Yarrow YMCA Opens 9,000 Square Foot Outdoor Fitness Facility

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The Yarrow Family YMCA in Westlake Village has opened a nearly 9,000 square foot covered outdoor fitness facility in its back parking lot (31105 East Thousand Oaks Blvd.). The facility opened November 2.

The exercise area contains cardio equipment and weights to provide members an opportunity to workout in a COVID-compliant setting until Los Angeles County officially enters the red tier level and gyms can reopen indoors.

In August, the Yarrow YMCA began offering outdoor group exercise classes. “The classes were well received. We know that the community wants something more, particularly access to cardio and weight-lifting equipment,” says Ronnie Stone, President/CEO of the Southeast Ventura County YMCA. “Since indoor workouts are still uncertain, we made the decision to move the equipment outdoors so we could comply with all health and safety guidelines.”

To allow for cleaning and disinfecting, hours are 6:00 a.m. to 11:00 a.m. and 2:00 p.m. to 5:00 p.m. Mondays through Fridays and 7:00 a.m. to noon on Saturdays. Reservations are required. For more information or to a make reservation, call 818-707-9622.

The Simi Valley Family YMCA was cleared to open its indoor fitness center in early October. The pool and locker rooms remain closed until Ventura County moves to the orange tier.

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Ethics Consult: Would You Amputate Healthy Patient’s Foot?

Welcome to Ethics Consult — an opportunity to discuss, debate (respectfully), and learn together. We select an ethical dilemma from a true patient care case. You vote on your decision in the case. And next week, we’ll reveal how you all made the call. And stay tuned, bioethicist Jacob M. Appel, MD, JD, will weigh in next week with an ethical framework to help you learn and prepare.

The following case is from Appel’s 2019 book, Who Says You’re Dead? Medical & Ethical Dilemmas for the Curious & Concerned:

Margaret, a 40-year-old teacher, is a new patient of Dr. McCoy, a prominent orthopedic surgeon. At their initial appointment, when he asks how he can help her, Margaret replies, “I want you to amputate my left foot.”

Further discussion and examination reveals that Margaret’s foot is physically healthy and not a source of pain or disability. Margaret elaborates: “All my life, I’ve had this strange feeling that my left foot — right here, below the ankle — did not feel like it was part of my body. I have been to psychiatrists and neurologists, but nobody can explain it. To me, even though the foot functions just fine, it feels like having a foreign object attached to my leg.”

“Then last year, I went online and discovered that there are other people out there like me who suffer from ‘foreign limb syndrome’ — who have limbs or appendages that feel like they do not belong. We are sort of like patients who want sex-change operations, only far fewer medical professionals take us seriously.”

“Can you please amputate my foot safely? I will be glad to undergo a complete psychiatric evaluation first to show you I am not mentally ill. Honestly, if no surgeon will help me, I would do it myself with a saw — but I am afraid I might bleed to death.”

Jacob M. Appel, MD, JD, is director of ethics education in psychiatry and a member of the institutional review board at the Icahn School of Medicine at Mount Sinai in New York City. He holds an MD from Columbia University, a JD from Harvard Law School, and a bioethics MA from Albany Medical College.

And check out some of our past Ethics Consult cases:

Reveal AIDS Diagnosis to Patient’s Sibling?

Change Abused Patient’s EMR?

Force-Feed Prisoner on Hunger Strike?

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What is a foot fetish? The science behind it

A foot fetish, or podophilia, is where feet, legs, stockings, shoes, or socks trigger sexual arousal in a person. People with fetishes become sexually aroused by certain things or specific body parts, such as the feet.

Keep reading to learn more about what a foot fetish is, the science behind it, why people have fetishes, and how to introduce them into a relationship.

Researchers propose several explanations for how and why people develop foot fetishes.

One of the first people to study these behaviors was Sigmund Freud, who believed that fetishes arose during early childhood. He suggested that when a child saw their mother’s genitals, they were shocked to find that their mother did not have a penis, leading to a fixation on objects or body parts that looked like penises.

In the case of foot fetishes, Freud’s theory states that they occur because a person perceives the foot or toes as a penis substitute.

Another hypothesis argues that they occur due to learning that being attracted to feet leads to a reward. Research suggests that people can link a typically non-erotic object or body part to arousal through positive feedback and a monetary prize.

One researcher proposes that the fetish is due to sensory input in the brain. The neuroscientist Vilayanur Ramachandran suggests that the part of the brain that processes the sensation people get from feet is next to the area that perceives genital stimulation, which may account for some people’s foot fetishes.

Researchers suggest several theories to explain why people have fetishes. However, it is unlikely that only one hypothesis can explain why they exist. It is probable that many reasons, such as behavioral, social, and cultural factors, work together to play a part.

Psychoanalytic theories

Researchers who psychoanalyze human behavior, such as Freud, have several ideas about how fetishes happen. The overarching theory is that an event occurs during a person’s childhood, causing them to develop the fetish.

Within this area of psychoanalysis, a second theory is that people may fixate on a certain object during childhood, which causes them to sexually fixate upon it by seeing it as a ‘good’ object.

Another idea is that people may regress, becoming aroused by objects or body parts that remind them of their childhood.

Behavioral factors

There is also a theory that conditioning and learning are responsible for the formation of fetishes. This means that people can learn to be aroused by certain objects or body parts through a reward system, such as physical closeness, ejaculation, or even money.

Sexual instinct

Another theory is that hormones and emotions drive people to imprint their arousal on to certain objects. These hormones and emotions allow them to respond to certain stimuli sexually.


The way a community socializes may also contribute to the formation of fetishes in people. Certain communities may place more importance on specific body parts and sexual practices, which may lead to the fetishization of objects and body parts.

Cultural factors

Another theory suggests that communities are

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