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Women’s Health

Medical failure with painful women



I got sick 10 years ago. In October 2010, the cause of the strange pain that had plagued me for many years was finally revealed and I was diagnosed with systemic lupus erythematosus (SLE), the most common form of lupus, a chronic autoimmune disease. .. 90 percent of the estimated 3.5 million people who have it are women. Like many other autoimmune and chronic diseases that affect woman’s imbalance, such as polysclerosis, Graves disease, myasthenia gravis, rheumatoid arthritis, and endometriosis, SLE is incurable. The cause is not fully understood.

For years after being diagnosed, I learned to live with a mysterious and unpredictable disease, so I dug up my medical history for an answer. Like many Russian nest dolls, sick women appeared from the medical chronicles. Their medical history often followed a similar pattern: teething, years of pain and mysterious symptoms, and repeated misdiagnosis. These women were part of my story. However, observations of her disability and symptoms in clinical trials have told only a small part of her story. The records of their fall gave clues about their bodies but said nothing about the meaning of life within them.

I tried to imagine what it would feel like when a sick woman had a disease that was beyond medical understanding at these different points in history. I felt a close relationship. We shared the same basic biology. What has changed over time is that medicine understands him, not the female body.

The author, who suffers from the most common form of lupus, took a photo at her home on June 8th.

The Wall Street Journal Dylan Thomas

Since ancient Greece, spirits of suspicion and discrimination have been plagued by medical treatises on women’s health. The author of Hippocrates Corpus, a seminal article on Western medical practice, spoke about “inexperience and ignorance” of female physical and disease problems. In the 17th century, hysteria emerged as an explanation for the various symptoms and diseases in women. Derived from the ancient Greek hysteria, hysteria, which means uterus, was originally derived from the reproductive organs, which have been the cause of many women’s diseases since the Hippocratic era.

In the 19th century, especially when the cause of the disease could not be identified immediately, female hysteria moved “to the center of the stage” and “became a clear topic in numerous medical texts,” said the British medical historian Roy. Porter writes in “Hysteria Beyond Freud”. .. As the cultural critic Elaine Showalter has shown in her influential story The Female Malady, prominent doctors and psychiatrists at the time were aware of the perception of women who create symptoms of hysteria for attention and empathy. Connected to trends.

Prejudices against the body, mind and life of women cast a long shadow over modern clinical and biomedical knowledge. Graves’ disease, an autoimmune thyroid disease that affects 70-80% of women more than men, was first described in 1835 as “female nervousness” and in 1956 as an autoimmune causal link. Was called psychosomatic after the discovery. Graves’ disease, an autoimmune neuromuscular disease first mentioned in 1877, was misdiagnosed as mentally ill and rejected as a psychosomatic disease in the 20th century. Multiple sclerosis has been known to be more common in women since the 1940s, but this prevalence has long been obscured by the assumption that female neuropathy and movement disorders are neuropathy or hysteria. Was there.

In 1955, Johns Hopkins’ chronic disease expert found that over the past decade, several women who were eventually diagnosed with lupus after a doctor misdiagnosed chronic physical pain had been treated with electroshock therapy, insulin. He revealed that he had tolerated unnecessary psychiatric and surgical procedures such as coma and hysterectomy. As a symptomatism of emotional instability. Ulcerative colitis is a chronic bowel disease that affects women’s reproductive and sexual functions in ways that are not well understood and that have historically been attributed to psychological distress. The recommended treatment for female patients in the 1950s was prefrontal lobotomy.

It was only a generation ago that a groundbreaking study from 2001 created widespread awareness of the “gender pain gap”.

Until the late 20th century, clinical studies and biomedical research relied heavily on male subjects and male laboratory animal models. US law of 1993 required the appropriate involvement of women and minority members in projects funded by the National Institutes of Health. This led, for example, to the first large-scale study on the preventive effects of aspirin on cardiovascular disease in women. In previous exams only men were enrolled.

A widespread awareness of the “gender pain gap” arose only a generation ago as a result of a groundbreaking study from 2001 entitled “Girls Who Cry Pain: Prejudice against Women in the Treatment of Pain”. Using clinical data and social research collected since the 1970s, authors Diane Hoffman and Anita Talzian, medical ethics and law scholars at the University of Maryland, found that women were more comforting than stated they were more likely to be prescribed antidepressants. They considered this inequality to be “unreliable because it is more emotionally based on the pain of women”.

Recently, a Swedish team analyzed gender and pain studies published in the US, UK and Europe since 2001, and pain in women is more often “psychological” than men. It’s not taken very seriously. “

A 2019 and 2020 report by two related teams based in Toronto analyzed studies on the treatment of heart disease and depression and found that women had fewer referrals and procedures than men. Women also tended to declare poor communication with doctors. The report can change the dynamics by developing specific “patient-centered” treatment regimens in treating women, including training doctors to “listen actively” and “question”. It has been suggested that few practical studies have been found to initiate such practices.

One of the bright spots is that the number of women doctors is increasing. Women themselves report better diagnosis and treatment results when they are treated by a doctor. According to a 2018 report by the National Academy of Sciences, female patients are more likely to survive a heart attack if their doctor is a woman. Men still outnumber active U.S. doctors, but in 2019 women made up 36.6% of the field, 8 points more than in 2007.

Share your thoughts

Have you or your family and friends found that women are more likely to dismiss health problems than men? Join the conversation below.

Last year, the Covid-19 pandemic demonstrated the importance of integrating gender differences into medical research. Studies have shown that women, especially women over 55, are more likely to experience long-term post-viral symptoms such as shortness of breath, malaise, and brain fog. Women also seem to have more side effects after vaccination, including life-threatening ones, but the extent and severity of possible risks are not yet understood.

Today researchers have realized that the exact reason for the gender differences in the incidence of my disease, SLE, was prevalent in women over a century ago, but it remains largely a mystery. More research is urgently needed to understand how and why far more women are affected by complex chronic and immunological diseases, but women also experience their own pain and illness experiences. Must be valued more as an accurate reporter. Many of the answers lie in the female body, which has been written by the female body for centuries.

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Women’s Health

Eating at Night Affects Your Health, Diabetes Risk



Share on PinterestResearchers say eating meals at night can affect blood sugar levels. Eclipse Images / Getty Images

  • Researchers say that nighttime meals can affect blood sugar levels and increase the risk of type 2 diabetes.
  • Previous studies have shown that evening meals can lead to weight gain and increase the risk of cardiovascular disease.
  • Experts say that people who work night or night shifts should try to have their meals as close to “normal” times as possible.
  • They add that what you eat is also important, so making healthy food choices is important.

Eating at night that is out of sync with your body’s natural circadian rhythms could put you at risk for diabetes, according to researchers at Brigham and Women’s Hospital in Boston.

That in itself is not new.

Previous studies have shown that nighttime eating can cause people to make poorer food choices and lead to weight gain, leading to a higher risk of diabetes and cardiovascular disease.

However, the Brigham and Women study specifically looked at how eating in the evening affects blood sugar levels compared to eating during the day.

In the study, researchers placed 19 healthy young people in an environment designed to mimic night shift work

While all study participants “worked” overnight, only those who ate their meals during the night shift saw increased blood sugar intolerance and decreased beta cell function of the pancreas – both potential precursors of type 2 diabetes.

Participants who followed a daily eating plan did not see any of these adverse changes even though they were up all night, the researchers reported.

Previous studies have linked night shift work to an increased risk of cancer, arrhythmias, and even miscarriages.

“These results suggest that the timing of meals was primarily responsible for the reported effects on glucose tolerance and beta cell function, possibly due to the misalignment of central and peripheral ‘clocks’ throughout the body,” said Frank AJL Scheer, PhD , a co-author and neuroscientist in sleep medicine at Brigham and Women’s Hospital, said in a press release.

“While the central circadian ‘clock’ was still on Boston time, the endogenous circadian glucose rhythms suggest that some peripheral ‘clocks’, perhaps that of the liver, have been shifted dramatically to a time zone in Asia,” Scheer continued.

For people with a regular daily work schedule, the advice here is simple: stick to eating during the day, eat a balanced diet, and try to avoid late night snacks.

But for the 23 million Americans who work late at night or on irregular shifts, the answer is not that simple.

Galina Kinel, a New Orleans-based nurse who has been on shifts from 7 p.m. to 7 a.m. several days a week for years, said it was difficult to eat meals during the day.

“If I hadn’t slept until at least 3 or 4 pm [after coming off shift]”I would feel awful so I think it would be difficult to eat during the day,” she told Healthline.

Here’s how she described her schedule:

“I woke up around 4 and had a light meal before going to work, maybe a salad or a small sandwich. I had a coffee around 7 p.m. and another around midnight if I was behind. My lunch was between 1 and 2 in the morning and then maybe I would have a small snack around 4 to 5 in the morning because then I got sleepy. “

And what you eat is also important – especially at night.

“Your body metabolizes food differently at night, and eating heavy can make you less alert and less productive. If you work at night when your internal clock is disturbed, you may feel tired, have trouble sleeping, poor concentration, [and] Difficulty metabolizing food, ”said Laura Krauza MS, RDN / LDN, a clinical nutritionist at St. Lucie Medical Center in Port Lucie, Florida.

Kinel agreed.

“I felt a lot better when I packed lunch than I did when I had lunch in the cafeteria, which was just fried food,” she said.

She added that she and her colleagues felt as though they had put on weight at night.

“Shift work can also have a negative impact on your daily habits and routines and make healthy decisions difficult,” said Krauza. “Routines can help us stay on track.”

Here’s what she recommended:

  • Try to eat at “normal” times.
  • Have breakfast when you get home from a shift.
  • Have lunch when you wake up.
  • Have dinner before your shift.
  • Eat light snacks and stay hydrated to reduce fatigue at night.
  • If you feel that you need caffeine to wake up or stay alert, consume a maximum of 200 milligrams 30 to 60 minutes before your shift and then every 3 to 4 hours. But stop caffeine 8 hours before bedtime.

Ultimately, however, Krauza said, “The best schedule is that for your unique schedule.”

“Focus on healthy proteins and high-fiber carbohydrates for long-term blood sugar and energy levels and try to have your main meal earlier in the evening,” she added. “If you energize your body in advance, you can control your hunger and energy levels during your shift.”

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Women’s Health

Patient remembers ‘so much pain’ during surgery assisted by fake nurse at Vancouver hospital



Alexandra Tymkiw met Brigitte Cleroux in one of her most vulnerable moments. It was December 15, 2020, and Tymkiw was a patient at BC Women’s Hospital in Vancouver who was about to have surgery to remove a polyp from her uterus.

Cleroux was introduced to her as a perioperative nurse who administered pain medication during the procedure, according to Tymkiw, a 40-year-old Burnaby resident who is nicknamed Sasha.

Tymkiw said she was immediately impressed with Cleroux’s demeanor. She described them as loud, condescending, and high-handed, which she found unusual for a healthcare professional.

“I got on the table with my legs in stirrups and I was pulled from the waist down, my legs wide open so they could operate on me. And I’m pretty nervous, ”remembers Tymkiw.

“I’m just saying, ‘Okay, these are professionals … don’t worry.'”

But as it turned out, they weren’t all professionals.

On Thursday, Tymkiw received a letter from the hospital informing her that Cleroux had no nurses when she was assisting with the operation.

In fact, Cleroux, 49, was arrested and charged with $ 5,000 fraud and personalization with the intent to gain an advantage. Vancouver police say they used a real-life nurse’s name to find employment at the hospital, where she cared for patients from June 2020 to June 2021.

Tymkiw also learned that Cleroux faces similar charges in Ottawa and has a long history of identity theft.

“Immediately there is tons of pain”

Tymkiw was deeply troubled by the news, but it also raised new questions about her terrifying experience during a relatively routine procedure.

She said her surgery was performed under local anesthesia while Cleroux was administering pain medication.

“I’m in a lot of pain right away. I just got a snake and I’m supposed to be given pain medication, but there is pain,” said Tymkiw.

Brigitte Cleroux, 49, is charged with posing as a nurse in Vancouver and Ottawa using forged IDs. (Ottawa Police Service)Trying to hide her discomfort, assuming the pain was normal, she tried to take a deep breath.

“Nothing worked and it got to the point where I twisted myself away from the surgeon. I remember my legs just shaking, so there was so much pain, ”said Tymkiw.

She said Cleroux was asked to give more pain medication, but it didn’t help. Tymkiw describes it as “10 out of 10 pain – and I had a kidney stone”.

Eventually the surgeon had to stop the procedure, Tymkiw said.

CBC News has seen no evidence that Cleroux is responsible for the severe pain Tymkiw experienced, and Cleroux has not been charged with any offenses related to directly treating patients in BC

In Ottawa, however, she is charged with assault with a gun and criminal negligence for having administered drugs and injections to unqualified patients in a fertility clinic.

‘Why didn’t you just graduate from nursing school?’

Tymkiw said she hadn’t heard from the police about their investigation.

She is completing her training to become a state-approved masseuse and is aware of how little public discussion about women’s health takes place – especially when it comes to reproductive and gynecological issues.

Because of that stigma, Tymkiw said she had spent most of the last year thinking her experience in surgery was normal. It was only after her twin sister had undergone the same procedure and was not in excruciating pain that Tymkiw realized that there was something unusual about what had happened to her.

Brigitte Cleroux can be seen in an older photo shared by the College of Nurses of Ontario. (College of Nurses of Ontario)

This is what makes Tymkiw so angry about Cleroux’s alleged fraud.

“Your boldness to just sneak in is just so unsettling,” said Tymkiw. “To see this other woman in a vulnerable position, in great pain and with her legs apart.”

According to court documents, Cleroux completed two years of a four-year nursing program in Colorado but was never certified as a nurse. She was first convicted of nurse portrayal in Ontario in 2005 and has a history of similar crimes in Alberta and Quebec.

All of this story leaves Tymkiw with one question.

“All the effort she went into pretending to be a nurse, it’s like, why didn’t you just graduate from nursing school?” She said.

In the letter Tymkiw received through Cleroux, Chief Operating Officer Cheryl Davies says the provincial hospital and health department is now conducting a full review to see how Cleroux was allowed to work there.

Cleroux is slated to appear in the Vancouver Provincial Court for the first time on December 7th.

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Women’s Health

Naomi Osaka Shows Off Strong Legs And Scar In New Instagram Photo



  • Naomi Osaka just posted a BTS photo of her in a metallic mini dress and her super sculpted legs (and scar) are fully in view.
  • The tennis professional starts her day with a three-hour session on the court with her trainer.
  • She also conjures up a healthy breakfast smoothie in the morning to strengthen her workout.

    Naomi Osaka’s expression may look casual in her latest Instagram post, but the professional tennis player’s newest ~ lewk ~ is EVERYTHING.

    Naomi, 24, was standing in front of the make-up mirror of my dreams in a silver mini dress and high heels. But honestly, all eyes are on her strong, kilometer-long legs!

    “😃 the scar on my leg will never go away,” the tennis star captioned the photo.

    Within minutes the photo was full of comments and likes, with screenwriter Lindiwe S. Müller-Westernhagen writing “Welllll HOT DAMN GOOD GODDESS✨” and actress Taraji P. Henson commenting on what we all think: 🔥🔥🔥🔥🔥🔥🔥 .

    Another fan wrote “Serving us legs Ms Osaka 🔥🔥🔥🔥🔥🎾” which, if you take a quick look at the photo, is 1000% true.

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    So unless she gets inducted into the Forbes Under-30 Hall of Fame (she’s one of only two sports stars to be named, the other is LeBron James so we’re in good company) or closes the tennis court, Naomi stays STRONG.

    She starts her day with a three-hour session on the tennis court with her trainer, Abdul Sillah, she told Us Weekly.

    “I love my time on the pitch,” said Naomi. “My morning exercises alternate between basic strokes, cardio and leg exercises.”

    She usually starts her day with a delicious smoothie, she told Mind Body Green. Naomi’s favorite foods are strawberries, bananas, blueberries, mangoes, chia seeds, BOYDARMOR LYTE coconut for extra nutrients.

    “For my post-workout smoothie, I tend to use more vegetables than fruits in my pre-workout option,” she told the point of sale. “Adding a spice like ginger also gives it great flavor.” Naomi uses apples, spinach, and cucumber in her cool-down from her most intense workouts.

    After her sweat lesson with her trainer, Naomi spends some recovery time with a physical therapist.

    “It’s so important to rehydrate yourself!” She told Women’s Health. That is why their snacks are fruit and recreational sports drinks. Lunch is usually a large bowl from Sweetgreen, their favorite chain restaurant. Delicious!!

    Naomi started getting creative in the kitchen during the pandemic, telling Women’s Health that she learned to cook some of her favorite dishes during the downtime. She can now prepare her mother’s lamb stew, Haitian-inspired dishes, and steak risotto. “There’s something so comforting about the warm and creamy rice and steak,” she said.

    On her days off, Naomi stays active with new activities like ice skating, she told Us Weekly.

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    Naomi also stays active on her days off. “I love trying different activities that help me switch off and relax,” she told Us Weekly. “Ice skating is pretty cool.”

    Naomi also told Women’s Health that she uses meditation to keep herself on the ground.

    Jacqueline Tempera is an award-winning writer and reporter who lives in Boston with her cat, Roxanne.

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