Molly MacDonald: A Personal Journey to Making a Difference

Molly MacDonald’s journey to becoming a beacon of hope for women battling breast cancer began with her own diagnosis. When she received the life-altering news, she was not only faced with the daunting prospect of fighting the disease but also with the financial strain that came with it. In the midst of her battle, Molly’s job opportunity was derailed, and her livelihood was at risk.

The financial toxicity of breast cancer became painfully clear as Molly grappled with the exorbitant costs of COBRA premiums and other non-medical expenses. It was during her time in treatment waiting rooms that she realized she was not alone in this struggle. Many other working women in similar situations were considering life-altering decisions due to their compromised ability to work.

The Birth of Pink Fund: Turning Personal Pain into Purpose

Molly MacDonald’s personal experience and her encounters with other women facing similar challenges lit a fire within her. She identified an unmet need in the breast cancer community – the non-medical costs associated with treatment when one’s ability to work is compromised. This revelation became the driving force behind the creation of the Pink Fund.

However, like any journey towards meaningful change, Molly faced her share of obstacles. She initially founded another organization, only to have it taken over by individuals she trusted. In a month’s time, she rebounded and launched Pink Fund with the support of her husband, Tom Pettit.

What Sets Pink Fund Apart

What sets Pink Fund apart from other breast cancer charities is its unwavering commitment to providing assistance to those in need. Unlike organizations with open and closed funding cycles, Pink Fund ensures that all applicants who meet qualifying criteria and provide complete documentation receive some measure of support. While rare instances may disqualify a patient, Pink Fund’s dedication to helping those in financial distress is steadfast.

Notable Career Highlights and Awards

Molly MacDonald’s dedication and the impact of Pink Fund have not gone unnoticed. She has been recognized nationally for her contributions to the breast cancer community. In 2019/20, she was awarded the AARP Purpose Prize Fellow, and she received the Patient Champion for North America accolade from EyeforPharma. In 2018, Crain’s Detroit Business named her a Healthcare Hero, a testament to her unwavering commitment to making a difference.

Real Help in Tangible Ways: The Pink Fund’s Impact

Pink Fund’s mission is clear: to provide real help in tangible ways. This help extends far beyond moral support; it directly impacts treatment adherence and survivorship outcomes. The organization offers financial assistance for housing, transportation, utilities, and insurance payments, addressing the critical non-medical aspects of breast cancer care. This assistance ensures that women can focus on their health without the added stress of financial instability.

Looking Towards the Future: Molly MacDonald’s Aspirations for Pink Fund

As Molly MacDonald reflects on her journey and the impact of Pink Fund, she has ambitious dreams for the organization’s future. She hopes to build Pink Fund’s annual revenue to $10 million through a national charity checkout campaign. This increase in funding will enable Pink Fund to meet the growing demand for financial support among breast cancer patients. Additionally, Molly aims to establish an endowment fund of $25 million to ensure the organization’s sustainability in perpetuity.

Join the Fight: How to Give Help and Get Help

For women facing breast cancer, Pink Fund provides a lifeline of support. If you want to join the fight against the hidden financial burden of breast cancer, there are two crucial ways to get involved. You can contribute to Pink Fund’s mission by donating and helping them continue their essential work. If you or someone you know is in need of assistance, Pink Fund stands ready to provide the support required to navigate the financial challenges that come with a breast cancer diagnosis.

Photo Credit: PinkFund.org

Molly MacDonald’s Pink Fund is a beacon of hope for women facing breast cancer. Her personal journey from diagnosis to advocacy has transformed countless lives. Through her dedication and the work of Pink Fund, the unseen part of the breast cancer fight is becoming increasingly visible. Real help in tangible ways is now a reality for many, thanks to Molly MacDonald’s commitment to making a difference in the lives of those affected by breast cancer. Join the fight, and together we can alleviate the financial burden that too often accompanies this devastating disease. 

LinkedIn | Facebook | Instagram | pinkfund.org 

The post The Unseen Part of the Breast Cancer Fight: Molly MacDonald’s Pink Fund first appeared on Kivo Daily.

Administered during the final trimester of pregnancy, Pfizer’s novel vaccine – named Abrysvo – shields infants against respiratory syncytial virus (RSV) and the resulting lower respiratory tract illness, throughout their initial six months of life.

RSV’s Impact and Hospitalization Rates: A Grave Concern

RSV is a prevalent respiratory virus often causing mild symptoms, but it can pose a significant threat to infants, young children, and older adults. Every year, as many as 80,000 children under the age of 5 require hospitalization due to RSV, as reported by the Centers for Disease Control and Prevention (CDC). This makes RSV the primary cause of hospitalizations among infants.

Dr. Scott Roberts, an assistant professor of infectious diseases at Yale School of Medicine, notes, “RSV has been a persistent concern for the infant population, not just in the United States but globally, for a considerable time.”

In May, a committee of advisors within the FDA expressed unanimous support for the vaccine’s effectiveness. Typically, the FDA aligns with the committee’s decisions to approve drugs, although this isn’t always the case.

A study encompassing 7,400 women across 18 countries revealed that the vaccine demonstrated an 82% effectiveness in preventing severe infant disease within the initial three months of life and a 70% effectiveness within the first six months.

“Efforts to develop vaccines and treatments for RSV have faced setbacks for many decades,” Roberts comments. “A lot of us within the medical community are entering the upcoming winter season with a sense of hope and excitement, knowing that we now have various options on the horizon.”

The previous year witnessed an earlier-than-expected RSV outbreak that overwhelmed numerous children’s hospitals, highlighting how a severe season can strain the country’s capacity to care for critically ill children.

Read also: Spending could be more timid in 2023 holiday seasons

RSV Prevention on a Global Scale: Impact Beyond Borders

Dr. Eric Simoes, affiliated with the Children’s Hospital Colorado, collaborated with Pfizer and has dedicated decades to RSV prevention efforts. He describes this approval as truly exciting news.

“My sole aspiration is to ensure that these vaccines reach not only children in the U.S. but also those in developing nations who are in dire need,” Simoes emphasizes.

This year, RSV activity has already kicked off in states like Florida and Georgia, as reported in the newsletter “Force of Infection” by Dr. Caitlin Rivers, an epidemiologist at the Johns Hopkins Bloomberg School of Public Health.

Originally sanctioned for adults over 60 in May, the vaccine is now ready for the 2023-24 RSV season. Pfizer confirms it has been manufacturing the vaccine in advance of approval and anticipates having an ample supply to meet the demand.

Dr. Roberts expresses a heightened sense of optimism, particularly because his family is expecting a baby in December, right around the typical peak of the RSV season. With these developments, they now have several protective options to consider.

“The unique aspect about RSV is that it strongly impacts healthy infants. In most cases, regardless of any pre-existing conditions, we see children being admitted to hospitals due to RSV-related illness, and unfortunately, some of them, who are otherwise perfectly healthy, do not survive,” he explains. “This is something that deeply troubles me.”

The post RSV Breakthrough: FDA Approves First Vaccine for Newborns, Tackling a Persistent Threat first appeared on Kivo Daily.

As a seasoned veterinarian known for his empathetic and compassionate approach to animal care, Dr. Timothy Mann sent off his fair share of pets on their last journey. However, the perspective his profession gave him might be surprising to some.

“I’ve never really thought of it as a loss,” Dr. Mann says. “I think of it as a gift we give both the owner and the pet.”

Euthanasia, derived from the Greek words “eu,” meaning good, and “thanatos,” meaning death, is a significant aspect of a veterinarian’s job. Often referred to as a “good death” or “mercy killing,” it involves administering a lethal dose of an anesthetic drug, usually a barbiturate, leading to a painless death within seconds to minutes.

This difficult decision for pet owners is made in consultation with the veterinarian based on the animal’s quality of life, pain level, prognosis, and the availability and effectiveness of potential treatments. Despite its necessity, euthanasia has profound emotional impacts on everyone involved, contributing to high levels of stress and burnout in the profession.

Navigating these complex emotions, Dr. Mann has crafted a perception of euthanasia that transcends its medical functionality, aiming to unveil its inherent beauty and compassion. He views his role as a veterinarian to extend beyond alleviating physical pain to guiding and comforting pet owners through this challenging journey.

“Many people think euthanasia is the worst thing you could do, where I think it’s one of the most satisfying parts of my job,” Dr. Mann explains. “I think more people regret not doing it or doing it too late and being selfish than actually doing the euthanasia process with their pet.”

Dr. Mann’s approach treats euthanasia as a ‘dignified exit’ for pets, ensuring a peaceful and anxiety-free procedure. It’s almost like a ‘gift’ we offer our pets when their quality of life has diminished, emphasizing its compassionate nature as a merciful release from suffering.

For Dr. Mann, the beauty of euthanasia lies in its essence of compassion and love. This perspective allows him to gracefully navigate the emotionally intricate facet of veterinary care and instill a sense of acceptance in the pet owners he supports.

“I think that easing pain and allowing the animal this dignity and allowing them to be surrounded by love as they drift off to sleep is a satisfying and beautiful experience,” he says.

Euthanasia has a darker side, too. Debates rage about euthanizing healthy animals for population control, with naysayers advocating for no-kill policies and increased efforts toward adoption, spaying, and neutering to control animal populations. Economic euthanasia, where owners decide to euthanize pets rather than treat them because of the high treatment costs, is another issue that needs more attention.

But even for the owners who decide to go through it ethically and morally sound, the emotional toll is understandably significant. For their part, veterinarians like Dr. Mann can encourage pet owners and veterinary staff to seek professional support during this difficult time. Many resources are available to help manage grief, including pet loss hotlines, support groups, and counseling services.

Dr. Timothy Mann’s interpretation of euthanasia emphasizes its inherent dignity and compassion. His approach is a potent reminder of the lasting bond between humans and pets, grounded in care, respect, and mutual love. By demystifying euthanasia, we step towards better pet care, greater empathy, and a more compassionate world – a vision at the heart of Dr. Mann’s practice.

The post A Beautiful Farewell: Dr. Timothy Mann Shares the Art of Euthanasia with Grace and Compassion first appeared on Kivo Daily.

The Essence of Value-Based Care in Gynecology 

At the heart of Dr. MacKoul’s approach is value-based care. This model focuses on delivering high-quality care while optimizing costs and patient outcomes. By implementing surgical advancements, Dr. MacKoul ensures that his patients receive the best possible treatment that is both effective and cost-efficient. Value-based care is not just a buzzword for Dr. MacKoul; it is the driving force behind his commitment to innovation. 

DualportGYN: Redefining Minimally Invasive Surgery 

One of the groundbreaking techniques introduced by Dr. MacKoul is DualportGYN. This innovative approach redefines minimally invasive surgery using a dual-incision method that minimizes scarring and enhances precision. DualportGYN allows for smaller incisions and reduced trauma to the surrounding tissues, leading to faster recovery times and better cosmetic outcomes. With DualportGYN, patients can experience less postoperative pain, shorter hospital stays, and a quicker return to their daily activities. 

LAAM Fibroid Surgery: A Breakthrough in Fibroid Treatment 

Fibroids, non-cancerous growths in the uterus, affect millions of women worldwide. Traditionally, treating fibroids requires invasive surgeries with significant risks and prolonged recovery periods. However, Dr. MacKoul introduced a breakthrough technology called LAAM (Laparoscopic-Assisted Abdominal Myomectomy) and Fibroid surgery. This approach combines the benefits of laparoscopy and open surgery, allowing for the removal of fibroids with minimal blood loss, preservation of the uterus, and faster recovery. With LAAM, women no longer have to choose between preserving their fertility and finding relief from the symptoms caused by fibroids. 

The Triad of Success: Lower Complications, Better Outcomes, and Lower Costs 

Dr. MacKoul’s dedication to surgical advancements goes beyond mere innovation. His techniques and procedures aim to achieve a triad of success: lower complications, better outcomes, and lower costs. By reducing complications through minimally invasive approaches like DualportGYN and LAAM, patients experience fewer adverse events, such as infections or blood loss. Furthermore, the improved outcomes from these advanced techniques lead to higher patient satisfaction and a better quality of life. Lastly, the cost-effectiveness of DualportGYN and LAAM surgeries aligns with the principles of value-based care by reducing healthcare expenses and optimizing resource utilization. 

Empowering Women through Knowledge and Access 

Dr. MacKoul firmly believes patient education and empowerment are essential to gynecologic care. Through his various educational initiatives, he strives to empower women with knowledge about advanced surgical techniques and their benefits. Dr. MacKoul aims to ensure that all women can access these cutting-edge technologies, regardless of socioeconomic background. By increasing awareness and accessibility, he strives to bridge the gap in gynecologic healthcare and empower women to make informed decisions about their well-being. 

Future Perspectives in Gynecologic Surgery 

One area of potential growth lies in robotic-assisted surgery. Robotic systems offer enhanced precision, skill, and visualization, allowing surgeons to perform complex procedures more accurately.  

Another exciting area of research is the exploration of regenerative medicine in gynecology. Stem cell therapy, tissue engineering, and other regenerative approaches hold promise for repairing damaged tissues and organs, including the uterus. 

Additionally, advancements in imaging technologies are playing a crucial role in gynecologic surgery. Improved imaging modalities, such as 3D ultrasound and magnetic resonance imaging (MRI), provide surgeons with detailed anatomical information, facilitating more precise preoperative planning and intraoperative decision-making.  

Conclusion 

As Dr. MacKoul looks to the future, he remains dedicated to pushing the boundaries of gynecologic surgery. From exploring the potential of robotic-assisted procedures to the promising field of regenerative medicine and leveraging advanced imaging technologies, he continues to seek new ways to improve patient care. With his pioneering spirit and unwavering dedication, Dr. Paul MacKoul is revolutionizing gynecology and shaping a future where women can benefit from the power of new technologies in achieving optimal gynecologic health and well-being.

The post Revitalizing Gynecologic Care: Dr. Paul MacKoul’s Approach to New Technology first appeared on Kivo Daily.

Patient experience refers to all the interactions patients have with healthcare professionals. It is similar to patient satisfaction, but with a significant difference, according to the Agency for Healthcare Research and Quality. Patient experience measures whether something important to the patient occurred and to what extent. An example is good communication, says Juliana Garofalo, an ob/gyn medical assistant.

Why Measuring the Patient Experience is Vital

Patients have a choice of healthcare providers. They can see reviews of other patients on social media and the Internet. Bad reviews discourage new patients from visiting a particular doctor. Because doctors are affiliated with specific hospitals, the bad reviews also reflect poorly on the hospital. Women are particularly savvy about researching physicians and choosing those who provide a quality experience, making 80 percent of the health care decisions for the whole family.

Patients with a bad patient experience also may choose to transfer to a different practice, resulting in a lack of revenue for the practice and affiliated hospitals. Failure to retain patients can negatively affect the bottom line.

Finally, physician payment programs and accreditation programs, such as Medicare and the American Board of Medical Specialties certification, include measurements of patient care.

Improving The Ob/Gyn Patient Experience

Women tend to value certain aspects of the patient experience, including convenience, cost, relationships, and safety, notes Juliana Garofalo. Practices can improve the patient experience by focusing on these areas.

Convenience

Wait times can dramatically affect the patient experience, especially for women juggling many priorities. Seeing patients within 15 minutes of their arrival time is an important benchmark, Garofalo says. If patients experience delays, practices should apologize for them and explain why they were necessary.

Technology that sends text and email reminders helps with keeping patients on schedule. Patient portals that allow women to pay bills, schedule appointments, or ask questions easily are also a necessary convenience for any practice.

Cost

Patients typically pay a portion of the cost of their treatment, and they want good explanations of why they need examinations or procedures before agreeing to them. Many patients particularly question diagnostic tests, says Garofalo. Practices can improve the patient experience by fully explaining why the patient should have the recommended test and how much the tests cost. If the practice can provide these tests onsite, they can also improve the experience.

Relationship

Despite the trend toward telemedicine, patients still value a one-on-one relationship with their ob/gyn. They want their provider to greet them professionally and warmly. They want to know the role of each person they encounter. They also value eye contact.

Compassion and empathy are critical for all those who interact with the patient. Even if a provider’s time is limited, sitting down and listening to the patient is vital. Even if the patient’s concerns seem overly anxious or off-base, the provider should address them.

Addressing their comfort is also critical. A relaxing physical space helps. Clear communication about what will happen during the visit and why is also essential in building trust with the patient. Encouraging the patient to ask questions throughout the examination or procedure will lessen anxiety and give the patient a sense that they are in control.

Clear, honest communication builds trust.

Safety

Obviously, an accident or mistake can dramatically affect the patient’s experience. Practices need to develop procedures to ensure patient safety, such as verifying procedures before surgery or ensuring the patient receives discharge instructions in writing. Practices can also form partnerships with patients to improve safety by providing educational materials and encouraging them to ask questions.

About

Juliana Garofalo is studying to be a physician’s assistant in the ob/gyn field.

The post Juliana Garofalo on Providing a Better Ob/Gyn Patient Experience first appeared on Kivo Daily.

What is Compounding? 

Compounding refers to the process of creating customized medications tailored to meet the unique needs of individual patients. When a commercially available product cannot provide the desired therapeutic effect, compounding may be used to prepare medication that is specially formulated and dosed for the patient’s requirements. The U.S. Pharmacopia Convention (USP) defines compounding as the preparation, mixing, assembling, altering, packaging, and labeling of drugs, drug-delivery devices, or devices in accordance with a licensed practitioner’s prescription, medication order, or initiative based on the practitioner-patient-pharmacist-compounder relationship in the course of professional practice.

There are two types of compounding: traditional compounding and medically optional compounding. Traditional compounding is used when a patient’s medical needs cannot be met by commercially available products, and the preparation of customized medication is deemed medically necessary. Medically optional compounding, on the other hand, may be undertaken to accommodate a patient’s dietary preferences or to improve the taste of medication.

Compounding can be utilized to prepare medications in various forms, including intravenous, topical, or oral administration. The process of compounding ensures that patients receive medication that is personalized to their unique requirements, thereby promoting optimal therapeutic outcomes.

Why is Compounding Done?

Compounding is done for a variety of reasons, according to Khyati Undavia.

Changing Delivery Method 

One reason is to change the delivery method of the medication. For example, a tablet can be converted to liquid if the patient can’t swallow a pill. It can also be changed to a topical cream, which can be absorbed by the skin, rather than ingested. Medications can also be converted to a suppository form. 

Allergy or Intolerance to an Ingredient 

Another reason for compounding is to address allergies or intolerances to inactive ingredients, which can be removed from the medication. If a patient can’t tolerate an inactive ingredient, compounding can deliver the medication without the ingredient. 

Medications often include inactive ingredients to create stability or to create tablets. Inactive ingredients can also be used to change a medication’s color, texture, or flavor. In some cases, particularly pain medication, specific ingredients are used to make the medication tamper resistant. 

In some cases, it’s a preference rather than an allergy. Someone who wants to avoid gluten, for example, may request gluten free medication. 

Customized Strength or Dosage 

Compounding also allows the strength or dosage of the medication to be customized for the individual based on the doctor’s prescription. 

Change in Flavor or Texture 

Additionally, medications can be compounded to improve their taste and texture, particularly for children or pets who may be unwilling to take medication that tastes bad. While adults may be willing to endure unpleasant medication for the sake of their health, young patients may require a medication that tastes good to ensure compliance. 

Compounding vs. Drug Manufacturing

While both compounding and drug manufacturing involve the production of medications, there are significant differences between the two processes. Drug manufacturing refers to the large-scale production of FDA-approved drugs, while compounding is typically done on a smaller, individual basis.

Compounded medications are prepared for individual patients with a valid prescription and are dispensed directly to them. In contrast, manufactured drugs are typically distributed to hospitals, pharmacies, and other healthcare facilities for further distribution to patients.

Compounding Pharmacies 

According to Khyati Undavia, while most pharmacies are equipped to perform basic compounding using tools such as a mortar and pestle for grinding ingredients and graduated cylinders for measuring liquids, only a few specialize in compounding. Pharmacists are trained in making compounds as part of their education, and scales and ointment slabs are used to weigh and mix ingredients. However, of the approximately 56,000 community pharmacies in the U.S., only 7,500 specialize in compounding medications.

Sterile and Non-sterile Compounding 

Most pharmacies can perform non-sterile compounding. This typically involves compounding topical creams, suspension liquids, and tablets or capsules. 

Sterile compounds are introduced directly into the body. These include eye drops, injectable medications, and IV infusions. Sterile preparations require a higher level of expertise and knowledge than non-sterile compounds. 

Compounding Pharmacy Oversight and Regulations 

The Food and Drug Administration (FDA) is responsible for regulating the safety and efficacy of food and drugs in the United States. Before prescription drugs can be marketed, the FDA must approve their manufacture. The FDA evaluates medications for their quality, safety, and effectiveness.

However, most compounding pharmacies are exempt from FDA regulations. While the FDA oversees the active ingredients used in compounded medications, they do not oversee the compounded preparation itself. The Drug Enforcement Administration (DEA) also provides oversight for compounded medications that contain controlled substances. State authorities are responsible for overseeing compounding pharmacies as well.

To ensure high-quality standards for compounding, the United States Pharmacopeia (USP), a private not-for-profit organization, issues standards for compounding. These standards apply to medications, dietary supplements, herbs, and food ingredients commonly used for compounding.

Compounding pharmacies may also seek accreditation through the Pharmacy Compounding Accreditation Board (PCAB). While this accreditation is not required, it reflects a commitment to high-quality standards and quality assurance.

Compounding Pharmacist Training 

Pharmacists are trained in compounding during pharmacy school. Most states require a pharmacist to pass tests on compounding before receiving their license. 

 However, pharmacies that specialize in compounding can seek additional education. There are no state or federal regulations that require additional training. 

Active pharmaceutical ingredient, or API, manufacturers typically offer compounding training. 

Compounding Pharmacy Benefits 

Depending on your specific needs, there are multiple advantages to selecting a compounding pharmacy. These types of pharmacies prioritize individuals, collaborating with both doctors and patients to create personalized medications.

In some cases, a doctor may prescribe a medication dose that is not available through the manufacturer. Alternatively, a patient may require a different route of administration or a modification of an inactive ingredient due to allergies or other sensitivities.

By working with a compounding pharmacy, patients can receive the precise medication that meets their unique requirements in a timely manner. Rather than simply dispensing standard medications, compounding pharmacies offer a tailored approach that can result in improved outcomes and a better overall healthcare experience.

Drugs That are Commonly Compounded

Many medications can be compounded, but certain types are compounded more frequently than others. Pain medications, particularly opiates, are commonly compounded, as the pharmacist may adjust the medication’s strength or provide it in a non-standard form, such as liquid or lollipops, to suit the patient’s needs. Hormone replacement therapy (HRT) medications are also frequently compounded because the dosage is personalized to the individual patient. Transdermal creams are a common type of HRT medication that is compounded in pharmacies. Additionally, dermatology medications are regularly compounded to customize the medication to the patient’s specific skin type and dermatological requirements.

Khyati Undavia

Khyati Undavia, originally from Bombay, India, developed a passion for life, art, and her cultural heritage, earning several accolades for her dancing skills. At the age of 15, she moved to the United States.

After earning her B.S. in pharmacy and completing her residency, Undavia worked at Medco before taking a bold risk on a struggling pharmacy. Undavia seized the opportunity to purchase the business, using her expertise to transform it into a thriving enterprise. Her efforts paid off, and she succeeded in building a successful pharmacy from the ground up.

The post Khyati Undavia Explains Compounded Medication (and Why It’s Important) first appeared on Kivo Daily.

Jeanne Jugan was born in 1792 in Brittany, in northwestern France. Her father was a fisherman who would spend six months every year at sea, catching cod off the coast of Newfoundland.

When Jeanne’s father sailed away in 1796, he did not return. Jeanne and her mother were left penniless, so Jeanne began to work rather than go to school. St. Jeanne Jugan never learned to read or write.

Jeanne had an opportunity to marry, but she decided that “God wants me for Himself. He has a task for me that He has not yet revealed.” Jeanne then went to the nearby town of Ste. Servan became a nurse at the Hôpital Les Rosais, but God’s will was not revealed to her.

Then one night in 1839, an impoverished, paralyzed, a nearly blind elderly woman was left at the hospital door. St. Jeanne realized that this woman had brought her mission from God.

Dr. Oscar John Ma is struck by what Jeanne did next. She gave the old woman with no family and no money the best sleeping place in the hospital. Then she started welcoming other impoverished elderly women to join them. Jeanne Jugan and the other nurses started sleeping in the attic.

On the advice of the Hospitaller Brothers of Saint John of God, St. Jeanne and the sisters started looking for a larger house in 1841. They found a building abandoned in the Revolution and made it a hostel for the elderly poor.

But the Brothers did not want a woman in a leadership position. Instead, Sister Jeanne is given the task of begging. Ste. Jeanne began to make the rounds of the city, always carrying a basket for collecting money and food, firewood, clothes, and other necessities.

In less than two years, however, Jeanne had found houses for the elderly poor in Rennes and Dinan. She was celebrated across the nation for her work, and visitors started coming from foreign lands just to be near her.

The order records a visitor from England wrote, “There is something so calm and saintly in this woman that, when I saw her, I believed I was in the presence of a superior being.”

The visitor wrote, “I told her that having covered France, she ought to come to England and teach us how to look after our poor people. “ She replied that, with God’s help , she would do so if invited.

The Brothers did not want Jeanne to take a position of prominence. She was removed to a service house in St. Pern, where she would remain for the rest of her life. But by 1879, there were 2,400 Little Sisters of the Poor serving the needy in nine countries.

Dr. O John Ma sees three lessons in the life of St. Jeanne Jugan. Choosing the path of service is not always appreciated. Others may want to take credit for your work.

But Dr. Oscar John Ma also sees the lesson of persistence. Sister Jeanne never stopped finding ways to help the poor.

Finally, John Ma notes good works attract more good works. Devotion to service is rewarded in ways that aren’t immediately understood. He considers it a privilege to contribute to the good work of The Little Sisters of the Poor even today.

The post Dr. Oscar John Ma on The Little Sisters of the Poor first appeared on Kivo Daily.

Medication abortion is a safe and effective method of ending a pregnancy during its early stages.

It involves taking medications that cause the uterus to contract and expel the pregnancy.

There are two main medications used in medication abortion: mifepristone and misoprostol.

Mifepristone is taken first and works by blocking the hormone progesterone, which is necessary for the pregnancy to continue.

Misoprostol is taken 24-48 hours later and causes the uterus to contract and expel the pregnancy.

Medication abortion is typically offered up to 10 weeks after the last menstrual period, but it may be available up to 24 weeks in some cases.

It is generally more effective the earlier it is done.

Distribution of the pills

In the United States, the distribution of abortion pills is regulated by the Food and Drug Administration (FDA). 

The FDA has approved mifepristone and misoprostol for medication abortion, and they can only be prescribed by a licensed healthcare provider.

There are some restrictions on the distribution of abortion pills, such as the requirement that they are provided in person by a healthcare provider rather than being mailed or shipped directly to patients.

Additionally, certain states have laws that impose additional restrictions on the provision of abortion pills, such as mandatory waiting periods or required in-person counseling.

Rule change

Following a change in FDA rules, pharmacy chains CVS and Walgreens shared plans to seek certification to distribute abortion pills in legal areas.

On Tuesday, the FDA’s website said that pharmacies certified to dispense mifepristone could directly send it to people with a certified prescription.

The change allows outpatient pharmacies to dispense mifepristone, but not all pharmacies will dispense the medication.

“In terms of whether or not that is going to have any impact in states where abortion is banned, I think the answer is probably not,” said law professor Lewis Grossman.

“I don’t see any real effects there.”

University of Michigan law professor Leah Litman chimed in, saying:

“It’s not at all clear that many or all or most pharmacies, or pharmacies in more rural areas, or pharmacies in red states will do so in ways that meaningfully increases access to medication abortion.”

“Mail order pharmacies have already been dispensing pills with the FDA’s permission,” she added.

“So the possibility of getting medication abortion existed before this latest decision.”

Read also: Parenting Tip: 6 Simple Ways a Single Parent Can Have a Work-Life Balance

Pharmacies

On Wednesday, Walgreens released a statement saying it is working through the registration pharmacist training and evaluating its pharmacy network.

Meanwhile, CVS plans to seek certification to dispense mifepristone where it’s legal.

On Tuesday, online pharmacy Honeybee Healthy posted on its official Facebook page that it is officially the first pharmacy certified to dispense medication abortion.

As a result, the online pharmacy can distribute pills in states that allow it to.

“At the onset of the pandemic, Honeybee Health quickly became the first digital pharmacy to supply and ship medication abortion,” the official statement read.

“We are proud to partner with the majority of telemedicine abortion providers in the US and to work closely with our manufacturer to help set the high standards required for certification in response to the FDA’s adjustment to the REMS program.”

REMS is the Risk Evaluation and Mitigation Strategy program utilized for mifepristone.

However, as it can be complicated, many other pharmacies will take time to review and decide if they should go through the certification process.

“Mifepristone is not the kind of drug for which any kind of pharmacy certification is normally required,” said Grossman.

“And this particular pharmacy certification regime seems much more onerous than one would expect for a random drug with a similar safety profile.”

Meanwhile, the American Society of Health-System Pharmacists released a statement saying:

“FDA’s change does not mandate that pharmacies must stock or dispense mifepristone, nor does it supersede any state laws that restrict prescribing or dispensing of the medication.”

Impact on abortion

According to Leah Litman, there are still questions about how the changes affect the abortion access landscape.

She said:

“It’s still not clear that the latest FDA move means that states couldn’t enforce different abortion restrictions against doctors who prescribe medication abortion, or pharmacists who fulfill prescriptions, or people who take medication abortion to induce an abortion.”

It’s also unclear if people living in anti-abortion states can use telehealth services for mifepristone prescriptions and have it mailed.

According to the principal policy associate of state issues at the Guttmacher Institute, Elizabeth Nash, the pills remain banned in places banning abortion before the FDA rule change.

“The FDA’s change in allowing dispensing at pharmacies means that there are more options for access for people in states where abortion is not heavily regulated and abortion rights are protected,” said Nash.

“Where abortion has been banned, abortion remains banned.”

“What we are seeing now is that if a state has banned abortion, then medication abortion is unavailable,” she continued.

“And I think we’re going to see how this tension plays out between the FDA’s authority over drugs and devices and the state laws.”

“We may see some court cases around this very issue as to FDA’s authority and state law,” Nash added.

Reception

Andrea Miller of the National Institute for Reproductive Health praised the FDA’s decision, saying it was an important step forward.

However, she pointed out that there is an “unfortunate reality.”

“The unfortunate reality is that there are more than a dozen states right now where abortion is illegal or close to fully illegal, it is banned,” Miller elaborated.

“And unfortunately, just like people are forced to do now, it is likely that some people in states where abortion is banned may choose to travel to another state to seek medication abortion.”

“We don’t believe that anyone should be forced to travel in that way, and certainly, as this moves forward, there are a lot of very smart lawyers who are looking at the question of how they’ll be incorporated into drugstores and pharmacy chains, and where that can happen – and how these different federal and state provisions interplay.”

With today’s political climate, Leah Litman believes it’s not clear if the Supreme Court will say the FDA’s rule change “preempts” state laws that restrict access to medication abortion.

Reference:

Some major pharmacies are planning to dispense abortion pills, but not in every state

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Injury is one of the most troublesome things that could happen to you. Whether you sustain an accident in the workplace or in a public area, at the gym or in your household, chances are you’ll have to take time to recover from the wounds. This means that you’ll have to postpone some activities you had planned and maybe even take time off work to ensure you’re not placing any undue strain on your body. 

While there’s no way to prevent injuries completely, it doesn’t mean that you cannot take proactive steps that ensure you’re less likely to become wounded. Here are some of the aspects you should have in mind. 

Rest well 

Sleep is one of the most critical factors for good health. When you consistently neglect it and become progressively more sleep deprived, you put yourself at increased risk for injury. Tiredness makes you more absent-minded, and therefore it becomes more likely that you’ll make a mistake and injure yourself. This can mean you’re less attentive and stumble and fall. If you work out regularly, neglecting rest means that you’re more likely to sustain injuries as a result of your training since the body doesn’t have sufficient time to rejuvenate between sessions. 

Be aware 

To reduce your probability of coming down with an injury, you must be aware of the possible dangers you’re exposed to. After all, you don’t know what to avoid if you’re not sure what the potential risks are. However, the risks are specific to the location you’re in. For example, in the public space, you should be mindful of the following: 

• Tripping on the pavement: Falling and tripping on the pavement is one of the most common injuries that can occur in public. However, this doesn’t make it any less dangerous. The injuries can be quite severe, depending on the nature of your fall. They’re particularly troublesome if you’re dealing with a chronic disease such as diabetes that makes wound healing slower and more prone to complications. 
• Road accidents: In some cases, injuries you sustain on the road can also fit into this category. For instance, you might become wounded after driving over a pothole. If public authorities were aware of this damage and neglected to fix it, it fits the criteria for a public space injury. 
• Slipping: If your injury occurred in a park or playground, you could be eligible to file a personal injury claim in the UK. The amount you can receive depends, much like in the case of any personal injury claim, but it is typically dependent on the extent of your injuries, as well as whether or not you came to deal with chronic health damage as a result of your wounds. Subsequent financial difficulties are included as well. 
• Housing accidents: If your household is part of public housing built by local authorities, injuries you sustain as a result of poor maintenance that the authorities were aware of, the accident can fall under the umbrella of injuries public authorities can be held responsible for. 

Improve balance 

Many injuries happen as a result of poor balance. Improving this aspect is generally a long process and takes a considerable degree of patience, but it’s essential for your overall health. The best part of it is that you can train anywhere, at any time, and the only thing you need is your own body and strength. One of the most effective exercises you can try is tightrope walking. Luckily, this doesn’t mean you must develop a flair for acrobatics, as you can simulate it. Single-leg standing or walking with alternating knee lifts are the other exercises you can try out. 

Depending on how advanced you are, or if you’ve already breezed your way through the more accessible versions, you can try something a little more advanced. For instance, you can try maintaining your balance by letting go of any support you are using or keeping your position with your eyes closed. When you are able to perform these exercises well, you also get in a little bit of strength training. 

Increase flexibility 

It might not appear like the most obvious solution, but becoming limber can actually mean that you’re at diminished risk for injury. Stretching regularly can help improve this ability. It isn’t only beneficial in the long term and can also alleviate combat daily soreness or body aches. These exercises can be incorporated into your daily routine, and you can perform them whenever you feel the need. Even a few minutes of stretching can go a long way to alleviate any tightness you feel in your muscles. 

Dynamic exercises that keep your body moving, followed by static stretching to help minimise the risk of next-day soreness, are fundamental for health and balance. They help make your body stronger and reduce the risk of you ending up with a bothersome injury after an accident. And if you do happen to become injured, research suggests that being more physically active helps speed up the wound healing process by nearly 30%. 

Limit manual handling 

Lifting heavy boxes or handling hefty machinery can put significant strain on your back, as well as your knee joints and shoulders. If your job involves the need to lift heavy items regularly, you should take the necessary steps to ensure a system is implemented that can do more of the heavy lifting for you. You should have adequate tools at your disposal, as well as the necessary training to operate them safely. 

Injuries tend to happen unexpectedly. They’re bothersome occurrences since they take you out of your routine. You must adjust your life and behaviour around them until you get better. If you have anything planned, you’ll probably have to postpone it until your condition improves. However, if you follow a few guidelines, you are likely to help prevent injuries and significantly reduce your risk. 

If you happen to become injured, you must remember that experts are willing to help you navigate this difficult time so that you can return to your everyday life as soon as possible. 

The post Minimising the Risk of Injury first appeared on Kivo Daily.

The first step in buying new bed sheets is determining if you really need to. You may need new sheets if you have stains or smells a wash won’t remove. Old sheets might hold onto materials they shouldn’t, which can ruin sleep and trigger allergies. If holes are forming and seams are fraying, it’s time to invest in a new set. 

When it comes time to buy new bed sheets, the first decision to make is material. Linen is a breathable fabric that softens by the wash, but it’s relatively expensive. Polyester is the cheapest, most durable option, but the fabric traps heat and moisture. Cotton is the best of both worlds, combining affordability, durability, and comfort all in one. There’s a reason cotton is a classic favorite when it comes to sheet selection.

If you do choose cotton sheets, you should also consider the fabric quality. Thread count is the quality measure most people think of, but it’s only one of many. Any thread count above 250 should be durable enough for most purposes. Other indicators include staple length, weave, and ply. In staple length, longer fibers tend to create softer, more durable fabric. The weave considered most desirable changes by season. Percale is great for summer weather while twill is commonly found in flannel, making it better for winters. Finally, a single ply with a lower quality cotton is often better than two ply. Two ply may be used to increase the thread count of a sheet without increasing its quality.

After choosing material and quality, color is the next important aspect of sheet selection. Whites are the easiest to clean, but dark colors hide stains better. Neutral colors are the most psychologically soothing while bright colors stimulate the brain. What color palette a person prefers depends on their individual taste. 

Once you have new sheets, it’s important to maintain them properly. For best results, experts recommend washing sheets and pillowcases once a week. Sadly, only about 32% of Americans follow these instructions. The rest either don’t believe the expert recommendation, don’t have time to wash this regularly, or simply forget the trip to the washing machine. Yet the studies don’t lie; people who wash their sheets more often sleep better. Individuals who rate their sleep quality well wash their sheets an average of every 12.8 days. On the other hand, people who rate their sleep quality poorly wait an average of 19.9 days to do so. 

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