QUOTE FOR TUESDAY:

“A woman’s intuition is a funny thing. Most women know they are pregnant before they are even far enough along to take a test; we know our bodies and when something is different we can just feel it. What about a phantom pregnancy? There are times when even a woman’s intuition is off and our body tells us we are pregnant when in fact, we are not. This is a phenomenon called Pseudocyesis or a false pregnancy.”.

American Pregnancy Association – https://americanpregnancy.org/getting-pregnant/false-pregnancy/

Part I What is pseudocyesis? – Learn more about this disease and what causes this diagnosis.

  

A phantom pregnancy happens when a woman believes she’s pregnant and has pregnancy symptoms, but isn’t pregnant. It’s also called a false pregnancy or pseudocyesis. (People once also referred to it as an hysterical pregnancy or fake pregnancy.)

A phantom pregnancy or false pregnancy happens when a woman has pregnancy symptoms but isn’t pregnant. Phantom pregnancy is rare, and experts don’t know exactly what causes it, but it’s probably a combination of psychological and hormonal factors. In a phantom pregnancy, the pregnancy test comes back negative and an ultrasound shows that there’s no baby. A woman who has a false pregnancy will need plenty of support from her caregiver to deal with symptoms, any medical condition causing the phantom pregnancy, and the psychological aftermath.

Phantom pregnancies are rare. Estimates vary but range from 1 to 6 cases per 22,000 births in the United States. False pregnancies were more common in the past, before the widespread use of ultrasounds. Interestingly, they’re more common in cultures where motherhood and fertility are emphasized. In Africa, for example, the rates of phantom pregnancy are estimated at about 1 in 160.

Eighty percent of women who experience a phantom pregnancy are married, and most are between the ages of 20 and 44. It can happen at any age, though, including childhood or in the senior years. A woman can have a phantom pregnancy more than once. It can even (very rarely) happen to men. This is called a sympathetic pregnancy or Couvade syndrome.

No, a false pregnancy and a delusion of pregnancy aren’t the same. With a delusion, women don’t experience symptoms. Women who have a delusion of pregnancy are mentally ill and believe that they’re pregnant, even though they have no symptoms. It’s important for doctors to distinguish between the two because a delusional pregnancy requires different psychiatric treatment than a phantom pregnancy.

We don’t know what causes phantom pregnancy, though experts suggest that both psychological and hormonal factors are at play. (Because it’s such a rare condition, there’s not much data, and studies are largely based on individual case reports.) Basically, the body is tricked into thinking it’s pregnant. An increase in hormones such as estrogen and prolactin lead to pregnancy symptoms.

What causes this diagnsosis?

A psychosomatic condition. Because of intense pressure or desire to be pregnant, a woman’s brain triggers hormonal changes that cause pregnancy symptoms. This may happen when a woman has struggled with infertility or had a miscarriage or loss of an infant, or another traumatic event. It also sometimes happens to women who have an intense fear of pregnancy.

Some experts theorize that abdominal growth, the sensation of feeling fetal movement, and the experience of labor pain may be due to increased activity in the sympathetic nervous system (the body’s “fight or flight” system).

Another medical condition. Sometimes a completely unrelated illness can cause elevated hormonal levels or other physical reactions that lead to pregnancy symptoms. These conditions include ovarian tumors, severe depression, cancer, obesity, and ectopic pregnancy. Even weight gain, constipation, or gas – when paired with psychological factors – can cause abdominal distention that a woman may interpret as pregnancy. In one recent study, more than 16 percent of cases of phantom pregnancy were linked to medical conditions.

Major depressive disorders. Women with severe depression or severe stress may have changes in reproductive hormones. In addition, antipsychotic medications can cause some pregnancy-like symptoms, such as weight gain, loss of menstruation, and breast tenderness.

QUOTE FOR MONDAY:

“Prevent Blindness has designated April as Women’s Eye Health and Safety Month, accompanied by a range of free educational resources that eyecare professionals can use to engage and educate patients on vision risks and preventive care. The annual initiative is intended to raise awareness that women face a higher risk of several vision conditions, including age-related macular degeneration, glaucoma, dry eye, and vision changes linked to pregnancy and menopause.”

Ophthalmology Management (Prevent Blindness Designates April as Womens Eye Health and Safety Month | Ophthalmology Management)

Women’s eye health and safety month 2026

Two out of every three people living with blindness or vision problems are women, according to the National Eye Institute. And, data from The Future of Vision: Forecasting the Prevalence and Costs of Vision Problems study shows that women are at higher risk for certain eye diseases and conditions. Prevent Blindness has declared April as Women’s Eye Health and Safety Month in an effort to educate the public on the increased risk for women and vision health issues, as well as steps that can be taken to prevent vision loss.

Women have a higher prevalence of major vision problems, including:

  • Age-related Macular Degeneration
  • Autoimmune Diseases (such as Lupus or Sjögren’s Syndrome)
  • Cataract
  • Dry Eye
  • Glaucoma
  • Low Vision
  • Thyroid Eye Disease
  • Refractive Error

According to the World Health Organization’s World Report on Vision, women, on average, live longer than men, and are thus at greater risk of developing eye conditions associated with ageing. However, even after controlling for age, global estimates suggest that women with moderate and severe presenting distance vision impairment outnumber men by approximately 7 percent.

Gender and financial disparities can also create barriers to eyecare access for women.  A recent study published in JAMA Ophthalmology found that although women were more likely to use eye care, they are also more likely to report difficulty affording eyeglasses than men.

In addition to eye disease and conditions, women have unique health issues related to pregnancy and menopause due to fluctuating hormone levels. Women may notice changes in their ability to see clearly during pregnancy. Women with pre-existing conditions, like glaucoma, high blood pressure or diabetes, need to alert their eye doctor that they are pregnant (or planning to become pregnant). Additionally, dry eye leading to a clinical diagnosis or severe symptoms affects more than 3.2 million American women middle-aged and older.

As ophthalmologists and optometrists re-open their practices temporary closing of the office due to the COVID-19 pandemic, it is important that women make their vision health a priority to help detect vision issues early. Early and consistent treatment for most eye diseases can significantly reduce the risk of vision loss.

QUOTE FOR THE WEEKEND:

“Spring is a time of awakenings. As flowers begin bursting into bloom, many wildlife species once again get out and about after taking a long winter break. Whether they hibernate, brumate, enter diapause, or estivate, some animals use unique adaptations to survive during months when food is scarce and extreme temperatures make their normal daily activities impossible. And some of those species just might surprise you.

This spring, as wildlife venture out and about once again, take a moment to reflect on the amazing adaptations that help them survive and thrive in their unique ecosystems. Together with partners across the globe, and the support of allies like you, we’re working to save, protect, and care for wildlife and their habitats through our eight Conservation Hubs.”

San Diego Zoo Wildlife Alliance (Hibernation Secrets | San Diego Zoo Wildlife Alliance)

Those creatures waking up from hibernating since last year!

For animals that hibernate, making it to spring is no small feat. Torpor — the state of reduced bodily activity that occurs during hibernation — is not restful. By the time they emerge, hibernating animals are often sleep-deprived: Most expend huge bursts of energy to arouse themselves occasionally in the winter so their body temperatures don’t dip too low. This back-and-forth is exhausting, and hibernators do it with little to no food and water. By winter’s end, some have shed more than half their body weight.

But just because it’s spring doesn’t mean it’s time to celebrate. Spring means getting ready for the full speed of summer — and

With the onset of spring in the Northern Hemisphere, animals that hibernate are waking up from a long-period of deep sleep. They spent the winter hibernating to conserve energy when food was scarce. Animals that hibernate include bats, black bears, Arctic ground squirrels, and common poorwill birds. Many other species such as raccoons and skunks go into a state of torpor during the cold weather, which is a type of light hibernation. Most hibernators wake up during the months of March and April, but some do so as late as May.

This would include the following creatures:

1.) Bats                            

Many types of bats hibernate through the long, cold winter in caves. Bats that hibernate include the little brown bat, the big brown bat, and the northern long-eared bat. During hibernation, their body temperature, heart rate, breathing rate, and metabolism drop to very low levels. This allows them to get by without food or water and stay in a dormant state for long periods of time.

Fertilization happens a few days after females emerge from hibernation. After leaving their winter caves, they move to a large tree or another cave. “They want a warm, stable environment where they can develop their young,” said Joy M. O’Keefe, a bat expert and assistant professor at Indiana State University.

Bats often return to the same maternity spot year after year, sometimes traveling hundreds of miles to get there. Dozens of mothers will congregate at these sites, cuddling to keep warm. When their pups are born, 50 to 60 days later, mothers may help each other by taking turns foraging for insects and roosting with the group.  With no parenting responsibilities, and perhaps to avoid competing with the females, males will stay in torpor for longer — making their hibernation spaces real man caves in the spring.

As spring arrives, so do bats! Many naturalists state during this season looking for migrating salamanders and blossoming bloodroot.   They never thought much about what bats are doing this time of year.

It turns out these flying mammals, who retreated into hibernation back in the fall, are emerging from April through May, as the weather grows consistently warmer and insects again fill the air.

2.) Bears                                                         

When spring arrives and the snow begins to melt, bears start to wake up after months of hibernation. It is an exciting time of the year for bears and park visitors. When bears emerge from their dens, understandably hungry, they immediately begin to search for food. And there is plenty to eat.  Receding snow reveals vegetation rich in nutrients. Winter kill – deer, elk, moose or anything else that may fancy a bear’s taste buds, are easy pickings. It’s an important time of the year for a bear as it begins the process of nourishing itself, continually gorging on food throughout the year in preparation for hibernation in the fall.  For visitors beginning their spring and summer vacations, the emergence of bears means a chance to see a bruin in its natural habitat, its home. But it also means that another food source presents itself to bears – the food you may accidentally (or intentionally) leave behind or provide. Storing your food and disposing of garbage properly can mean life or death to a bear. Be sure to always properly store food in bear country. 

One of the many reasons people visit national parks with bears is to experience a wild place capable of supporting healthy populations of black and grizzly bears. When visitors become careless and do not properly store their food, bears are undoubtedly going to find it; their sense of smell is amazing. When visitors feed bears, it’s a recipe for trouble. If bears become used to approaching people and eating human food (we call that habituation), the bear no longer seeks the natural food it is supposed to be foraging for. This creates a management and safety problem for park visitors and bears. While park staff work to manage bears and visitors, sometimes there is a need to remove a bear from a park. Imagine what that does to the ecosystem and your experience as a visitor coming to see a bear. For many, it means the park experience is diminished, and the ecosystem isn’t as intact.

When we visit a park with bears, we are entering their home. As guests, proper behavior and etiquette on our part can contribute to a safe and enjoyable visit for us as our hosts.

3.) Arctic Squirrels:            

Arctic ground squirrels are the largest of the North American ground squirrel species, ranging from 524 up to 1,500 grams in weight, and 332 to 495 mm in length. They undergo seasonal changes in body mass and lose weight during hibernation. They exhibit sexual dimorphism, with males being larger than females. Body mass drastically varies seasonally, between summer foraging bouts and winter hibernation. They have tawny brown coloration with white flecks on the dorsal side of the pelage and a light tan or beige coloration on their undersides. Their undersides lighten during winter months.

During the onset of cold weather, Arctic ground squirrels dig deep burrows in the ground and hibernate. One scientist attached temperatures sensors to their abdomens and recorded body temperatures in hibernating squirrels as low as -2.9 degrees Celsius (26.8 degrees Fahrenheit), which is below the temperature that water freezes! The squirrel’s blood, however, does not freeze in part because it is salty and also because they have some sort of “super cool” supercooling mechanism that protects them. Scientists are actively researching the brain activity of hibernating Arctic ground squirrels for insights into how to protect people from neurodegenerative diseases like Alzheimer’s and to help them recover from brain injuries. Specifically, the brains of Arctic ground squirrels show a remarkable ability to bounce back after months of dormancy that degrades neuronal connections.

Arctic ground squirrels generally begin hibernation in the beginning of August and wake up in early April, when the males dig their way out from underground.

4.) Common poorwill

 

Most birds migrate south when the weather turns cold, but the common poorwill stays put and hibernates. Poorwills are the only bird species known to hibernate. They can be found in the western United States and Canada. Native Americans often referred to this bird as “the sleeping one.”

5.) Torpor = Racco0n and Skunk

Torpor is a state of light hibernation that many animals enter into to survive the winter. Animals that use torpor as a survival strategy include raccoons and skunks.

While there is no bright line that separates animals that hibernate from those that use torpor, it generally comes down to the length of time that an animal spends in dormancy and the extent to which its body temperature and metabolic rate are depressed. Torpor is associated with brief periods of dormancy, sometimes for only a few hours, and small physiological changes, whereas hibernation is associated with lengthy periods of dormancy and large physiological changes.

6.) Reptiles:

Scientists use the term brumation to refer to hibernating-like states in reptileswhich are not warm-blooded animals so the physiological responses are a bit different from those in mammals and birds. Insects enter cold-induced dormant periods too, and this is referred to by the term diapause. Often on the internet, the term hibernation will be used as a catch-all phrase for all of these types of dormant states.

The exact triggers that cause an animal to enter into and emerge from hibernation aren’t well known, but combinations of factors such as changes in temperature, daylight, and food availability are thought to play an important role. Especially critical is an animal’s internal biological clock, which will initiate hormone changes when it is time for the animal to wake up.

Bottom line: Hibernation is a survival strategy that animals use during the winter to conserve energy when food is scarce. Animals that hibernate include bats, black bears, Arctic ground squirrels, and common poorwill birds.

QUOTE FOR FRIDAY:

“As we step into April, it’s time to shine a light on a vital yet often overlooked aspect of our health: our feet! April is designated as Foot Health Awareness Month, a perfect opportunity to educate ourselves about the importance of foot care and to make conscious efforts to maintain our foot health.

Our feet are the foundation of our mobility, carrying us through life’s journeys, big and small. On average, we take around 8,000 to 10,000 steps each day, which adds up to approximately 115,000 miles over a lifetime! With such a heavy workload, it’s crucial to give our feet the attention they deserve. Neglecting foot care can lead to a myriad of issues, including bunions, plantar fasciitis, and even chronic pain.

One of the best ways to celebrate Foot Health Awareness Month is to prioritize proper footwear. Ill-fitting shoes can lead to a host of problems, from blisters and calluses to more serious conditions like arthritis. When shopping for shoes, ensure they provide adequate support, have a comfortable fit, and allow for natural movement. Remember, style shouldn’t come at the cost of comfort!”

Harvard Health Publishing /Harvard Medical School (Healthy feet, happy life – Harvard Health)

 

Foot Health Awareness Month – Tips for happy healthy feet!

 

 10000 steps=5 miles

April is National Foot Health Awareness Month and research shows that approximately 20 percent of Americans experience at least one foot problem each year. These issues can be the result of an underlying health problem such as obesity, diabetes, or peripheral neuropathy.

Today Dr. Amanda Bartell and Dr. Andrew Bartell of North Florida Foot & Ankle Center in Jacksonville, FL, Southside, and Duval County are sharing their tips for happy, healthy feet!

  • Examine your feet each day, using a mirror – if needed – to inspect the bottom of your feet for cracks, peeling, injuries or dry skin. This is particularly important if you have diabetes to avoid a non-healing wound.
  • Wear shoes in public areas where your feet can be scratched or cut, leading to infection, athlete’s foot or plantar warts.
  • Replace the shoes you wear to exercise every six months or 500 miles to avoid heal and foot pain when the inside of the shoe begins to lose support.
  • Stretch your ankles, lower legs and feet daily and before any activity to avoid injury.
  • Thoroughly dry your feet and between your toes after bathing to reduce the risk of fungal infections. Follow up by applying a good moisturizer.
  • Don’t leave polish on nails all the time as it can lead to fungal toenails.
  • Apply sunscreen on ankles and between toes to avoid sunburn and guard against skin cancer.
  • There is a good chance you will not wear the same size in shoes your entire life, so have them measured on a regular basis.
  • Maintain a healthy weight because extra weight puts pressure on the feet, often causing heel or foot pain, circulatory problems, arthritis, and stress fractures.
  • Try to wear shoes with good support and a low heel and use custom orthotics to provide proper arch support.

QUOTE FOR THURSDAY:

“Pulmonary fibrosis is scarring in your lungs. It can make it hard to expand your lungs and get enough oxygen to your body. It can be idiopathic (without a known cause) or result from autoimmune diseases, environmental factors or medications. Pulmonary fibrosis usually gets worse over time, but how quickly it gets worse is different for everyone.

 You might also be at a higher risk for pulmonary fibrosis if you:

  • Are 65 or older
  • Are male
  • Have a family member with pulmonary fibrosis
  • Have certain conditions caused by changes in your DNA, like dyskeratosis congenita (a rare type of bone marrow failure)”

Cleveland Clinic (Pulmonary Fibrosis: Causes, Symptoms & Treatment)

 

Part II Pulmonary Fibrosis Awareness – The symptoms, complications, how its diagnosed and the treatments for it.

Symptoms

Signs and symptoms of pulmonary fibrosis may include:

  • Shortness of breath (dyspnea)
  • A dry cough
  • Fatigue
  • Unexplained weight loss
  • Aching muscles and joints
  • Widening and rounding of the tips of the fingers or toes (clubbing)

The course of pulmonary fibrosis — and the severity of symptoms — can vary considerably from person to person. Some people become ill very quickly with severe disease. Others have moderate symptoms that worsen more slowly, over months or years.

Some people may experience a rapid worsening of their symptoms (acute exacerbation), such as severe shortness of breath, that may last for several days to weeks. People who have acute exacerbations may be placed on a mechanical ventilator. Doctors may also prescribe antibiotics, corticosteroid medications or other medications to treat an acute exacerbation.

Complications

Complications of pulmonary fibrosis may include:

  • High blood pressure in your lungs (pulmonary hypertension). Unlike systemic high blood pressure, this condition affects only the arteries in your lungs. It begins when the smallest arteries and capillaries are compressed by scar tissue, causing increased resistance to blood flow in your lungs.This in turn raises pressure within the pulmonary arteries and the lower right heart chamber (right ventricle). Some forms of pulmonary hypertension are serious illnesses that become progressively worse and are sometimes fatal.
  • Right-sided heart failure (cor pulmonale). This serious condition occurs when your heart’s lower right chamber (ventricle) has to pump harder than usual to move blood through partially blocked pulmonary arteries.
  • Respiratory failure. This is often the last stage of chronic lung disease. It occurs when blood oxygen levels fall dangerously low.
  • Lung cancer. Long-standing pulmonary fibrosis also increases your risk of developing lung cancer.
  • Lung complications. As pulmonary fibrosis progresses, it may lead to complications such as blood clots in the lungs, a collapsed lung or lung infections.

Diagnosis

To diagnose your condition, your doctor may review your medical and family history, discuss your signs and symptoms, review any exposure you’ve had to dusts, gases and chemicals, and conduct a physical exam. During the physical exam, your doctor will use a stethoscope to listen carefully to your lungs while you breathe. He or she may also suggest one or more of the following tests.

Imaging tests

  • Chest X-ray. A chest X-ray shows images of your chest. This may show the scar tissue typical of pulmonary fibrosis, and it may be useful for monitoring the course of the illness and treatment. However, sometimes the chest X-ray may be normal, and further tests may be required to explain your shortness of breath.
  • Computerized tomography (CT) scan. CT scanners use a computer to combine X-ray images taken from many different angles to produce cross-sectional images of internal structures in the body. A high-resolution CT scan can be particularly helpful in determining the extent of lung damage caused by pulmonary fibrosis. Also, some kinds of fibrosis have characteristic patterns.
  • Echocardiogram. An echocardiogram uses sound waves to visualize the heart. It can produce still images of your heart’s structures, as well as videos that show how your heart is functioning. This test can evaluate the amount of pressure occurring in the right side of your heart.

Lung function tests

  • Pulmonary function testing. Several types of pulmonary function tests may be conducted. In a test called spirometry, you exhale quickly and forcefully through a tube connected to a machine. The machine measures how much air your lungs can hold and how quickly you can move air in and out of your lungs. Other tests may be conducted to measure your lung volumes and diffusing capacity.
  • Pulse oximetry. This simple test uses a small device placed on one of your fingers to measure the oxygen saturation in your blood. Oximetry can serve as a way to monitor the course of the disease.
  • Exercise stress test. An exercise test on a treadmill or stationary bike may be used to monitor your lung function when you’re active.
  • Arterial blood gas test. In this test, your doctor tests a sample of your blood, usually taken from an artery in your wrist. The oxygen and carbon dioxide levels in the sample are then measured.

Tissue sample (biopsy)

If other tests haven’t diagnosed the condition, doctors may need to remove a small amount of lung tissue (biopsy). The biopsy is then examined in a laboratory to diagnose pulmonary fibrosis or rule out other conditions. The tissue sample may be obtained in one of these ways:

  • Bronchoscopy. In this procedure, your doctor removes very small tissue samples — generally no larger than the head of a pin — using a small, flexible tube (bronchoscope) that’s passed through your mouth or nose into your lungs. The tissue samples are sometimes too small for an accurate diagnosis. The biopsy may also be used to rule out other conditions.The risks of bronchoscopy are generally minor and might include a temporary sore throat or discomfort in your nose from the passage of the bronchoscope. However, serious complications can include bleeding or a deflated lung.During bronchoscopy, your doctor may conduct an additional procedure called bronchoalveolar lavage. In this procedure, your doctor injects salt water through a bronchoscope into a section of your lung, and then immediately suctions it out. The solution that’s withdrawn contains cells from your air sacs.Although bronchoalveolar lavage samples a larger area of the lung than other procedures do, it may not provide enough information to diagnose pulmonary fibrosis. It might also be used to rule out other conditions.
  • Surgical biopsy. Although a surgical biopsy is more invasive and has potential complications, it may be the only way to obtain a large enough tissue sample to make an accurate diagnosis. This procedure may be done as a minimally invasive surgery, called video-assisted thoracoscopic surgery (VATS), or as an open surgery (thoracotomy).During VATS, your surgeon inserts surgical instruments and a small camera through two or three small incisions between your ribs. The camera allows your surgeon to view your lungs on a video monitor while removing tissue samples from your lungs. This procedure is performed after you’ve been given a general anesthetic, so you’ll be asleep during the procedure.During open surgery (thoracotomy), a surgeon removes a lung sample through an incision in the chest between your ribs. The procedure takes place after you’ve been given a general anesthetic.

Blood tests

Doctors may also order blood tests to evaluate your liver and kidney function, and to test for and rule out other conditions.

Treatments

The lung scarring that occurs in pulmonary fibrosis can’t be reversed, and no current treatment has proved effective in stopping progression of the disease. Some treatments may improve symptoms temporarily or slow the disease’s progression. Others may help improve quality of life. Doctors will evaluate the severity of your condition to determine the most appropriate treatment for your condition.

Medications

Your doctor may recommend newer medications, including pirfenidone (Esbriet) and nintedanib (Ofev). These medications may help slow the progression of idiopathic pulmonary fibrosis. Both medications have been approved by the Food and Drug Administration (FDA). Additional medications and new formulations of these medications are being developed but have not yet been FDA approved.

Nintedanib can cause side effects such as diarrhea and nausea. Side effects of pirfenidone include rash, nausea and diarrhea.

Researchers continue to study medications to treat pulmonary fibrosis.

Doctors may recommend anti-acid medications to treat gastroesophageal reflux disease (GERD), a digestive condition that commonly occurs in people with idiopathic pulmonary fibrosis.

Oxygen therapy

Using oxygen can’t stop lung damage, but it can:

  • Make breathing and exercise easier
  • Prevent or lessen complications from low blood oxygen levels
  • Reduce blood pressure in the right side of your heart
  • Improve your sleep and sense of well-being

You may receive oxygen when you sleep or exercise, although some people may use it all the time. Some people carry a canister of oxygen, making them more mobile.

Pulmonary rehabilitation

Pulmonary rehabilitation can help you manage your symptoms and improve your daily functioning. Pulmonary rehabilitation programs focus on:

  • Physical exercise to improve your endurance
  • Breathing techniques that may improve lung efficiency
  • Nutritional counseling
  • Counseling and support
  • Education about your condition

Lung transplant

Lung transplantation may be an option for people with pulmonary fibrosis. Having a lung transplant can improve your quality of life and allow you to live a longer life. However, a lung transplant can involve complications such as rejection and infection. Your doctor may discuss with you if a lung transplant may be appropriate for your condition.