QUOTE FOR THURSDAY:

“According to the 2024 National Survey on Drug Use and Health (NSDUH), 228.4 million people ages 12 and older (79.2% in this age group) reported that they drank alcohol at some point in their lifetime.1,2 This includes:

  • 113.7 million males ages 12 and older (80.6% in this age group)1,2
  • 114.7 million females ages 12 and older (77.9% in this age group)1,2
  • 934,000 American Indian or Alaska Native people ages 12 and older (68.5% in this age group)1,2
  • 11.1 million Asian people ages 12 and older (59.7% in this age group)1,2
  • 25.1 million Black or African American people ages 12 and older (71.1% in this age group)1,2
  • 145.7 million White people ages 12 and older (85.4% in this age group)1,2
  • 5.1 million people of two or more races ages 12 and older (79.2% in this age group)1,2
  • 39.6 million Hispanic or Latino people ages 12 and older (72.5% in this age group)1,2
  • Estimates for Native Hawaiian or other Pacific Islander people ages 12 and older were not presented because they were based on a relatively small number of respondents or had a large margin of error.1,2
  • In 2022, the total cost for alcohol-associated liver disease in the United States was $31 billion.
  • About 178,000 (about 5% of all) yearly deaths from excessive alcohol occurred in 2020 and 2021 in the United States, an increase of approximately 29% compared to 2016 and 2017.3

National Institute on Alcohol Abuse and Alcoholism – NIH                      (Alcohol Use in the United States: Age Groups and Demographic Characteristics | National Institute on Alcohol Abuse and Alcoholism (NIAAA))

April is Alcohol Awareness – Learn factors that put you at risk for alcoholism, know the symptoms of intoxicated / withdrawal, the behaviors that prone you to heavy drinking and the cancers alcoholism can cause!

  

Factors that put you at risk for alcoholism:

  • Steady drinking over time. Drinking too much on a regular basis for an extended period or binge drinking on a regular basis can lead to alcohol-related problems or alcohol use disorder.
  • People who begin drinking at an early age, and especially in a binge fashion, are at a higher risk of alcohol use disorder. Alcohol use may begin in the teens, but alcohol use disorder occurs more frequently in the 20s and 30s. However, it can begin at any age.
  • Family history. The risk of alcohol use disorder is higher for people who have a parent or other close relative who has problems with alcohol. This may be influenced by genetic factors.
  • Depression and other mental health problems. It’s common for people with a mental health disorder such as anxiety, depression, schizophrenia or bipolar disorder to have problems with alcohol or other substances.
  • Social and cultural factors. Having friends or a close partner who drinks regularly could increase your risk of alcohol use disorder. The glamorous way that drinking is sometimes portrayed in the media also may send the message that it’s OK to drink too much. For young people, the influence of parents, peers and other role models can impact risk.

Alcohol intoxication results as the amount of alcohol in your blood stream increases. The higher the blood alcohol concentration is, the more impaired you become. Alcohol intoxication causes behavior problems and mental changes. These may include inappropriate behavior, unstable moods, impaired judgment, slurred speech, impaired attention or memory, and poor coordination. You can also have periods called “blackouts,” where you don’t remember events. Very high blood alcohol levels can lead to coma or even death.

Alcohol withdrawal can occur when alcohol use has been heavy and prolonged and is then stopped or greatly reduced. It can occur within several hours to four or five days later. Symptoms include sweating, rapid heartbeat, hand tremors, problems sleeping, nausea and vomiting, hallucinations, restlessness and agitation, anxiety, and occasionally seizures. Symptoms can be severe enough to impair your ability to function at work or in social situations.

Are you wondering if you drinking is on the high side or it crossed a line into a problem?  It may be time to make some changes and its never too LATE!

What could be telling you that your having a problem with drinking? Well if you are asking yourself any of the listed problems or asking yourself the followng questions listed below it maybe time to be checked or you get help:

1. You drink more than planned. If your coming into this situation drinking more than you planned to or longer than you thought than you are having problem controlling your alcohol!

2. You find yourself spending a long time drinking, even getting sick from the drinking but  and in time from the side effects of drinking recover.  Why even get to that point.  Keep track of your daily activities with seeing how often you drink in a diary and see if the bottles add up highier than one glass of wine a day or one or three glasses a week of alcohol.  Again you might see it adds up much higher than that.

3. Has your tolerance build up that you have to drink more for your buzz.  Your brain adapts over time to alcohol sensitivity and goes up when drinking high levels of alcohol.  Just like a completely different disease but similar concept.  In a pt without emphysema (COPD type the worst)  where in time the brain adjusts to CO2 – Carbon Dioxide levels with O2 levels.  A person without emphysema the brain makes us breath on low 02 levels but with a emphysema pt the brain makes them breath based on low CO2 levels since in time the brain developed sensitivity to it.

4. You crave alcohol frequently, another factor in making you want to seek help.  There are times you want to drink so badly bases on emotions or physical feelings you are experiencing that can trigger the craving.  You can be at a place (like a bar) triggering that craving.  That strong need or urge to drink can be triggered by people, places, things also.  When you have a trigger reacts to these factors differently than a social drinker’s does.

5.  You give up activities; what do you do for fun besides drinking?  Now yes life does change but what have you edged out of your life for drinking and or does everything you do entail a lot of drinking.  Has drinking stopped you from doing those things you use to do or pushed them out of your life.

6.  Are dropping the ball on life?   Take work, how many times have you come to work with a hang over, missed dead lines for your boss, or got behind on college work?  Now if your drinking in high school you know your under the age and its against the LAW!  When your drinking keeps you home sick or from your responsibilities that is a problem!

7.  Is it causing friction in your relationships?  If you care about your loved ones but can’t imagine your life without drinking that is a problem!  If your in this situation, this does not make you a bad person at all but like any problem you need to resolve it.  You need to look for help and make changes to help the relationship you have with a significant one in your life or with family members or friends to get those relationships back on the right track for both of you.

8. Are you having Withdrawal S/S from drinking?  (S/S are listed above under withdrawal).  Remember alcohol changes your brain’s chemistry.  When you drink heavy over a long period of time the brain has adapted to the high alcohol in your body.  So understand,  if you suddenly stop drinking your brain has to adjust again and with doing so this will make withdrawal s/s occur.

9.  Have you been put in the situation that you could have been hurt due to drinking or has an injury actual already happened.  Your brain didn’t react fast enough or was it from poor decision making that an injury almost occurred or actually happened (Examples of getting into risky situations due to your heavy drinking could be: Driving, swimming, getting into fights, poor sex-ending up with sexual transmitted diseases or passing on your STD like HIV for example and walking into dangerous areas getting hurt or someone else hurt.)

10. Getting sick with medical conditions or health problems due to your heavy drinking.  Alcohol can damage your liver, brain, heart, pancreas and even immune system.  It can even raise odds of getting certain cancers.

Drinking alcohol increases the risk of cancer. Drinking alcohol doesn’t mean that you’ll definitely get cancer, but the risk is higher the more alcohol you drink.

People might talk about some alcoholic drinks being better or worse for you than others. But all types of alcohol increase the risk of cancer – as it’s the alcohol itself that causes damage, even in small amounts.

So the more you can cut down on alcohol the more you can reduce your risk of cancer.

Drinking less alcohol has lots of other health benefits, too. You can reduce your risk of accidents, high blood pressure and liver disease by cutting back.

Alcohol can damages our cells and this can stop cells repairing damage.  Alcohol effects chemical signals which can make cells more likely to divide this in turn increases the chance of cancer to develop.  Alcohol makes it easier for cell in our mouth and throat to absorb cancer causing chemicals.

There are many ways that alcohol can cause cancer. Some of the main ways are:

  • Damage to cells. When we drink alcohol, our bodies turn it into a chemical, called acetaldehyde. Acetaldehyde can damage our cells and can also stop cells from repairing this damage.
  • Changes to hormones. Alcohol can increase the levels of some hormones in our bodies such as oestrogen and insulin. Hormones are chemical messengers, and higher levels of oestrogen and insulin can make cells divide more often. This increases the chance that cancer will develop.
  • Changes to cells in the mouth and throat. Alcohol can make it easier for cells in the mouth and throat to absorb harmful chemicals that cause damage.

Remember, it’s the alcohol itself that damages your body, even small amounts. It doesn’t matter whether you drink beer, wine or spirits. All types of alcohol can cause cancer.

There’s plenty of tricks that people claim ‘cure’ hangovers. But even if they work for your hangover, they don’t reverse the damage caused from drinking alcohol.

What types of cancer does alcohol cause?

Drinking alcohol causes 7 different types of cancer. This includes:

  • Breast cancer and bowel cancer (two of the most common types)
  • Mouth cancer
  • Some types of throat cancer: oesophagus (food pipe), larynx (voice box) and pharynx (upper throat)
  • Liver cancer
  • Colon and Rectum

 

QUOTE FOR WEDNESDAY:

“Contrary to what many people believe, false pregnancy is not only found in women but men as well. When a man suffers a false pregnancy, it is usually called Sympathetic Pregnancy.  This is more common when his significant other is pregnant and is dealing with the normal aches and pains that are associated with pregnancy. The medical term when men experience this is called Couvade.  Pseudocyesis is extremely rare in both men and women so doctors are still trying to piece together the root cause of the condition.”

American Pregnancy Association

Part II What is pseudocyesis? – Learn the symptoms and treatments of this diagnosis.

 

The risk of phantom pregnancy is higher in women who have depression or who have:

  • Lost a pregnancy
  • A history of infertility
  • A history of abuse or current abuse
  • Relationship instability

Phantom pregnancy symptoms

Phantom pregnancy symptoms are primarily the same as for pregnancy, including:

  • Menstrual changes (no period or irregular cycle)
  • Weight gain, swollen belly
  • Enlarged and tender breasts
  • Sensation of fetal movements
  • Gastrointestinal symptoms and abdominal pain
  • Nausea
  • Vomiting
  • Frequent urination
  • Food cravings

Phantom pregnancy treatments

If a woman has a phantom pregnancy, her caregiver will:

Provide evidence. This can be devastating to a woman who thought she was pregnant, but her caregiver will show her (with test results and/or an ultrasound if necessary) that she isn’t pregnant. The caregiver should strive to be empathetic. She might assure the patient that her belief that she was pregnant was understandable given the symptoms, for example.

Address other medical conditions. After determining that a woman has a phantom pregnancy, her caregiver will want to rule out – or address – other medical conditions that may be causing the pregnancy symptoms.

Reduce symptoms. If the woman isn’t having menstrual periods, for example, the caregiver may restore them with the use of hormonal intervention, if necessary. She might also help address symptoms such as nausea and fatigue.

 

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.