to combat erectile dysfunction treatment. €œThe reality is when you look at the Biden plan, it reads an awful lot like what President Trump and I and our task force have been doing every step of the way.”— Vice President Mike Pence on Oct. 7, 2020, during the vice presidential debate. During last week’s vice presidential debate, moderator Susan Page, USA Today’s Washington bureau chief, asked Vice President Mike Pence about the U.S.

erectile dysfunction treatment death toll. Pence replied by touting the Trump administration’s actions to combat the viagra, such as restrictions on travel from China, steps to expand testing and efforts to accelerate the production of a treatment. This story was produced in partnership with PolitiFact. This story can be republished for free (details). Pence also took a jab at Democratic presidential nominee Joe Biden, a strong critic of the Trump viagra response.

€œThe reality is, when you look at the Biden plan, it reads an awful lot like what President Trump and I and our task force have been doing every step of the way,” said Pence. €œAnd, quite frankly, when I look at their plan,” he added, “it looks a little bit like plagiarism, which is something Joe Biden knows a little bit about.”(Pence’s gibe about plagiarism is likely a reference to Biden copying phrases from a British politician’s speeches during his first run for president in 1987, an issue that caused him to drop out of the race. In 2019, the Biden campaign acknowledged it had inadvertently lifted language in its climate and education plans without attributing the sources.)Because erectile dysfunction treatment continues to spread throughout the United States, with nearly 8 million cases and upward of 215,000 deaths, we decided to examine both the Trump and Biden plans to curb the viagra and investigate whether Pence was on target in his charge that the Biden plan is rooted in Trump’s ideas.We reached out to both presidential campaigns for their candidates’ erectile dysfunction treatment plans. The Trump campaign did not respond to our request, but we looked at a campaign website timeline of administration actions on erectile dysfunction treatment, as well as a erectile dysfunction fact sheet from the White House.

The Biden campaign sent us a link to Biden’s erectile dysfunction treatment plan.At first glance, there are obvious similarities. Both declare goals like treatment development and expanding public availability of erectile dysfunction treatment tests.“Most viagra response plans should be at their core fairly similar, if they’re well executed,” said Nicolette Louissaint, executive director of Healthcare Ready, a nonprofit organization focused on strengthening the U.S. Health care supply chain.But public health experts also pointed to significant philosophical differences in how the plans are put into action.“You ought to think about it as two groups of people trying to make a car,” said Dr. Georges Benjamin, executive director of the American Public Health Association.

€œThey have to have four wheels, probably have to have a bumper, have some doors,” he said. It is how you build the car from that point forward that determines what the end product looks like.What Trump Has DoneAs Pence pointed out, the Trump administration has focused its efforts to combat erectile dysfunction treatment along a couple of lines.The administration formed the White House erectile dysfunction task force in January and issued travel restrictions for some people traveling from China and other countries in February. Federal social distancing guidelines were issued in March and expired on April 30. The administration launched Operation Warp Speed in April, with the goal of producing and delivering 300 million doses of a erectile dysfunction treatment beginning in January 2021.

A more detailed logistics plan to distribute a treatment was issued later. Trump activated the Defense Production Act for certain protective equipment and ventilators. His administration also has talked about efforts to expand erectile dysfunction treatment testing in partnership with the private sector, as well as initiatives to help cover costs for erectile dysfunction treatments and make tests free of charge.Importantly, the administration also shifted significant decision-making responsibility to states, leaving the development of testing plans, procurement of personal protective equipment and decrees on stay-at-home orders and mask mandates to the discretion of the governor or local governments. Despite that, Trump still urged states to reopen beginning in May, though in many areas cases of erectile dysfunction treatment remained high.

Don't Miss A Story Subscribe to KHN’s free Weekly Edition newsletter. What Biden Proposes to DoBiden’s plan would set out strong national standards for testing, contact tracing and social distancing — words that echo the Trump plan. It proposes working with states on mask mandates, establishing a “supply commander” in charge of shoring up PPE, aggressively using the Defense Production Act and accelerating treatment development.It also outlines plans to extend more fiscal relief, provide enhanced health insurance coverage, eliminate cost sharing for erectile dysfunction treatments, reestablish a team on the National Security Council to address viagra response and to maintain membership inthe World Health Organization. Trump announced earlier this summer that the U.S.

Would begin procedures to withdraw from the WHO, effective as of July 6, 2021.Biden has said he would follow scientific advice if indicators pointed to a need to dial up social distancing guidelines in light of another wave of erectile dysfunction treatment cases.What’s the Same, What’s Different Sources: The Boston Globe, “On the Campaign Trail, Trump and Biden Operate in Different Circles on erectile dysfunction treatment,” Oct. 6, 2020Department of Health and Human Services, “From the Factory to the Frontlines — The Operation Warp Speed Strategy for Distributing a erectile dysfunction treatment,” accessed Oct. 12, 2020Department of Health and Human Services, “Trump Administration Will Deploy 150 Million Rapid Tests in 2020,” Aug. 27, 2020DonaldJTrump.com, “Trump Campaign Announces President Trump’s 2nd Term Agenda.

Fighting for You!. € accessed Oct. 8, 2020DonaldJTrump.com, “Timeline. The Trump Administration’s Decisive Actions to Combat the erectile dysfunction,” accessed Oct.

9, 2020Email exchange with Joe Biden for President campaign staffer, Oct. 7, 2020Email interview with Dr. Rachel Vreeman, director of the Arnhold Institute for Global Health at the Icahn School of Medicine at Mount Sinai, Oct. 8, 2020JoeBiden.com, “The Biden Plan to Combat erectile dysfunction (erectile dysfunction treatment) and Prepare for Future Global Health Threats,” accessed Oct.

8, 2020KFF, “Comparing Trump and Biden on erectile dysfunction treatment,” Sept. 11, 2020Phone interview with Brooke Nichols, assistant professor of global health at Boston University, Oct. 9, 2020Phone interview with Josh Michaud, associate director for global health policy at KFF (Kaiser Family Foundation), Oct. 8, 2020Phone interview with Joseph Antos, Wilson H.

Taylor resident scholar in health care and retirement policy at the American Enterprise Institute, Oct. 8, 2020Phone interview with Dr. Georges Benjamin, executive director of the American Public Health Association, Oct. 8, 2020Phone interview with Dr.

Leana Wen, public health professor at George Washington University, Oct. 8, 2020Phone interview with Nicolette Louissaint, executive director and president of Healthcare Ready, Oct. 9, 2020Rev.com, “Kamala Harris &. Mike Pence 2020 Vice Presidential Debate Transcript,” Oct.

7, 2020Tableau, “erectile dysfunction treatment at the White House — Public Reports,” accessed Oct. 12, 2020Tradeoffs Podcast, “Season 1. Episode 71, Biden and erectile dysfunction treatment,” Sept. 24, 2020Tradeoffs Podcast, “All the President’s … Health Policies.

Where Do the Candidates Stand on Health Policy?. € Sept. 24, 2020The White House, “President Trump’s Historic erectile dysfunction Response,” Aug. 10, 2020The White House, “erectile dysfunction Guidelines,” March 16, 2020The Washington Post, “Echoes of Biden’s 1987 Plagiarism Scandal Continue to Reverberate,” June 5, 2019The Washington Post, “Joe Biden’s Campaign Acknowledges Lifting Language From Other Groups for Its Policy Plans,” June 4, 2019 Dr.

Rachel Vreeman, director of the Arnhold Institute for Global Health at the Icahn School of Medicine at Mount Sinai, noted in an email that a key likeness is that the two plans “sometimes used similar words, such as testing, PPE and treatments.”But “the overall philosophy from the start, from the White House and from Trump, has been to let states and local governments deal with this problem,” said Josh Michaud, associate director for global health policy at KFF. €œBiden would have a much more forceful role for the federal government in setting strategy and guidelines in regards to the public health response.” (KHN is an editorially independent program of KFF.)Even Pence pointed out this philosophical difference during the debate, saying that Democrats want to exert government control while Trump and Republicans left health choices up to individual Americans.Vreeman and others pointed to another contrast — that the Trump administration has yet to issue a comprehensive erectile dysfunction treatment response plan.“What plan?. I would really love it if someone could show me a plan. A press release is not a plan,” said Dr.

Leana Wen, a public health professor at George Washington University.Wen is right that the Trump administration has not issued a detailed plan, such as Biden’s document. The Trump administration has, however, offered a road map for how treatments would be distributed.Behavior Matters, TooAnother major distinction emerged in the way the candidates have communicated the threat of the erectile dysfunction to the public and reacted to public health guidelines, such as those issued by the Centers for Disease Control and Prevention.During most public outings and campaign rallies, Trump has chosen not to wear a mask — even after he tested positive and was treated for erectile dysfunction treatment. He has been known to mock others, including reporters and Biden, for wearing masks. And, Trump and members of his administration have not adhered to social distancing guidelines at official events.

The White House indoor reception and outdoor Rose Garden event held to mark the nomination of Amy Coney Barrett to the Supreme Court – at each one, few attendees followed these precautions – have been associated with the transmission of at least 11 cases of erectile dysfunction, according to a website tracking the cases from public reports. There are also multiple reported cases among White House and Trump campaign staff members.Throughout the viagra, Trump has downplayed the threat of erectile dysfunction treatment, touted unproven treatments for the disease such as bleach, hydroxychloroquine or UV light, questioned the effectiveness of face masks and criticized or contradicted public health officials’ statements about the viagra.In comparison, Biden has worn masks during his public campaign events and has encouraged Americans to do so as well. His events strictly adhere to public health guidelines, including wearing masks, social distancing and limiting the number of attendees.The two candidates’ approaches to listening to scientists are also different.“Biden has said he is going to look at science and value the best scientists,” said Benjamin. €œThe Trump administration has not walked the talk.

They have said one thing and done something else. If you go on the Trump administration website, you see guidelines that they didn’t follow themselves.”In the end, the Biden campaign has the distinction of being able to learn from the Trump administration’s early missteps, said the experts.There’s also a reality check. If Biden wins and attempts to implement his erectile dysfunction treatment plan, it’s important to consider that no matter how well thought out it looks on paper, he may not be able to accomplish everything.“There’s a lot of words in this plan,” said Joseph Antos, a resident scholar in health care policy at the American Enterprise Institute. €œBut until you’re in the job, a lot of this doesn’t really matter.”Our RulingPence claimed the Biden plan to address erectile dysfunction treatment was similar to the Trump administration’s plan “every step of the way.”A cursory, side-by-side look at the Trump administration’s erectile dysfunction treatment actions — no actual comprehensive plan has been released — and the Biden plan indicates some big picture overlap on securing a treatment and ramping up testing.

But that’s where the similarities end.Biden’s plan includes proposed actions the Trump administration has not pursued. It also is focused on federal rather than state authority, a significant distinction Pence himself pointed out during the debate.Additionally, the candidates’ behaviors toward erectile dysfunction treatment and views on science have been diametrically opposed, with Trump eschewing the use of face masks and social distancing, and Biden closely adhering to both.Pence’s statement ignores critical facts and realities, making it inaccurate and ridiculous.We rate it Pants On Fire. Victoria Knight. vknight@kff.org, @victoriaregisk Related Topics Elections Health Industry Public Health erectile dysfunction treatment KHN &.

PolitiFact HealthCheck Trump AdministrationJournalists from KHN and the Guardian have identified 1,290 workers who reportedly died of complications from erectile dysfunction treatment they contracted on the job. Reporters are working to confirm the cause of death and workplace conditions in each case. They are also writing about the people behind the statistics — their personalities, passions and quirks — and telling the story of every life lost.Explore the new interactive tool tracking those health worker deaths. More From This Series.

Related Topics Health Industry erectile dysfunction treatment Doctors Investigation Lost On The Frontline Nursing Homes.

What should I tell my health care provider before I take Viagra?

They need to know if you have any of these conditions:

  • eye or vision problems, including a rare inherited eye disease called retinitis pigmentosa
  • heart disease, angina, high or low blood pressure, a history of heart attack, or other heart problems
  • kidney disease
  • liver disease
  • stroke
  • an unusual or allergic reaction to sildenafil, other medicines, foods, dyes, or preservatives

How to take viagra

AdvertisementContinue reading the main storySupported byContinue reading the main storyHow Food May Improve Your MoodThe sugar-laden, high-fat foods we often crave when we are stressed or depressed, as comforting as they are, may be the how to take viagra least likely to benefit our mental health.Credit...Rocio EgioMay 6, 2021As people across the globe grappled with higher levels of stress, depression and anxiety this past year, many turned to http://resistrevive.com/symbicort-price-without-insurance/ their favorite comfort foods. Ice cream, pastries, pizza, hamburgers. But studies in recent years suggest that the sugar-laden and high-fat how to take viagra foods we often crave when we are stressed or depressed, as comforting as they may seem, are the least likely to benefit our mental health. Instead, whole foods such as vegetables, fruit, fish, eggs, nuts and seeds, beans and legumes and fermented foods like yogurt may be a better bet.The findings stem from an emerging field of research known as nutritional psychiatry, which looks at the relationship between diet and mental wellness. The idea that eating certain foods could promote brain health, much the way it can promote how to take viagra heart health, might seem like common sense.

But historically, nutrition research has focused largely on how the foods we eat affect our physical health, rather than our mental health. For a long time, the potential influence how to take viagra of food on happiness and mental well-being, as one team of researchers recently put it, was “virtually ignored.”But over the years, a growing body of research has provided intriguing hints about the ways in which foods may affect our moods. A healthy diet promotes a healthy gut, which communicates with the brain through what is known as the gut-brain axis. Microbes in how to take viagra the gut produce neurotransmitters like serotonin and dopamine, which regulate our mood and emotions, and the gut microbiome has been implicated in mental health outcomes. €œA growing body of literature shows that the gut microbiome plays a shaping role in a variety of psychiatric disorders, including major depressive disorder,” a team of scientists wrote in the Harvard Review of Psychiatry last year.Large population studies, too, have found that people who eat a lot of nutrient-dense foods report less depression and greater levels of happiness and mental well-being.

One such study, from 2016, that followed 12,400 people for about seven years found that those who increased their how to take viagra consumption of fruits and vegetables during the study period rated themselves substantially higher on questionnaires about their general levels of happiness and life satisfaction.Large observational studies, however, can show only correlations, not causation, which raises the question. Which comes first?. Do anxiety and depression drive people to choose unhealthy foods, or how to take viagra vice versa?. Are people who are happy and optimistic more motivated to consume nutritious foods?. Or does a healthy diet directly brighten their moods?.

The first major trial to shed light on the food-mood connection was published in how to take viagra 2017. A team of researchers wanted to know whether dietary changes would help alleviate depression, so they recruited 67 people who were clinically depressed and split them into groups. One group went to meetings with a dietitian who taught them to how to take viagra follow a traditional Mediterranean-style diet. The other group, serving as the control, met regularly with a research assistant who provided social support but no dietary advice.At the start of the study, both groups consumed a lot of sugary foods, processed meats and salty snacks, and very little fiber, lean proteins or fruits and vegetables. But the diet how to take viagra group made big changes.

They replaced candy, fast food and pastries with whole foods such as nuts, beans, fruits and legumes. They switched from white how to take viagra bread to whole grain and sourdough bread. They gave up sugary cereals and ate muesli and oatmeal. Instead of how to take viagra pizza, they ate vegetable stir-fries. And they replaced highly processed meats like ham, sausages and bacon with seafood and small amounts of lean red meats.Importantly, both groups were counseled to continue taking any antidepressants or other medications they were prescribed.

The goal of the study was not to see if a healthier diet could replace medication, but whether it could provide additional benefits like exercise, good sleep and other lifestyle behaviors.After 12 weeks, average depression scores improved in both groups, which might be how to take viagra expected for anyone entering a clinical trial that provided additional support, regardless of which group you were in. But depression scores improved to a far greater extent in the group that followed the healthy diet. Roughly a third of those people were no longer classified as depressed, compared to 8 percent of people in the control group.The how to take viagra results were striking for a number of reasons. The diet benefited mental health even though the participants did not lose any weight. People also saved money by eating the more nutritious foods, demonstrating that a healthy diet can be economical.

Before the study, the participants spent how to take viagra on average $138 per week on food. Those who switched to the healthy diet lowered their food costs to $112 per week.The recommended foods were relatively inexpensive and available at most grocery stores. They included things like canned beans and lentils, canned salmon, tuna how to take viagra and sardines, and frozen and conventional produce, said Felice Jacka, the lead author of the study.“Mental health is complex,” said Dr. Jacka, the director of the Food &. Mood Centre at Deakin University in Australia how to take viagra and the president of the International Society for Nutritional Psychiatry Research.

€œEating a salad is not going to cure depression. But there’s a lot you can do to lift your mood and improve your mental health, and it can be as simple as increasing how to take viagra your intake of plants and healthy foods.”A number of randomized trials have reported similar findings. In one study of 150 adults with depression that was published last year, researchers found that people assigned to follow a Mediterranean diet supplemented with fish oil for three months had greater reductions in symptoms of depression, stress and anxiety after three months compared to a control group.Still, not every study has had positive results. A large, yearlong trial published in JAMA in 2019, for example, found that a Mediterranean diet reduced anxiety but did not prevent depression how to take viagra in a group of people at high risk. Taking supplements such as vitamin D, selenium and omega-3 fatty acids had no impact on either depression or anxiety.Most psychiatric professional groups have not adopted dietary recommendations, in part because experts say that more research is needed before they can prescribe a specific diet for mental health.

But public health experts in countries around the world have started encouraging people to adopt lifestyle behaviors like exercise, sound sleep, a heart-healthy diet and avoiding smoking how to take viagra that may reduce inflammation and have benefits for the brain. The Royal Australian and New Zealand College of Psychiatrists issued clinical practice guidelines encouraging clinicians to address diet, exercise and smoking before starting patients on medication or psychotherapy.Individual clinicians, too, are already incorporating nutrition into their work with patients. Dr. Drew Ramsey, a psychiatrist and assistant clinical professor how to take viagra at the Columbia University College of Physicians and Surgeons in New York, begins his sessions with new patients by taking their psychiatric history and then exploring their diet. He asks what they eat, learns their favorite foods, and finds out if foods that he deems important for the gut-brain connection are missing from their diets, such as plants, seafood and fermented foods.Dr.

Ramsey published a book in March, “Eat to Beat Depression and Anxiety,” and founded the Brain Food Clinic in New York how to take viagra to help people struggling with mood disorders improve their diets. He often recites a jingle so people can remember the basics of his dietary advice. €œSeafood, greens, nuts and beans — and a little how to take viagra dark chocolate.”Dr. Ramsey said these foods help to promote compounds like brain-derived neurotrophic factor, or BDNF, a protein that stimulates the growth of new neurons and helps protect existing ones. They also contain large amounts of fiber, unsaturated fat, antioxidants, omega-3 fatty acids and other nutrients that have been shown to improve how to take viagra gut and metabolic health and reduce inflammation, all of which can affect the brain.Dr.

Ramsey said he does not want people to think that the only factor involved in brain health is food. €œLots of how to take viagra people get their food exactly right, live very active lives, and still have significant troubles with their mental health,” he said.But he also teaches people that food can be empowering. €œWe can’t control our genes, who our parents were, or if random acts of trauma or violence happen to us,” he said. €œBut we can control how we eat, and that gives people actionable things that they can do to take care of their brain health on a daily basis.”AdvertisementContinue how to take viagra reading the main storyAdvertisementContinue reading the main storySupported byContinue reading the main storyThe Other Side of Languishing Is Flourishing. Here’s How to Get There.Research shows that the viagra took a toll on our overall well-being and left many of us drained.

Here are seven simple steps to get you thriving again.Credit...Cristina SpanòPublished May 4, 2021Updated May 6, 2021Leer en españolListen to This ArticleTo hear more how to take viagra audio stories from publications like The New York Times, download Audm for iPhone or Android.With vaccination rates on the rise, hope is in the air. But after a year of trauma, isolation and grief, how long will it take before life finally — finally — feels good?. Post-viagra, the answer to that question may be in your own hands. A growing body of research shows that there are simple steps you can take to recharge your emotional batteries and spark a how to take viagra sense of fulfillment, purpose and happiness. The psychology community calls this lofty combination of physical, mental and emotional fitness “flourishing.” It is the exact opposite of languishing, that sense of stagnation Adam Grant wrote about recently for The Times.“Flourishing really is what people are ultimately after,” said Tyler J.

VanderWeele, an epidemiology and biostatistics professor and director of Harvard’s Human how to take viagra Flourishing Program. €œIt’s living the good life. We usually think about flourishing as living how to take viagra in a state in which all aspects of a person’s life are good — it’s really an all-encompassing notion.”The good news is that the scientific evidence related to flourishing is robust, and numerous studies show simple activities can lead to marked improvement in overall well-being. Here are some practical activities, backed by science, that can help you get started.Assess yourself.First, how do you know if you’re languishing, flourishing or somewhere in between?. Simply asking yourself is an effective diagnostic tool, said Laurie Santos, a psychology professor at Yale who teaches a how to take viagra free 10-week course called “The Science of Well-Being.” Do you wake up ready to start your day or would you rather go back to sleep?.

Do you have a sense of purpose or do you find how you spend much of your day to be meaningless?. “You are kind of how to take viagra the expert on your own sense of flourishing,” she said.Dr. VanderWeele uses a 10-question assessment in his program at Harvard, which you can try here. Participants rate five areas of their lives on a scale of one to 10, with questions how to take viagra focusing on happiness and life satisfaction, physical and mental health, meaning and purpose, character and virtue and close social relationships. Just taking the quiz and reflecting on the questions it asks can put you on a path to making positive changes, Dr.

VanderWeele said.Savor and celebrate small things.After a year of Zoom birthday parties and virtual graduations, many of us want to revel how to take viagra in gathering together again. Celebrations help to create and cement relationships. €œIt’s really important that post-viagra we embrace more and more celebrating,” Dr. VanderWeele said.But it’s not just the big occasions how to take viagra that should be marked. Acknowledging small moments is also important for well-being, research shows.

Psychologists call it “savoring.” Savoring is about appreciating an event or activity in the moment, sharing tiny victories and noticing the good things around you.A 2012 study of college students found that taking part in a savoring activity called “mindful photography” resulted in overall how to take viagra improvements in mood and a significantly greater sense of appreciation for college life. The students were instructed to take at least five photos of their everyday lives — friends, their favorite view on campus, books they enjoyed — twice a week for two weeks. Reflecting on how to take viagra the photos, and the small moments that brought them joy, helped the students focus on the good in their lives.If snapping photos of your favorite things sounds like too much work, research shows you also benefit when you savor enjoyable experiences like luxuriating in a warm bath, spending the day with your best friend or taking an “awe” walk.Try “Sunday dinner gratitude.”Some people expressed gratitude more during the viagra, whether it was clapping for health care workers or thanking a grocery checkout person. But creating a weekly gratitude ritual can cement the habit. Numerous studies show that taking time to reflect on what we’re grateful for improves our quality of life.In a 2003 study, researchers instructed college students to list, once a week, five things they were grateful for, how to take viagra both big and small.

(Some wrote that they were grateful for waking up that morning. One included gratitude for the Rolling Stones.) Compared to a control group, the students assigned to the gratitude how to take viagra intervention for 10 weeks had better feelings about life as a whole and fewer physical complaints.A gratitude practice should not be a burden. Try to stack a new gratitude habit on a weekly ritual — like Sunday dinner with family. Taking out the trash, or your weekly grocery run.Do five good deeds.Acts of kindness not only help how to take viagra others, they also can help you flourish. Research shows that performing five acts of kindness in a single day, once a week, can have a powerful effect.

A 2004 study showed that when college students spent a day doing five acts of kindness — like donating blood, helping a friend with a paper or writing a thank you note to a former professor — they experienced more significant increases in well-being than those who spread out five kind things over the course of a week.Volunteer work can also improve well being. Dr. VanderWeele and other researchers looked at data from a cohort of nearly 13,000 older adults and found that participants who volunteered at least two hours a week during the study period experienced higher levels of happiness, optimism and purpose in life, compared to those who did not volunteer at all.To make it easy, Dr. Grant recommends starting off with a daily “five-minute favor,” like introducing two people who could benefit from knowing each other, or sending an article or podcast link to a friend, saying you were thinking of them.Look for communities and connection.Even a quick chat with a stranger or a momentary bond with someone new can foster a sense of fulfillment, particularly when what researchers call a high quality connection occurs. €œThey don’t have to be lasting relationships or long interactions,” Dr.

Grant said. €œSometimes people feel an extra spring in their step when they talk to a stranger on a plane or a subway, or when somebody greets them at a restaurant.”Moments of being seen by other people, and being met with respect or even enthusiasm, can energize and invigorate us and help create bonds within our neighborhood or community.As you emerge from viagra life, try to reconnect with a community you’ve missed. It might be going back to church or choir practice, a running group or yoga class or even just hanging out at your local coffee shop. And don’t be afraid to chat with a stranger, reconnect with your barista or strike up a conversation at the dog park.Find purpose in everyday routines.What things do you look forward to each day?. What gives your life meaning?.

Research has found that flourishing comes from daily routines, like working on a new skill or reaching out to thank the people you value in your life, and small moments of mastery, connection and meaning.“There are lots of American adults that would meet the qualifications of feeling happy, but they don’t feel sense of purpose,” said Corey Keyes, a professor of sociology at Emory University. €œFeeling good about life is not enough.”While work doesn’t have to be the main driver behind your sense of purpose, studies show that reframing how you think about your job can improve your sense of satisfaction. Deepening relationships with co-workers and reminding yourself how your job contributes to a greater good can change how you think about work. If you’re an insurance agent, for example, perceiving your job as a means of helping people get back on their feet after an accident, rather than focusing on a rote task like processing claims, can make your work more fulfilling.“People think that in order to flourish, they need to do whatever their version of winning the Olympics is, or climbing a mountain, or having some epic experience,” Dr. Grant said.If you’re feeling down, choose a small project.

It could be as simple as cleaning the kitchen or doing yard work, or even washing your pillow cases. Maybe you set a 10-minute timer and go for a short jog, or try a one-minute meditation. Completing a simple, impactful task can build toward a sense of accomplishment.Try something new.“Many of us think we need to change our circumstances, get a job where we earn tons more money, or switch our relationships, buy something new,” said Dr. Santos. €œBut what the research really shows is that flourishing comes from a different set of behaviors and habits.”And now that life is getting back closer to normal, there are more opportunities to branch out.

You can join a book club or running group, take a pottery class, visit a museum or outdoor art exhibit, try a new recipe, explore a nearby trail or neighborhood or test out a free language learning app like Duolingo.Most important for overall well being, Dr. Keyes said, is being interested in life. A sense of satisfaction or happiness tends to follow that. The viagra has challenged us because we haven’t been able to pursue many of our previous interests, he said. €œThe first key to feeling good about life is to seek out new interests,” he said.Dr.

Grant also said learning a skill and then teaching it to someone, or taking on passion projects as hobbies, can lead to fulfillment. The end of the viagra offers a new opportunity to reflect, he said, and to ask a new question. €œHow do I want to spend my time?. €AdvertisementContinue reading the main story.

AdvertisementContinue reading the main storySupported how to order viagra byContinue reading the main storyHow Food http://resistrevive.com/symbicort-price-without-insurance/ May Improve Your MoodThe sugar-laden, high-fat foods we often crave when we are stressed or depressed, as comforting as they are, may be the least likely to benefit our mental health.Credit...Rocio EgioMay 6, 2021As people across the globe grappled with higher levels of stress, depression and anxiety this past year, many turned to their favorite comfort foods. Ice cream, pastries, pizza, hamburgers. But studies in recent years suggest that the sugar-laden and high-fat foods we often crave when we are stressed or depressed, as comforting as they may seem, are the least likely to benefit our mental health how to order viagra. Instead, whole foods such as vegetables, fruit, fish, eggs, nuts and seeds, beans and legumes and fermented foods like yogurt may be a better bet.The findings stem from an emerging field of research known as nutritional psychiatry, which looks at the relationship between diet and mental wellness.

The idea how to order viagra that eating certain foods could promote brain health, much the way it can promote heart health, might seem like common sense. But historically, nutrition research has focused largely on how the foods we eat affect our physical health, rather than our mental health. For a long time, the potential influence of food on happiness and mental well-being, as one team of researchers recently put it, was “virtually ignored.”But over the years, a growing body of research how to order viagra has provided intriguing hints about the ways in which foods may affect our moods. A healthy diet promotes a healthy gut, which communicates with the brain through what is known as the gut-brain axis.

Microbes in the gut produce neurotransmitters like serotonin and dopamine, which regulate our mood and emotions, and how to order viagra the gut microbiome has been implicated in mental health outcomes. €œA growing body of literature shows that the gut microbiome plays a shaping role in a variety of psychiatric disorders, including major depressive disorder,” a team of scientists wrote in the Harvard Review of Psychiatry last year.Large population studies, too, have found that people who eat a lot of nutrient-dense foods report less depression and greater levels of happiness and mental well-being. One such study, from 2016, that followed 12,400 people for how to order viagra about seven years found that those who increased their consumption of fruits and vegetables during the study period rated themselves substantially higher on questionnaires about their general levels of happiness and life satisfaction.Large observational studies, however, can show only correlations, not causation, which raises the question. Which comes first?.

Do anxiety how to order viagra and depression drive people to choose unhealthy foods, or vice versa?. Are people who are happy and optimistic more motivated to consume nutritious foods?. Or does a healthy diet directly brighten their moods?. The first major trial to shed light on the food-mood connection how to order viagra was published in 2017.

A team of researchers wanted to know whether dietary changes would help alleviate depression, so they recruited 67 people who were clinically depressed and split them into groups. One group went to meetings with a how to order viagra dietitian who taught them to follow a traditional Mediterranean-style diet. The other group, serving as the control, met regularly with a research assistant who provided social support but no dietary advice.At the start of the study, both groups consumed a lot of sugary foods, processed meats and salty snacks, and very little fiber, lean proteins or fruits and vegetables. But the diet group made big how to order viagra changes.

They replaced candy, fast food and pastries with whole foods such as nuts, beans, fruits and legumes. They switched from white how to order viagra bread to whole grain and sourdough bread. They gave up sugary cereals and ate muesli and oatmeal. Instead of pizza, they how to order viagra ate vegetable stir-fries.

And they replaced highly processed meats like ham, sausages and bacon with seafood and small amounts of lean red meats.Importantly, both groups were counseled to continue taking any antidepressants or other medications they were prescribed. The goal of the study was not to see if a healthier diet could replace medication, but whether it could provide additional benefits like exercise, good sleep and other lifestyle behaviors.After 12 weeks, average depression scores how to order viagra improved in both groups, which might be expected for anyone entering a clinical trial that provided additional support, regardless of which group you were in. But depression scores improved to a far greater extent in the group that followed the healthy diet. Roughly a third how to order viagra of those people were no longer classified as depressed, compared to 8 percent of people in the control group.The results were striking for a number of reasons.

The diet benefited mental health even though the participants did not lose any weight. People also saved money by eating the more nutritious foods, demonstrating that a healthy diet can be economical. Before the study, the participants spent on average $138 per week on food how to order viagra. Those who switched to the healthy diet lowered their food costs to $112 per week.The recommended foods were relatively inexpensive and available at most grocery stores.

They included things like canned beans and lentils, canned salmon, tuna and sardines, and frozen and conventional produce, said Felice Jacka, the lead author of the how to order viagra study.“Mental health is complex,” said Dr. Jacka, the director of the Food &. Mood Centre at Deakin University in Australia and the how to order viagra president of the International Society for Nutritional Psychiatry Research. €œEating a salad is not going to cure depression.

But there’s a lot you can do to lift your mood and improve your mental health, and it can be as simple as increasing your intake of plants and healthy foods.”A number how to order viagra of randomized trials have reported similar findings. In one study of 150 adults with depression that was published last year, researchers found that people assigned to follow a Mediterranean diet supplemented with fish oil for three months had greater reductions in symptoms of depression, stress and anxiety after three months compared to a control group.Still, not every study has had positive results. A large, yearlong trial published in JAMA in 2019, for example, found that a Mediterranean diet reduced anxiety but did not prevent depression in a group of people at high risk how to order viagra. Taking supplements such as vitamin D, selenium and omega-3 fatty acids had no impact on either depression or anxiety.Most psychiatric professional groups have not adopted dietary recommendations, in part because experts say that more research is needed before they can prescribe a specific diet for mental health.

But public health experts in how to order viagra countries around the world have started encouraging people to adopt lifestyle behaviors like exercise, sound sleep, a heart-healthy diet and avoiding smoking that may reduce inflammation and have benefits for the brain. The Royal Australian and New Zealand College of Psychiatrists issued clinical practice guidelines encouraging clinicians to address diet, exercise and smoking before starting patients on medication or psychotherapy.Individual clinicians, too, are already incorporating nutrition into their work with patients. Dr. Drew Ramsey, a how to order viagra psychiatrist and assistant clinical professor at the Columbia University College of Physicians and Surgeons in New York, begins his sessions with new patients by taking their psychiatric history and then exploring their diet.

He asks what they eat, learns their favorite foods, and finds out if foods that he deems important for the gut-brain connection are missing from their diets, such as plants, seafood and fermented foods.Dr. Ramsey published a book in March, “Eat to Beat Depression how to order viagra and Anxiety,” and founded the Brain Food Clinic in New York to help people struggling with mood disorders improve their diets. He often recites a jingle so people can remember the basics of his dietary advice. €œSeafood, greens, nuts and beans — and a how to order viagra little dark chocolate.”Dr.

Ramsey said these foods help to promote compounds like brain-derived neurotrophic factor, or BDNF, a protein that stimulates the growth of new neurons and helps protect existing ones. They also contain large amounts of fiber, unsaturated fat, antioxidants, omega-3 how to order viagra fatty acids and other nutrients that have been shown to improve gut and metabolic health and reduce inflammation, all of which can affect the brain.Dr. Ramsey said he does not want people to think that the only factor involved in brain health is food. €œLots of people get their food exactly right, how to order viagra live very active lives, and still have significant troubles with their mental health,” he said.But he also teaches people that food can be empowering.

€œWe can’t control our genes, who our parents were, or if random acts of trauma or violence happen to us,” he said. €œBut we can control how we eat, and that gives how to order viagra people actionable things that they can do to take care of their brain health on a daily basis.”AdvertisementContinue reading the main storyAdvertisementContinue reading the main storySupported byContinue reading the main storyThe Other Side of Languishing Is Flourishing. Here’s How to Get There.Research shows that the viagra took a toll on our overall well-being and left many of us drained. Here are seven simple how to order viagra steps to get you thriving again.Credit...Cristina SpanòPublished May 4, 2021Updated May 6, 2021Leer en españolListen to This ArticleTo hear more audio stories from publications like The New York Times, download Audm for iPhone or Android.With vaccination rates on the rise, hope is in the air.

But after a year of trauma, isolation and grief, how long will it take before life finally — finally — feels good?. Post-viagra, the answer to that question may be in your own hands. A growing body of research shows that there are simple steps you can take to how to order viagra recharge your emotional batteries and spark a sense of fulfillment, purpose and happiness. The psychology community calls this lofty combination of physical, mental and emotional fitness “flourishing.” It is the exact opposite of languishing, that sense of stagnation Adam Grant wrote about recently for The Times.“Flourishing really is what people are ultimately after,” said Tyler J.

VanderWeele, an epidemiology and biostatistics professor and how to order viagra director of Harvard’s Human Flourishing Program. €œIt’s living the good life. We usually how to order viagra think about flourishing as living in a state in which all aspects of a person’s life are good — it’s really an all-encompassing notion.”The good news is that the scientific evidence related to flourishing is robust, and numerous studies show simple activities can lead to marked improvement in overall well-being. Here are some practical activities, backed by science, that can help you get started.Assess yourself.First, how do you know if you’re languishing, flourishing or somewhere in between?.

Simply asking yourself how to order viagra is an effective diagnostic tool, said Laurie Santos, a psychology professor at Yale who teaches a free 10-week course called “The Science of Well-Being.” Do you wake up ready to start your day or would you rather go back to sleep?. Do you have a sense of purpose or do you find how you spend much of your day to be meaningless?. “You are kind of the expert on how to order viagra your own sense of flourishing,” she said.Dr. VanderWeele uses a 10-question assessment in his program at Harvard, which you can try here.

Participants rate five areas of their how to order viagra lives on a scale of one to 10, with questions focusing on happiness and life satisfaction, physical and mental health, meaning and purpose, character and virtue and close social relationships. Just taking the quiz and reflecting on the questions it asks can put you on a path to making positive changes, Dr. VanderWeele said.Savor and celebrate small things.After a year of Zoom birthday parties and virtual graduations, many of us want to revel in gathering together again how to order viagra. Celebrations help to create and cement relationships.

€œIt’s really important that post-viagra we embrace more and more celebrating,” Dr. VanderWeele said.But it’s not just the big occasions that should be marked how to order viagra. Acknowledging small moments is also important for well-being, research shows. Psychologists call it “savoring.” Savoring is about appreciating an event or activity in the moment, sharing tiny victories and noticing the good things around you.A 2012 study of college students found that taking part in a savoring activity called “mindful photography” resulted in overall improvements how to order viagra in mood and a significantly greater sense of appreciation for college life.

The students were instructed to take at least five photos of their everyday lives — friends, their favorite view on campus, books they enjoyed — twice a week for two weeks. Reflecting on the photos, and the small moments that brought them joy, helped the students focus on the good in their lives.If snapping photos of your favorite things sounds like too much work, research shows you also benefit when you savor enjoyable experiences like luxuriating in a warm bath, spending the day with your best friend or taking an “awe” walk.Try “Sunday dinner gratitude.”Some people expressed gratitude how to order viagra more during the viagra, whether it was clapping for health care workers or thanking a grocery checkout person. But creating a weekly gratitude ritual can cement the habit. Numerous studies show that taking time to reflect how to order viagra on what we’re grateful for improves our quality of life.In a 2003 study, researchers instructed college students to list, once a week, five things they were grateful for, both big and small.

(Some wrote that they were grateful for waking up that morning. One included gratitude for the Rolling Stones.) Compared to a control group, how to order viagra the students assigned to the gratitude intervention for 10 weeks had better feelings about life as a whole and fewer physical complaints.A gratitude practice should not be a burden. Try to stack a new gratitude habit on a weekly ritual — like Sunday dinner with family. Taking out the trash, or your weekly how to order viagra grocery run.Do five good deeds.Acts of kindness not only help others, they also can help you flourish.

Research shows that performing five acts of kindness in a single day, once a week, can have a powerful effect. A 2004 study showed that when college students spent a day doing five acts of kindness — like donating blood, helping a friend with a paper or writing a thank you note to a former professor — they experienced more significant increases in well-being than those who spread out five kind things over the course of a week.Volunteer work can also improve well being. Dr. VanderWeele and other researchers looked at data from a cohort of nearly 13,000 older adults and found that participants who volunteered at least two hours a week during the study period experienced higher levels of happiness, optimism and purpose in life, compared to those who did not volunteer at all.To make it easy, Dr.

Grant recommends starting off with a daily “five-minute favor,” like introducing two people who could benefit from knowing each other, or sending an article or podcast link to a friend, saying you were thinking of them.Look for communities and connection.Even a quick chat with a stranger or a momentary bond with someone new can foster a sense of fulfillment, particularly when what researchers call a high quality connection occurs. €œThey don’t have to be lasting relationships or long interactions,” Dr. Grant said. €œSometimes people feel an extra spring in their step when they talk to a stranger on a plane or a subway, or when somebody greets them at a restaurant.”Moments of being seen by other people, and being met with respect or even enthusiasm, can energize and invigorate us and help create bonds within our neighborhood or community.As you emerge from viagra life, try to reconnect with a community you’ve missed.

It might be going back to church or choir practice, a running group or yoga class or even just hanging out at your local coffee shop. And don’t be afraid to chat with a stranger, reconnect with your barista or strike up a conversation at the dog park.Find purpose in everyday routines.What things do you look forward to each day?. What gives your life meaning?. Research has found that flourishing comes from daily routines, like working on a new skill or reaching out to thank the people you value in your life, and small moments of mastery, connection and meaning.“There are lots of American adults that would meet the qualifications of feeling happy, but they don’t feel sense of purpose,” said Corey Keyes, a professor of sociology at Emory University.

€œFeeling good about life is not enough.”While work doesn’t have to be the main driver behind your sense of purpose, studies show that reframing how you think about your job can improve your sense of satisfaction. Deepening relationships with co-workers and reminding yourself how your job contributes to a greater good can change how you think about work. If you’re an insurance agent, for example, perceiving your job as a means of helping people get back on their feet after an accident, rather than focusing on a rote task like processing claims, can make your work more fulfilling.“People think that in order to flourish, they need to do whatever their version of winning the Olympics is, or climbing a mountain, or having some epic experience,” Dr. Grant said.If you’re feeling down, choose a small project.

It could be as simple as cleaning the kitchen or doing yard work, or even washing your pillow cases. Maybe you set a 10-minute timer and go for a short jog, or try a one-minute meditation. Completing a simple, impactful task can build toward a sense of accomplishment.Try something new.“Many of us think we need to change our circumstances, get a job where we earn tons more money, or switch our relationships, buy something new,” said Dr. Santos.

€œBut what the research really shows is that flourishing comes from a different set of behaviors and habits.”And now that life is getting back closer to normal, there are more opportunities to branch out. You can join a book club or running group, take a pottery class, visit a museum or outdoor art exhibit, try a new recipe, explore a nearby trail or neighborhood or test out a free language learning app like Duolingo.Most important for overall well being, Dr. Keyes said, is being interested in life. A sense of satisfaction or happiness tends to follow that.

The viagra has challenged us because we haven’t been able to pursue many of our previous interests, he said. €œThe first key to feeling good about life is to seek out new interests,” he said.Dr. Grant also said learning a skill and then teaching it to someone, or taking on passion projects as hobbies, can lead to fulfillment. The end of the viagra offers a new opportunity to reflect, he said, and to ask a new question.

€œHow do I want to spend my time?. €AdvertisementContinue reading the main story.

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And bolstering that trend, nearly 70% of Californians Symbicort for sale online 12 and itsoktocry viagra lyrics older are partially or fully vaccinated. But state health officials are still reporting nearly 1,000 new erectile dysfunction treatment cases and more than two dozen erectile dysfunction treatment-related deaths per day. So, where does erectile dysfunction treatment continue to simmer in California?. And why? itsoktocry viagra lyrics. An analysis of state data shows some clear patterns at this stage of the viagra.

As vaccination rates rose across the state, the overall numbers of cases and deaths plunged. But within that broader trend are pronounced regional discrepancies itsoktocry viagra lyrics. Counties with relatively low rates of vaccination reported much higher rates of erectile dysfunction treatment s and deaths in May and June than counties with high vaccination rates. There were about 182 new erectile dysfunction treatment s per 100,000 residents from May 1 to June 18 in California counties where fewer than half of residents age 12 and older had received at least one treatment dose, CDPH data shows. By comparison, there were about 102 erectile dysfunction treatment s per 100,000 residents in counties where more than two-thirds of residents 12 and up had gotten at least itsoktocry viagra lyrics one dose.

€œIf you live in an area that has low vaccination rates and you have a few people who start to develop a disease, it's going to spread quickly among those who aren't vaccinated,” said Rita Burke, assistant professor of clinical preventive medicine at the University of Southern California’s Keck School of Medicine. Burke noted that the highly contagious delta variant of the erectile dysfunction now circulating in California amplifies the threat of serious outbreaks in areas with low vaccination rates. The regional itsoktocry viagra lyrics discrepancies in erectile dysfunction treatment-related deaths are also striking. There were about 3.2 erectile dysfunction treatment-related deaths per 100,000 residents from May 1 to June 18 in counties where first-dose vaccination rates were below 50%. That is almost twice as high as the death rate in counties where more than two-thirds of residents had at least one dose.

While the itsoktocry viagra lyrics pattern is clear, there are exceptions. A couple of sparsely populated mountain counties with low vaccination rates — Trinity and Mariposa — also had relatively low rates of new s in May and June. Likewise, a few suburban counties with high vaccination rates — among them Sonoma and Contra Costa — had relatively high rates of new s. €œThere are three things that are going on,” said itsoktocry viagra lyrics Dr. George Rutherford, a professor of epidemiology and biostatistics at the University of California-San Francisco.

€œOne is the treatment — very important, but not the whole story. One is naturally acquired immunity, which itsoktocry viagra lyrics is huge in some places.” A third, he said, is people still managing to evade , whether by taking precautions or simply by living in areas with few s. As of June 18, about 67% of Californians age 12 and older had received at least one dose of erectile dysfunction treatment, according to the state health department. But that masks a wide variance among the state’s 58 counties. In 14 counties, for example, fewer than itsoktocry viagra lyrics half of residents 12 and older had received a shot.

In 19 counties, more than two-thirds had. The counties with low vaccination rates are largely rugged and rural. Nearly all itsoktocry viagra lyrics are politically conservative. In January, about 6% of the state’s erectile dysfunction treatment s were in the 23 counties where a majority of voters cast ballots for President Donald Trump in November. By May and June, that figure had risen to 11%.

While surveys indicate politics plays a role in treatment itsoktocry viagra lyrics hesitancy in many communities, access also remains an issue in many of California’s rural outposts. It can be hard, or at least inconvenient, for people who live far from the nearest medical facility to get two shots a month apart. €œIf you have to drive 30 minutes out to the nearest vaccination site, you may not be as inclined to do that versus if it's five minutes from your house,” Burke said. €œAnd so we, the public health community, recognize itsoktocry viagra lyrics that and have really made a concerted effort in order to eliminate or alleviate that access issue.” Many of the counties with low vaccination rates had relatively low rates in the early months of the viagra, largely thanks to their remoteness. But, as erectile dysfunction treatment reaches those communities, that lack of prior exposure and acquired immunity magnifies their vulnerability, Rutherford said.

€œWe're going to see cases where people are unvaccinated or where there's not been a big background level of immunity already,” Rutherford said. As it becomes clearer that new s will be disproportionately concentrated in areas with low vaccination rates, state officials are working to persuade hesitant Californians to get a treatment, even introducing a itsoktocry viagra lyrics treatment lottery. But most persuasive are friends and family members who can help counter the disinformation rampant in some communities, said Lorena Garcia, an associate professor of epidemiology at the University of California-Davis. Belittling people for their hesitancy or getting into a political argument likely won’t work. When talking to her own itsoktocry viagra lyrics skeptical relatives, Garcia avoided politics.

€œI just explained any questions that they had.” “treatments are a good part of our life,” she said. €œIt's something that we've done since we were babies. So, it's just something we're going to do again.” Phillip Reese is a data reporting specialist and an assistant professor itsoktocry viagra lyrics of journalism at California State University-Sacramento. This story was produced by KHN, which publishes California Healthline, an editorially independent service of the California Health Care Foundation. Related Topics Contact Us Submit a Story TipCan’t see the audio player?.

Click here itsoktocry viagra lyrics to listen. Veteran health journalist Marshall Allen has been exposing health care grifters for years. Now, he’s written a book about how to fight them. Host Dan Weissmann spoke with itsoktocry viagra lyrics Allen about some of the best tips from “Never Pay the First Bill. And Other Ways to Fight the Health Care System and Win.” Allen used the skills he learned while doing health care deep dives for ProPublica to write the book, which he describes as a field guide to navigating the health system.

“This is not stuff you’re going to hear at your company’s employee enrollment meeting,” Allen said. Among the tips were some “magic words” you can use itsoktocry viagra lyrics if you ever end up in the emergency room. They are worth memorizing or writing down. In the ER, you’ll be asked to sign a form that says you will pay for whatever your insurance does not cover. If you can, X itsoktocry viagra lyrics out that section and write in this.

I consent to appropriate treatment and (including applicable insurance payments) to be responsible for reasonable charges up to two times the Medicare rate. Here’s a transcript of this episode. “An Arm and a Leg” is a co-production of Kaiser Health itsoktocry viagra lyrics News and Public Road Productions. To keep in touch with “An Arm and a Leg,” subscribe to the newsletter. You can also follow the show on Facebook and Twitter.

And if you’ve got stories to itsoktocry viagra lyrics tell about the health care system, the producers would love to hear from you. To hear all Kaiser Health News podcasts, click here. And subscribe to “An Arm and a Leg” on iTunes, Pocket Casts, Google Play or Spotify. Related Topics Contact Us Submit a Story itsoktocry viagra lyrics TipDUTTON, Mont. €” Vern Greyn was standing in the raised bucket of a tractor, trimming dead branches off a tree, when he lost his balance.

He fell 12 feet and struck his head on the concrete patio outside his house in this small farming town on the central Montana plains. Greyn, itsoktocry viagra lyrics then 58, couldn’t move. His wife called 911. A volunteer emergency medical technician showed up. His own itsoktocry viagra lyrics daughter-in-law, Leigh.

But there was a problem. Greyn was too large for her to move by herself, so she had to call in help from the ambulance crew in Power, the next town over. €œI laid here for a half-hour or better,” Greyn said, recounting itsoktocry viagra lyrics what happened two years ago from the same patio. When help finally arrived, they loaded him into the ambulance and rushed him to the nearest hospital, where they found he had a concussion. In rural America, it’s increasingly difficult for ambulance services to respond to emergencies like Greyn’s.

One factor is that emergency medical services are itsoktocry viagra lyrics struggling to find young volunteers to replace retiring EMTs. Another is a growing financial crisis among rural volunteer EMS agencies. A third of them are at risk because they can’t cover their operating costs. €œMore and more volunteer services are itsoktocry viagra lyrics finding this to be untenable,” said Brock Slabach, chief operations officer of the National Rural Health Association. Rural ambulance services rely heavily on volunteers.

About 53% of rural EMS agencies are staffed by volunteers, compared with 14% in urban areas, according to an NRHA report. More than 70% of those rural agencies report itsoktocry viagra lyrics difficulty finding volunteers. In Montana, a state Department of Public Health and Human Services report says, about 20% of EMS agencies frequently have trouble responding to 911 calls for lack of available volunteers, and 34% occasionally can’t respond to a call. When that happens, other EMS agencies must respond, sometimes having to drive long distances when a delay of minutes can be the difference between life and death. Sometimes an emergency call will go itsoktocry viagra lyrics unanswered, leaving people to drive themselves or ask neighbors to drive them to the nearest hospital.

According to state data, 60% of Montana’s volunteer EMTs are 40 or older, and fewer young people are stepping in to replace the older people who volunteer to save the lives of their relatives, friends and neighbors. Finding enough volunteers to fill out a rural ambulance crew is not a new problem. In Dutton, where Greyn fell out of the tractor bucket, EMS Crew Chief Colleen Campbell says getting people to volunteer and keeping them on the roster has been an itsoktocry viagra lyrics issue for most of the 17 years she’s volunteered with the Dutton ambulance crew. Currently the Dutton crew has four volunteers, including Campbell. In its early days, the Dutton ambulance service was locally run and survived off limited health insurance reimbursements and donations.

At its lowest point, she said, her crew consisted of two people itsoktocry viagra lyrics. Her and her best friend. Dutton EMS Crew Chief Colleen Campbell shows off an ambulance at the Dutton ambulance barn. (Aaron Bolton for KHN) That made responding to calls, doing the administrative work and organizing the itsoktocry viagra lyrics training needed to maintain certifications more than they could handle. In 2011, the Dutton ambulance service was absorbed by Teton County.

That eased some of Campbell’s problems, but her biggest challenge remains finding people willing to go through the roughly 155 hours of training and take the written and practical tests in this town of fewer than 300 people. €œIt’s just a big responsibility that people aren’t willing to jump itsoktocry viagra lyrics into, I guess,” Campbell said. In addition to personnel shortages, about a third of rural EMS agencies in the U.S. Are in immediate operational jeopardy because they can’t cover their costs, according to the NRHA. Slabach said that largely itsoktocry viagra lyrics stems from insufficient Medicaid and Medicare reimbursements.

Those reimbursements cover, on average, about a third of the actual costs to maintain equipment, stock medications and pay for insurance and other fixed expenses. Many rural ambulance services rely on patients’ private insurance to fill the gap. Private insurance pays considerably more than Medicaid, but because of low call volumes, rural EMS agencies can’t itsoktocry viagra lyrics always cover their bills, Slabach said. €œSo, it’s not possible in many cases without significant subsidies to operate an emergency service in a large area with small populations,” he said. Slabach and others say sagging reimbursement and volunteerism means rural parts of the U.S.

Can no longer rely itsoktocry viagra lyrics solely on volunteers but must find ways to convert to a paid staff. Jim DeTienne, who recently retired as the Montana health department’s EMS and Trauma Systems chief, acknowledged that sparsely populated counties would still need volunteers, but he said having at least one paid EMT on the roster could be a huge benefit. DeTienne said he believes EMS needs to be declared an essential service like police or fire departments. Then counties could tax their residents to pay for ambulance services and provide a dedicated revenue stream. Only 11 states have deemed EMS an essential service, Slabach said itsoktocry viagra lyrics.

Glacier County EMS paramedic Robert Gordon (left) and EMT Camas Rinehart put together advanced life support bags for their ambulances. Glacier EMS is one of the few paid services along Montana’s Rocky Mountain Front that responds when volunteer agencies can’t, and provides advanced life support transfers from critical access hospitals to larger facilities miles away.(Aaron Bolton / Montana Public Radio) The Montana health department report on EMS services suggested other ways to move away from full-volunteer services, such as having EMS agencies merge with taxpayer-funded fire departments or having hospitals take over the programs. In the southwestern Montana town of Ennis, Madison Valley Medical Center absorbed the dwindling itsoktocry viagra lyrics volunteer EMS service earlier this year. EMS Manager Nick Efta, a former volunteer, said the transition stabilized the service, which had been struggling to answer every 911 call. He said the service recently had nine calls in 24 hours.

That included three transfers of patients to larger itsoktocry viagra lyrics hospitals miles away. €œGiven that day and how the calls played out, I think under a volunteer model it would be difficult to make all those calls,” Efta said. Rich Rasmussen, president and CEO of the Montana Hospital Association, said an Ennis-style takeover might not be financially viable for many of the smaller critical access hospitals that serve rural areas. Many small hospitals that take over emergency services do so at a itsoktocry viagra lyrics loss, he said. €œReally, what we need is a federal policy change, which would allow critical access hospitals to be reimbursed for the cost of delivering that EMS service,” he said.

Under current Medicare policy, federally designated critical access hospitals can get fully reimbursed for EMS only if there’s no other ambulance service within 35 miles, Rasmussen said. Eliminating that mileage requirement would itsoktocry viagra lyrics give the hospitals an incentive to take on EMS, Rasmussen said. €œIt’s a long haul to do this, but it would dramatically improve EMS access all across this country,” he said. A Centers for Medicare &. Medicaid Services pilot program is testing the elimination of mileage minimums for emergency services with select critical access itsoktocry viagra lyrics hospitals.

The rural EMS crunch puts a greater burden on the closest urban ambulance services. Don Whalen, who manages a private EMS service in Missoula, the state’s second-largest city, said his crews regularly respond to outlying communities 70 miles away and sometimes across the Idaho line because local volunteer agencies often can’t answer emergency calls. €œWe know if we’re not going, itsoktocry viagra lyrics nobody is coming for the patient, because a lot of times we’re the last resort,” he said. Missoula EMS is responsible for calls in the city and Missoula County. Whalen said Missoula EMS has agreements with a couple of volunteer EMS agencies in smaller communities to provide an ambulance when volunteers have difficulty leaving work to respond to calls.

Those agreements, on top of responding to other towns where 911 calls are going itsoktocry viagra lyrics unanswered, are taking resources from Missoula, he said. Communities need to find ways to stabilize or convert their volunteer programs, or private services like his will need financial support to keep responding in other communities, Whalen said. But lawmakers’ appetite for finding ways to fund EMS is limited. During Montana’s legislative session earlier this year, DeTienne pushed for a bill that would have studied the benefit of declaring EMS an essential service, among other possible improvements itsoktocry viagra lyrics. The bill quickly died.

Back in Dutton, the EMS crew chief is thinking about her future after 17 years as a volunteer. Campbell said she wants to spend more time with her grandchildren, who live out of town itsoktocry viagra lyrics. If she retires, there’s no guarantee somebody will replace her. She’s torn about what to do. €œMy license is good until March of 2022, and we’ll just see,” Campbell itsoktocry viagra lyrics said.

Related Topics Contact Us Submit a Story TipIf you could invest $56 billion each year in improving health care for older adults, how would you spend it?. On a hugely expensive medication with questionable efficacy — or something else?. This isn’t an abstract itsoktocry viagra lyrics question. Aduhelm, a new Alzheimer’s drug approved by the Food and Drug Administration last month, could be prescribed to 1 million to 2 million patients a year, even if conservative criteria were used, according to Biogen and Eisai, the companies behind the drug. The total annual price tag would come to $56 billion if the average list price, $56,000, is applied to the lower end of the companies’ estimate.

That’s a huge sum by any measure — more than the annual budget for the itsoktocry viagra lyrics National Institutes of Health (almost $43 billion this year). Yet there’s considerable uncertainty about Aduhelm’s clinical benefits, fueling controversy over its approval. The FDA has acknowledged it’s not clear whether the medication will actually slow the progression of Alzheimer’s disease or by how much. €œThis drug raises all kinds of questions about itsoktocry viagra lyrics how we think about health and our priorities,” said Dr. Kenneth Covinsky, a geriatrician and professor of medicine at the University of California-San Francisco.

Since most Alzheimer’s patients are older and on Medicare, the medication would become a significant financial burden on the federal government and beneficiaries. Several experts warn that outlays for aducanumab, marketed as Aduhelm, could itsoktocry viagra lyrics drive up premiums for Medicare Part B and Medicare supplemental policies and raise out-of-pocket expenses. A likely additional cost. Lost opportunities to invest in other improvements in care for older adults. If Medicare itsoktocry viagra lyrics and Medicaid must absorb drug spending of this magnitude, other priorities are less likely to receive attention.

I asked a dozen experts — geriatricians, economists, health policy specialists — how they would spend an extra $56 billion a year. Their answers highlight significant gaps in care for older adults. Here’s some of what they itsoktocry viagra lyrics suggested. Make Medicare more affordable. High out-of-pocket expenses are a growing burden on older adults and discourage many from seeking care, and Dr.

David Himmelstein, a distinguished itsoktocry viagra lyrics professor of urban public health at Hunter College in New York City, said extra funding could be directed at reducing those costs. €œI’d cut Medicare copayments and deductibles. I think that would go a long way toward improving access to care and health outcomes,” he said. On average, older adults on Medicare spent $5,801 out-of-pocket for itsoktocry viagra lyrics health care in 2017 — 36% of the average annual Social Security benefit of $16,104, according to a report last year from AARP. By 2030, out-of-pocket health expenses could consume 50% of average Social Security benefits, KFF predicted in 2018.

Pay for vision, hearing and dental care. Millions of older adults can’t afford hearing, itsoktocry viagra lyrics vision and dental care — services that traditional Medicare doesn’t cover. As a result, their quality of life is often negatively affected and they’re at increased risk for cognitive decline, social isolation, falls, s and depression. €œI’d use the money to help pay for these additional benefits, which have proved very popular with Medicare Advantage members,” said Mark Pauly, a professor of health care management at the University of Pennsylvania’s Wharton School of Business. (Private Medicare Advantage plans, itsoktocry viagra lyrics which cover about 24 million people, usually offer some kind of hearing, vision and dental benefits.) Over 10 years (2020 to 2029), the cost of adding comprehensive hearing, vision and dental benefits to Medicare would be $358 billion, according to the Congressional Budget Office.

Support family caregivers. Nearly 42 million people provide assistance — help with shopping, cooking, paying bills and physical care — to older adults trying to age in place at home. Yet these unpaid caregivers receive little practical support itsoktocry viagra lyrics. Dr. Sharon Inouye, a geriatrician and professor of medicine at Harvard Medical School, suggests investing in paid services in the home to lessen the burden on unpaid caregivers, especially those tending to people with dementia.

She would fund more respite care programs that give family caregivers short-term breaks, as well as adult day centers where older adults can socialize and engage in itsoktocry viagra lyrics activities. Also, she recommends devoting substantial resources to expanding caregiver training and support and paying caregivers stipends to lessen the financial impact of caregiving. For the most part, Medicare doesn’t cover those services. €œProviding these supports could make a huge difference in people’s lives,” Inouye said. Strengthen long-term care.

Shortages of direct care workers — aides who care for older adults at home and in assisted living facilities, nursing homes, residential facilities and other settings — are a growing problem, made more acute by the erectile dysfunction viagra. PHI, a research organization that studies the direct care workforce, has estimated that millions of direct care jobs will need to be filled as baby boomers age. €œWe could greatly improve the long-term care workforce by paying these workers better and training them better,” said Dr. Joanne Lynn, a geriatrician and policy analyst at Altarum, a research and consulting organization. Help people age in place.

Most older adults want to age in place, but many need assistance over time, surveys show. Will they be able to climb the stairs?. Cook for themselves?. Do the laundry?. Take a shower?.

Simple solutions can help, including relatively inexpensive home renovations (installing handrails on staircases, grab bars in bathrooms and better lighting, for example) and assistive devices such as raised toilet seats, shower stools or scooters. But Medicare doesn’t pay for renovations or certain helpful devices. Covinsky of UCSF would make a program known as CAPABLE (Community Aging In Place — Advancing Better Living for Elders) a Medicare benefit, available to all 61 million members. That program combines at-home visits from an occupational therapist and a registered nurse, usually conducted over 10 weeks, with up to $1,300 in services from a handyman. Evidence shows it has a significant positive impact, helping seniors perform daily activities and stay out of nursing homes.

The total cost. $3,000 per person. €œFor less than one infusion of aducanumab, you can greatly improve someone’s quality of life and well-being,” Covinsky said. Find out what older adults need. Sarah Szanton, director of the Center for Innovative Care in Aging at the Johns Hopkins School of Nursing, developed CAPABLE.

She would use $56 billion to assess every older adult annually to “figure out what they need to be able to live comfortably and independently. From that, I would generate a list of tailored interventions” — specific action items that might include CAPABLE or other programs, she told me. Initiatives that could use extra funding might focus on managing depression, preventing falls or structuring activities for people with dementia, Szanton said. Focus on prevention. A growing body of evidence suggests that dementia could be prevented — perhaps up to 40% of the time — if people didn’t drink excessive amounts of alcohol, controlled blood pressure and obesity, managed depression, used hearing aids, stopped smoking, and regularly engaged in exercise, social interactions and cognitively stimulating activities, among other strategies.

€œIf I had $56 billion to spend, I’d focus on prevention,” said Laura Gitlin, a dementia expert and dean of Drexel University’s College of Nursing and Health Professions. €œThere is more evidence for these strategies than there is for Aduhelm at the moment,” said Dr. David Reuben, chief of UCLA’s geriatrics department and director of its Alzheimer’s and dementia care program. Invest in social determinants of health. The health of older adults is shaped by the environments in which they live, their interactions with other people and how easy it is to fulfill basic needs.

Recognizing this, Dr. Anthony Joseph Viera, a professor of family medicine and community health at Duke University School of Medicine, said he would invest in “transportation for the elderly.

In recent weeks, rates of erectile dysfunction treatment and how to order viagra death have Symbicort for sale online plummeted in California, falling to levels not seen since the early days of the viagra. The average number of new erectile dysfunction treatment s reported each day dropped by an astounding 98% from December to June, according to figures from the California Department of Public Health. And bolstering that trend, nearly 70% of Californians 12 and older are partially or fully vaccinated. But state health officials are still reporting nearly 1,000 how to order viagra new erectile dysfunction treatment cases and more than two dozen erectile dysfunction treatment-related deaths per day.

So, where does erectile dysfunction treatment continue to simmer in California?. And why?. An analysis of state data shows some clear how to order viagra patterns at this stage of the viagra. As vaccination rates rose across the state, the overall numbers of cases and deaths plunged.

But within that broader trend are pronounced regional discrepancies. Counties with relatively low rates of vaccination reported much higher how to order viagra rates of erectile dysfunction treatment s and deaths in May and June than counties with high vaccination rates. There were about 182 new erectile dysfunction treatment s per 100,000 residents from May 1 to June 18 in California counties where fewer than half of residents age 12 and older had received at least one treatment dose, CDPH data shows. By comparison, there were about 102 erectile dysfunction treatment s per 100,000 residents in counties where more than two-thirds of residents 12 and up had gotten at least one dose.

€œIf you live in an area that has low vaccination rates and you have a few people who start to develop a disease, it's going to spread quickly among those who aren't vaccinated,” said how to order viagra Rita Burke, assistant professor of clinical preventive medicine at the University of Southern California’s Keck School of Medicine. Burke noted that the highly contagious delta variant of the erectile dysfunction now circulating in California amplifies the threat of serious outbreaks in areas with low vaccination rates. The regional discrepancies in erectile dysfunction treatment-related deaths are also striking. There were about 3.2 erectile dysfunction treatment-related deaths per 100,000 residents from May 1 to June how to order viagra 18 in counties where first-dose vaccination rates were below 50%.

That is almost twice as high as the death rate in counties where more than two-thirds of residents had at least one dose. While the pattern is clear, there are exceptions. A couple of sparsely populated mountain counties with low vaccination rates — Trinity and Mariposa — also had how to order viagra relatively low rates of new s in May and June. Likewise, a few suburban counties with high vaccination rates — among them Sonoma and Contra Costa — had relatively high rates of new s.

€œThere are three things that are going on,” said Dr. George Rutherford, a professor of epidemiology and how to order viagra biostatistics at the University of California-San Francisco. €œOne is the treatment — very important, but not the whole story. One is naturally acquired immunity, which is huge in some places.” A third, he said, is people still managing to evade , whether by taking precautions or simply by living in areas with few s.

As of June 18, about 67% of Californians age 12 and older how to order viagra had received at least one dose of erectile dysfunction treatment, according to the state health department. But that masks a wide variance among the state’s 58 counties. In 14 counties, for example, fewer than half of residents 12 and older had received a shot. In 19 counties, more than how to order viagra two-thirds had.

The counties with low vaccination rates are largely rugged and rural. Nearly all are politically conservative. In January, about 6% of the state’s erectile dysfunction treatment s were in the 23 how to order viagra counties where a majority of voters cast ballots for President Donald Trump in November. By May and June, that figure had risen to 11%.

While surveys indicate politics plays a role in treatment hesitancy in many communities, access also remains an issue in many of California’s rural outposts. It can be hard, or at least inconvenient, for people who live far from the nearest medical facility to get two shots a month apart how to order viagra. €œIf you have to drive 30 minutes out to the nearest vaccination site, you may not be as inclined to do that versus if it's five minutes from your house,” Burke said. €œAnd so we, the public health community, recognize that and have really made a concerted effort in order to eliminate or alleviate that access issue.” Many of the counties with low vaccination rates had relatively low rates in the early months of the viagra, largely thanks to their remoteness.

But, as how to order viagra erectile dysfunction treatment reaches those communities, that lack of prior exposure and acquired immunity magnifies their vulnerability, Rutherford said. €œWe're going to see cases where people are unvaccinated or where there's not been a big background level of immunity already,” Rutherford said. As it becomes clearer that new s will be disproportionately concentrated in areas with low vaccination rates, state officials are working to persuade hesitant Californians to get a treatment, even introducing a treatment lottery. But most persuasive are friends and family members who can help counter the disinformation rampant in some communities, how to order viagra said Lorena Garcia, an associate professor of epidemiology at the University of California-Davis.

Belittling people for their hesitancy or getting into a political argument likely won’t work. When talking to her own skeptical relatives, Garcia avoided politics. €œI just explained any questions that they had.” “treatments are a good part of our life,” she said how to order viagra. €œIt's something that we've done since we were babies.

So, it's just something we're going to do again.” Phillip Reese is a data reporting specialist and an assistant professor of journalism at California State University-Sacramento. This story was produced by how to order viagra KHN, which publishes California Healthline, an editorially independent service of the California Health Care Foundation. Related Topics Contact Us Submit a Story TipCan’t see the audio player?. Click here to listen.

Veteran health journalist Marshall Allen has been how to order viagra exposing health care grifters for years. Now, he’s written a book about how to fight them. Host Dan Weissmann spoke with Allen about some of the best tips from “Never Pay the First Bill. And Other Ways to Fight the Health Care System and how to order viagra Win.” Allen used the skills he learned while doing health care deep dives for ProPublica to write the book, which he describes as a field guide to navigating the health system.

“This is not stuff you’re going to hear at your company’s employee enrollment meeting,” Allen said. Among the tips were some “magic words” you can use if you ever end up in the emergency room. They are worth memorizing or writing how to order viagra down. In the ER, you’ll be asked to sign a form that says you will pay for whatever your insurance does not cover.

If you can, X out that section and write in this. I consent to appropriate treatment and (including applicable insurance payments) how to order viagra to be responsible for reasonable charges up to two times the Medicare rate. Here’s a transcript of this episode. “An Arm and a Leg” is a co-production of Kaiser Health News and Public Road Productions.

To keep in touch with “An Arm and a Leg,” subscribe to the how to order viagra newsletter. You can also follow the show on Facebook and Twitter. And if you’ve got stories to tell about the health care system, the producers would love to hear from you. To hear all Kaiser Health News podcasts, how to order viagra click here.

And subscribe to “An Arm and a Leg” on iTunes, Pocket Casts, Google Play or Spotify. Related Topics Contact Us Submit a Story TipDUTTON, Mont. €” Vern Greyn was standing in the raised bucket of a tractor, trimming dead branches off a how to order viagra tree, when he lost his balance. He fell 12 feet and struck his head on the concrete patio outside his house in this small farming town on the central Montana plains.

Greyn, then 58, couldn’t move. His wife how to order viagra called 911. A volunteer emergency medical technician showed up. His own daughter-in-law, Leigh.

But there how to order viagra was a problem. Greyn was too large for her to move by herself, so she had to call in help from the ambulance crew in Power, the next town over. €œI laid here for a half-hour or better,” Greyn said, recounting what happened two years ago from the same patio. When help finally how to order viagra arrived, they loaded him into the ambulance and rushed him to the nearest hospital, where they found he had a concussion.

In rural America, it’s increasingly difficult for ambulance services to respond to emergencies like Greyn’s. One factor is that emergency medical services are struggling to find young volunteers to replace retiring EMTs. Another is a growing financial crisis among how to order viagra rural volunteer EMS agencies. A third of them are at risk because they can’t cover their operating costs.

€œMore and more volunteer services are finding this to be untenable,” said Brock Slabach, chief operations officer of the National Rural Health Association. Rural ambulance how to order viagra services rely heavily on volunteers. About 53% of rural EMS agencies are staffed by volunteers, compared with 14% in urban areas, according to an NRHA report. More than 70% of those rural agencies report difficulty finding volunteers.

In Montana, a state Department of Public Health and Human Services report says, about how to order viagra 20% of EMS agencies frequently have trouble responding to 911 calls for lack of available volunteers, and 34% occasionally can’t respond to a call. When that happens, other EMS agencies must respond, sometimes having to drive long distances when a delay of minutes can be the difference between life and death. Sometimes an emergency call will go unanswered, leaving people to drive themselves or ask neighbors to drive them to the nearest hospital. According to state data, 60% of Montana’s volunteer EMTs are 40 or older, and fewer young people are stepping how to order viagra in to replace the older people who volunteer to save the lives of their relatives, friends and neighbors.

Finding enough volunteers to fill out a rural ambulance crew is not a new problem. In Dutton, where Greyn fell out of the tractor bucket, EMS Crew Chief Colleen Campbell says getting people to volunteer and keeping them on the roster has been an issue for most of the 17 years she’s volunteered with the Dutton ambulance crew. Currently the Dutton how to order viagra crew has four volunteers, including Campbell. In its early days, the Dutton ambulance service was locally run and survived off limited health insurance reimbursements and donations.

At its lowest point, she said, her crew consisted of two people. Her and how to order viagra her best friend. Dutton EMS Crew Chief Colleen Campbell shows off an ambulance at the Dutton ambulance barn. (Aaron Bolton for KHN) That made responding to calls, doing the administrative work and organizing the training needed to maintain certifications more than they could handle.

In 2011, the Dutton ambulance service was absorbed by Teton County how to order viagra. That eased some of Campbell’s problems, but her biggest challenge remains finding people willing to go through the roughly 155 hours of training and take the written and practical tests in this town of fewer than 300 people. €œIt’s just a big responsibility that people aren’t willing to jump into, I guess,” Campbell said. In addition to personnel shortages, about a third of rural EMS agencies in the how to order viagra U.S.

Are in immediate operational jeopardy because they can’t cover their costs, according to the NRHA. Slabach said that largely stems from insufficient Medicaid and Medicare reimbursements. Those reimbursements cover, on average, about a third of the actual costs to maintain equipment, stock medications and pay for insurance and other fixed how to order viagra expenses. Many rural ambulance services rely on patients’ private insurance to fill the gap.

Private insurance pays considerably more than Medicaid, but because of low call volumes, rural EMS agencies can’t always cover their bills, Slabach said. €œSo, it’s not possible in many cases without significant subsidies to operate an emergency service in a large area with small how to order viagra populations,” he said. Slabach and others say sagging reimbursement and volunteerism means rural parts of the U.S. Can no longer rely solely on volunteers but must find ways to convert to a paid staff.

Jim DeTienne, who recently retired as the Montana health department’s EMS and Trauma Systems chief, acknowledged that sparsely populated counties would still need volunteers, but he said having at least one paid EMT on the roster could be a huge benefit. DeTienne said how to order viagra he believes EMS needs to be declared an essential service like police or fire departments. Then counties could tax their residents to pay for ambulance services and provide a dedicated revenue stream. Only 11 states have deemed EMS an essential service, Slabach said.

Glacier County EMS paramedic Robert Gordon (left) and EMT Camas how to order viagra Rinehart put together advanced life support bags for their ambulances. Glacier EMS is one of the few paid services along Montana’s Rocky Mountain Front that responds when volunteer agencies can’t, and provides advanced life support transfers from critical access hospitals to larger facilities miles away.(Aaron Bolton / Montana Public Radio) The Montana health department report on EMS services suggested other ways to move away from full-volunteer services, such as having EMS agencies merge with taxpayer-funded fire departments or having hospitals take over the programs. In the southwestern Montana town of Ennis, Madison Valley Medical Center absorbed the dwindling volunteer EMS service earlier this year. EMS Manager Nick how to order viagra Efta, a former volunteer, said the transition stabilized the service, which had been struggling to answer every 911 call.

He said the service recently had nine calls in 24 hours. That included three transfers of patients to larger hospitals miles away. €œGiven that day and how the calls played out, I think under a volunteer model it would be difficult to make all those calls,” how to order viagra Efta said. Rich Rasmussen, president and CEO of the Montana Hospital Association, said an Ennis-style takeover might not be financially viable for many of the smaller critical access hospitals that serve rural areas.

Many small hospitals that take over emergency services do so at a loss, he said. €œReally, what how to order viagra we need is a federal policy change, which would allow critical access hospitals to be reimbursed for the cost of delivering that EMS service,” he said. Under current Medicare policy, federally designated critical access hospitals can get fully reimbursed for EMS only if there’s no other ambulance service within 35 miles, Rasmussen said. Eliminating that mileage requirement would give the hospitals an incentive to take on EMS, Rasmussen said.

€œIt’s a long haul how to order viagra to do this, but it would dramatically improve EMS access all across this country,” he said. A Centers for Medicare &. Medicaid Services pilot program is testing the elimination of mileage minimums for emergency services with select critical access hospitals. The rural EMS crunch puts how to order viagra a greater burden on the closest urban ambulance services.

Don Whalen, who manages a private EMS service in Missoula, the state’s second-largest city, said his crews regularly respond to outlying communities 70 miles away and sometimes across the Idaho line because local volunteer agencies often can’t answer emergency calls. €œWe know if we’re not going, nobody is coming for the patient, because a lot of times we’re the last resort,” he said. Missoula EMS is responsible for calls in the how to order viagra city and Missoula County. Whalen said Missoula EMS has agreements with a couple of volunteer EMS agencies in smaller communities to provide an ambulance when volunteers have difficulty leaving work to respond to calls.

Those agreements, on top of responding to other towns where 911 calls are going unanswered, are taking resources from Missoula, he said. Communities need to how to order viagra find ways to stabilize or convert their volunteer programs, or private services like his will need financial support to keep responding in other communities, Whalen said. But lawmakers’ appetite for finding ways to fund EMS is limited. During Montana’s legislative session earlier this year, DeTienne pushed for a bill that would have studied the benefit of declaring EMS an essential service, among other possible improvements.

The bill how to order viagra quickly died. Back in Dutton, the EMS crew chief is thinking about her future after 17 years as a volunteer. Campbell said she wants to spend more time with her grandchildren, who live out of town. If she retires, there’s no guarantee somebody will how to order viagra replace her.

She’s torn about what to do. €œMy license is good until March of 2022, and we’ll just see,” Campbell said. Related Topics Contact Us Submit a Story TipIf you could invest $56 billion each year in improving health care for older adults, how would how to order viagra you spend it?. On a hugely expensive medication with questionable efficacy — or something else?.

This isn’t an abstract question. Aduhelm, a new Alzheimer’s drug approved by the Food and Drug Administration last month, could be prescribed to 1 million to 2 million patients a year, even if conservative criteria were used, according to Biogen and Eisai, the companies behind the drug how to order viagra. The total annual price tag would come to $56 billion if the average list price, $56,000, is applied to the lower end of the companies’ estimate. That’s a huge sum by any measure — more than the annual budget for the National Institutes of Health (almost $43 billion this year).

Yet there’s considerable uncertainty about Aduhelm’s how to order viagra clinical benefits, fueling controversy over its approval. The FDA has acknowledged it’s not clear whether the medication will actually slow the progression of Alzheimer’s disease or by how much. €œThis drug raises all kinds of questions about how we think about health and our priorities,” said Dr. Kenneth Covinsky, a geriatrician and professor of medicine at the University of California-San Francisco how to order viagra.

Since most Alzheimer’s patients are older and on Medicare, the medication would become a significant financial burden on the federal government and beneficiaries. Several experts warn that outlays for aducanumab, marketed as Aduhelm, could drive up premiums for Medicare Part B and Medicare supplemental policies and raise out-of-pocket expenses. A likely additional how to order viagra cost. Lost opportunities to invest in other improvements in care for older adults.

If Medicare and Medicaid must absorb drug spending of this magnitude, other priorities are less likely to receive attention. I asked a dozen experts — geriatricians, economists, health policy specialists — how how to order viagra they would spend an extra $56 billion a year. Their answers highlight significant gaps in care for older adults. Here’s some of what they suggested.

Make Medicare more affordable how to order viagra. High out-of-pocket expenses are a growing burden on older adults and discourage many from seeking care, and Dr. David Himmelstein, a distinguished professor of urban public health at Hunter College in New York City, said extra funding could be directed at reducing those costs. €œI’d cut Medicare copayments and how to order viagra deductibles.

I think that would go a long way toward improving access to care and health outcomes,” he said. On average, older adults on Medicare spent $5,801 out-of-pocket for health care in 2017 — 36% of the average annual Social Security benefit of $16,104, according to a report last year from AARP. By 2030, out-of-pocket health expenses how to order viagra could consume 50% of average Social Security benefits, KFF predicted in 2018. Pay for vision, hearing and dental care.

Millions of older adults can’t afford hearing, vision and dental care — services that traditional Medicare doesn’t cover. As a result, how to order viagra their quality of life is often negatively affected and they’re at increased risk for cognitive decline, social isolation, falls, s and depression. €œI’d use the money to help pay for these additional benefits, which have proved very popular with Medicare Advantage members,” said Mark Pauly, a professor of health care management at the University of Pennsylvania’s Wharton School of Business. (Private Medicare Advantage plans, which cover about 24 million people, usually offer some kind of hearing, vision and dental benefits.) Over 10 years (2020 to 2029), the cost of adding comprehensive hearing, vision and dental benefits to Medicare would be $358 billion, according to the Congressional Budget Office.

Support family how to order viagra caregivers. Nearly 42 million people provide assistance — help with shopping, cooking, paying bills and physical care — to older adults trying to age in place at home. Yet these unpaid caregivers receive little practical support. Dr.

Sharon Inouye, a geriatrician and professor of medicine at Harvard Medical School, suggests investing in paid services in the home to lessen the burden on unpaid caregivers, especially those tending to people with dementia. She would fund more respite care programs that give family caregivers short-term breaks, as well as adult day centers where older adults can socialize and engage in activities. Also, she recommends devoting substantial resources to expanding caregiver training and support and paying caregivers stipends to lessen the financial impact of caregiving. For the most part, Medicare doesn’t cover those services.

€œProviding these supports could make a huge difference in people’s lives,” Inouye said. Strengthen long-term care. Shortages of direct care workers — aides who care for older adults at home and in assisted living facilities, nursing homes, residential facilities and other settings — are a growing problem, made more acute by the erectile dysfunction viagra. PHI, a research organization that studies the direct care workforce, has estimated that millions of direct care jobs will need to be filled as baby boomers age.

€œWe could greatly improve the long-term care workforce by paying these workers better and training them better,” said Dr. Joanne Lynn, a geriatrician and policy analyst at Altarum, a research and consulting organization. Help people age in place. Most older adults want to age in place, but many need assistance over time, surveys show.

Will they be able to climb the stairs?. Cook for themselves?. Do the laundry?. Take a shower?.

Simple solutions can help, including relatively inexpensive home renovations (installing handrails on staircases, grab bars in bathrooms and better lighting, for example) and assistive devices such as raised toilet seats, shower stools or scooters. But Medicare doesn’t pay for renovations or certain helpful devices. Covinsky of UCSF would make a program known as CAPABLE (Community Aging In Place — Advancing Better Living for Elders) a Medicare benefit, available to all 61 million members. That program combines at-home visits from an occupational therapist and a registered nurse, usually conducted over 10 weeks, with up to $1,300 in services from a handyman.

Evidence shows it has a significant positive impact, helping seniors perform daily activities and stay out of nursing homes. The total cost. $3,000 per person. €œFor less than one infusion of aducanumab, you can greatly improve someone’s quality of life and well-being,” Covinsky said.

Find out what older adults need. Sarah Szanton, director of the Center for Innovative Care in Aging at the Johns Hopkins School of Nursing, developed CAPABLE. She would use $56 billion to assess every older adult annually to “figure out what they need to be able to live comfortably and independently. From that, I would generate a list of tailored interventions” — specific action items that might include CAPABLE or other programs, she told me.

Initiatives that could use extra funding might focus on managing depression, preventing falls or structuring activities for people with dementia, Szanton said. Focus on prevention. A growing body of evidence suggests that dementia could be prevented — perhaps up to 40% of the time — if people didn’t drink excessive amounts of alcohol, controlled blood pressure and obesity, managed depression, used hearing aids, stopped smoking, and regularly engaged in exercise, social interactions and cognitively stimulating activities, among other strategies. €œIf I had $56 billion to spend, I’d focus on prevention,” said Laura Gitlin, a dementia expert and dean of Drexel University’s College of Nursing and Health Professions.

€œThere is more evidence for these strategies than there is for Aduhelm at the moment,” said Dr. David Reuben, chief of UCLA’s geriatrics department and director of its Alzheimer’s and dementia care program. Invest in social determinants of health. The health of older adults is shaped by the environments in which they live, their interactions with other people and how easy it is to fulfill basic needs.

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From Reveal: A Sacred Manual for Getting Spiritually Naked, by Meggan Watterson:

“The world of magic and of love that I secretly believed in was all around me, a part of me and a part of what it is to be human. As terrifying as it was to believe … I knew the time had come to surrender to the truth that I have the power to conjure what my soul longs for most.”

I really liked this book — a lot.

As a woman, I always enjoy learning about and applying ideas related to the Divine Feminine. It’s a rich and fascinating area.

I had the impression that’s what this book was about. As I eagerly cracked it open, I saw that it was.

And it’s also so much more.

Lift the veil that shrouds your strangeness. Dare to see how powerful you are.

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As a master theologian and scholar of the Divine Feminine, Meggan is able to share way more about this rich subject than I could possibly get into right here. I very much enjoyed the breadth of information she shared about all the various “incarnations” of the Divine Feminine.

I found it very interesting, and although she made her points about it, she did it in such a way that it often left me wanting even more.

Fortunately she cites various books and provides lots of references that we can follow up on for further reading.

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What I didn’t expect is that Meggan’s journey would be so expertly interwoven into that information. Not only the stories of her pilgrimages (which were really interesting) but also her own inner journeys as she discovered the Divinity within herself.

I really loved this aspect of the book and was able to identify. It’s really fun to be able to connect my experiences with the symbology and actuality of what the famous icons of the Divine Feminine represent.

It keeps the reading interesting and even though you’re learning a lot about the Divine Feminine as it’s existed throughout the ages, you’re always relating it to now and what it means to you in your life.

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And yet, Meggan takes it even another step farther.

The book is laid out in a way that we are peeled like an onion. Or rather, that “the veils” are lifted in succession. The subtitle is, after all: A Sacred Manual for Getting Spiritually Naked.

And it really is about embracing and honoring ourselves as women, and as spirit. As the Divine, and the Feminine.

The true human can remember the Divine within and use that consciousness to help create reality through the infinite grace and power of the “I Am.”

The 7 veils she helps remove are related to:

  • Our stories
  • Our bodies
  • Our soul-voice
  • Our worth
  • Our inner mystic
  • Our soul-work
  • Our spiritual community

In several of these chapters, I found myself highlighting almost everything!

I especially liked the soul-voice and soul-work chapters. They are both so rich in ideas and inspiration that we can apply meaningfully in these areas of our lives.

Meggan is masterful at making a genuine connection with your heart, so you really “get”, at a deep level, what she’s saying. She also includes beautiful transcendent poetry which, like her words, can reach out from the page and touch you.

We all have encounters with the sacred. We just have to cultivate the eye that can perceive them. We have to see what’s already here, interwoven with what we claim is human and mundane. We have to take inventory of the magic that conspires to love us in and through our ordinary lives.

So really, what you’ve got here, is:

  • This wonderfully rich source of interesting and relevant information
  • Meggan’s fascinating stories that go along with it and illuminate the principles
  • Compelling examples and ideas you can actually use to more fully enjoy your own spiritual journey and take it as deep as you dare.

It’s time to stop investing in the limits we’ve identified with and start believing in the impossible, the ineffable, that lives in and through us all the time. It’s time to come out of the spiritual closet. We need to let our own mystery breathe. It’s time to unlock the chains we have placed on the most magical aspect of our being and let our inner mystic go for a walk around the neighborhood in broad daylight.

This book, like the author, is a true celebration of the feminine … Divine or otherwise.

I highly recommend it.

(All quotes from  Reveal: A Sacred Manual for Getting Spiritually Naked, by Meggan Watterson.)

Disclaimer: I received this book for free from Hay House Publishing for review purposes, yet you can rest assured that this review reflects my honest evaluation.

Have you read this book? I’d love for you to leave a comment and let us know how it was for you! Or do you have any questions about it? Ask away!

Patti

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Apr 052013
 

Frozen Shoulder - Healed!Welcome to the 2nd article in my new series about the Open State.

(Click here for the first article which introduces the series and covers why the heck you should even care about the Open State.)

★   ★   ★

I want to start with something kind of fun and amazing!

I’m going to show with an example why you want to care about this.

It involves a complete healing of my frozen shoulder.

I’m also including the audio from a private session I did on myself.

So you’ll not only see the usefulness of the Open State, but also open your mind to what’s possible, a super-helpful frame of mind to be in to really make use of the Open State.

If you haven’t been reading along up until now, you might enjoy perusing my last set of articles about the value and importance of an open mind.

It really is a prerequisite for making use of the Open State — at least when it comes to facilitating magic and miracles! (And who wouldn’t want to do that?)

If you can’t believe in *magical* possibilities, you’re not as likely to manifest them.
Open to the Possibilities and Emerge!

Can you let go of what you think you know and open your mind wide to all the possibilities?
Let Magic Be Your New Normal

This is about the dance between and open mind and the Open State, and how they both enhance each other.
Dance Your Way to an Expanded Reality

And here are some of my favorite books that can help immensely.
10 Books to Blow Your Mind Wide Open

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Actually … no.

Note I don’t say that “I” healed my shoulder. I simply accessed “The Field” (by entering the Open State) and let it do the rest.

Here’s the background.

Awhile back, I’d developed what’s known as a “frozen shoulder”, although I didn’t think about it that way. (Richard Bartlett says when we hook into a diagnosis, it’s like a curse. Think about it. You sort of set it in stone as your reality.)

I could barely lift it to be parallel to the ground, and for awhile, not even that. This was as good as it got, even after numerous intensive treatments by professionals. They had essentially given up on any significant improvement without expensive, ongoing physical therapy or surgery.

So that sets the stage, in a nutshell.

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Since I’ve already written about my healing process as it occurred, I’m listing the articles that contain the details.

Together these articles reveal the key to how it finally healed 100% using the Open State. (Search each one for “shoulder” to see what was going on at the time.)

They also have useful information and exercises you can apply right now.

This first might be outside your comfort zone about what our bodies even are, but it’s one of my very favorite posts. Even I still refer to it from time to time. 😉 Open your mind to the idea that our bodies may not be a “solid” thing. It has lots of great quotes by Deepak Chopra.
Your Magical Mind, Magical Body

Here’s a holistic view of what was going on with my shoulder. I took advantage of some amazing signs, synchronicities, and even a channeled message. They all played a part in some powerful guidance that helped get me on a healing track.
Does Your Guidance Have to Scream to Get Your Attention?

In this post I only mention it along with other things I’ve used Emergence for. I’m including it because you can see where the Open State fits into the entire Emergence process which is nicely summarized. (Pay attention to the section ”The Field” which is where I talk about “the state” which is what I now call the Open State. Toward the end is a link to a popular post that guides you into the Open State.
Activate Magic and Miracles With Me!

Here’s one where I use the “Magic Mirror” tool (suggested by my channeling guide) with much success — in fact my shoulder completed its healing as a result of this work, I’m sure of it. This post also tells exactly how you can do this too.
Heal Your Paired Body Part :: The Magic Mirror Tool

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And now … I’m sharing an audio with you of one of my private sessions with myself so you can get a feel for what transpires.

It was one of just a few sessions with my shoulder.

At that point, I could only lift my left arm about 45-90 degrees (so at best just parallel to the floor).

I was guided to stand in front of the mirror and do a session on “that person in the mirror” (oui, c’est moi!) as if for someone else.

You’ll hear me mention a two-point which is a Matrix Energetics technique.

I also have what I call “healing burps”. These started when I learned to channel and are indications that things are being processed and are shifting/healing.

Also, at one point (maybe two) you’ll hear me get suddenly emotional. That’s not uncommon and again, just shows that things are moving.

Patti does an Emergence session on her shoulder (Audio – 16 min.)
Listen below, or click here if you’re reading this in email.

Audio clip: Adobe Flash Player (version 9 or above) is required to play this audio clip. Download the latest version here. You also need to have JavaScript enabled in your browser.

In the audio, I refer to two books. Just FYI,

• When I talk about giving to the universe vs. taking — and using the mirror as part of an exercise for that — I’m referring to something I learned from The Presence Process by Michael Brown. It’s an excellent book that walks you through a powerful process.

• And then, I mention a book that my eyes fall upon during the session. It’s Byron Katie’s A Thousand Names for Joy, and one of my all-time favorites.

So … I hope the combination of reviewing the story of my healed – yes, healed! – shoulder along with listening to the session itself has opened your eyes to:

1. What’s possible, and

2. How the Open State (which is the foundation for Holographic Emergence™) is super useful!

Until next time … Namasté,

Patti

Any questions? Comments? Were all those posts a bit too much for you? Let me know! And if you liked this post, your sharing it on Twitter or Facebook is much appreciated! (Buttons below.)


Want a perfect summary of what Emergence is all aboutplus a session I did just for subscribers? You’ll receive the Emergence Primer + Tune-Up Session as a thank-you gift (it’s an instant download) when you subscribe to my free newsletter.


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Feb 242013
 

In Western society, the rational mind rules.

We’re encouraged to develop and honor it above all else, even to the exclusion of all else.

It’s too bad.

Being purely rational — even predominantly rational — limits us more than we know.

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In my last post, I talked about the importance of having an open mind. And what I mean by this is not just being open to new, rational ideas.

It’s about opening your whole self, your larger “mind”, to the idea that you may not know it all; you may never know it all!

And it’s helpful to open to the possibility that there is more than we can ever know or understand.

What happens then is you allow some other parts of you to operate along with (or sometimes instead of) your rational mind.

It’s a more holistic, aware, intuitive, and in short, expanded way of being. (And so fun!)

This is an especially important foundation to build on if you want to be able to take advantage of the Open State that is critical to Emergence, allowing the magic that is you to unfold into your life.

As I’ve said before, if you believe there’s no such thing as magic, you’re not as likely to experience it.

Entering the Open State is easiest if you can expand your mind, or let go of your thoughts altogether (especially your thoughts of disbelief).

But in the meantime, you don’t have to be perfect.

Just make a start.

Open the door just a little.

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The Open State and an open mind work together (or play together).

It’s like a dance, where each interacts with and enlivens the other.

Expanding and strengthening each is an iterative process.

I know this to be true as I am doing the dance, and have been for a long time!

If you’re willing to do this, you’ll find that rather than build new beliefs, your mind will be fluid and open to whatever shows up in the moment.

Your perceptions will be spontaneous and dynamic. (Much more about what this means and how you can do it too in the upcoming Open State series.)

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During our last Activation, we did a quick and easy process together.

Afterward, I got a question that made the idea of this dance quite apparent.

It was about the questioner’s thoughts, and her beliefs — that rational mind, again! — and how they help or hurt the process.

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I wanted to share the question and answer with you.

After the call, a few more ideas came to me and I’ve added those also. (So those of you on the call and with the recording have not heard all of this yet.)

(For some context it might help you to first listen to the Opening + Emergence audio found in my post Open to the Possibilities and Emerge!)

Beliefs Question and Answers (Audio – 10 min.)
Listen below, or right-click here to download.

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Enjoy!

Note: In my answer, I recommend a book called The Field by Lynne McTaggart. It’s a great way to help open your mind, and is a fun read, besides. You can always find it and other books I recommend in my store.

I’ll be recommending more books that are specifically on this topic shortly.

In the meantime, if you want to know more about Emergence, sign up for my newsletter. As a free gift you’ll get the Emergence Primer plus a Tune-Up Session audio that you can use over and over.

Or check out the posts listed in my side-bar for an ordered introduction to this new and exciting way of being and manifesting.

Thanks for reading!

Until next time,

Patti

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Feb 162013
 

Magic is the New NormalWOW, I sure enjoyed our recent January Activation!

It went well, and it was enlightening for me to interact with those of you who participated (thank you)!

I got a great question during the Q & A that made something I’d been considering even more apparent.

It’s the importance of developing an open mind.

It’s the very first step, even before learning about the Open State and how to be in it.

We need to get out of our own way so that we can take advantage of what the Open State offers.

(If you were on the call, you heard me announce a February blog series about the Open State, but this made me realize I first want/need to write awhile about an open mind. So here we go!)

Can you let go of what you think you know and open your mind wide to all the possibilities?

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I’ve been developing my magical thinking all my life, really. I didn’t think about it that way at the time, but that’s what I was doing. It’s perfectly natural to me.

It’s so natural, that I’m coming to the conclusion that magic is the new normal: Many of my friends live that way, as do many of you.

If the idea of an open mind sounds or feels foreign to you, know that you can develop one deliberately.

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And it’s not so much about learning something new. It’s more about UN-learning what you think you know.

UN-learning all your limiting beliefs.

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And it’s not about believing in magic and miracles.

It’s not about believing in anything!

It’s about letting go of beliefs and being willing to open to the possibilities!

Then you’ll be not only more able, but also more motivated to embrace the Open State which is an expanded way of perceiving and experiencing (and the state from which you can easily facilitate magic and miracles).

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In many ways, an open mind is the primary foundation of Emergence. But to be more accurate, it’s more of a non-foundation, since unlike most foundations, it’s an undefined element.

Rather than being “solid”, it’s malleable and always changeable.

That’s the beauty, the magic, and the fun of it.

In the world where magic is the new normal, you get to make it up as you go. (Stick with me and you’ll “get” what this means. ;-))

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So a truly open mind allows for a new mindset where your perspective remains fluid.

It enables you to open to the possibilities:

• Of the process

No rules!

• Of the results

No limits!

• Of reality

It may not be what you think it is — in fact, it’s probably not!

Your open mind will be much more open to possibilities than is the (old ;-)) norm.

So, are you open to becoming more open?

If so, keep an eye on this space.

In upcoming posts I’ll be presenting some new models to play with that will help you open your mind even more than it already is.

And if you want to know more about Emergence, sign up for my newsletter and as a free gift you’ll get the Emergence Primer plus a Tune-Up Session audio you can use over and over.

Thanks for reading! Until next time,

Patti

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Feb 082013
 

Hello, magical creatures!

Here’s a short, easy-to-listen-to audio that sets the stage for several of my upcoming articles.

It’s an excerpt from our most recent live Activation (a group Holographic Emergence™ session).

In essence, it’s about opening to the possibilities of your reality:

If you can’t believe in *magical* possibilities, you’re not as likely to see or manifest them

• A brief, in-a-nutshell explanation of what I call “Emergence” and why

Listening will give you a better idea of what this blog is about, too.

Opening + Emergence (Audio – 10 min.)
Listen below, or right-click here to download.

Audio clip: Adobe Flash Player (version 9 or above) is required to play this audio clip. Download the latest version here. You also need to have JavaScript enabled in your browser.

I hope you enjoyed that! (Let me know!)

And if you want a bit more on Emergence, sign up for my newsletter and as a free gift you’ll get the Emergence Primer plus a Tune-Up Session audio you can use over and over.

Thanks for reading! Until next time,

Patti

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Nov 022012
 

Life as a Doorway to the Field“Death is not the opposite of life. Life has no opposite. The opposite of death is birth. Life is eternal.”

~ Eckhart Tolle, Stillness Speaks

I LOVE this quote. It’s crossed my mind often since first reading it.

And it’s come to mind most recently after losing our sweet lab, Ollie, especially because I had a lot of synchronicities that made me aware — at a deep level — of the same thing.

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It started just a few days after his death.

I was in the back yard and as I looked up I saw 2 mourning doves walking around the bush from his grave. Now, I never see mourning doves back there, even rarely see them at all around here. And that they should come right from his grave while I was there … Well, let’s just say I noticed.

Shortly after that, I was walking over to visit his grave and out hopped a bunny from behind it. It came right over to me, within about 3′, and stopped right at the grave. Again, I took notice.

Even funnier, the next morning I got up and there was the bunny lying in the backyard, all stretched out, right where Ollie used to lay all stretched out!

This was odd enough but this happened several days in a row.

This was getting a little strange, even for me!

Over the next week or two, the quote just kept coming back to mind.

And it seemed that everywhere I went, there was Life.

There were lizards, snakes, birds (ravens, baby flycatchers that hatched and flew the coop, and another mourning dove that flew right in front of me), a big moth that sat right on the post near me on the front porch while I worked, and of course, bunnies galore — to name a few.

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All of this made me sooo aware that Life goes on.

And I don’t mean “life goes on” like your life situation has to continue.

I mean Life just goes on! There is no end to it.

And I did revel in the fact that Ollie was still around. I felt him, not only as his presence, but as Life itself!

I recently did a book review of Dying To Be Me by Anita Moorjani about her near-death experience (NDE). But did you know I had my own NDE? I did … Not as involved as Anita’s, but enough for me to get a taste of what happens when we die. And I can tell you, Life goes on! It’s amazing.

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So you may wonder what this has to do with Emergence.

Well, experiencing the Life that you are — even your life force (which is a little bit of an abstraction of it but still a good stepping stone) — is a doorway to the state of consciousness you enter when you “do” Emergence.

It’s your conscious connection to a powerful field of magic and miracles.

In some ways, the state is impossible to speak of, but there are a lot of pointers that can help lead you to it.

This is one of them. (Note: For some instruction on experiencing your life force and using it to strengthen your immune system or even heal, see remedy #16 in Kiss Your Cold Goodbye Fast With These 20 Natural and Vibrational Remedies.)

And once you’re adept at entering the state … at being … and being life consciously, with awareness — the rest is a piece of cake. 😉

The truth is: you don’t have a life, you are life, the One Life, the one consciousness that pervades the entire universe and takes temporary form to experience itself as a stone or a blade of grass, as an animal, a person, a star or a galaxy.

Can you sense deep within that you already know that? Can you sense that you already are That?

~ Eckhart Tolle, Stillness Speaks

Thanks for reading, and here’s to you — as Life emerging!

Patti

 

 

As usual, I’d love to hear what you have to share about this topic, or any questions you might have. Just use the comment box! Thank you!


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Then sign up for my newsletter to qualify and be notified of our next free group Emergence session (aka “Activation”).

Of course, you can always get your own private Emergence session too. ;-) For more information, see my Holographic Emergence Sessions™ page.

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Apr 042012
 

Don’t you love a bargain?

I do too.

And I love activations, magical thinking, books, and all types of meditation.

They all have the potential to open you to new worlds, just like cracking the egg does for a little hatch-ling.

And oooo, combinations of all of the above are worth getting excited about!

Here are some valuable bargains that have come to my attention lately that I want to share with you.

(And they’re almost upon us so read this now!)

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If you didn’t see my tweets or Facebook postings and haven’t already registered, hop on over to Jo Dunning’s site and sign up for her “Activations of Awakening”.

It’s imminent! Tonight (Weds. ) at 6p PDT.

You write down your intentions for the session ahead of time, and then show up.

It’s different than what I did in my recent Spring Activation, and you can read all about Jo’s on her site.

I did it in Jan. ’11 and it was powerful! I swear, all kinds of things related to my intentions were suddenly on the move. So much so that it was a bit overwhelming for awhile.

Oh, and did I say it’s FREE? Yes!

And speaking of free, check out her brand new Wish Project while you’re there.

Thank you, Jo! 🙂

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I live in the high desert and over the years here have deeply connected with the ravens and all that Raven implies. S/he is magical, a messenger, and helps bring the subconscious into the light of awareness.

I recently had a friend pass away who was known far and wide as Raven. A gifted poet and otherwise remarkable man who was loved by many. So sad for us left behind without his bright light.

And then what flies into my life unexpectedly but a book about Raven. It’s beautifully written by my sweet and wise friend Christopher Foster of The Happy Seeker. I’m enjoying it little morsel by little morsel and can say that the love with which it obviously was written is almost palpable.

In Christopher’s words:

I’ve written four or five books over the years but am most proud of an animal fable entitled The Raven Who Spoke with God.

It’s a story about integrity and the unconquerable spirit in us all, and I mailed out the first copies on the morning of 9/11. The book was translated into 11 foreign-language editions but then it reached the end of its natural life, or so I thought.

Recently, however, my book has been published in Kindle format.

Oh, and did I say it’s FREE too?

Well, that is if you jump on it this Easter weekend, from this Friday thru Sunday, you can download a free Kindle edition. (And if you don’t have a Kindle it’s a snap to install the free software from Amazon so you can read Kindle books on your PC or Mac.)

You can get it here. And please help spread the word!

And of course it will still be available after this weekend, and well worth the little bit Christopher is asking for it.

Thank you, Christopher! 🙂

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And finally, someone I know is getting close to releasing an awesome meditation product.

[Update: This meditation product has launched! You can find out more about it here.]

It’s aimed at the busy individual (know anyone like that?) who wants to reawaken to their natural inner balance, their calm connection to spirit, and their body’s natural state of health. It helps awaken intuitive guidance, dreams and aspirations, and it enhances productivity and success.

I was lucky to be one of the reviewers and my gosh! I can’t say enough good things about it.

I was hugely impressed.

It consists of:

  • 1 instruction manual (how to use the system)
  • 3 beautiful (and beautifully written) books
  • 1 workbook, and
  • 20 guided meditations

I’m not normally much of a guided meditation gal, but I have to say, I absolutely loved them! Every day I looked so forward to my guided meditation time.

It seemed to me that it’s almost like 3 offerings in one, although tightly integrated so each supports the others.

It’s like a class on silent meditation, another on using guided meditations, and yet another with step-by-step instruction/exercises for creating your own guided meditations to visualize what it is you want to create in your life.

ON top of that, there are four bonuses included … and they’re BIG bonuses!

And then I found out the asking price. What?! I thought I must have read it wrong.

Surely the price was supposed to have a zero behind it or maybe in the middle.

But no.

Talk about value. It’s worth it for the versatile set of guided meditations alone.

I’m delighted to have an interview with the creator about it that I’ll post here for you once the product’s available.

[Update: It’s available! You can find the interview here.]

You’ll hear all about the (amazing!) bonuses and you’ll get a link to a special free download so you can try out a part of the system.

Note that the system is not available quite yet! But in the interview post I’ll include all the details about how to get your hot little hands on it once it’s available. (And just so you know, if I’m smart I’ll be an affiliate by then, because it’s a truly remarkable system and I highly recommend it.)

Thank you, Mystery Person! 🙂

That’s it for now. Signing off. Happy Easter, and namasté.

If you take advantage of any of these bargains, please let us know what you thought of them in the comments!

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Mar 212012
 

This Friday I’m holding my first group Holographic Emergence Session, in the form of a Spring Activation teleconference.

And boy, do I keep wanting to control it!

I’m so trained. We all are. Trained to take charge, “make” it happen, be responsible. I want so badly for it to be beneficial for all the attendees that I keep feeling like I have to force it somehow. No unknowns. Not even “happy accidents”. I notice myself starting to worry that I need to be better prepared. That it ought to be structured.

But this new (cutting edge, truly) way of operating challenges all those old habits.

And it can be downright unnerving.

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The power of consciousness technology (such as Matrix Energetics, on which my Holographic Emergence sessions are based) is that you don’t need to “do” anything.

In fact, doing can be counterproductive.

In order to achieve success, first give up the idea that you are “the Doer.” Instead of constantly doing from the mere human or conscious level, become the “Open Door.”

– Dr. Richard Bartlett (founder of Matrix Energetics), The Physics of Miracles

Rather than “do” something, the main (and maybe only) skill involved is being able to access the state in which “it is done”. And even in this paradoxical statement, the word “done” is more an adjective than a verb.

The other main skill for some of us (as already mentioned) is to let go of being a control freak! Aach! Pant pant pant.

So how do I manage to step into this new way of operating? Or rather, NOT operating? This state of being, and allowing?

♦ I can only remind myself that a lot of people for whom I’ve done individual Holographic Emergence Sessions where I’ve let go of control have noticed positive results.

♦ I also remind myself that when this idea came to me just a few weeks ago, it already had a life of its own.

I was compelled and propelled to just do it.

It was kind of odd, actually.

It was as though I knew the doubts existed but I wasn’t able or inclined to even look at them. I often think it’s smart to examine doubts to see if they’re valid, but almost always I decide that they are — and then they are crippling.

And so, this time, I simply allowed myself to be moved.

Can it be that there is something, some force, some something (I know not what) that actually knows better than me?

Well, let’s hope so.

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So, I’m letting this be a lesson to me to live as that door instead of just be that door when I do Holographic Emergence Sessions (or LOL when I absolutely have to let go and surrender because I have no other choice).

That means I won’t just be the door during the Activation session, but am also being a door that opens for this and possibly future Activation sessions to enter my life as they will.

The trust required to be an open door also opens you to receive inner guidance easily. I’m noticing that certain inspirations are appearing to me about the sessions. Things that may or may not be a part of it. That’s all fine and is a part of the process. It’s “showing up” on its own — through the open door.

I’m choosing it this time. To not do. To trust.

Because I’ve learned that that’s how magic happens.

Want to join us for the Spring Activation? There’s still time! You can find the registration link here. (And it’s free!)

And a big thanks to those of you who’ve already registered. We’ve already got a group of wonderful people; I’m so excited!

How about you? How do you know if it’s time to DO or time to be a DOOR … or don’t you? Have you seen the door lead to magical results? Would love to hear your thoughts.

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Aug 252011
 

Don’t you just love it when a chronic physical issue just goes away?

Me too.

So today I want to share a little *magic* with you that can increase the chances of that happening in your life. Auto-magically.

I hurt my shoulder a few months ago. My chiropractor says it’s my rotator cuff, and that I need to baby it so it can heal. So I’ve been doing that … But I don’t see much improvement. If anything, I keep re-injuring it.

The other day, I decided it’s time I work a little magic with it. That can mean a lot of things to me (as you may know), but in this case I mean that I’m going to practice some Holographic Emergence with it. (And I just finished an astonishing session. Very fun.)

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I have every confidence doing this will make a big difference.

Years back I developed bothersome TMJ (Temporomandibular Joint disorder; quite the mouthful). It was painful and had become chronic. After I’d had it for years it was recommended to me that I have surgery. Yikes. No way. I decided to get to work.

I used a combination of Matrix Energetics and Reiki on myself. Amazingly, I didn’t even have to do too many sessions (I did regular Reiki for awhile, maybe about 10 treatments, and about 3 or 4 Matrix sessions, all over about a 4 month period) before I simply forgot about it and later realized that the TMJ was gone. Completely gone! This was a few years ago and it’s never returned.

And so, it’s foolish of me not to do a similar thing with my shoulder.

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But here’s the cool thing. The morning I decided to do this–and to perhaps blog about the process–I was walking Ollie (our sweet old lab) and decided to listen to some Deepak Chopra on my MP3 player.

OMG! Talk about synchronicity! Everything he said was such an affirmation of what I’ve experienced ever since beginning my practice of Matrix Energetics. And to me it said “Do it!” It also said to share it.

It’s one thing to be familiar with the ideas, but when you live them, that’s when the real magic happens.

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So, without further ado, I want to share some of Deepak’s statements with you. They’re from his 5 CD audio set “Magical Mind, Magical Body“, and I’m only 1/2 hr. into it but I can already recommend it. (And I love that he sounds so excited as he talks about these things. It makes for an involved listening experience.)

• Health is not just the absence of a disease, it’s a joyfulness that should be inside us all the time. It’s a state of positive well-being, which is not only physical but emotional and ultimately even psychological and spiritual.

[Note: You can use that simple idea with great effect. Every time you feel frumpy, repeat the idea to yourself that you are well and express well-being and you’ll feel an instant shift.]

The body is not a frozen sculpture, it’s a river of energy and information. … You can not step into the same flesh and bones twice.

• You replace 98% of all the items of your body in less than one year.

• There is a deeper reality to the body and that deeper reality is what we want to see because from that deeper reality comes both the mind and the body. Both come from that deeper level of existence.

• A physicist would say: “Our atoms are particles that are moving at lightening speeds around huge empty spaces, they emerge from something which is just a field of pure potentiality, just a field of pure energy, and from that field these particles emerge. They’re fluctuations of energy and information. They emerge from a void. They rebound, collide, and then disintegrate into the void.”

• We have a thinking body. And you can’t imprison the mind in the brain. That’s an old notion, that the mind is confined to the brain. The mind is in every cell of our body.

You can’t even confine the mind to your physical body because it extends beyond your physical body into the whole universe. We are part of a thinking conscious universe that is basically a non-local field of information. We can call the universe a non-local field of information and energy with which this local expression (which we call the physical body) is exchanging energy and information.

• It’s estimated that the average person thinks about 60,000 thoughts a day … and 95% of the thoughts you have today are the ones that you had yesterday. So you keep creating the same patterns that give rise to the same physical expression of the body. If you go to a deeper level, witness the whole process, become conscious of it, then you’d realize that in fact there are choices here.

What we do is we take that chaos of energy soup, we ingest it through our 5 senses, and then we convert that into a physical reality in our own awareness, in our own consciousness. And we do it unconsciously most of the time that results in certain interpretations that are part of a cultural indoctrination.

There’s one part of you that doesn’t change. If you find that part of you that doesn’t change then you’ll be able to cause transformations in that part of you that does change.

[Note: Deepak uses the word “you” but then goes on to complicate it. You can discover that part of you that doesn’t change easily and simply. Just visit  John Sherman’s website and take advantage of what he so generously offers.]

• Now if I said the mind is omniscient it would sound sort of mystical. That it knows everything, it’s omnipotent, it’s omnipresent, it would sound almost like I’m talking in mystical terms. But in fact, in scientific terms, that’s an accurate statement.

Now once we recognize that — even to have the insight — is to begin to cause transformations in your body. A person’s body is nothing but an expression of all the ideas they have about it.

• If there’s a fluctuation that changes at deeper levels of energy and information then it causes, spontaneously without having to do anything, you don’t have to brainwash yourself about this. You just have to have the insight. And the insight itself causes the changes.

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So, these are some of the ideas I use — that have become a part of me — as I work with my shoulder. Or more accurately, this pattern of light and information that I perceive as a shoulder. 😉

Like Deepak says, recognizing this reality helps create a transformation all by itself. It’s what gives us a lot more power than we think we have otherwise.

And therein lies your magic.

So this is the world I get to play in every day.

Want to join me? Or have you already?

(Need some extra magic in your life? Consider booking a Holographic Emergence session.)

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