Avoid medicine sold online: doctor

Only 10 percent of men with erectile dysfunction seek medical help, with many attempting to treat the condition with pills purchased online, a physician said

  • By Yang Yuan-ting
    and William Hetherington / Staff reporter, with staff writer

A New Taipei City doctor has advised people to avoid purchasing medication on the Internet, citing a patient who had bought counterfeit pills for the treatment of erectile dysfunction.

Taiwanese Association of Andrology director Chen Yu (陳煜) said the patient, a 40-year-old man, had used the pills for three months without knowing they contained mostly starch.

About half of Taiwanese men above 40 have some degree of erectile dysfunction, Chen said.

Erectile dysfunction is categorized by severity, with those mildly afflicted being able to have intercourse, but not becoming fully erect, he said.

Those moderately afflicted might become partially erect, but are unable to engage in intercourse, while those with severe erectile dysfunction are completely unable to become erect, Chen added.

The rate of occurrence of erectile dysfunction in men under 40 is three times what it was five years ago, he said.

Erectile dysfunction worsens over time if not treated, and as many younger men are embarrassed about the problem and put off treatment, many of those under 40 that he treats already have advanced conditions, Chen said, adding that 5 percent of them have severe conditions.

Erectile dysfunction can be a sign of imminent heart disease, since it is often caused by blocked arteries, generally indicating circulatory problems, diabetes or other problems, association secretary-general Wu Chia-chang (吳佳璋) said.

More than 60 percent of men with erectile dysfunction develop heart disease within three years of seeking treatment for the condition, he said, adding that patients complain that many aspects of their lives, including work performance, suffer from the condition.

Citing research statistics, Wu said that only about 10 percent of men with erectile dysfunction seek treatment, with many attempting to treat the condition on their own with pills purchased on the Internet.

“Companies selling fake medicine see it as an opportunity, with many putting fake labels on their products to pass them off as real medicine,” he said.

Chen said he once treated a patient who had an erection that lasted several days after taking counterfeit medicine he bought on the Internet.

The patient was left with some permanent physical damage, he said.

Chen said he and his colleagues had sent a letter to the online retail platform that sold the counterfeit medicine, and had reported the company to the Food and Drug Administration.

However, as many firms making such products are located outside of Taiwan, which makes prosecution difficult, Chen advised people to exercise caution and not purchase medication online, but to seek treatment from a medical professional.

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Governor urges New Mexicans to avoid Halloween gatherings

SANTA FE, N.M. (AP) — Gov. Michelle Lujan Grisham on Saturday said the spread of coronavirus is out of control in New Mexico as she urged residents to stay home and avoid gathering with others to celebrate Halloween.

“Please — do your part to protect yourself and your fellow New Mexicans by celebrating a COVID-SAFE Halloween,” the Democratic governor’s office said in a Facebook post. “Stay home. Do not gather with others.”

State officials on Saturday reported 592 additional known virus cases and 11 additional deaths but said the case data for the day was incomplete due to a technical problem.

“Due to a technical disruption of the electronic laboratory reporting system, the following data reflects only a partial total for today’s case update,” state officials said in a statement. “The delayed results will be included in the state’s reporting as soon as they are received and confirmed.”

The additional cases and deaths reported Saturday increased the state’s totals to 46,490 cases and 1,018 deaths.

The state reported over 1,000 additional cases on Friday when it also reported a single-day record of 13 deaths and when the state’s death toll exceeded 1,000.

Lujan Grisham on Friday ordered flags to fly at half-staff starting Monday for a week of mourning. She called the toll “an unfathomable tragedy,” saying the drumbeat of a few more deaths every day should not diminish the acute feeling of loss.

State health officials also renewed their pleas that people adhere to the public health order, which calls for residents to stay home whenever possible, limit contact with others and wear face coverings, among other things.

Coronavirus related hospitalizations reached 354 on Saturday, the ninth consecutive day the state has set a record for that metric.

State officials and administrators from some of the largest hospital systems in New Mexico have warned that the health care system could be overloaded if the trends continue.

The number of infections is thought to be far higher because many people have not been tested, and studies suggest people can be infected with the virus without feeling sick.

The additional 11 deaths reported Saturday included six in Dona Ana County, four in Bernalillo County and one in Otero County.

The additional cases included 187 in Bernalillo County, 127 in Dona Ana County, 41 in Chaves County, 33 in Santa Fe County, 31 in Sandoval County, 22 in McKinley County and 17 in San Juan County.

For most people, the new coronavirus causes mild or moderate symptoms, such as fever and cough that clear up in two to three weeks. For some, especially older adults and people with existing health problems, it can cause more severe illness, including pneumonia and death. The vast majority of people recover.

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Canada says stronger response needed to fight coronavirus, PM hopes to avoid major shutdown

OTTAWA (Reuters) – Canadians need to do more to tackle a second wave of the coronavirus by slashing the number of personal contacts they have with others, health authorities said on Friday.

FILE PHOTO: People walk in the Eaton Centre shopping mall, as the provincial phase 2 of reopening from the coronavirus disease (COVID-19) restrictions begins in Toronto, Ontario, Canada June 24, 2020. REUTERS/Carlos Osorio/File Photo

Prime Minister Justin Trudeau said more targeted measures could help avert another major national shutdown of the kind that hammered the economy earlier in the year.

Released modeling updates show the cumulative death toll in the country could range between 10,285 and 10,400 by Nov 8. Cumulative cases could be between 251,800 and 262,200 by the same date.

“(The) long-range forecast indicates that a stronger response is needed now to slow the spread of COVID-19,” chief public health officer Theresa Tam told a briefing.

“If we decrease our current rate of contacts by 25% the epidemic is forecast to come under control in most locations,” she said.

Canada has recorded 10,074 deaths and 228,542 cases so far and is breaking daily records for the number of new cases.

Suncor Energy SU.TO, Canada’s second-biggest oil producer, confirmed 19 infections among workers at its Firebag oil sands site in Alberta, dating back to Oct. 18. All of those affected are in isolation at home or other locations, spokeswoman Erin Rees said.

Suncor shut down part of the site where 17 of the employees worked, but the outbreak has not affected oil production, she said.

Some provinces are reintroducing bans on indoor dining and limiting the size of gatherings.

Manitoba, which has the highest rate of active cases per capita among provinces, said it would tighten restrictions starting on Monday. In Winnipeg, where most cases are located, all restaurants and bars will close to in-person dining.

Trudeau said authorities know more now about the pandemic than they did six months ago.

“There are things we can do to help to control the pandemic, the second wave, without – we hope – having to impose a nationwide shutdown,” he told the briefing.

Additional reporting by Rod Nickel in Winnipeg and Moira Warburton in Toronto; Editing by Kirsten Donovan, Aurora Ellis and Sonya Hepinstall

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Avoid the sprain and strain while caring for your loved ones

Avoid the sprain and strain while caring for your loved ones

PR Newswire

ROSEMONT, Ill., Oct. 26, 2020

Orthopaedic surgeons share lifting techniques for home caregivers

ROSEMONT, Ill., Oct. 26, 2020 /PRNewswire/ — November is Family Caregiver Month and although caring for a loved one can be a very rewarding job, it also can be cause for physical and mental strain.

(PRNewsfoto/American Academy of Orthopaedic)
(PRNewsfoto/American Academy of Orthopaedic)

“Properly lifting your loved one is important to avoid back, neck and shoulder strains and injuries,” explains Charla Fischer, MD, FAAOS orthopaedic spine surgeon and spokesperson for the American Academy of Orthopaedic Surgeons (AAOS). “Pulling a person into a seated position in bed is a common activity that may cause muscle strain, as well as transferring a person from a bed to a wheelchair and leaning over a person for extended periods of time. Understand your risk of injury, so you can avoid getting hurt, and use proper lifting techniques to help prevent these injuries.”

According to the National Alliance for Family Care, family caregivers spend an average of 24.4 hours per week providing care1. Whether assisting with daily living activities or more demanding medical and nursing tasks, Dr. Fischer stresses the importance of using proper lifting techniques to help keep bones and joints healthy.

To avoid injury when helping a person move to a wheelchair from laying down in bed, first, put the chair close to the bed and ensure the wheels are locked. Place one arm under the person’s legs and your other arm under their back. Move the person’s legs over the edge of the bed while pivoting their body and keep a strong stance with your feet shoulder-width apart, your knees bent and your back in a natural straight position.

“Never lift more than you can handle,” added Dr. Fischer. “Do not twist when lifting to avoid back strain. Face the person and hold them close to you, lean back and shift your weight or pivot direction if necessary. Take your time and don’t rush. Lifting belts can help for these types of movements.”

Many communities and local hospitals provide training to help caregivers properly care for a family member at home. AAOS offers resources on patient education through OrthoInfo.org and its Prevent Injuries America!® campaign, and the AAOS recommends the following lifting techniques for home caregivers:

  • Keep your head and neck in proper alignment with your spine; your head, neck, and back should be as straight as possible.

  • Maintain the natural curve of your spine; bend with your hips and knees, rather than from your back.

  • Avoid twisting your body when carrying a person.

  • Always keep the person who is being moved close to your body.

  • Keep your feet shoulder-width apart to maintain your balance.

  • Use the muscles in your legs to lift and/or pull.

For more lifting techniques for home caregivers, visit OrthoInfo.org. To schedule an interview with an AAOS orthopaedic expert, email [email protected]

About the AAOS
With more than 39,000 members, the 

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To avoid quarantining students, a school district tries moving them around every 15 minutes.

To reduce the number of students sent home to quarantine after exposure to the coronavirus, the Billings Public Schools, the largest school district in Montana, came up with an idea that has public health experts shaking their heads: Reshuffling students in the classroom four times an hour.

The strategy is based on the definition of a “close contact” requiring quarantine — being within 6 feet of an infected person for 15 minutes or more. If the students are moved around within that time, the thinking goes, no one will have had “close contact” and be required to stay home if a classmate tests positive.

Greg Upham, the superintendent of the 16,500-student school district, said in an interview that contact tracing had become a huge burden for the district, and administrators were looking for a way to ease the burden when they came up with the movement idea. It was not intended to “game the system,” he said, but rather to encourage the staff to be cognizant of the 15-minute window.

In an email to administrators last week, Mr. Upham encouraged staff to “whenever possible, disrupt the 15-minute timeline through movement, distancing, and masking.”

Infectious disease experts say that moving students around every few minutes is actually more likely to increase transmission of the virus, by exposing more people to an infected student. It will also complicate contact tracing efforts, they said.

“That is not an evidence-based practice or sound scientific policy,” said Dr. Jennifer Nuzzo, an epidemiologist at the John Hopkins Center for Health Security who has been supportive of reopening schools for in-person instruction.

The 15-minute, 6-foot definition is a guideline for identifying who might be at greater risk of infection, not a hard-and-fast rule about when it can or cannot happen, Dr. Nuzzo said, adding that a person can certainly become infected in less time or from farther away, especially indoors.

Dr. Sarah Fortune, chair of the department of immunology and infectious diseases at Harvard’s school of public health, said the 15-minute definition was meant to help contact tracers “effectively and efficiently identify people with the highest risk and target intervention to them.”

Kelly Hornby, principal of Billings West High School, wrote in an email to his staff last week that moving students around every few minutes and then returning them to their original desks would help dissipate airborne droplets containing coronavirus, to the point “where the risk of being contaminated is greatly reduced.”

Dr. Fortune disagreed with that idea. “The particles that transmit Covid, they hang out in the air, and they spread through the air, and the aerosols can hang out for a very long time,” she said. “So stirring that air up or moving around from your spot doesn’t really limit your exposure or risk.”

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Can You Afford a Dentist? – Learn How to Avoid Dentists Altogether!

Avoid dentists? I know what you are thinking that this must be some kind of joke! Unfortunately I was of the same opinion for many years of my life. I was convinced that there was no escape. I felt trapped knowing that I had no choice but to go to dentist 3-4 times a year, spending a lot of money that I could spend on something else.

I am sure that you know the feeling when something is wrong with your car and you know very little about mechanics of the car. Guess what? You end up in the garage frustrated thinking, what a waste of time and money!

It goes beyond question if you can afford dentist or not. Certainly it is expensive and over the years it will become even more expensive because as your teeth and gums deteriorate, dental procedures will become more elaborated and costlier.

You might also be thinking that you have a dental insurance, so what? It will still cost you some money and your time, not to mentioned negative feeling and pain from dental interventions. Many people are terrified of going to dentists. Would you rather spend your time in more pleasant way than go through ordeal in dental chair?

There is one very important factor you should not forget. More frequent visits to your dentist, more work is done on your teeth and your gums. It means that your over all dental health is deteriorating. Think this way, if you do not stops the habit of seeing your dentist, you will loose your teeth over the years end most likely you will end up with denture and all related problems.

It is not rosy picture, is it? The purpose of this article is to make you think how you can take control of your dental health and learn how to avoid dentists all together. I also have good news for you.

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