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.

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.