Can you buy renova online

Jan. 29, 2021 -- An international team of researchers studying skin care products has made a startling and pivotal discovery. The renova appears to cause the body to make weapons to attack its own tissues. The finding could unlock a number of skin care products’s clinical mysteries.

They include the puzzling collection of symptoms that can come with the . The persistence of symptoms in some people for months after they clear the renova, a phenomenon dubbed long skin care products. And why some children and adults have a serious inflammatory syndrome, called MIS-C or MIS-A, after their s. €œIt suggests that the renova might be directly causing autoimmunity, which would be fascinating,” says lead study author Paul Utz, MD, who studies immunology and autoimmunity at Stanford University in Stanford, CA.

The study also deepens the question of whether other respiratory renovaes might also break the body’s tolerance to itself, setting people up for autoimmune diseases like multiple sclerosis, rheumatoid arthritis, and lupus later in life. Utz says he and his team are next going to study flu patients to see if that renova might also cause this phenomenon. €œMy prediction is that it isn’t going to be specific just to skin care. I’m willing to bet that we will find this with other respiratory renovaes,” he says.

The study comes on the heels of a handful of smaller, detailed investigations that have come to similar conclusions. The study included data from more than 300 patients from four hospitals. Two in California, one in Pennsylvania, and another in Germany. Researchers used blood tests to study their immune responses as their s progressed.

Researchers looked for autoantibodies -- weapons of the immune system that go rogue and launch an attack against the body’s own tissues. They compared these autoantibodies to those found in people who were not infected with the renova that causes skin care products. As previous studies have found, autoantibodies were more common after skin care products -- 50% of people hospitalized for their s had autoantibodies, compared to less than 15% of those who were healthy and uninfected. Some people with autoantibodies had little change in them as their s progressed.

That suggests the autoantibodies were there to begin with, possibly allowing the to burn out of control in the body. €œTheir body is set up to get bad skin care products, and it’s probably caused by the autoantibodies,” Utz says. But in others, about 20% of people who had them, the autoantibodies became more common as the progressed, suggesting they were directly related to the viral , instead of being a preexisting condition. Some of these were antibodies that attack key components of the immune system’s weapons against the renova, like interferon.

Interferons are proteins that help infected cells call for reinforcements and can also interfere with a renova’s ability to copy itself. Taking them out is a powerful evasive tactic, and previous studies have shown that people who are born with genes that cause them to have lower interferon function, or who make autoantibodies against these proteins, appear to be at higher risk for life-threatening skin care products s. €œIt seems to give the renova a powerful advantage,” says study author, John Wherry, PhD, who directs the Institute for Immunology at the University of Pennsylvania. €œNow your immune system, instead of having a tiny little hill to climb, is staring at Mount Everest.

That really is devious.” In addition to those that sabotage the immune system, some people in the study had autoantibodies against muscles and connective tissues that are seen in some rare disorders. Utz says they started the study after seeing skin care products patients with strange collections of symptoms that looked more like autoimmune diseases than viral s -- skin rashes, joint pain, fatigue, aching muscles, brain swelling, dry eyes, blood that clots easily, and inflamed blood vessels. €œOne thing that’s very important to note is that we don’t know if these patients are going to go on to develop autoimmune disease,” Utz says. €œI think we’ll be able to answer that question in the next 6 to 12 months as we follow the long haulers and study their samples.” Utz says it will be important to study autoantibodies in long haulers to see if they can identify exactly which ones seem to be at work in the condition.

If you can catch them early, it might be possible to treat those at risk for enduring symptoms with drugs that suppress the immune system. What this means, he says, is that skin care products will be with us for a long, long time. €œWe have to realize that there’s going to be long-term damage from this renova for the survivors. Not just the long haulers, but all the people who have lung damage and heart damage and everything else.

We’re going to be studying this renova and it’s badness for decades,” Utz says. Sources BioRxiv, Jan. 29, 2021. Paul Utz, MD, professor, immunology and rheumatology, Stanford University, Stanford, CA.

John Wherry, PhD, chair, Department of Systems Pharmacology and Translational Therapeutics, University of Pennsylvania, Philadelphia. © 2021 WebMD, LLC. All rights reserved.By Scott G. Chudnoff, MD, as told to Camille Noe Pagán A lot of people think emergency contraception (EC) is an abortion pill, but that’s not how it works.

If you’re already pregnant and you use it, it won’t end your pregnancy. EC only reduces your odds of getting pregnant if you’ve had unprotected sex or your birth control failed you over the past several days. Most forms of emergency contraception contain hormones that stop your ovary from releasing an egg. (Some examples of hormonal ECs are Plan B, Plan B One-Step, Take Action, and ella.) If you don’t release an egg, then sperm can’t fertilize it.

That prevents pregnancy. But what many women don’t realize is that there’s a nonhormonal EC option available. It’s the Paragard copper IUD (intrauterine device). An IUD is a T-shaped device that’s put into your uterus through your cervix.

Sperm don’t like copper, so they don’t get past Paragard to reach and fertilize an egg. The thing about EC is that the sooner you use it, the better it works. That’s especially true if you’re close to ovulation in your menstrual cycle. Most women aren’t exactly sure when they ovulate, which is another reason why it’s best to take emergency contraception as soon as possible after you’ve had unprotected sex.

If you do know you’ve just ovulated or are about to, then ella and Paragard are more effective than other forms of EC. Ella and Paragard are also more effective if it’s been more than 3 days since you’ve had unprotected sex. But they really work only within about a 5-day span. If it’s been longer than 5 days, they’re much less likely to work.

Ella requires a prescription, and you’ll need a doctor to insert Paragard. But most EC is available over the counter. That doesn’t mean you’ll find it sitting on the shelf at the pharmacy or grocery store, though. In many cases, you have to ask a pharmacist for it.

Continued It’s always a good idea to speak with your doctor before taking a new medication, including emergency contraception. They might have specific advice that can help you. For example, if you’re overweight or are tall with a large frame, ella is more likely to work than Plan B. But when you call your doctor’s office, make sure you tell them you’re calling about EC, so they put you in touch with your doctor right away.

That said, if you’re on vacation or it’s a holiday or weekend and your doctor isn’t available, don’t wait to take EC. The longer you wait, the higher your odds of getting pregnant. Plus, research shows that EC is safe for women of all ages. The only real reason not to use it would be if you’re already pregnant or if you’ve had a negative reaction to EC in the past.

The most common side effects to hormonal EC are nausea and vomiting, while an IUD can cause cramping and bleeding. You might feel a little uncomfortable for a day or two after taking it. That’s normal. So is irregular menstrual bleeding afterward.

Your next period might be heavier or lighter than it normally is. It might be later than usual, too, which might make you think you’re pregnant. If you’re worried, consider taking a pregnancy test. And trust your gut.

If something seems wrong, such as really heavy bleeding, call your doctor or go to the emergency room. Emergency contraception is for emergencies. It’s not a replacement for birth control. Unfortunately, doctors do see patients who rely on EC to avoid pregnancy because they don’t want to use, say, condoms.

But you’re more likely to get pregnant if you rely on EC. Most EC is only 75% effective, whereas most birth control is closer to 90% to 98% effective. Birth control tends to be less expensive than EC, too. The price for EC can vary, depending on where you live.

Some over-the-counter EC can run as low as $10 a pill. But other types can cost up to $90 per pill. Most health insurance covers the full cost of an IUD. The bottom line is, if you don’t want to get pregnant, you should have a reliable form of birth control that you use consistently.

Accidents happen, and emergency contraception is a great option for those. But it’s not for everyday use. Sources SOURCE. Scott G.

Chudnoff, MD, chair, Department of OB/GYN, Stamford Hospital, Stamford, CT. Clinical professor of obstetrics and gynecology, Columbia University Vagelos College of Physicians and Surgeons, New York City. © 2021 WebMD, LLC. All rights reserved.Separating fact from fiction Now that millions of people have received the treatments -- including more than 3 million who have completed the full two-dose regimen -- experts at the U.S.

Centers for Disease Control and Prevention will be able to truly sort out real, rare side effects caused by the treatment from coincidental illnesses and deaths, Offit said. "There's always going to be these temporal associations, always, and you just have to calm yourself down and wait until the CDC says, 'You know something, there is a rare side effect here.' Because they're looking. They're looking every day," Offit said. Aside from rare cases of anaphylactic shock that occur within a few minutes of receiving the injection, no other dangerous side effects have commonly cropped up in the millions of doses that have been administered, experts said.

The other sort of anti-treatment rumor, the "big lie," involves highly specific conspiracy theories related to safety and side effects. Dr. Jill Foster, director of pediatric infectious diseases and immunology at the University of Minnesota Medical School, in Minneapolis, said, "It's almost like the more absurd they make it, the better, because if you can really get someone to believe something that's totally absurd, then look how powerful you are." One of the most common big lie rumors involves the messenger RNA (mRNA) in the two skin care products treatments somehow rewriting your personal DNA, Offit and Foster noted. The Pfizer and Moderna treatments work by delivering mRNA into your cells, prompting them to produce replicas of the "spike protein" that the skin care uses to latch onto and infect cells.

The immune system recognizes these proteins as foreign and mounts a response to them, in essence teaching the body how to fight off a future actual skin care products . The idea that mRNA could rewrite your DNA is "utterly impossible," Offit said. Human cells already contain hundreds of thousands of messenger RNA copies, which are used as the blueprints to produce substances essential to life, Offit said. To be able to rewrite DNA, the mRNA from the treatment would first have to be able enter the nucleus of the cell, which it cannot, Offit explained.

Even if it managed that, the mRNA would require specific enzymes to translate itself into DNA and then integrate itself into your personal genetics, and those enzymes are not present in the treatment.FRIDAY, Jan. 29, 2021 (HealthDay News) -- Heart surgery can be stressful, but researchers may have found a way to reduce patients' anxiety and postoperative pain -- without any extra side effects. A team from the Netherlands found that the simple act of listening to music around the time of surgery may help patients as they recover. "This is a fascinating question for heart surgeons because we perform the most invasive procedures that require opening the chest, stopping the heart, using a heart-lung machine while we fix the heart, and then allowing the patient to return to life again," said Dr.

Harold Fernandez, a U.S. Cardiac surgeon unconnected to the new study. "Undoubtedly, there is a significant amount of both anxiety and pain associated with these procedures," said Fernandez, who is chief of cardiovascular and thoracic surgery at Northwell Health's Sandra Atlas Bass Heart Hospital in Manhasset, N.Y. In the new research, published Jan.

25 in the online journal Open Heart, the Dutch team analyzed data from 16 studies looking at the effect of music on post-op care. The studies included almost 1,000 patients, and about 90% of the procedures involved coronary artery bypass grafts and/or heart valve replacement. A majority of the time the type of music used was relaxing and did not have strong rhythms or percussion, the researchers noted. The choice of music varied.

Sometimes it was from the patients' own playlists, but other times it was from preselected playlists or chosen by their doctor. Instead of music, the comparison groups in the studies received a mix of other options, such as scheduled rest, breathing exercises, or headphones without music. The researchers then used validated scales and scoring systems to measure patients' anxiety and pain. The analysis showed that listening to music did seem to significantly reduce patients' anxiety and pain after major heart surgery.

Several days of listening to music also reduced anxiety for up to eight days after surgery, according to the study. The researchers stressed that even though the music therapy did seem to help ease discomfort, it didn't have any big impact on patients' use of opioid painkillers, length of hospital stay, time spent on mechanical ventilation, blood pressure, heart rate or breathing rate.By Cara MurezHealthDay Reporter FRIDAY, Jan. 29, 2021 (HealthDay News) -- A research team studying live streams of high school graduations from last July found that most high schoolers are willing to wear masks. Students just need more education on how to wear them properly, as well as information about the importance of being consistent, researchers said.

"The key to preventing the spread of the skin care products renova relies on scientifically backed best practices and buy-in from the public to engage in these safety protocols," said study author Anna Mueller, an associate professor of sociology at Indiana University. "As schools navigate how to keep students safe, young people's participation in these protocols is vital. And the good news is that teens seem willing," she said in a university news release. The team studied mask-wearing by students at five in-person, live-streamed high school graduations from one public school district in early July.

This gave them a view of more than 1,100 students' mask-wearing and social-distancing behavior. Researchers documented those behaviors as students crossed the graduation stage and posed for photos with their school principal. The district provided students with free masks that had the school's logo. They seated the students in socially distanced chairs and held each ceremony outdoors with safety protocols approved by the public health department.

The community where the school district is located had low rates of community mask-wearing. It also had no local or state mask mandate. The study found that nearly 70% of students wore their masks properly while receiving their diploma, while 10% wore no mask and 20% wore masks that kept slipping. Mask-wearing varied significantly across schools during the ceremonies, researchers said.

All schools struggled with social distancing, except when students were in their socially distant chairs. "We did find evidence that adults can influence youth's mask-wearing behaviors," said study co-author Sarah Diefendorf, a sociologist from the University of Utah. "This was particularly evident during the graduation pictures. When teens approached their principal for their picture, all but one student took off their mask after an adult suggested they could.

Most of these students [80%] were wearing their mask properly just seconds before." Continued Staff behavior mattered. Students had greater adherence to school skin care products guidelines in schools with adults who consistently wore their own masks or who encouraged students to keep their masks on. At all five schools, students expressed concern for their communities amid the renova. The schools that had higher rates of mask wearing also talked about broader social justice issues, including the Black Lives Matter protests of 2020.

"Students clearly cared about the health and well-being of their peers and their broader community, suggesting that they can be important allies in keeping schools open and as safe as possible given our circumstances," Mueller said. "But youth also learn from adults, in schools and out. So, it's crucial that we make sure that parents, teachers, and other community adults get the message that masks and social-distancing are crucial to getting life back to normal and keeping schools open." The study was published Jan. 24 online in the Journal of Adolescent Health.

More information The World Health Organization offers a report on skin care products transmission in schools. SOURCE. Indiana University, news release, Jan. 25, 2021 WebMD News from HealthDay Copyright © 2013-2020 HealthDay.

Renova online usa

Renova
Betnovate
Rashfree
Minomycin
Where to buy
One pill
Ask your Doctor
One pill
Ask your Doctor
Possible side effects
Buy
Purchase in Pharmacy
Purchase online
Order in Pharmacy
Buy with visa
Yes
Yes
You need consultation
Ask your Doctor

Sept over here renova online usa. 24, 2020 -- Up to 70% of N95 masks certified in China do not meet U.S. Standards for effectiveness, the nonprofit renova online usa patient safety organization ECRI warned this week. "Because of the dire situation, U.S. Hospitals bought hundreds of thousands of masks produced in China over the past 6 months, and we're finding that many aren't safe and effective against the spread of renova online usa skin care products," Marcus Schabacker, MD, ECRI president and CEO, said in a statement.

ECRI quality assurance researchers tested nearly 200 N95-style masks, reflecting 15 different manufacturer models purchased by some of the largest health systems in the United States. They found that 60% to 70% of the imported masks – known as KN95 masks -- that had not been certified by the National Institute for Occupational Safety and Health (NIOSH), do not as effectively filter particles from the air. They are "significantly inferior" to NIOSH-certified N95s, the report renova online usa says. These masks did not filter 95% of aerosol particulates, despite what their name suggests. "Using masks that renova online usa don't meet U.S.

Standards puts patients and frontline healthcare workers at risk of . As ECRI research shows, we strongly recommend renova online usa that health care providers going forward do more due diligence before purchasing masks that aren't made or certified in America," Schabacker said. According to ECRI, U.S. Domestic production capacity for N95s has increased significantly, but there remain widespread limits on how many can be purchased. The organization says non-NIOSH-certified masks should only be used as a "last resort" when treating skin care products patients and only when NIOSH-certified N95s or other renova online usa respirators offering comparable or better protection are not available.

"KN95 masks that don't meet U.S. Regulatory standards still generally provide more respiratory protection than surgical or cloth masks and can be used in certain clinical settings," Michael Argentieri, ECRI vice president for technology and safety, said in the statement. Medscape Medical News © 2020 WebMD, LLC. All rights reserved..

Sept http://www.ec-cath-intercommunale-berstheim.ac-strasbourg.fr/?p=1 can you buy renova online. 24, 2020 -- Up to 70% of N95 masks certified in China do not meet U.S. Standards for can you buy renova online effectiveness, the nonprofit patient safety organization ECRI warned this week. "Because of the dire situation, U.S.

Hospitals bought hundreds of thousands of masks produced in China over the past 6 months, and we're finding that many aren't safe and effective against the can you buy renova online spread of skin care products," Marcus Schabacker, MD, ECRI president and CEO, said in a statement. ECRI quality assurance researchers tested nearly 200 N95-style masks, reflecting 15 different manufacturer models purchased by some of the largest health systems in the United States. They found that 60% to 70% of the imported masks – known as KN95 masks -- that had not been certified by the National Institute for Occupational Safety and Health (NIOSH), do not as effectively filter particles from the air. They are "significantly can you buy renova online inferior" to NIOSH-certified N95s, the report says.

These masks did not filter 95% of aerosol particulates, despite what their name suggests. "Using masks can you buy renova online that don't meet U.S click now. Standards puts patients and frontline healthcare workers at risk of . As ECRI research shows, we strongly recommend that health care providers going forward do more due diligence before purchasing masks can you buy renova online that aren't made or certified in America," Schabacker said.

According to ECRI, U.S. Domestic production capacity for N95s has increased significantly, but there remain widespread limits on how many can be purchased. The organization can you buy renova online says non-NIOSH-certified masks should only be used as a "last resort" when treating skin care products patients and only when NIOSH-certified N95s or other respirators offering comparable or better protection are not available. "KN95 masks that don't meet U.S.

Regulatory standards still generally provide more respiratory protection than surgical or cloth masks and can be used in certain clinical settings," Michael Argentieri, ECRI vice president for technology and safety, said in the statement. Medscape Medical News © 2020 WebMD, LLC. All rights reserved..

What is Renova?

TRETINOIN is a naturally occurring form of vitamin A. It is used to help the skin renew itself.

Renova zero pods bulk

€œIt’s smarter to be cautious”The skin care products renova put many physicians in renova zero pods bulk Kamagra 100mg gold price a bind, as obtaining personal protective equipment (PPE) has been a roller-coaster challenge for medical practices. To get a deeper insight on the lengths doctors have gone to protect themselves and their patients, Me&My Doctor spoke with Manvinder Kainth, MD, a direct primary care physician and Texas Medical Association (TMA) member based in Plano. Like many physicians, Dr. Kainth struggled early on to renova zero pods bulk obtain PPE or faced high prices to buy what she needed. Recently, TMA shipped doctors’ boxes of masks for just the cost of shipping and handling, which she says greatly helped her practice.

TMA obtained the PPE from the State of Texas to distribute to physicians. TMA and county medical societies across Texas renova zero pods bulk continue the process of distributing the more than 23 million N95, KN95, and surgical masks to Texas doctors. In this brief interview with Dr. Kainth after she received her TMA shipment, she describes her efforts to protect herself and her patients.Me&My Doctor. Before now, what was your renova zero pods bulk experience of trying to obtain PPE during the renova?.

Dr. Kainth. €œWhat I have been doing, being a very small practice, is any renova zero pods bulk chance I could get I would buy a box of N95s [face masks], but they’re quite expensive. Like, one box of 25 masks was $120. And so, when you have staff and yourself…obviously I want to keep them protected and I want to keep patients protected as well, so if we have the supplies, I want to use them.

But when renova zero pods bulk masks cost $5 a pop at least, it gets to be hard as a small office to be able to afford PPE. Nonetheless, every time I’d get a chance to buy a box, I would buy one. There would often be a limit of how many boxes you could buy, so it’s not like we could buy more than one box at a time. €œHonestly, it’s always in the renova zero pods bulk back of my mind. ’Am I going to run out?.

€™ and ’When am I going to run out?. €™ and ’What am I going to be renova zero pods bulk able to do from there?. €™â€Manvinder Kainth, MD, (left) and clinical assistant Larissa Hendricks (right) receive new N95 masks from TMA. Photo courtesy of Manvinder Kainth, MD Me&My Doctor. Your need for PPE renova zero pods bulk is still crucial for some in-person patient visits, though you use telemedicine to care for many patients virtually.

Tell us about this. Dr. Kainth. €œWhen skin care products hit, I was fortunate that all of my patients were already used to phone call [doctor] visits, so they were not fazed as much when we couldn’t meet face-to-face. [However] sometimes I must examine the patient [in person] to really know what is going on.

€œMy office is very small. It’s me and one assistant, and we are it for our patient population. If one of us gets sick, we’re out of luck – and so are our patients. It’s important for us to be protected and to protect our patients as well when they must come in.“If I didn’t have the N95s, I really wouldn’t be seeing patients in the office because medically I know it’s not safe to do so, and I can’t [adequately] examine a patient if they’re six feet from me. There’s just no way to do it feasibly, and I do a lot of women’s health and just taking care of everybody.

A lot of times it does involve a physical exam. [In those cases] I put all the PPE on, and I train my staff to do the same. It’s not only to keep me and my staff protected, but also for my patients, their families, and whoever they are in contact with. It’s such a chain reaction that one small mask makes a huge difference.”Me&My Doctor. As a primary care physician practicing medicine during this renova, can you explain why having this proper equipment matters to you and your patients?.

Dr. Kainth. €œI’ll tell you, in medicine, there are very few things that we, especially as physicians, get scared about because we are trained to deal with serious things and devastating things, and we can push our feelings aside and do what’s right for our patients. But when a renova hits – and we all knew something was going to happen in our lifetime, we’ve been due for one – we are human, and we start to think about our safety and our loved ones’ safety. And without proper equipment, I don’t know how much I’d be able to help others – because honestly, I would be too scared to do so.

It’s not so much being scared of the renova, it’s fear of the spread. I know how fast this can spread and how devastating it can be. €œWe can do so much more if we just have the right equipment. For the first few months of the renova, none of us felt like we had enough until the county medical societies [and then TMA] gave us option to buy some.”Me&MyDoctor. What is something you, as a physician, want the public to know when it comes to protecting yourself from catching and spreading the renova?.

Dr. Kainth. €œI need people to know that as physicians (and I think most of us are thinking this way) when we see a person we haven’t seen before and we have no PPE on, all I’m literally thinking is, ‘You [might] have skin care products and we need to protect each other, so let’s stay 6 feet apart, wear our masks, I don’t touch anything you touch, and I am constantly washing my hands.’ Some people think that it’s overboard, and they can think that. But the science doesn’t lie. We know how this is transmitted, we know a lot of it is spread when you have no signs or symptoms and it’s smarter to be cautious than to not, because it’s not that hard to be cautious.”Me&MyDoctor.

What would you say to people who are experiencing renova fatigue, especially about social distancing?. Dr. Kainth. €œI know the hard part is the social distancing, but I try to remind people you don’t have to completely socially distance, I just need you to physically distance, and there’s a difference. I try to remind my patients, ‘I don’t want you to stop having relationships with other people.

I just want – when you do get together – for you to be smart and stay 6 feet apart and pretend like you all have skin care products.’ Play a game of ‘we all have skin care products’ and wear a mask and wash your hands and wipe down surfaces and don’t share food or drinks. €œI just had a patient who went to a wedding recently and so far about two thirds of [the attendees] have turned out positive. Not only have they turned out positive, their elderly family members who were not at the wedding are now positive as well. Again, it’s a chain reaction. People don’t realize that even if it doesn’t affect them long-term, it can definitely affect their loved ones or somebody else.”For many physicians and all health care workers across the country, approval and distribution of the skin care products treatment is “light at the end of this tunnel” in what’s been a dark global renova.

Following the FDA’s approval of both the Pfizer and Moderna skin care products treatments this month, many medical personnel were able to get vaccinated as early as Dec. 14. Texas Medical Association Immediate Past-President David Fleeger, MD, got his skin care products shot just a few days later. €œIt wasn’t painful, it wasn’t unpleasant,” Dr. Fleeger said.

€œGlad we can take this step forward to try and deal with the renova.”David Fleeger, MD, throws a thumbs up after receiving the skin care products treatment. Photo by Brent AnnearThe skin care products treatment is currently available for all frontline health care professionals as well as residents of long-term care facilities. According to state leaders, people over the age of 65 or those ages 16 and older with at least one chronic medical condition will be able to get vaccinated next. According to the Centers for Disease Control and Prevention (CDC), once large quantities of the treatment are produced, it will be widely available to the general public.Immunizations save lives and prevent the spread of disease. As more people get the skin care products treatment, herd immunity, or community immunity, can be achieved.

Herd immunity is the concept of increasing everyone’s protection against a disease by vaccinating enough people in a community. It also helps protect people who can’t get vaccinated, either because they’re too young or they have a pre-existing medical condition.

Like many can you buy renova online physicians, Dr Kamagra 100mg gold price. Kainth struggled early on to obtain PPE or faced high prices to buy what she needed. Recently, TMA shipped doctors’ boxes of masks for just the cost of shipping and handling, which she says greatly helped her practice.

TMA obtained the PPE from the State of Texas can you buy renova online to distribute to physicians. TMA and county medical societies across Texas continue the process of distributing the more than 23 million N95, KN95, and surgical masks to Texas doctors. In this brief interview with Dr.

Kainth after she received her TMA shipment, she describes her efforts to protect herself and can you buy renova online her patients.Me&My Doctor. Before now, what was your experience of trying to obtain PPE during the renova?. Dr.

Kainth. €œWhat I have been doing, being a very small practice, is any chance I could get I would buy a box of N95s [face masks], but they’re quite expensive. Like, one box of 25 masks was $120.

And so, when you have staff and yourself…obviously I want to keep them protected and I want to keep patients protected as well, so if we have the supplies, I want to use them. But when masks cost $5 a pop at least, it gets to be hard as a small office to be able to afford PPE. Nonetheless, every time I’d get a chance to buy a box, I would buy one.

There would often be a limit of how many boxes you could buy, so it’s not like we could buy more than one box at a time. €œHonestly, it’s always in the back of my mind. ’Am I going to run out?.

€™ and ’When am I going to run out?. €™ and ’What am I going to be able to do from there?. €™â€Manvinder Kainth, MD, (left) and clinical assistant Larissa Hendricks (right) receive new N95 masks from TMA.

Photo courtesy of Manvinder Kainth, MD Me&My Doctor. Your need for PPE is still crucial for some in-person patient visits, though you use telemedicine to care for many patients virtually. Tell us about this.

Dr. Kainth. €œWhen skin care products hit, I was fortunate that all of my patients were already used to phone call [doctor] visits, so they were not fazed as much when we couldn’t meet face-to-face.

[However] sometimes I must examine the patient [in person] to really know what is going on. €œMy office is very small. It’s me and one assistant, and we are it for our patient population.

If one of us gets sick, we’re out of luck – and so are our patients. It’s important for us to be protected and to protect our patients as well when they must come in.“If I didn’t have the N95s, I really wouldn’t be seeing patients in the office because medically I know it’s not safe to do so, and I can’t [adequately] examine a patient if they’re six feet from me. There’s just no way to do it feasibly, and I do a lot of women’s health and just taking care of everybody.

A lot of times it does involve a physical exam. [In those cases] I put all the PPE on, and I train my staff to do the same. It’s not only to keep me and my staff protected, but also for my patients, their families, and whoever they are in contact with.

It’s such a chain reaction that one small mask makes a huge difference.”Me&My Doctor. As a primary care physician practicing medicine during this renova, can you explain why having this proper equipment matters to you and your patients?. Dr.

Kainth. €œI’ll tell you, in medicine, there are very few things that we, especially as physicians, get scared about because we are trained to deal with serious things and devastating things, and we can push our feelings aside and do what’s right for our patients. But when a renova hits – and we all knew something was going to happen in our lifetime, we’ve been due for one – we are human, and we start to think about our safety and our loved ones’ safety.

And without proper equipment, I don’t know how much I’d be able to help others – because honestly, I would be too scared to do so. It’s not so much being scared of the renova, it’s fear of the spread. I know how fast this can spread and how devastating it can be.

€œWe can do so much more if we just have the right equipment. For the first few months of the renova, none of us felt like we had enough until the county medical societies [and then TMA] gave us option to buy some.”Me&MyDoctor. What is something you, as a physician, want the public to know when it comes to protecting yourself from catching and spreading the renova?.

Dr. Kainth. €œI need people to know that as physicians (and I think most of us are thinking this way) when we see a person we haven’t seen before and we have no PPE on, all I’m literally thinking is, ‘You [might] have skin care products and we need to protect each other, so let’s stay 6 feet apart, wear our masks, I don’t touch anything you touch, and I am constantly washing my hands.’ Some people think that it’s overboard, and they can think that.

But the science doesn’t lie. We know how this is transmitted, we know a lot of it is spread when you have no signs or symptoms and it’s smarter to be cautious than to not, because it’s not that hard to be cautious.”Me&MyDoctor. What would you say to people who are experiencing renova fatigue, especially about social distancing?.

Dr. Kainth. €œI know the hard part is the social distancing, but I try to remind people you don’t have to completely socially distance, I just need you to physically distance, and there’s a difference.

I try to remind my patients, ‘I don’t want you to stop having relationships with other people. I just want – when you do get together – for you to be smart and stay 6 feet apart and pretend like you all have skin care products.’ Play a game of ‘we all have skin care products’ and wear a mask and wash your hands and wipe down surfaces and don’t share food or drinks. €œI just had a patient who went to a wedding recently and so far about two thirds of [the attendees] have turned out positive.

Not only have they turned out positive, their elderly family members who were not at the wedding are now positive as well. Again, it’s a chain reaction. People don’t realize that even if it doesn’t affect them long-term, it can definitely affect their loved ones or somebody else.”For many physicians and all health care workers across the country, approval and distribution of the skin care products treatment is “light at the end of this tunnel” in what’s been a dark global renova.

Following the FDA’s approval of both the Pfizer and Moderna skin care products treatments this month, many medical personnel were able to get vaccinated as early as Dec. 14. Texas Medical Association Immediate Past-President David Fleeger, MD, got his skin care products shot just a few days later.

€œIt wasn’t painful, it wasn’t unpleasant,” Dr. Fleeger said. €œGlad we can take this step forward to try and deal with the renova.”David Fleeger, MD, throws a thumbs up after receiving the skin care products treatment.

Photo by Brent AnnearThe skin care products treatment is currently available for all frontline health care professionals as well as residents of long-term care facilities. According to state leaders, people over the age of 65 or those ages 16 and older with at least one chronic medical condition will be able to get vaccinated next. According to the Centers for Disease Control and Prevention (CDC), once large quantities of the treatment are produced, it will be widely available to the general public.Immunizations save lives and prevent the spread of disease.

As more people get the skin care products treatment, herd immunity, or community immunity, can be achieved. Herd immunity is the concept of increasing everyone’s protection against a disease by vaccinating enough people in a community. It also helps protect people who can’t get vaccinated, either because they’re too young or they have a pre-existing medical condition.

Many doctors, like Dr. Fleeger, expressed their hopes for the public to get the skin care products shot once they’re able to do so.

How to get renova without a doctor

How to cite this how to get renova without a doctor article:Singh OP. The need for routine psychiatric assessment of skin care products survivors. Indian J Psychiatry 2020;62:457-8skin care products renova is expected to bring how to get renova without a doctor a Tsunami of mental health issues. Public health emergencies may affect the well-being, safety, and security of both individuals and communities, which lead to a range of emotional reactions, unhealthy behavior, and noncompliance, with public health directives (such as home confinement and vaccination) in people who contact the disease as well as in the general population.[1] Thus far, there has been an increased emphasis on psychosocial factors such as loneliness, effect of quarantine, uncertainty, vulnerability to skin care products , economic factors, and career difficulties, which may lead to increased psychiatric morbidity.Time has now come to pay attention to the direct effect of the renova on brain and psychiatric adverse symptoms, resulting from the treatment provided.

Viral s are known to be associated with psychiatric disorders such as depression, bipolar how to get renova without a doctor disorder, obsessive–compulsive disorder (OCD), or schizophrenia. There was an increased incidence of psychiatric disorders following the Influenza renova. Karl Menninger described 100 cases of influenza presenting with psychiatric sequelae, which how to get renova without a doctor could mainly be categorized as dementia praecox, delirium, other psychoses, and unclassified subtypes. Dementia praecox constituted the largest number among all these cases.[2] Neuroinflammation is now known as the key factor in genesis and exacerbation of psychiatric disorders, particularly depression and bipolar disorders.Emerging evidence points toward the neurotropic properties of the skin care renova.

Loss of smell and taste as an initial how to get renova without a doctor symptom points toward early involvement of olfactory bulb. The rapid spread to brain has been demonstrated through retrograde axonal transport.[3] The renova can enter the brain through endothelial cells lining the blood–brain barrier and also through other nerves such as the vagus nerve.[4] Cytokine storm, a serious immune reaction to the renova, can activate brain glial cells, leading to delirium, depression, bipolar disorder, and OCD.Studies examining psychiatric disorders in acute patients suffering from skin care products found almost 40% of such patients suffering from anxiety, depression, and posttraumatic stress disorder.[5] The data on long-term psychiatric sequelae in patients who have recovered from acute illness are limited. There are anecdotal reports of psychosis and mania occurring in patients of skin care products following discharge from hospital how to get renova without a doctor. This may be either due to the direct effect of the renova on the brain or due to the neuropsychiatric effects of drugs used to treat the or its complications.

For example, behavioral toxicity of high-dose corticosteroids which are frequently used during the treatment of severe cases to prevent and manage cytokine storm.The patients with skin care products can present with many neuropsychiatric disorders, which may be caused by direct inflammation, central nervous system effects of cytokine how to get renova without a doctor storm, aberrant epigenetic modifications of stress-related genes, glial activation, or treatment emergent effects.[6] To assess and manage various neuropsychiatric complications of skin care products, the psychiatric community at large should equip itself with appropriate assessment tools and management guidelines to effectively tackle this unprecedented wave of psychiatric ailments. References 1.Pfefferbaum B, North CS. Mental health how to get renova without a doctor and the skin care products renova. N Engl J Med 2020;383:510-2.

2.Lu H, Stratton CW, Tang how to get renova without a doctor YW. Outbreak of pneumonia of unknown etiology in Wuhan, China. The mystery and the how to get renova without a doctor miracle. J Med Virol 2020;92:401-2.

3.Fodoulian L, Tuberosa J, Rossier D, Landis BN, Carleton A, Rodriguez I how to get renova without a doctor. skin care receptor and entry genes are expressed by sustentacular cells in the human olfactory neuroepithelium. BioRxiv 2020.03.31.013268 how to get renova without a doctor. Doi.

Https://doi.org/10.1101/2020.03.31.013268. 4.Lochhead JJ, Thorne RG. Intranasal delivery of biologics to the central nervous system. Adv Drug Deliv Rev 2012;64:614-28.

5.Rogers JP, Chesney E, Oliver D, Pollak TA, McGuire P, Fusar-Poli P, et al. Psychiatric and neuropsychiatric presentations associated with severe skin care s. A systematic review and meta-analysis with comparison to the skin care products renova. Lancet Psychiatry 2020;7:611-27.

6.Steardo L Jr., Steardo L, Verkhratsky A. Psychiatric face of skin care products. Transl Psychiatry 2020;10:261. Correspondence Address:Om Prakash SinghAA 304, Ashabari Apartments, O/31, Baishnabghata, Patuli Township, Kolkata - 700 094, West Bengal IndiaSource of Support.

None, Conflict of Interest. NoneDOI. 10.4103/indianjpsychiatry.indianjpsychiatry_1169_2.

How to can you buy renova online cite this article:Singh OP. The need for routine psychiatric assessment of skin care products survivors. Indian J Psychiatry 2020;62:457-8skin care products can you buy renova online renova is expected to bring a Tsunami of mental health issues.

Public health emergencies may affect the well-being, safety, and security of both individuals and communities, which lead to a range of emotional reactions, unhealthy behavior, and noncompliance, with public health directives (such as home confinement and vaccination) in people who contact the disease as well as in the general population.[1] Thus far, there has been an increased emphasis on psychosocial factors such as loneliness, effect of quarantine, uncertainty, vulnerability to skin care products , economic factors, and career difficulties, which may lead to increased psychiatric morbidity.Time has now come to pay attention to the direct effect of the renova on brain and psychiatric adverse symptoms, resulting from the treatment provided. Viral s are known to be associated with psychiatric disorders such as depression, bipolar disorder, obsessive–compulsive disorder (OCD), can you buy renova online or schizophrenia. There was an increased incidence of psychiatric disorders following the Influenza renova.

Karl Menninger can you buy renova online described 100 cases of influenza presenting with psychiatric sequelae, which could mainly be categorized as dementia praecox, delirium, other psychoses, and unclassified subtypes. Dementia praecox constituted the largest number among all these cases.[2] Neuroinflammation is now known as the key factor in genesis and exacerbation of psychiatric disorders, particularly depression and bipolar disorders.Emerging evidence points toward the neurotropic properties of the skin care renova. Loss of smell and taste as an initial symptom points can you buy renova online toward early involvement of olfactory bulb.

The rapid spread to brain has been demonstrated through retrograde axonal transport.[3] The renova can enter the brain through endothelial cells lining the blood–brain barrier and also through other nerves such as the vagus nerve.[4] Cytokine storm, a serious immune reaction to the renova, can activate brain glial cells, leading to delirium, depression, bipolar disorder, and OCD.Studies examining psychiatric disorders in acute patients suffering from skin care products found almost 40% of such patients suffering from anxiety, depression, and posttraumatic stress disorder.[5] The data on long-term psychiatric sequelae in patients who have recovered from acute illness are limited. There are can you buy renova online anecdotal reports of psychosis and mania occurring in patients of skin care products following discharge from hospital. This may be either due to the direct effect of the renova on the brain or due to the neuropsychiatric effects of drugs used to treat the or its complications.

For example, behavioral toxicity of high-dose corticosteroids which are frequently used during the treatment of severe cases to prevent and manage cytokine storm.The patients with skin care products can present with many neuropsychiatric disorders, which may be caused by direct inflammation, central nervous system effects of cytokine storm, aberrant epigenetic modifications of stress-related genes, glial activation, or treatment emergent effects.[6] To assess and manage various neuropsychiatric complications of skin care products, the psychiatric community at large should equip itself can you buy renova online with appropriate assessment tools and management guidelines to effectively tackle this unprecedented wave of psychiatric ailments. References 1.Pfefferbaum B, North CS. Mental health can you buy renova online and the skin care products renova.

N Engl J Med 2020;383:510-2. 2.Lu H, Stratton CW, can you buy renova online Tang YW. Outbreak of pneumonia of unknown etiology in Wuhan, China.

The mystery can you buy renova online and the miracle. J Med Virol 2020;92:401-2. 3.Fodoulian L, Tuberosa J, Rossier D, Landis BN, Carleton can you buy renova online A, Rodriguez I.

skin care receptor and entry genes are expressed by sustentacular cells in the human olfactory neuroepithelium. BioRxiv 2020.03.31.013268 can you buy renova online. Doi.

Https://doi.org/10.1101/2020.03.31.013268. 4.Lochhead JJ, Thorne RG. Intranasal delivery of biologics to the central nervous system.

Adv Drug Deliv Rev 2012;64:614-28. 5.Rogers JP, Chesney E, Oliver D, Pollak TA, McGuire P, Fusar-Poli P, et al. Psychiatric and neuropsychiatric presentations associated with severe skin care s.

A systematic review and meta-analysis with comparison to the skin care products renova. Lancet Psychiatry 2020;7:611-27. 6.Steardo L Jr., Steardo L, Verkhratsky A.

Psychiatric face of skin care products. Transl Psychiatry 2020;10:261. Correspondence Address:Om Prakash SinghAA 304, Ashabari Apartments, O/31, Baishnabghata, Patuli Township, Kolkata - 700 094, West Bengal IndiaSource of Support.

None, Conflict of Interest. NoneDOI. 10.4103/indianjpsychiatry.indianjpsychiatry_1169_2.

Medsmex renova

The call came out of useful reference the blue from medsmex renova an unfamiliar not-for-profit in Oklahoma. What was familiar to Amy Garner was the name of her local hospital in rural Texas, from which the woman on the phone said she'd gotten Garner's number.The stranger asked simply medsmex renova. Do you need anything?. "I was like, 'No ma'am but I do know my mother does,'" recalled Garner, who medsmex renova lives in Breckenridge, Texas, about 100 miles west of Fort Worth.The answer triggered a quick response. The Center for Consumer Recovery in Tulsa, Oklahoma, found a local charity that could help Garner's mother with her leaky roof and the precarious stack of haydite blocks leading to her kitchen door.

The Area Agency on Aging of West Central Texas had the work done within a few months medsmex renova. Meanwhile, CCR kept in touch weekly, calling Garner with updates even if there were none. Now, her mom has a safe porch and no longer has to maneuver around a bucket of rainwater."It probably saved my mom from medsmex renova falling and breaking her hip," Garner said. "That's what I pictured medsmex renova all the time."As with most things, this help has strings attached. Unbeknownst to Garner, CCR owns her medical debt, and it's hoping her gratitude will translate into payment.

A relatively new operation with ambitious growth plans, CCR convinces hospitals to donate medical debt they've already run through their medsmex renova own collection processes and deemed uncollectible.It's a much different setup than RIP Medical Debt, a New York not-for-profit that either accepts donated medical debt from hospitals or buys it from them. Then, rather than collecting on the debt, RIP forgives it. The group's website says it medsmex renova has erased almost $5 billion in medical debt.CCR draws hospitals in by promising to send 20% of collection proceeds to a charity of the hospital's choice, which could include the provider's own foundation. To sweeten the deal, CCR claims not-for-profit hospitals can then report those proceeds as community benefits on their tax forms, a point legal and community benefit experts dispute. So far, CCR has only signed on a handful of hospitals in rural Texas and Washington state, medsmex renova but it's making inroads with influential hospital associations, including one in Ohio that has agreed to pitch the model to major systems like Cleveland Clinic and MetroHealth.Several healthcare industry and debt collection specialists interviewed for this article said they're concerned about what CCR is doing.

They worry it will further stress patients who've already been hounded by debt collectors and dissuade them from seeking future medical care. And even though CCR's leaders insist multiple lawyers medsmex renova have signed off on the operation, it still raises important ethical and legal questions. "I can't tell you exactly what side of the line it's on, but it's very close to the line, that's for sure," said Neale Mahoney, a health economist who studies medical debt as medsmex renova an economics professor at Stanford University. "If I was a hospital that cared a lot about my image in the community, I wouldn't want an article coming out documenting what I was doing here."CCR has worked most extensively with its first customer, Stephens Memorial Hospital, a critical-access hospital in Breckenridge, Texas, that has donated more than $13 million in medical debt since 2019. Of that, CCR medsmex renova contractor Noble Financial Solutions has collected about $35,000 and sent 20% of that to the hospital's foundation.

Despite all the phone calls to Garner, CCR's representatives never told her their employer owns her debt. She said she never received the letter—required under the federal Fair Debt Collection Practices Act—notifying her that medsmex renova CCR owns her debt and is working with a debt collector. In fact, she didn't know she had an outstanding medical bill. Garner didn't medsmex renova learn any of this until she got a call from a reporter. Regardless, her appreciation is palpable.

Elderly people like her mom, whose income is less than $400 per month, are too proud medsmex renova to ask for help, Garner said. Even if they medsmex renova weren't, they wouldn't know where to look. "We've actually even said, 'What is the donation process if, say, I wanted to donate to the office of aging?. '" Garner said.A colorful historyCCR's model was pioneered by the late Bill Bartmann, a controversial figure in the debt collection industry who became a billionaire running the country's largest buyer of charged-off credit card debt.Bartmann's original medsmex renova business, Commercial Financial Services, declared bankruptcy in 1998 amid an investor lawsuit. A federal fraud investigation would later send his business partner to prison.

Bartmann died following a heart procedure medsmex renova in 2016. CFS bought charged-off credit card debt at "substantially discounted prices" and then attempted to collect on it, according to the government's indictment. Court records show CFS accumulated unpaid debt with a total face value of more than $14 billion between 1995 and medsmex renova 1998. CFS bundled the debt and sold it to investors in the form of securities, drawing proceeds medsmex renova that far exceeded what CFS paid for the debt.The company got in hot water when leaders overhyped their collection forecasts to investors and credit rating agencies. When collections fell short, they fraudulently inflated them.Ultimately, Bartmann was legally cleared.

Once that happened, he turned his sights toward uncollectible medical debt, calling medsmex renova his new company CFS-2. As he explained to CBS News in 2013. "If I can get you out of debt, you will have more money to pay me later."After Bartmann's death in 2016, his business partner Tom Simonson stepped up to lead medsmex renova CFS-2. One of the first things the former IBM executive did was change the name to the Center for Consumer Recovery to avoid "some optical things that were not ideal."Simonson also split the business into separate entities, creating two for-profit companies that he now heads. Merit Financial Solutions medsmex renova and its debt collection subsidiary, Noble Financial Solutions.

Both companies contract with CCR. Merit connects patients with charities and Noble medsmex renova collects.CCR is the not-for-profit organization that interfaces with hospitals and accepts their donated debt. It's led by Tim Steffl, a longtime American Hospital Association executive whose job is to sell CCR medsmex renova to hospitals and hospital associations. Bartmann advocated for not-for-profit organizations getting into the debt collection business to, among other things, generate cash flow.Simonson insists the operation is legally sound. He's run it through multiple lawyers, he said."I'm pleased to tell you we are airtight on that," Simonson said.Eric Roberson, a former Federal Trade Commission prosecutor and attorney medsmex renova with Kilgore &.

Kilgore in Dallas who represents clients who've been subject to illegal debt collection practices, said this operation is worrying. The FTC medsmex renova in recent years has stepped up its investigations of not-for-profit organizations that aren't living up to their tax-exempt status, he said."It looks like a lot of schemes that have been out there to revive dead debt that the FTC has been trying to official statement crack down on," Roberson said.In other examples, the FTC has shut down fraudsters who claimed to be police or veterans charities and said they're collecting money for charitable purposes, but keep almost all of the proceeds, Roberson said.Making CCR a not-for-profit was potentially a strategic choice. Federal law requires debt collectors to identify themselves as such, but that doesn't apply to a charity allegedly trying to help someone, he said.However, Roberson noted that if CCR is obtaining information to help the debt collector, Noble, and is getting a portion of the collections in return, then it would be subject to the debt collection law. If that's the case, CCR would likely need to identify medsmex renova itself as a debt collector under the Fair Debt Collection Practices Act.April Kuehnoff, a staff attorney with the National Consumer Law Center, a not-for-profit that specializes in consumer law help for low-income people, said it's problematic that CCR's website does not identify the company as a debt collector, even though it contracts with a third party to collect on the debt it owns."I'm concerned that the proper consumer protections are not in place here and the consumer protection laws are not being abided by whoever the entity is that's doing the debt collection," she said. "That's really troubling and bad for consumers."The 'white glove' approachSimonson insists that Noble isn't like other debt collectors.He repeats the term "white glove" to describe the gentle approach the company takes with patients.

It's similar to the way Bartmann explained the model.First, CCR pairs them with services like housing help, food assistance, transportation, addiction treatment or credit counseling."Once we provide those services, people are offered the opportunity to make a modest, affordable, voluntary payment toward the delinquent, charged-off medical debt that has come to CCR in the form of a donation," Simonson said.Sometimes, even after CCR connects them with services, they still choose not to pay—and medsmex renova that's fine, he said. He gave the example of a Texas man that CCR paired with the local Area medsmex renova Agency on Aging, which built him a new wheelchair ramp. He ultimately did not pay his hospital bill."He didn't offer to, and we didn't expect him to," Simonson said. "We didn't pursue him in that way."Simonson medsmex renova said Noble does not work with Medicare or Medicaid debt and it never sues patients over the unpaid medical bills."We never sue anybody," he said. "That's a core principle of CCR.

Even people medsmex renova that deserve to get sued."That could be because it's legally barred from doing so. In Texas, collectors can't sue on debt that's more than four years old, said Roberson, the former FTC lawyer. Most of the debt from Stephens Memorial was five years old when it was donated, said Doug Smith, the hospital's chief financial officer.Simonson doesn't shy away from acknowledging that Noble reports patients' unpaid medsmex renova bills to credit bureaus when hospitals allow it. That's necessary because it makes patients more willing to give Noble access to their entire credit files so CCR can help them fix other areas of delinquency, like mortgages or car payments, he said."It actually forces them to engage with us in a more active way and let us go to work and help us clean up their whole credit," Simonson said.Roberson said it's frustrating to see patients get put in a worse position by a purported charity."It seems to me they're adding it to the credit report in order to get leverage, not in order to get access," he said.As for the potential damage to patients' credit scores, Simonson said medical debt isn't as harmful as commercial debts, like credit card debt.While it's true that medical debt has a smaller credit impact than non-medical debt, Stanford's Mahoney said it's not clear how much lower."If you have no other blemishes, medical debt can lower your score significantly and lead to meaningfully higher interest rates and less access to credit," Mahoney said. "However, many people with medical debt have many other derogatories, and so the additional impact of medical debt can be small."Mahoney's recent study in the Journal of the American Medical Association found unpaid medical debt is now the largest source of debt held by collection agencies, a fact that medsmex renova wasn't true a decade ago.

Almost one in five Americans has a medical debt medsmex renova in collections.The stress associated with getting phone calls related to medical debt can dissuade people from getting necessary follow-up care, Mahoney said. When it comes to CCR's model specifically, the idea that some of the proceeds can get donated back to the hospital's foundation makes him "really uneasy," he said."Legally, maybe it's perfectly reasonable, but it does seem like literally a quid pro quo," Mahoney said. "That was medsmex renova a red flag for me."Rural hospitals get on boardThe skin care products renova has exacerbated the nationwide nurse shortage, and Goodall-Witcher Hospital in Clifton, Texas is feeling the effects.What sold CEO Adam Willmann on CCR was the prospect of 20% of collections funding a scholarship to keep nurses local. To do that, CCR would probably donate the proceeds to his hospital's foundation, he said.Willmann learned about CCR from Smith, the CFO in Breckenridge, about a two-hour drive away. Smith pitched the concept in a meeting with Willmann medsmex renova and his hospital's CFO.

Willman said he also likes the idea of improving patients' financial health through the services CCR offers."The concept of it to me is pretty awesome," Willmann said.Goodall-Witcher has donated roughly $11 million in medical debt to CCR, Willman said. Goodall-Witcher is medsmex renova a 25-bed critical-access hospital that's partly funded through a local property tax levy.Willmann also chairs a prominent rural hospital association in Texas called the Texas Organization of Rural and Community Hospitals. He's not concerned about the potential for the debt collection side of the operation to medsmex renova add stress on patients, he said. If anything, his hospital is trying to get tougher on debt collection, since it's taxpayer-supported, he said.Matthew Kempton signed his first deal with CCR when he was the CEO of Stephens Memorial in Breckenridge. He's since become CEO of Willapa Harbor Hospital in medsmex renova South Bend, Washington, where he has again agreed to donate medical debt to CCR.

Simonson said he received the donation in June, prior to Noble becoming registered as a debt collector in Washington. Simonson said Noble would not contact the patients until the company was officially registered.Like Willmann, Kempton likes the idea of turning old debt into useful services for patients, such as credit counseling or home improvements."If there is a return from that, we're able to use it toward projects and things we medsmex renova have, capital and fundraising projects," Kempton said.The only example Kempton could share of a patient who CCR helped was the same one Simonson gave. The former Stephens Memorial patient who got a new wheelchair ramp. Simonson even shared a local newspaper article that erroneously credited CCR with paying for the construction.CCR medsmex renova doesn't pay for any of the social services. It refers patients to agencies that do.

In that case of the wheelchair ramp, the Area Agency on Aging of West Central Texas picked up the roughly $4,500 tab.Therein lies another issue medsmex renova with CCR's model. Groups like the Salvation Army can only help so many people, and CCR and its partners are capitalizing on their work to convince people medsmex renova to pay them money, Mahoney said."If I was a manager at Salvation Army and CCR came to me and explained this business model, I'd be worried," Mahoney said. "These are people I'm trying to help stand on your feet and CCR is saying, 'Now that you're standing on your feet, how about you agree to this payment plan for the next two years?. '"Simonson said the agencies love getting the calls from CCR."They wish more people would call to get help," Simonson said medsmex renova. "They're thrilled when we call them to say, 'Hey, we've got a new list of people.'"Then there's the community benefit question.

Stephan Mathis, a Tulsa attorney representing CCR, told Modern Healthcare not-for-profit hospitals could report the 20% of proceeds that go to charity on Schedule H medsmex renova of their Internal Revenue Service Tax Form 990s, which is where hospitals report their community benefit activities. Specifically, Mathis said he thinks it could be reported as community health improvement services or health professions education if it's used for scholarships.But there's a problem with that. CCR makes the donation directly to the medsmex renova charity the hospital chooses. In other words, the money doesn't go back to the hospital before it's donated.At that point, it's not the hospital making the donation, since it has relinquished control of the debt, said Stephen Clarke, a managing director in Ernst &. Young's Exempt Organization Tax Services practice."It wouldn't be able to take or report community benefit for something a third party has done after donation of that debt," said medsmex renova Clarke, who was involved in the development of the Schedule H ahead of its debut on tax forms for 2008.Whatever foundation receives the donation would need to report the contribution revenue on its own tax form, he said.

"But that's entirely different from reporting it as community benefit on Schedule H."Hospitals should approach an medsmex renova arrangement like this one carefully and in consultation with tax advisors, Clarke said. Personally, he's skeptical, he said."It strikes me as a dubious arrangement," Clarke said.It's not clear how many patients CCR has actually helped, since Garner was the only patient who could be interviewed for this article. Smith, of Stephens Memorial Hospital, provided phone numbers he said were for three other patients, but none could medsmex renova be reached. Smith said CCR claims to have contacted about 1,600 Stephens Memorial patients whose debt was donated.Leaders with the social service agencies CCR said it works with most frequently told Modern Healthcare they hadn't heard of the group."No one seems to know of it," a spokesperson for the state agency that oversees Texas Rent Relief."Neither our state level or other locations came through with any standing relationships with CCR," a spokesperson with the Salvation Army in Texas said. "Actually, the Center for Consumer Recovery has not made medsmex renova any referrals so far," the head of Abilene's Meals on Wheels program wrote in an email.Simonson explained that those agencies work with hundreds of people, so it's not surprising they don't remember CCR.CCR is small now, but it could soon get a jolt of new customers with the help of an Ohio hospital association and group purchasing organization that's agreed to market the services to its 36 hospital and 10 health system members.

Brian Lane, CEO of the Cleveland-based Center for Health Affairs said his team likes the idea, pitched to them by a "strategic partner," because it has the potential to help patients, hospitals and communities."We're organizationally attracted to the opportunity to come together, use what is a dormant asset currently as a means to enhance the community service, to support those that are actually in need," he said.Each hospital and health system member will receive a fact sheet about CCR and can decide for themselves whether to participate, Lane said. CHA's members medsmex renova include Cleveland Clinic Health System, Bon Secours Mercy Health, MetroHealth System and University Hospitals. University Hospitals is trying to set up a call with CCR to learn more, a spokesperson for the health system said.Simonson said there's "tremendous scale" built into the work his companies are doing."We'll get to a scale that will be quite significant, both in terms of accounts that are donated as well as the number of patients that we're serving," he said..

The call can you buy renova online came out of the blue page from an unfamiliar not-for-profit in Oklahoma. What was familiar to Amy Garner was the name of her local hospital in rural Texas, from which the can you buy renova online woman on the phone said she'd gotten Garner's number.The stranger asked simply. Do you need anything?.

"I was like, 'No ma'am can you buy renova online but I do know my mother does,'" recalled Garner, who lives in Breckenridge, Texas, about 100 miles west of Fort Worth.The answer triggered a quick response. The Center for Consumer Recovery in Tulsa, Oklahoma, found a local charity that could help Garner's mother with her leaky roof and the precarious stack of haydite blocks leading to her kitchen door. The Area Agency on Aging can you buy renova online of West Central Texas had the work done within a few months.

Meanwhile, CCR kept in touch weekly, calling Garner with updates even if there were none. Now, her can you buy renova online mom has a safe porch and no longer has to maneuver around a bucket of rainwater."It probably saved my mom from falling and breaking her hip," Garner said. "That's what can you buy renova online I pictured all the time."As with most things, this help has strings attached.

Unbeknownst to Garner, CCR owns her medical debt, and it's hoping her gratitude will translate into payment. A relatively new operation with ambitious growth plans, CCR convinces hospitals to donate medical debt they've already run through their own collection processes and deemed uncollectible.It's a much different setup than RIP Medical Debt, a New York can you buy renova online not-for-profit that either accepts donated medical debt from hospitals or buys it from them. Then, rather than collecting on the debt, RIP forgives it.

The group's website says it can you buy renova online has erased almost $5 billion in medical debt.CCR draws hospitals in by promising to send 20% of collection proceeds to a charity of the hospital's choice, which could include the provider's own foundation. To sweeten the deal, CCR claims not-for-profit hospitals can then report those proceeds as community benefits on their tax forms, a point legal and community benefit experts dispute. So far, CCR has only signed on a handful of hospitals in rural Texas and Washington state, can you buy renova online but it's making inroads with influential hospital associations, including one in Ohio that has agreed to pitch the model to major systems like Cleveland Clinic and MetroHealth.Several healthcare industry and debt collection specialists interviewed for this article said they're concerned about what CCR is doing.

They worry it will further stress patients who've already been hounded by debt collectors and dissuade them from seeking future medical care. And even though CCR's leaders insist multiple lawyers have signed off on the operation, it still raises important can you buy renova online ethical and legal questions. "I can't tell can you buy renova online you exactly what side of the line it's on, but it's very close to the line, that's for sure," said Neale Mahoney, a health economist who studies medical debt as an economics professor at Stanford University.

"If I was a hospital that cared a lot about my image in the community, I wouldn't want an article coming out documenting what I was doing here."CCR has worked most extensively with its first customer, Stephens Memorial Hospital, a critical-access hospital in Breckenridge, Texas, that has donated more than $13 million in medical debt since 2019. Of that, CCR contractor Noble Financial Solutions has collected about $35,000 and sent 20% of that to can you buy renova online the hospital's foundation. Despite all the phone calls to Garner, CCR's representatives never told her their employer owns her debt.

She said can you buy renova online she never received the letter—required under the federal Fair Debt Collection Practices Act—notifying her that CCR owns her debt and is working with a debt collector. In fact, she didn't know she had an outstanding medical bill. Garner didn't learn any of this until she got a call can you buy renova online from a reporter.

Regardless, her appreciation is palpable. Elderly people like her mom, whose income is less than $400 can you buy renova online per month, are too proud to ask for help, Garner said. Even if they weren't, they wouldn't can you buy renova online know where to look.

"We've actually even said, 'What is the donation process if, say, I wanted to donate to the office of aging?. '" Garner said.A colorful historyCCR's model was pioneered by the late Bill Bartmann, a controversial figure in the debt collection industry who became a billionaire running the country's can you buy renova online largest buyer of charged-off credit card debt.Bartmann's original business, Commercial Financial Services, declared bankruptcy in 1998 amid an investor lawsuit. A federal fraud investigation would later send his business partner to prison.

Bartmann died following can you buy renova online a heart procedure in 2016. CFS bought charged-off credit card debt at "substantially discounted prices" and then attempted to collect on it, according to the government's indictment. Court records show CFS can you buy renova online accumulated unpaid debt with a total face value of more than $14 billion between 1995 and 1998.

CFS bundled the debt and sold it to investors in the form of securities, drawing proceeds that far exceeded what CFS paid for the debt.The company got in hot water when leaders overhyped their collection forecasts to can you buy renova online investors and credit rating agencies. When collections fell short, they fraudulently inflated them.Ultimately, Bartmann was legally cleared. Once that happened, he turned his sights toward uncollectible medical debt, calling his can you buy renova online new company CFS-2.

As he explained to CBS News in 2013. "If I can can you buy renova online get you out of debt, you will have more money to pay me later."After Bartmann's death in 2016, his business partner Tom Simonson stepped up to lead CFS-2. One of the first things the former IBM executive did was change the name to the Center for Consumer Recovery to avoid "some optical things that were not ideal."Simonson also split the business into separate entities, creating two for-profit companies that he now heads.

Merit Financial Solutions and its debt collection subsidiary, Noble Financial can you buy renova online Solutions. Both companies contract with CCR. Merit connects can you buy renova online patients with charities and Noble collects.CCR is the not-for-profit organization that interfaces with hospitals and accepts their donated debt.

It's led by Tim Steffl, a longtime American Hospital Association executive whose job is to sell CCR to hospitals and hospital can you buy renova online associations. Bartmann advocated for not-for-profit organizations getting into the debt collection business to, among other things, generate cash flow.Simonson insists the operation is legally sound. He's run it through multiple lawyers, he said."I'm pleased to tell you we are airtight on that," Simonson said.Eric Roberson, a can you buy renova online former Federal Trade Commission prosecutor and attorney with Kilgore &.

Kilgore in Dallas who represents clients who've been subject to illegal debt collection practices, said this operation is worrying. The FTC in recent useful content years has stepped up its investigations of not-for-profit organizations that aren't living up to their tax-exempt status, he said."It looks like a lot of schemes that have been out there to revive dead debt that the FTC has been trying to crack down on," Roberson said.In other examples, the FTC has shut down fraudsters who claimed to be police or veterans charities and said they're collecting money for charitable purposes, but can you buy renova online keep almost all of the proceeds, Roberson said.Making CCR a not-for-profit was potentially a strategic choice. Federal law requires debt collectors to identify themselves as such, but that doesn't apply to a charity allegedly trying to help someone, he said.However, Roberson noted that if CCR is obtaining information to help the debt collector, Noble, and is getting a portion of the collections in return, then it would be subject to the debt collection law.

If that's the case, CCR would likely need to identify itself as a debt collector under the Fair Debt Collection Practices Act.April Kuehnoff, a staff attorney with the National Consumer Law Center, a not-for-profit that specializes in consumer law help for low-income people, said it's problematic that CCR's website does not identify the company as a debt collector, even though it contracts with a third party to collect can you buy renova online on the debt it owns."I'm concerned that the proper consumer protections are not in place here and the consumer protection laws are not being abided by whoever the entity is that's doing the debt collection," she said. "That's really troubling and bad for consumers."The 'white glove' approachSimonson insists that Noble isn't like other debt collectors.He repeats the term "white glove" to describe the gentle approach the company takes with patients. It's similar to the way Bartmann explained the model.First, CCR pairs them with services like housing help, food assistance, transportation, addiction treatment or credit counseling."Once we provide those services, people are offered the opportunity to make a modest, affordable, voluntary payment toward the delinquent, charged-off medical debt that has come to CCR in the form of a donation," Simonson said.Sometimes, even after can you buy renova online CCR connects them with services, they still choose not to pay—and that's fine, he said.

He gave the example of a Texas man that CCR paired with the local Area Agency on Aging, which built him a can you buy renova online new wheelchair ramp. He ultimately did not pay his hospital bill."He didn't offer to, and we didn't expect him to," Simonson said. "We didn't pursue him in that way."Simonson said Noble does not work with Medicare can you buy renova online or Medicaid debt and it never sues patients over the unpaid medical bills."We never sue anybody," he said.

"That's a core principle of CCR. Even people that deserve to get sued."That could can you buy renova online be because it's legally barred from doing so. In Texas, collectors can't sue on debt that's more than four years old, said Roberson, the former FTC lawyer.

Most of the debt from Stephens Memorial was five years old when it was donated, said Doug Smith, the hospital's chief financial officer.Simonson doesn't shy can you buy renova online away from acknowledging that Noble reports patients' unpaid bills to credit bureaus when hospitals allow it. That's necessary because it makes patients more willing to give Noble access to their entire credit files so CCR can help them fix other areas of delinquency, like mortgages or car payments, he said."It actually forces them to engage with us in a more active way and let us go to work and help us clean up their whole credit," Simonson said.Roberson said it's frustrating to see patients get put in a worse position by a purported charity."It seems to me they're adding it to the credit report in order to get leverage, not in order to get access," he said.As for the potential damage to patients' credit scores, Simonson said medical debt isn't as harmful as commercial debts, like credit card debt.While it's true that medical debt has a smaller credit impact than non-medical debt, Stanford's Mahoney said it's not clear how much lower."If you have no other blemishes, medical debt can lower your score significantly and lead to meaningfully higher interest rates and less access to credit," Mahoney said. "However, many people with medical debt have many other derogatories, and so the additional impact of medical debt can be small."Mahoney's recent study in the Journal of the American Medical Association found unpaid medical debt is now the largest source of debt can you buy renova online held by collection agencies, a fact that wasn't true a decade ago.

Almost one in five Americans has a can you buy renova online medical debt in collections.The stress associated with getting phone calls related to medical debt can dissuade people from getting necessary follow-up care, Mahoney said. When it comes to CCR's model specifically, the idea that some of the proceeds can get donated back to the hospital's foundation makes him "really uneasy," he said."Legally, maybe it's perfectly reasonable, but it does seem like literally a quid pro quo," Mahoney said. "That was a red can you buy renova online flag for me."Rural hospitals get on boardThe skin care products renova has exacerbated the nationwide nurse shortage, and Goodall-Witcher Hospital in Clifton, Texas is feeling the effects.What sold CEO Adam Willmann on CCR was the prospect of 20% of collections funding a scholarship to keep nurses local.

To do that, CCR would probably donate the proceeds to his hospital's foundation, he said.Willmann learned about CCR from Smith, the CFO in Breckenridge, about a two-hour drive away. Smith pitched the concept can you buy renova online in a meeting with Willmann and his hospital's CFO. Willman said he also likes the idea of improving patients' financial health through the services CCR offers."The concept of it to me is pretty awesome," Willmann said.Goodall-Witcher has donated roughly $11 million in medical debt to CCR, Willman said.

Goodall-Witcher is a 25-bed critical-access hospital that's can you buy renova online partly funded through a local property tax levy.Willmann also chairs a prominent rural hospital association in Texas called the Texas Organization of Rural and Community Hospitals. He's not concerned can you buy renova online about the potential for the debt collection side of the operation to add stress on patients, he said. If anything, his hospital is trying to get tougher on debt collection, since it's taxpayer-supported, he said.Matthew Kempton signed his first deal with CCR when he was the CEO of Stephens Memorial in Breckenridge.

He's since become CEO of Willapa Harbor Hospital in South Bend, Washington, where he has again agreed to donate medical can you buy renova online debt to CCR. Simonson said he received the donation in June, prior to Noble becoming registered as a debt collector in Washington. Simonson said Noble would not contact the patients until the company was officially registered.Like Willmann, Kempton likes can you buy renova online the idea of turning old debt into useful services for patients, such as credit counseling or home improvements."If there is a return from that, we're able to use it toward projects and things we have, capital and fundraising projects," Kempton said.The only example Kempton could share of a patient who CCR helped was the same one Simonson gave.

The former Stephens Memorial patient who got a new wheelchair ramp. Simonson even shared a local newspaper article that erroneously credited CCR with paying for the construction.CCR doesn't pay for any of the social services can you buy renova online. It refers patients to agencies that do.

In that case of can you buy renova online the wheelchair ramp, the Area Agency on Aging of West Central Texas picked up the roughly $4,500 tab.Therein lies another issue with CCR's model. Groups like the Salvation Army can only help so many people, and CCR and its partners are capitalizing on their can you buy renova online work to convince people to pay them money, Mahoney said."If I was a manager at Salvation Army and CCR came to me and explained this business model, I'd be worried," Mahoney said. "These are people I'm trying to help stand on your feet and CCR is saying, 'Now that you're standing on your feet, how about you agree to this payment plan for the next two years?.

'"Simonson said the agencies love getting the can you buy renova online calls from CCR."They wish more people would call to get help," Simonson said. "They're thrilled when we call them to say, 'Hey, we've got a new list of people.'"Then there's the community benefit question. Stephan Mathis, a Tulsa attorney representing CCR, told Modern Healthcare not-for-profit hospitals could report the 20% of proceeds that go to charity on Schedule H of their can you buy renova online Internal Revenue Service Tax Form 990s, which is where hospitals report their community benefit activities.

Specifically, Mathis said he thinks it could be reported as community health improvement services or health professions education if it's used for scholarships.But there's a problem with that. CCR makes the can you buy renova online donation directly to the charity the hospital chooses. In other words, the money doesn't go back to the hospital before it's donated.At that point, it's not the hospital making the donation, since it has relinquished control of the debt, said Stephen Clarke, a managing director in Ernst &.

Young's Exempt Organization Tax Services practice."It wouldn't be able to can you buy renova online take or report community benefit for something a third party has done after donation of that debt," said Clarke, who was involved in the development of the Schedule H ahead of its debut on tax forms for 2008.Whatever foundation receives the donation would need to report the contribution revenue on its own tax form, he said. "But that's entirely different from reporting it as community benefit on Schedule H."Hospitals should approach an arrangement can you buy renova online like this one carefully and in consultation with tax advisors, Clarke said. Personally, he's skeptical, he said."It strikes me as a dubious arrangement," Clarke said.It's not clear how many patients CCR has actually helped, since Garner was the only patient who could be interviewed for this article.

Smith, of Stephens Memorial Hospital, can you buy renova online provided phone numbers he said were for three other patients, but none could be reached. Smith said CCR claims to have contacted about 1,600 Stephens Memorial patients whose debt was donated.Leaders with the social service agencies CCR said it works with most frequently told Modern Healthcare they hadn't heard of the group."No one seems to know of it," a spokesperson for the state agency that oversees Texas Rent Relief."Neither our state level or other locations came through with any standing relationships with CCR," a spokesperson with the Salvation Army in Texas said. "Actually, the Center for Consumer Recovery has not made any referrals so far," the head of Abilene's Meals on can you buy renova online Wheels program wrote in an email.Simonson explained that those agencies work with hundreds of people, so it's not surprising they don't remember CCR.CCR is small now, but it could soon get a jolt of new customers with the help of an Ohio hospital association and group purchasing organization that's agreed to market the services to its 36 hospital and 10 health system members.

Brian Lane, CEO of the Cleveland-based Center for Health Affairs said his team likes the idea, pitched to them by a "strategic partner," because it has the potential to help patients, hospitals and communities."We're organizationally attracted to the opportunity to come together, use what is a dormant asset currently as a means to enhance the community service, to support those that are actually in need," he said.Each hospital and health system member will receive a fact sheet about CCR and can decide for themselves whether to participate, Lane said. CHA's members include Cleveland Clinic Health System, Bon Secours can you buy renova online Mercy Health, MetroHealth System and University Hospitals. University Hospitals is trying to set up a call with CCR to learn more, a spokesperson for the health system said.Simonson said there's "tremendous scale" built into the work his companies are doing."We'll get to a scale that will be quite significant, both in terms of accounts that are donated as well as the number of patients that we're serving," he said..

Renova cream

Most people are aware of some http://lifetech-hc.com/beispiel-seite/ of the heinous medical experiments of the past renova cream that violated human rights. Participation in these studies was either forced or coerced under false pretenses. Some of the most notorious examples include the experiments by the Nazis, the Tuskegee syphilis study, the Stanford Prison Experiment, and the CIA’s LSD renova cream studies.But there are many other lesser-known experiments on vulnerable populations that have flown under the radar. Study subjects often didn’t — or couldn’t — give consent.

Sometimes they were lured into participating with a promise of improved health or a small amount of compensation renova cream. Other times, details about the experiment were disclosed but the extent of risks involved weren’t.This perhaps isn’t surprising, as doctors who conducted these experiments were representative of prevailing attitudes at the time of their work. But unfortunately, even after informed consent was introduced in the 1950s, disregard for renova cream the rights of certain populations continued. Some of these researchers’ work did result in scientific advances — but they came at the expense of harmful and painful procedures on unknowing subjects.Here are five medical experiments of the past that you probably haven’t heard about.

Theyillustrate just how far the ethical and legal guidepost, which emphasizes respect for human dignity above all else, has moved. The Prison Doctor Who Did Testicular TransplantsFrom 1913 to 1951, eugenicist Leo Stanley was the chief renova cream surgeon at San Quentin State Prison, California’s oldest correctional institution. After performing vasectomies on prisoners, whom he recruited through promises of improved health and vigor, Stanley turned his attention to the emerging field of endocrinology, which involves the study of certain glands and the hormones they regulate. He believed the effects of aging and decreased hormones contributed to criminality, weak morality, and renova cream poor physical attributes.

Transplanting the testicles of younger men into those who were older would restore masculinity, he thought. Stanley began by using the testicles of executed prisoners — but he ran into a supply shortage renova cream. He solved this by using the testicles of animals, including goats and deer. At first, he physically implanted the testicles directly into the inmates.

But that renova cream had complications, so he switched to a new plan. He ground up the animal testicles into a paste, which he injected into prisoners’ abdomens. By the end of his time at San Quentin, Stanley did an estimated 10,000 testicular procedures.The Oncologist Who Injected Cancer Cells Into Patients and PrisonersDuring the 1950s and 1960s, Sloan-Kettering Institute oncologist Chester renova cream Southam conducted research to learn how people’s immune systems would react when exposed to cancer cells. In order to find out, he injected live HeLa cancer cells into patients, generally without their permission.

When patient consent was given, details renova cream around the true nature of the experiment were often kept secret. Southam first experimented on terminally ill cancer patients, to whom he had easy access. The result of the injection was the growth of cancerous nodules, which led to metastasis in one person.Next, Southam experimented on healthy subjects, which he felt would yield more accurate results. He recruited prisoners, and, perhaps not surprisingly, their healthier immune systems responded better than those of cancer renova cream patients.

Eventually, Southam returned to infecting the sick and arranged to have patients at the Jewish Chronic Disease Hospital in Brooklyn, NY, injected with HeLa cells. But this renova cream time, there was resistance. Three doctors who were asked to participate in the experiment refused, resigned, and went public.The scandalous newspaper headlines shocked the public, and legal proceedings were initiated against Southern. Some in the scientific and medical community condemned his experiments, while others renova cream supported him.

Initially, Southam’s medical license was suspended for one year, but it was then reduced to a probation. His career continued to be illustrious, and he was subsequently elected president of the American Association for Cancer Research.The Aptly Named ‘Monster Study’Pioneering speech pathologist Wendell Johnson suffered from severe stuttering that began early in his childhood. His own renova cream experience motivated his focus on finding the cause, and hopefully a cure, for stuttering. He theorized that stuttering in children could be impacted by external factors, such as negative reinforcement.

In 1939, under Johnson’s supervision, graduate student Mary renova cream Tudor conducted a stuttering experiment, using 22 children at an Iowa orphanage. Half received positive reinforcement. But the other half were ridiculed and criticized for their speech, whether renova cream or not they actually stuttered. This resulted in a worsening of speech issues for the children who were given negative feedback.The study was never published due to the multitude of ethical violations.

According to The Washington Post, Tudor was remorseful about the damage caused by the experiment and returned to the orphanage to help the children with their speech. Despite his ethical mistakes, the Wendell Johnson Speech and Hearing Clinic at renova cream the University of Iowa bears Johnson's name and is a nod to his contributions to the field.The Dermatologist Who Used Prisoners As Guinea PigsOne of the biggest breakthroughs in dermatology was the invention of Retin-A, a cream that can treat sun damage, wrinkles, and other skin conditions. Its success led to fortune and fame for co-inventor Albert Kligman, a dermatologist at the University of Pennsylvania. But Kligman is also known for renova cream his nefarious dermatology experiments on prisoners that began in 1951 and continued for around 20 years.

He conducted his research on behalf of companies including DuPont and Johnson &. Johnson. Kligman’s work often left prisoners with pain and scars as he used them as study subjects in wound healing and exposed them to deodorants, foot powders, and more for chemical and cosmetic companies. Dow once enlisted Kligman to study the effects of dioxin, a chemical in Agent Orange, on 75 inmates at Pennsylvania's Holmesburg Prison.

The prisoners were paid a small amount for their participation but were not told about the potential side effects. In the University of Pennsylvania’s journal, Almanac, Kligman’s obituary focused on his medical advancements, awards, and philanthropy. There was no acknowledgement of his prison experiments. However, it did mention that as a “giant in the field,” he “also experienced his fair share of controversy.”The Endocrinologist Who Irradiated PrisonersWhen the Atomic Energy Commission wanted to know how radiation affected male reproductive function, they looked to endocrinologist Carl Heller.

In a study involving Oregon State Penitentiary prisoners between 1963 and 1973, Heller designed a contraption that would radiate their testicles at varying amounts to see what effect it had, particularly on sperm production. The prisoners also were subjected to repeated biopsies and were required to undergo vasectomies once the experiments concluded. Although study participants were paid, it raised ethical issues about the potential coercive nature of financial compensation to prison populations. The prisoners were informed about the risks of skin burns, but likely were not told about the possibility of significant pain, inflammation, and the small risk of testicular cancer.Quick!.

Everybody into the conference room. Today, we’re going to discuss what science has to say about some of the most memorable scenes from the enduring hit TV series, The Office.The Office ended in 2013, but the show continues to delight old fans and attract new ones on streaming services. The success of the Office Ladies podcast, hosted by Jenna Fischer (Pam) and Angela Kinsey (Angela), further affirms the show’s abiding popularity. It’s apparent that people won’t stop appreciating the endearing employees at the Dunder Mifflin Paper Company anytime soon.The outlandish scenes still make for interesting water cooler banter, and you might be wondering if there’s any truth to them.

Let’s take a coffee break and have an educational look at five classic moments from the show.Angela’s Beet Juice CleanseIn S6:E23, Dwight and Angela meet with a lawyer to discuss their childbearing contract. Item five, point “B” states that Angela must complete a “beet juice cleanse.” When Dwight asks for a stool sample to verify she is doing the cleanse, Angela flashes her red-stained teeth as proof instead.Juice cleansing is a controversial dietary trend. During the cleanse period, which is performed for 3–10 days to reportedly detox and lose weight, participants usually consume nothing but juices extracted from fruits and vegetables. Beets are a root vegetable and a good source of some nutrients such as folate, magnesium and vitamin C.

Betalain pigments, which give beets the deep red color that stained Angela’s teeth, are antioxidants that also have anti-inflammatory effects. Additionally, beets contain nitrates that widen blood vessels, which can reduce blood pressure and increase blood flow to the brain. One drawback to juicing is the loss of fiber, a key nutrient in this vegetable.Due to the sharp drop in caloric intake, people on a juice cleanse often lose a little weight. Unfortunately, it is typically gained back as soon as a normal diet resumes.

Additionally, many juicers are likely to experience low blood sugar and depleted energy levels. Restricting the juice diet to a single fruit or vegetable will also deprive the individual of other vital nutrients, including protein.On occasion, especially in people with pre-existing conditions, juicing can lead to excess oxalate in the body, causing acute kidney stones or damage. Given the deprivation of calories, the limited nutrients and the potential adverse effects, a juice cleanse would not be advisable during pregnancy or while trying to conceive.Incidentally, Dwight was not entirely off-base for requesting a stool sample to verify Angela’s compliance with the beet cleanse. In some people, the betalains can cause stools to darken and urine to redden (a side effect known as beeturia).Dwight’s “Hygiene Hypothesis”In S7:E7, Pam leads a discussion about how to minimize germs from being spread around the office.

In response to hand sanitizers being set up in the workplace, Dwight protests, “The worst thing you can do for your immune system is to coddle it. €¦ If Sabre really cared about our well-being, they would set up hand desanitizing stations. A simple bowl at every juncture filled with dirt, vomit, fecal matter.”Dwight appears to be referring to the so-called “hygiene hypothesis,” which suggests that our modern germaphobic tendencies are detrimental to our immune system. The idea is particularly applicable during childhood when the immune system is in its earliest stages of development.

Failing to appropriately train the immune system during this critical period may cause it to malfunction. Without germs to fight, some think that the immune system might resort to attacking harmless things or the body, leading to allergies and autoimmune disorders, respectively.Supporting the idea are studies that have correlated the presence of microbes during childhood with decreased allergies. For example, some studies report a reduced incidence of hay fever in people who grew up on a farm as opposed to in a city. In some studies, this effect can be linked to animal exposure.

Even in a city environment, pets, particularly dogs, can have a protective effect from the development of allergies.It is doubtful that the hygiene hypothesis applies in adults, as the developmental window on the immune system has largely closed after 3 – 4 years of age. So, Dwight’s idea to dirty up the office is not only gross, but also scientifically unsound. Furthermore, the hygiene hypothesis is far from proven, and many confounding variables such as genes, diet and the prevalence of antibiotics and pollutants likely conspire to shape a person’s immune system.Since it was first proposed in 1989, the hygiene hypothesis has been controversial. Some scientists have argued that use of the word hygiene is an unfortunate misnomer that discourages people from being sanitary.

Returning to an era of filth would only increase rates and detract from finding the real explanation behind the rise of asthma and allergy in developed societies. A more recent version of the idea known as the “old friends” hypothesis distinguishes between good and bad microbes. It asserts that we should certainly protect ourselves and children from dangerous pathogens, such as those lurking in fecal matter, vomit or unclean food, but not be overly concerned about beneficial or harmless microbes that are routinely encountered. These are already present in and around our bodies and may be important for appropriately training the immune system.Rabies Awareness Fun RunIn S4:E1, Michael hits Meredith with his car, sending her to the hospital with a cracked pelvis.

At the hospital, Meredith reveals she was also recently bitten by a bat, racoon and rat, on separate occasions. This prompts the doctors to begin treatment for rabies. And it inspires Michael to organize the "Michael Scott's Dunder Mifflin Scranton Meredith Palmer Memorial Celebrity Rabies Awareness Pro-Am Fun Run Race for the Cure."But how big of a threat is rabies in reality?. Rabies is common enough in wildlife, but is rarely seen these days in domesticated animals and people living in developed nations.

From 2009 to 2018, only 25 cases of human rabies were reported in the U.S.. That’s just one to three cases per year. Any mammal can be infected with rabies, but it is most frequently transmitted to humans by raccoons, skunks, bats and foxes.Rabies is a bullet-shaped renova that slowly creeps through the nerves until it finds the brain, where it causes a terrifying transformation that blurs the line between human and beast. Rabid animals foam at the mouth and become ferociously aggressive.

The sickness can turn a lamb into a lion. Also, as Michael Scott points out, people suffering from rabies develop an intense aversion to water known as hydrophobia.The rabies renova concentrates in saliva and can be transmitted through biting. You might think that a renova capable of such wizardry would be highly complex, but it contains only five genes. One of these genes makes a protein that appears to interfere with communication between cells in the brain, which likely contributes to the behavioral changes caused by rabies.

Fun fact. The hangover remedy known as “hair of the dog” has its origins in a supposed rabies treatment devised by the Roman naturalist Pliny the Elder. Pliny suggested rabies victims should “insert in the wound ashes of hairs from the tail of the dog that inflicted the bite.” Don’t try this. It does not work.As for Michael’s efforts, his Rabies Fun Run would have been more relevant prior to the 1880s, before Louis Pasteur developed the first rabies treatment.

Or, in other parts of the world that face more cases of rabies. Globally, rabies kills nearly 60,000 people each year, largely due to lack of resources and access to medical care.Lice Bug BombPediculus humanus capitis was the featured guest on S9:E10, causing an infestation across cubicles at 1725 Slough Avenue. While everyone assumed the head lice came from Meredith, the source was actually Pam, who contracted them from her daughter Cece.Lice are tiny insect parasites that take up residence on the scalp. These so-called skull vampires suck blood for nourishment and glue their eggs (nits) tightly to the hair.

The insects can’t jump or fly, but can be passed between people who share hairbrushes, clips, bedding, towels, clothing or hats. The most common source of transmission is through direct contact with an infested person’s hair. While head lice are an annoyance, they do not carry any known disease.Our friends on The Office put their heads together (not literally, thankfully) and offered several different solutions. Following Erin's advice, infected co-workers applied generous globs of mayonnaise to each other's hair to try to suffocate the lice.

Meredith took a more radical approach and shaved her head. True to form, Dwight overreacts and attempts to rid the office of lice with a bug bomb grenade. Naturally, it explodes before he leaves the room, and the toxic fumes cause him to hallucinate and faint.Of all the solutions attempted, Meredith’s is most certain to work. Depriving the lice of hair deprives them of a place to lay eggs, and the adults are easily washed away.

But many people are not willing to sacrifice their locks. While it’s a popular home remedy, Erin’s idea to suffocate the lice with mayonnaise (petroleum jelly is also common) rarely works, according to (the aptly named) Mayo Clinic. And, as this episode illustrates, bug bombs are far more trouble than they are worth. Lice cannot survive without a host for more than a day, so there is no need to fumigate and risk exposure to dangerous chemicals.

More than 3,200 cases of bug bomb-related illnesses, including four human deaths, were reported in the U.S. Between 2007 and 2015.One effective way to treat lice is to use a shampoo containing an insecticide like permethrin. Permethrin is an insect neurotoxin that causes paralysis in the louse by disrupting sodium transport across its cellular membranes. Nit combs can be used in conjunction with the shampoo treatment to physically remove eggs unaffected by the insecticide.

Multiple treatments are advised to ensure all of the lice have been eradicated.Kevin’s Stinky FeetJim and Pam’s wedding in S6:E4 was filled with unforgettable moments, including the revelation that Kevin has a serious foot odor issue. Kevin left his shoes outside his hotel door to be cleaned, only to find that they had disappeared during the night. The hotel manager told him. €œMr.

Malone, your shoes are gone. €¦ When the bag was opened by our shoeshine, the smell overcame him. I, too, smelled them and made the choice that they must be thrown away. Incinerated, actually.”Scientists have sniffed out the cause of bromodosis (foot odor), and it can be traced to a bacterium called Brevibacterium linens.

Our bodies are home to trillions of bacteria, likely more than 10,000 different species, that live on or inside us. B. Linens are harmless denizens of our skin, where they consume dead cells. As they digest the dead skin cells, they release smelly sulfur-containing compounds called S-methyl thioesters as waste products.Sweaty feet create a moist and salty environment that allows this species of bacteria to thrive, generating pungent odors as they excrete more and more S-methyl thioesters.

Incidentally, these are the same bacteria used to produce the rind of smelly cheeses like Limburger.Kevin could have reduced his foot odor by depriving the bacteria of the sweat they need to grow. He could have achieved this by wearing open-toed shoes whenever possible, using powder or carrying an extra pair of dry, fresh socks. There may also be additional hope on the horizon for folks like Kevin, cursed with industrial strength foot odor. Scientists recently found that socks coated in zinc oxide nanoparticles, which have potent antibacterial activity, are effective at preventing foot odor.Armed with that knowledge, you can now comfortably prop up your feet and marathon through all nine seasons of The Office.

Or, at least track down these standout episodes — with an eye toward science.For some people, the idea of going to the store without a mask right now is so shocking, they’re having stress dreams about it. But once the need to wear a face-covering every time we go shopping is over, our instinct to reach for our masks might not disappear entirely in the U.S. Living through the worst epidemic Americans have seen in a century might shift attitudes about long-term mask use, in part because what many people experienced during the renova is uniquely traumatic, says Isaac Fung, an epidemiologist at Georgia Southern University. €œIt’s probably a once-in-a-lifetime experience, even though there have been, and will be, skin carees that create an epidemic.” Who changes behaviors and how frequently they reach for their face coverings, however, could depend on a few factors.Lasting Effects of TraumaPart of why it’s possible that masks could become a more long-term fixture in the U.S.

Is because elsewhere in the world, previous renovas had the same effect. In 2003, the SARS outbreaks in parts of Asia, including China, Taiwan and South Korea, required mask-wearing. The shock of the SARS outbreaks and a cultural memory of what helped control them could partially explain why the transition to consistent mask use in some of these nations during skin care products was seamless compared to the U.S., Fung says. €œThey have both the fortunate and misfortune of the impact of SARS in 2003.” In between the renovas, consistent mask-wearing in parts of Asia evolved into an occasional polite choice someone might make if they had a cold or cough and were out in public.

Masks, along with other skin care products protocols like hand washing and social distancing, can reduce the odds of someone spreading other illnesses like the seasonal flu. In the U.S., a similar scenario — a population scarred by a renova comes to realize how useful the masks are for other illnesses — might play out. Granted, mask use has become political in the U.S. In a way it hasn’t in many other places, Fung points out.

But throughout the renova, Pew Research Center surveys have shown that the partisan divide on masking behaviors lessened over time.Christos Lynteris, a social anthropologist at the University of St Andrews in Scotland, thinks future consistent mask use might stand a chance in part because the renova won’t end with one theatrical, celebratory announcement. If the health crisis was suddenly “over” one day, some people might reject masks completely from there on out. €œThrowing your mask away [could be] like you're unshackling yourself from the epidemic, which is over,” Lynteris says. But it’s more likely the renova could see seasonal resurgences like the flu and draw out for a while.

In that case, the longer battle with skin care could help individuals see masks as a more consistent part of life that comes with other health benefits. Too Close for ComfortThe realization of the perpetual benefits of masks might take hold in cities best, particularly if many residents rely on public transit, Fung says. When people don’t own cars and need to get around via packed buses or train cars, they spend a lot more time in close contact with other people. It’s hard to be in that environment daily and not see the value of a face covering, Fung says.

In large swathes of the U.S. Where people commute in their own cars or rely on relatively-empty public transportation, the appeal of wearing masks might not be as strong.Future mask use could also depend on how well people transform the face-covering into an effective but appealing — maybe even fashionable — accessory. If public health departments had wanted to make mask-wearing a more consistent part of long-term healthy behaviors, the institutions could have been more intentional about encouraging this transition, Lynteris says. €œYou need to allow people to adopt the mask as their own thing,” he says.

Meeting with different communities and encouraging people to make masks look the way they want them to could make them more appealing. In parts of Asia, people pulled off this exact transition with masks over the years. People sell and purchase masks that coordinate with outfits, and when it is part of the wardrobe, the face-covering becomes even more likely to be worn, Fung says. If covering faces in public persists for years to come, the well-meaning action would be more likely to be effective if people had a better idea of how to handle the masks.

In fact, this is a part of mask education that Fung thinks could be improved right now during the renova. €œThis part of health education I do not see happening in the U.S.,” he says. €œWe are only focusing on wearing it, not how to properly take it off or wash it.” Handling masks correctly can reduce the likelihood that any renova on the material doesn’t make its way into your nose or mouth. And while the CDC has guidelines on appropriate behavior, simply having online information available for those who search for it isn’t quite enough, Lynteris notes.

Appropriate mask protocols are another topic public health officials should discuss with communities. A chance to ask questions — about when masks should be cleaned or how to dispose of them, for example — or even hear from others about the mistakes they’ve made can familiarize people with what they need to do themselves. €œIf you don’t use the mask correctly but think it's protecting you, you may be engaging in behavior where you put yourself and others at risk,” Lynteris says. €œIt’s an important conversation we’re not having.”Alcohol consumption in the U.S.

Surged in 2020. Booze delivery services gained popularity while market reports relayed information about higher sales volumes. Even academic surveys found people were drinking more — one sample representing roughly 1,500 American adults found that on average, three of every four individuals were pouring themselves a drink an extra day every month.Of course, having a beer one extra day of the month doesn’t necessarily mean someone is drinking too much. But when it comes to self-assessing booze habits, people tend to define the problem in a way that somehow leaves their own habits in good standing, says Patricia E.

Molina, the director of the Alcohol and Drug Abuse Center of Excellence at LSU Health Sciences Center New Orleans. €œWhat the lay public tends to do is pay attention or focus on one aspect that is convenient for their definition." Beyond Binge DrinkingTypically, people use the term binge drinking as a benchmark of whether or not they’ve had one too many. The term refers to booze consumption that brings someone’s blood alcohol content (BAC) to .08g/dl or above — the legal limit for driving in the U.S. Most men reach that value after having five drinks in two hours, while women typically reach it after having four drinks in the same time span.

Binge drinking is the most common and deadly form of excessive drinking in the U.S., according to the CDC, as it’s associated with a wide range of health consequences. Some stem from the impact alcohol has on the body, such as alcohol poisoning, while others are due to the way alcohol disrupts our ability to function, like injuries from car accidents. But even when people haven't reached excessive BAC levels, it doesn’t exempt them, or others, from harm. €œOne could make the argument that, okay, if I don't drink that much in two hours, but over a longer period of time, is that okay?.

€ Molina says. €œWell, not completely.” Besides binge drinking, the CDC also labels heavy drinking as a risky, harmful behavior, and is a concept Molina thinks should be a larger part of alcohol education campaigns. Classified as eight or more drinks a week for women and 15 or more a week for men, heavy drinking is less likely to cause short-term issues, like car accidents. But over time, the habit can lead to a range of cancers, liver disease and heart problems, as well as depression and anxiety.

So while someone might be able to drive their car after tailgating all Saturday, they may still have put away several drinks over the entire afternoon, Molina says, pushing the limit of what qualifies as a week of heavy drinking. Ultimately, the fewer drinks someone has, the better. To keep the health consequences of alcohol low, the official USDA dietary guidelines for 2020 to 2025 cap moderate drinking at two drinks a day for men and one drink a day for women. However, the scientific advisory group that helps craft these guidelines has recommended that the cap be one drink a day for everyone.

No Sense of StandardEven if someone was keeping track of their beer habit and trying to stick to these quantities, a lot of people don’t know or can’t estimate what qualifies as a single drink, Molina says. In the U.S., a standard drink contains 14 grams of alcohol. Since different kinds of drinks have a range of alcohol content, that serving size pans out to be 12 ounces of a 5 percent alcohol beer, five ounces of wine and one and a half ounces of liquor. These volumes don’t always match what someone might perceive as a single serving, like an oversized can of beer or a restaurant pour of wine, which is often closer to eight ounces, Molina says.

Studies have shown that people tend to overestimate what qualifies as a standard drink anyways, and when asked to pour out a single serving, are too generous. If people drink more than they think they do, then their threshold for what it takes to feel buzzed is likely higher than they thought, too. How people develop alcohol tolerance — where a given number of drinks has less of an effect on their ability to function over time — isn’t well understood by researchers, though there are likely genetic and social influences at work. But increasing tolerance is often associated with alcohol use disorder or alcohol dependence.

The more someone drinks, Molina says, the more they need to achieve the relaxation or buzz they’re seeking through alcohol. At the same time, “you increase the risk of falling into a pattern of drinking to avoid negative feelings,” she says.For anyone curious about the best ways to recalibrate their drinking patterns, Molina recommends Rethinking Drinking, a National Institute of Health resource that spells out serving sizes, how those compare to what standard drink containers hold, and what different drinking habits look like.Looking over every detail of the human body, male nipples may be the most obviously useless. In females, they are essential for delivering life-sustaining breast milk to newborns. In men, they serve, well, no apparent purpose.

Virtually every other anatomical structure clearly furthers the enterprise of survival and reproduction, so why would we evolve one that doesn’t?. The answer may lie in a subtle misunderstanding of evolutionary theory’s fundamental assumption. That living organisms change over time, becoming better adapted to their environments in response to the pressures of natural selection. Few scientific tenets are as certain as this one.

But it’s easy to oversimplify that account and interpret it to mean that every modification in a species is adaptive, developed to fulfill a vital function.This tempting idea goes back as far as Erasmus Darwin, the grandfather of Charles Darwin, who considered adaptivity in his 1794 book Zoonomia. Or, the Laws of Organic Life, an early treatise on evolution. As far as he could see, all animal traits seem to have evolved toward greater utility, with one exception. €œThe breasts and teats of all male quadrupeds, to which no use can now be assigned.” The Harmless NippleAs evolutionary theory progressed through another Darwin and beyond, biologists refined their understanding of its mechanisms.

The evolutionary biologists Stephen Jay Gould and Richard Lewontin, in a highly influential (and provocative) 1979 paper, argued against the “Panglossian paradigm” of adaptation, which claims — like its indomitably optimistic namesake in Voltaire’s Candide — that evolution has crafted “the best of all possible worlds.”Gould and Lewontin contend that other factors besides natural selection control the operation of evolution, one being simply the lack of selective pressure against a trait. The male nipple doesn’t aid in survival and reproduction, but it doesn’t hinder, either. Why would natural selection do away with a harmless circle of flesh?. In another paper, in 1993, Gould addressed the nipple query specifically.

He wrote that of all the evolutionary conundrums for “well-informed nonscientific readers … no single item has evoked more puzzlement than the very issue that Erasmus Darwin chose as a primary challenge to his concept of pervasive utility — male nipples.” To Gould, the solution is straightforward. It requires “no adaptive explanation at all,” only the realization that evolution deals with more pressing matters than the superficial features of a man’s chest.Embryonic OriginsThere is, of course, a proximate explanation for the persistence of male nipples. In an odd way, Erasmus Darwin nearly glimpsed the truth in his own speculation two and a half centuries ago, when he suggested they were vestiges of an earlier stage of human evolution — a time “during the infancy of the world” when, he thought, all people were hermaphrodites. Males and females do, in fact, start from the same genetic blueprint.

Embryos, in their first weeks, develop structures with the potential to become either male or female sex organs. Only later do sex-specific hormones begin to mold those structures into either a clitoris or a penis, either functioning mammary glands or unproductive male nipples. “Males and females are not separate entities, shaped independently by natural selection,” Gould writes. €œBoth sexes are variants upon a single ground plan, elaborated in later embryology.” Nipples begin to appear before that sex differentiation begins, so males are stuck with them as they mature.It’s not entirely fair to say they serve no possible purpose, though.

Under unusual conditions, like starvation or a spike in levels of the hormone prolactin, men can actually produce milk — to answer Robert DeNiro’s unforgettably funny and awkward inquiry in Meet the Parents. As Pulitzer-prize-winning author Jared Diamond wrote in a 1995 Discover article titled Father’s Milk, “Lactation, then, lies within a male mammal’s physiological reach.”Nipples are also highly sensitive, and research shows that in men as well as women they respond to sexual stimulation. One study found that about half of men (and more than 80 percent of women) report nipple stimulation enhances their sexual arousal. Maybe these minor compensations, rather than a boost in physical and reproductive fitness, justify the male nipple’s existence..

Most people http://www.em-jacques-prevert-schiltigheim.ac-strasbourg.fr/?page_id=919 are aware of some of the can you buy renova online heinous medical experiments of the past that violated human rights. Participation in these studies was either forced or coerced under false pretenses. Some of the most notorious examples include the experiments by the Nazis, the Tuskegee syphilis study, the Stanford Prison Experiment, and the CIA’s LSD can you buy renova online studies.But there are many other lesser-known experiments on vulnerable populations that have flown under the radar. Study subjects often didn’t — or couldn’t — give consent. Sometimes they were lured into participating with a promise of improved health or a small can you buy renova online amount of compensation.

Other times, details about the experiment were disclosed but the extent of risks involved weren’t.This perhaps isn’t surprising, as doctors who conducted these experiments were representative of prevailing attitudes at the time of their work. But unfortunately, even after informed consent was introduced in the 1950s, disregard for the rights of certain populations can you buy renova online continued. Some of these researchers’ work did result in scientific advances — but they came at the expense of harmful and painful procedures on unknowing subjects.Here are five medical experiments of the past that you probably haven’t heard about. Theyillustrate just how far the ethical and legal guidepost, which emphasizes respect for human dignity above all else, has moved. The Prison Doctor Who Did Testicular TransplantsFrom 1913 to 1951, eugenicist Leo can you buy renova online Stanley was the chief surgeon at San Quentin State Prison, California’s oldest correctional institution.

After performing vasectomies on prisoners, whom he recruited through promises of improved health and vigor, Stanley turned his attention to the emerging field of endocrinology, which involves the study of certain glands and the hormones they regulate. He believed the effects of aging and decreased hormones contributed to criminality, weak morality, and poor physical can you buy renova online attributes. Transplanting the testicles of younger men into those who were older would restore masculinity, he thought. Stanley began by can you buy renova online using the testicles of executed prisoners — but he ran into a supply shortage. He solved this by using the testicles of animals, including goats and deer.

At first, he physically implanted the testicles directly into the inmates. But that had complications, so he switched to a can you buy renova online new plan. He ground up the animal testicles into a paste, which he injected into prisoners’ abdomens. By the end of can you buy renova online his time at San Quentin, Stanley did an estimated 10,000 testicular procedures.The Oncologist Who Injected Cancer Cells Into Patients and PrisonersDuring the 1950s and 1960s, Sloan-Kettering Institute oncologist Chester Southam conducted research to learn how people’s immune systems would react when exposed to cancer cells. In order to find out, he injected live HeLa cancer cells into patients, generally without their permission.

When patient consent was given, details around the true nature of the experiment were often kept can you buy renova online secret. Southam first experimented on terminally ill cancer patients, to whom he had easy access. The result of the injection was the growth of cancerous nodules, which led to metastasis in one person.Next, Southam experimented on healthy subjects, which he felt would yield more accurate results. He recruited prisoners, and, perhaps not surprisingly, their can you buy renova online healthier immune systems responded better than those of cancer patients. Eventually, Southam returned to infecting the sick and arranged to have patients at the Jewish Chronic Disease Hospital in Brooklyn, NY, injected with HeLa cells.

But this time, there was can you buy renova online resistance. Three doctors who were asked to participate in the experiment refused, resigned, and went public.The scandalous newspaper headlines shocked the public, and legal proceedings were initiated against Southern. Some in can you buy renova online the scientific and medical community condemned his experiments, while others supported him. Initially, Southam’s medical license was suspended for one year, but it was then reduced to a probation. His career continued to be illustrious, and he was subsequently elected president of the American Association for Cancer Research.The Aptly Named ‘Monster Study’Pioneering speech pathologist Wendell Johnson suffered from severe stuttering that began early in his childhood.

His own can you buy renova online experience motivated his focus on finding the cause, and hopefully a cure, for stuttering. He theorized that stuttering in children could be impacted by external factors, such as negative reinforcement. In 1939, under Johnson’s supervision, graduate student Mary Tudor can you buy renova online conducted a stuttering experiment, using 22 children at an Iowa orphanage. Half received positive reinforcement. But the other half were ridiculed and criticized can you buy renova online for their speech, whether or not they actually stuttered.

This resulted in a worsening of speech issues for the children who were given negative feedback.The study was never published due to the multitude of ethical violations. According to The Washington Post, Tudor was remorseful about the damage caused by the experiment and returned to the orphanage to help the children with their speech. Despite his ethical mistakes, the Wendell Johnson Speech and Hearing Clinic at the University of Iowa bears Johnson's name and is a nod to his contributions to the field.The Dermatologist Who Used Prisoners As Guinea PigsOne of the biggest breakthroughs in dermatology was the invention of can you buy renova online Retin-A, a cream that can treat sun damage, wrinkles, and other skin conditions. Its success led to fortune and fame for co-inventor Albert Kligman, a dermatologist at the University of Pennsylvania. But Kligman is also known for his can you buy renova online nefarious dermatology experiments on prisoners that began in 1951 and continued for around 20 years.

He conducted his research on behalf of companies including DuPont and Johnson &. Johnson. Kligman’s work often left prisoners with pain and scars as he used them as study subjects in wound healing and exposed them to deodorants, foot powders, and more for chemical and cosmetic companies. Dow once enlisted Kligman to study the effects of dioxin, a chemical in Agent Orange, on 75 inmates at Pennsylvania's Holmesburg Prison. The prisoners were paid a small amount for their participation but were not told about the potential side effects.

In the University of Pennsylvania’s journal, Almanac, Kligman’s obituary focused on his medical advancements, awards, and philanthropy. There was no acknowledgement of his prison experiments. However, it did mention that as a “giant in the field,” he “also experienced his fair share of controversy.”The Endocrinologist Who Irradiated PrisonersWhen the Atomic Energy Commission wanted to know how radiation affected male reproductive function, they looked to endocrinologist Carl Heller. In a study involving Oregon State Penitentiary prisoners between 1963 and 1973, Heller designed a contraption that would radiate their testicles at varying amounts to see what effect it had, particularly on sperm production. The prisoners also were subjected to repeated biopsies and were required to undergo vasectomies once the experiments concluded.

Although study participants were paid, it raised ethical issues about the potential coercive nature of financial compensation to prison populations. The prisoners were informed about the risks of skin burns, but likely were not told about the possibility of significant pain, inflammation, and the small risk of testicular cancer.Quick!. Everybody into the conference room. Today, we’re going to discuss what science has to say about some of the most memorable scenes from the enduring hit TV series, The Office.The Office ended in 2013, but the show continues to delight old fans and attract new ones on streaming services. The success of the Office Ladies podcast, hosted by Jenna Fischer (Pam) and Angela Kinsey (Angela), further affirms the show’s abiding popularity.

It’s apparent that people won’t stop appreciating the endearing employees at the Dunder Mifflin Paper Company anytime soon.The outlandish scenes still make for interesting water cooler banter, and you might be wondering if there’s any truth to them. Let’s take a coffee break and have an educational look at five classic moments from the show.Angela’s Beet Juice CleanseIn S6:E23, Dwight and Angela meet with a lawyer to discuss their childbearing contract. Item five, point “B” states that Angela must complete a “beet juice cleanse.” When Dwight asks for a stool sample to verify she is doing the cleanse, Angela flashes her red-stained teeth as proof instead.Juice cleansing is a controversial dietary trend. During the cleanse period, which is performed for 3–10 days to reportedly detox and lose weight, participants usually consume nothing but juices extracted from fruits and vegetables. Beets are a root vegetable and a good source of some nutrients such as folate, magnesium and vitamin C.

Betalain pigments, which give beets the deep red color that stained Angela’s teeth, are antioxidants that also have anti-inflammatory effects. Additionally, beets contain nitrates that widen blood vessels, which can reduce blood pressure and increase blood flow to the brain. One drawback to juicing is the loss of fiber, a key nutrient in this vegetable.Due to the sharp drop in caloric intake, people on a juice cleanse often lose a little weight. Unfortunately, it is typically gained back as soon as a normal diet resumes. Additionally, many juicers are likely to experience low blood sugar and depleted energy levels.

Restricting the juice diet to a single fruit or vegetable will also deprive the individual of other vital nutrients, including protein.On occasion, especially in people with pre-existing conditions, juicing can lead to excess oxalate in the body, causing acute kidney stones or damage. Given the deprivation of calories, the limited nutrients and the potential adverse effects, a juice cleanse would not be advisable during pregnancy or while trying to conceive.Incidentally, Dwight was not entirely off-base for requesting a stool sample to verify Angela’s compliance with the beet cleanse. In some people, the betalains can cause stools to darken and urine to redden (a side effect known as beeturia).Dwight’s “Hygiene Hypothesis”In S7:E7, Pam leads a discussion about how to minimize germs from being spread around the office. In response to hand sanitizers being set up in the workplace, Dwight protests, “The worst thing you can do for your immune system is to coddle it. €¦ If Sabre really cared about our well-being, they would set up hand desanitizing stations.

A simple bowl at every juncture filled with dirt, vomit, fecal matter.”Dwight appears to be referring to the so-called “hygiene hypothesis,” which suggests that our modern germaphobic tendencies are detrimental to our immune system. The idea is particularly applicable during childhood when the immune system is in its earliest stages of development. Failing to appropriately train the immune system during this critical period may cause it to malfunction. Without germs to fight, some think that the immune system might resort to attacking harmless things or the body, leading to allergies and autoimmune disorders, respectively.Supporting the idea are studies that have correlated the presence of microbes during childhood with decreased allergies. For example, some studies report a reduced incidence of hay fever in people who grew up on a farm as opposed to in a city.

In some studies, this effect can be linked to animal exposure. Even in a city environment, pets, particularly dogs, can have a protective effect from the development of allergies.It is doubtful that the hygiene hypothesis applies in adults, as the developmental window on the immune system has largely closed after 3 – 4 years of age. So, Dwight’s idea to dirty up the office is not only gross, but also scientifically unsound. Furthermore, the hygiene hypothesis is far from proven, and many confounding variables such as genes, diet and the prevalence of antibiotics and pollutants likely conspire to shape a person’s immune system.Since it was first proposed in 1989, the hygiene hypothesis has been controversial. Some scientists have argued that use of the word hygiene is an unfortunate misnomer that discourages people from being sanitary.

Returning to an era of filth would only increase rates and detract from finding the real explanation behind the rise of asthma and allergy in developed societies. A more recent version of the idea known as the “old friends” hypothesis distinguishes between good and bad microbes. It asserts that we should certainly protect ourselves and children from dangerous pathogens, such as those lurking in fecal matter, vomit or unclean food, but not be overly concerned about beneficial or harmless microbes that are routinely encountered. These are already present in and around our bodies and may be important for appropriately training the immune system.Rabies Awareness Fun RunIn S4:E1, Michael hits Meredith with his car, sending her to the hospital with a cracked pelvis. At the hospital, Meredith reveals she was also recently bitten by a bat, racoon and rat, on separate occasions.

This prompts the doctors to begin treatment for rabies. And it inspires Michael to organize the "Michael Scott's Dunder Mifflin Scranton Meredith Palmer Memorial Celebrity Rabies Awareness Pro-Am Fun Run Race for the Cure."But how big of a threat is rabies in reality?. Rabies is common enough in wildlife, but is rarely seen these days in domesticated animals and people living in developed nations. From 2009 to 2018, only 25 cases of human rabies were reported in the U.S.. That’s just one to three cases per year.

Any mammal can be infected with rabies, but it is most frequently transmitted to humans by raccoons, skunks, bats and foxes.Rabies is a bullet-shaped renova that slowly creeps through the nerves until it finds the brain, where it causes a terrifying transformation that blurs the line between human and beast. Rabid animals foam at the mouth and become ferociously aggressive. The sickness can turn a lamb into a lion. Also, as Michael Scott points out, people suffering from rabies develop an intense aversion to water known as hydrophobia.The rabies renova concentrates in saliva and can be transmitted through biting. You might think that a renova capable of such wizardry would be highly complex, but it contains only five genes.

One of these genes makes a protein that appears to interfere with communication between cells in the brain, which likely contributes to the behavioral changes caused by rabies. Fun fact. The hangover remedy known as “hair of the dog” has its origins in a supposed rabies treatment devised by the Roman naturalist Pliny the Elder. Pliny suggested rabies victims should “insert in the wound ashes of hairs from the tail of the dog that inflicted the bite.” Don’t try this. It does not work.As for Michael’s efforts, his Rabies Fun Run would have been more relevant prior to the 1880s, before Louis Pasteur developed the first rabies treatment.

Or, in other parts of the world that face more cases of rabies. Globally, rabies kills nearly 60,000 people each year, largely due to lack of resources and access to medical care.Lice Bug BombPediculus humanus capitis was the featured guest on S9:E10, causing an infestation across cubicles at 1725 Slough Avenue. While everyone assumed the head lice came from Meredith, the source was actually Pam, who contracted them from her daughter Cece.Lice are tiny insect parasites that take up residence on the scalp. These so-called skull vampires suck blood for nourishment and glue their eggs (nits) tightly to the hair. The insects can’t jump or fly, but can be passed between people who share hairbrushes, clips, bedding, towels, clothing or hats.

The most common source of transmission is through direct contact with an infested person’s hair. While head lice are an annoyance, they do not carry any known disease.Our friends on The Office put their heads together (not literally, thankfully) and offered several different solutions. Following Erin's advice, infected co-workers applied generous globs of mayonnaise to each other's hair to try to suffocate the lice. Meredith took a more radical approach and shaved her head. True to form, Dwight overreacts and attempts to rid the office of lice with a bug bomb grenade.

Naturally, it explodes before he leaves the room, and the toxic fumes cause him to hallucinate and faint.Of all the solutions attempted, Meredith’s is most certain to work. Depriving the lice of hair deprives them of a place to lay eggs, and the adults are easily washed away. But many people are not willing to sacrifice their locks. While it’s a popular home remedy, Erin’s idea to suffocate the lice with mayonnaise (petroleum jelly is also common) rarely works, according to (the aptly named) Mayo Clinic. And, as this episode illustrates, bug bombs are far more trouble than they are worth.

Lice cannot survive without a host for more than a day, so there is no need to fumigate and risk exposure to dangerous chemicals. More than 3,200 cases of bug bomb-related illnesses, including four human deaths, were reported in the U.S. Between 2007 and 2015.One effective way to treat lice is to use a shampoo containing an insecticide like permethrin. Permethrin is an insect neurotoxin that causes paralysis in the louse by disrupting sodium transport across its cellular membranes. Nit combs can be used in conjunction with the shampoo treatment to physically remove eggs unaffected by the insecticide.

Multiple treatments are advised to ensure all of the lice have been eradicated.Kevin’s Stinky FeetJim and Pam’s wedding in S6:E4 was filled with unforgettable moments, including the revelation that Kevin has a serious foot odor issue. Kevin left his shoes outside his hotel door to be cleaned, only to find that they had disappeared during the night. The hotel manager told him. €œMr. Malone, your shoes are gone.

€¦ When the bag was opened by our shoeshine, the smell overcame him. I, too, smelled them and made the choice that they must be thrown away. Incinerated, actually.”Scientists have sniffed out the cause of bromodosis (foot odor), and it can be traced to a bacterium called Brevibacterium linens. Our bodies are home to trillions of bacteria, likely more than 10,000 different species, that live on or inside us. B.

Linens are harmless denizens of our skin, where they consume dead cells. As they digest the dead skin cells, they release smelly sulfur-containing compounds called S-methyl thioesters as waste products.Sweaty feet create a moist and salty environment that allows this species of bacteria to thrive, generating pungent odors as they excrete more and more S-methyl thioesters. Incidentally, these are the same bacteria used to produce the rind of smelly cheeses like Limburger.Kevin could have reduced his foot odor by depriving the bacteria of the sweat they need to grow. He could have achieved this by wearing open-toed shoes whenever possible, using powder or carrying an extra pair of dry, fresh socks. There may also be additional hope on the horizon for folks like Kevin, cursed with industrial strength foot odor.

Scientists recently found that socks coated in zinc oxide nanoparticles, which have potent antibacterial activity, are effective at preventing foot odor.Armed with that knowledge, you can now comfortably prop up your feet and marathon through all nine seasons of The Office. Or, at least track down these standout episodes — with an eye toward science.For some people, the idea of going to the store without a mask right now is so shocking, they’re having stress dreams about it. But once the need to wear a face-covering every time we go shopping is over, our instinct to reach for our masks might not disappear entirely in the U.S. Living through the worst epidemic Americans have seen in a century might shift attitudes about long-term mask use, in part because what many people experienced during the renova is uniquely traumatic, says Isaac Fung, an epidemiologist at Georgia Southern University. €œIt’s probably a once-in-a-lifetime experience, even though there have been, and will be, skin carees that create an epidemic.” Who changes behaviors and how frequently they reach for their face coverings, however, could depend on a few factors.Lasting Effects of TraumaPart of why it’s possible that masks could become a more long-term fixture in the U.S.

Is because elsewhere in the world, previous renovas had the same effect. In 2003, the SARS outbreaks in parts of Asia, including China, Taiwan and South Korea, required mask-wearing. The shock of the SARS outbreaks and a cultural memory of what helped control them could partially explain why the transition to consistent mask use in some of these nations during skin care products was seamless compared to the U.S., Fung says. €œThey have both the fortunate and misfortune of the impact of SARS in 2003.” In between the renovas, consistent mask-wearing in parts of Asia evolved into an occasional polite choice someone might make if they had a cold or cough and were out in public. Masks, along with other skin care products protocols like hand washing and social distancing, can reduce the odds of someone spreading other illnesses like the seasonal flu.

In the U.S., a similar scenario — a population scarred by a renova comes to realize how useful the masks are for other illnesses — might play out. Granted, mask use has become political in the U.S. In a way it hasn’t in many other places, Fung points out. But throughout the renova, Pew Research Center surveys have shown that the partisan divide on masking behaviors lessened over time.Christos Lynteris, a social anthropologist at the University of St Andrews in Scotland, thinks future consistent mask use might stand a chance in part because the renova won’t end with one theatrical, celebratory announcement. If the health crisis was suddenly “over” one day, some people might reject masks completely from there on out.

€œThrowing your mask away [could be] like you're unshackling yourself from the epidemic, which is over,” Lynteris says. But it’s more likely the renova could see seasonal resurgences like the flu and draw out for a while. In that case, the longer battle with skin care could help individuals see masks as a more consistent part of life that comes with other health benefits. Too Close for ComfortThe realization of the perpetual benefits of masks might take hold in cities best, particularly if many residents rely on public transit, Fung says. When people don’t own cars and need to get around via packed buses or train cars, they spend a lot more time in close contact with other people.

It’s hard to be in that environment daily and not see the value of a face covering, Fung says. In large swathes of the U.S. Where people commute in their own cars or rely on relatively-empty public transportation, the appeal of wearing masks might not be as strong.Future mask use could also depend on how well people transform the face-covering into an effective but appealing — maybe even fashionable — accessory. If public health departments had wanted to make mask-wearing a more consistent part of long-term healthy behaviors, the institutions could have been more intentional about encouraging this transition, Lynteris says. €œYou need to allow people to adopt the mask as their own thing,” he says.

Meeting with different communities and encouraging people to make masks look the way they want them to could make them more appealing. In parts of Asia, people pulled off this exact transition with masks over the years. People sell and purchase masks that coordinate with outfits, and when it is part of the wardrobe, the face-covering becomes even more likely to be worn, Fung says. If covering faces in public persists for years to come, the well-meaning action would be more likely to be effective if people had a better idea of how to handle the masks. In fact, this is a part of mask education that Fung thinks could be improved right now during the renova.

€œThis part of health education I do not see happening in the U.S.,” he says. €œWe are only focusing on wearing it, not how to properly take it off or wash it.” Handling masks correctly can reduce the likelihood that any renova on the material doesn’t make its way into your nose or mouth. And while the CDC has guidelines on appropriate behavior, simply having online information available for those who search for it isn’t quite enough, Lynteris notes. Appropriate mask protocols are another topic public health officials should discuss with communities. A chance to ask questions — about when masks should be cleaned or how to dispose of them, for example — or even hear from others about the mistakes they’ve made can familiarize people with what they need to do themselves.

€œIf you don’t use the mask correctly but think it's protecting you, you may be engaging in behavior where you put yourself and others at risk,” Lynteris says. €œIt’s an important conversation we’re not having.”Alcohol consumption in the U.S. Surged in 2020. Booze delivery services gained popularity while market reports relayed information about higher sales volumes. Even academic surveys found people were drinking more — one sample representing roughly 1,500 American adults found that on average, three of every four individuals were pouring themselves a drink an extra day every month.Of course, having a beer one extra day of the month doesn’t necessarily mean someone is drinking too much.

But when it comes to self-assessing booze habits, people tend to define the problem in a way that somehow leaves their own habits in good standing, says Patricia E. Molina, the director of the Alcohol and Drug Abuse Center of Excellence at LSU Health Sciences Center New Orleans. €œWhat the lay public tends to do is pay attention or focus on one aspect that is convenient for their definition." Beyond Binge DrinkingTypically, people use the term binge drinking as a benchmark of whether or not they’ve had one too many. The term refers to booze consumption that brings someone’s blood alcohol content (BAC) to .08g/dl or above — the legal limit for driving in the U.S. Most men reach that value after having five drinks in two hours, while women typically reach it after having four drinks in the same time span.

Binge drinking is the most common and deadly form of excessive drinking in the U.S., according to the CDC, as it’s associated with a wide range of health consequences. Some stem from the impact alcohol has on the body, such as alcohol poisoning, while others are due to the way alcohol disrupts our ability to function, like injuries from car accidents. But even when people haven't reached excessive BAC levels, it doesn’t exempt them, or others, from harm. €œOne could make the argument that, okay, if I don't drink that much in two hours, but over a longer period of time, is that okay?. € Molina says.

€œWell, not completely.” Besides binge drinking, the CDC also labels heavy drinking as a risky, harmful behavior, and is a concept Molina thinks should be a larger part of alcohol education campaigns. Classified as eight or more drinks a week for women and 15 or more a week for men, heavy drinking is less likely to cause short-term issues, like car accidents. But over time, the habit can lead to a range of cancers, liver disease and heart problems, as well as depression and anxiety. So while someone might be able to drive their car after tailgating all Saturday, they may still have put away several drinks over the entire afternoon, Molina says, pushing the limit of what qualifies as a week of heavy drinking. Ultimately, the fewer drinks someone has, the better.

To keep the health consequences of alcohol low, the official USDA dietary guidelines for 2020 to 2025 cap moderate drinking at two drinks a day for men and one drink a day for women. However, the scientific advisory group that helps craft these guidelines has recommended that the cap be one drink a day for everyone. No Sense of StandardEven if someone was keeping track of their beer habit and trying to stick to these quantities, a lot of people don’t know or can’t estimate what qualifies as a single drink, Molina says. In the U.S., a standard drink contains 14 grams of alcohol. Since different kinds of drinks have a range of alcohol content, that serving size pans out to be 12 ounces of a 5 percent alcohol beer, five ounces of wine and one and a half ounces of liquor.

These volumes don’t always match what someone might perceive as a single serving, like an oversized can of beer or a restaurant pour of wine, which is often closer to eight ounces, Molina says. Studies have shown that people tend to overestimate what qualifies as a standard drink anyways, and when asked to pour out a single serving, are too generous. If people drink more than they think they do, then their threshold for what it takes to feel buzzed is likely higher than they thought, too. How people develop alcohol tolerance — where a given number of drinks has less of an effect on their ability to function over time — isn’t well understood by researchers, though there are likely genetic and social influences at work. But increasing tolerance is often associated with alcohol use disorder or alcohol dependence.

The more someone drinks, Molina says, the more they need to achieve the relaxation or buzz they’re seeking through alcohol. At the same time, “you increase the risk of falling into a pattern of drinking to avoid negative feelings,” she says.For anyone curious about the best ways to recalibrate their drinking patterns, Molina recommends Rethinking Drinking, a National Institute of Health resource that spells out serving sizes, how those compare to what standard drink containers hold, and what different drinking habits look like.Looking over every detail of the human body, male nipples may be the most obviously useless. In females, they are essential for delivering life-sustaining breast milk to newborns. In men, they serve, well, no apparent purpose. Virtually every other anatomical structure clearly furthers the enterprise of survival and reproduction, so why would we evolve one that doesn’t?.

The answer may lie in a subtle misunderstanding of evolutionary theory’s fundamental assumption. That living organisms change over time, becoming better adapted to their environments in response to the pressures of natural selection. Few scientific tenets are as certain as this one. But it’s easy to oversimplify that account and interpret it to mean that every modification in a species is adaptive, developed to fulfill a vital function.This tempting idea goes back as far as Erasmus Darwin, the grandfather of Charles Darwin, who considered adaptivity in his 1794 book Zoonomia. Or, the Laws of Organic Life, an early treatise on evolution.

As far as he could see, all animal traits seem to have evolved toward greater utility, with one exception. €œThe breasts and teats of all male quadrupeds, to which no use can now be assigned.” The Harmless NippleAs evolutionary theory progressed through another Darwin and beyond, biologists refined their understanding of its mechanisms. The evolutionary biologists Stephen Jay Gould and Richard Lewontin, in a highly influential (and provocative) 1979 paper, argued against the “Panglossian paradigm” of adaptation, which claims — like its indomitably optimistic namesake in Voltaire’s Candide — that evolution has crafted “the best of all possible worlds.”Gould and Lewontin contend that other factors besides natural selection control the operation of evolution, one being simply the lack of selective pressure against a trait. The male nipple doesn’t aid in survival and reproduction, but it doesn’t hinder, either. Why would natural selection do away with a harmless circle of flesh?.

In another paper, in 1993, Gould addressed the nipple query specifically. He wrote that of all the evolutionary conundrums for “well-informed nonscientific readers … no single item has evoked more puzzlement than the very issue that Erasmus Darwin chose as a primary challenge to his concept of pervasive utility — male nipples.” To Gould, the solution is straightforward. It requires “no adaptive explanation at all,” only the realization that evolution deals with more pressing matters than the superficial features of a man’s chest.Embryonic OriginsThere is, of course, a proximate explanation for the persistence of male nipples. In an odd way, Erasmus Darwin nearly glimpsed the truth in his own speculation two and a half centuries ago, when he suggested they were vestiges of an earlier stage of human evolution — a time “during the infancy of the world” when, he thought, all people were hermaphrodites. Males and females do, in fact, start from the same genetic blueprint.

Embryos, in their first weeks, develop structures with the potential to become either male or female sex organs. Only later do sex-specific hormones begin to mold those structures into either a clitoris or a penis, either functioning mammary glands or unproductive male nipples. “Males and females are not separate entities, shaped independently by natural selection,” Gould writes. €œBoth sexes are variants upon a single ground plan, elaborated in later embryology.” Nipples begin to appear before that sex differentiation begins, so males are stuck with them as they mature.It’s not entirely fair to say they serve no possible purpose, though. Under unusual conditions, like starvation or a spike in levels of the hormone prolactin, men can actually produce milk — to answer Robert DeNiro’s unforgettably funny and awkward inquiry in Meet the Parents.

As Pulitzer-prize-winning author Jared Diamond wrote in a 1995 Discover article titled Father’s Milk, “Lactation, then, lies within a male mammal’s physiological reach.”Nipples are also highly sensitive, and research shows that in men as well as women they respond to sexual stimulation. One study found that about half of men (and more than 80 percent of women) report nipple stimulation enhances their sexual arousal. Maybe these minor compensations, rather than a boost in physical and reproductive fitness, justify the male nipple’s existence..