“Without treatment, HIV infection advances in stages, getting worse over time. HIV gradually destroys the immune system and eventually causes acquired immunodeficiency syndrome (AIDS).

There is no cure for HIV, but treatment with HIV medicines (called antiretroviral therapy or ART) can slow or prevent HIV from advancing from one stage to the next. HIV medicines help people with HIV live longer, healthier lives. One of the main goals of ART is to reduce a person’s viral load to an undetectable level. An undetectable viral load means that the level of HIV in the blood is too low to be detected by a viral load test. People with HIV who maintain an undetectable viral load have effectively no risk of transmitting HIV to their HIV-negative partner through sex.”

NIH.gov (https://hivinfo.nih.gov/understanding-hiv/fact-sheets/stages-hiv-infection)

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“Chlamydia, gonorrhea, trichomoniasis, and syphilis are the four most common sexually transmitted diseases (STDs). However, according to new global estimates, each day there are more than one million new cases of these sexually transmitted infections. The worrying thing is although we have never known more about how to prevent these infections, rates of infection remain very high worldwide. The good news is that these four infections are curable.

Some sexually transmitted diseases (STDs), such as human immunodeficiency virus cannot be cured and are deadly. You can find out ways to protect yourself from the following STDs by learning more about these diseases.”

Medicine Net (https://www.medicinenet.com/what_are_the_top_10_stds/article.htm)

Sexually transmitted diseases (STDs) have been known to mankind for centuries. Before the advent of modern medicine, people’s lack of awareness and understanding of STDs contributed to the widespread transmission of the infections while few or no treatments were available to treat the conditions.

In medieval times, syphilis and gonorrhoea were two of the most prevalent STDs in Europe.

Some STDs can have severe, life-changing consequences; syphilis, for example, can eventually cause progressive destruction of the brain and spinal cord, leading to mental dysfunction and hallucinations, speech problems and general paresis.

It’s kind of puzzling that sexually transmitted diseases are so prevalent—particularly when you consider that you have to get pretty up close and personal to contract one. An STD is characterized by any disease that is spread by one partner to another via sexual contact, and that can be orally, vaginally, anally, or via hand to genital contact. Regardless, they are spread when one partner passes the disease-causing organism on to the other. Obviously, preventing STD transmission is first and foremost by practicing safe sex (PREVENTION) and not enough do it in America for some crazy reason hurting themselves and other people. However, if you think you might have contracted one of the most common STDs, recognizing the disease is imperative for swift treatment and preventing further spreading.

Top venereal diseases in the USA:

1-Gonorrhea

The Centers for Disease Control estimate that 700,000 new cases of Gonorrhea, or the “clap”, crop up every year. This long-term STD that is spread bacterially, affecting a female’s cervix, a male’s urethra, or the throat in both sexes, which means that it’s transmitted by vaginal, oral, and anal sex. The symptoms of gonorrhea are pretty subtle; the most noticeable being burning when urinating or a yellowish penile discharge in men.

2-Hepatitis

Sexually transmitted hepatitis is hepatitis B (or HBV), which afflicts more than 1.25 million individuals in the U.S. even though there is a vaccine. If left untreated, a Hep B infection will scar and damage the liver, causing cirrhosis and liver cancer. Unfortunately, over half of those affected show no symptoms, but those who do suffer muscle pain and fatigue, yellowing of the eyes (or jaundice), nausea, and a distended stomach.

3-Syphilis

Syphilis is a particularly sneaky STD that caused by a type bacterial infection of the genital tract, known as Treponema Pallidum. Syphilis is transmitted when direct contact is made between the small, painless sores on the mouth, rectum, vagina, or around the genitals in areas not protected by latex condoms. It can also be transmitted via infected mother to her baby during pregnancy. When there are no sores, the disease is still present. Syphilis symptoms are rare , however, the most telling are sores or lesions on and around the genitals, as well as hair loss, sore throat, fever; headache; and a white patchy skin rash.

4- Chlamydia

Like Gonorrhea, Chlamydia affects a man’s penile urethra and a woman’s cervix. However, oftentimes those who’ve contracted Chlamydia don’t show symptoms for months or even years, which explains why it’s the most common and rampant STD. If you do show symptoms, you’ll feel pain during intercourse and have a discolored, thick discharge from the vagina or penis. Transmitted via sexual penetration with an affected partner, using latex condoms can prevent transmission of this curable STD.

 5. Crabs

If you feel a creepy-crawly, itchy sensation in your genitals, you may have crabs (or public lice). They show themselves as visible eggs or lice in the coarse hair of the genital region (even if you shave it off), and they can spread to the armpits and eyebrows if left untreated. Typically transmitted via sexual contact, crabs can also be passed via contact with infested linens or clothing.

6. Human Papilloma Virus

Human Papilloma Virus (or HPV) is currently the most wide spread STD. It affects roughly three-quarters of the sexually active population and a staggering one-quarter of sexually active women, which is why there is a North American vaccine to protect young women from certain types of HPV that are linked to genital warts and cervical cancer. HPV is transmitted through genital contact—via vaginal and anal sex, and also oral sex and genital-to-genital contact. Most times HPV doesn’t show any symptoms until it’s far advanced, but genital warts as well as RRP, a condition where warts grow in the throat and eventually cause breathing difficulties are common.

7. Bacterial Vaginosis

Bacterial Vaginosis, or BV, is not always considered an STD even though it typically afflicts those of child-bearing age with multiple or new sex partners. BV occurs when healthy bacteria in the vagina overgrow and become imbalanced, causing burning and itching around the vagina and a thick, grey discharge with a strong fishy odor. Antibiotics will quickly clear up bouts of BV, but it can reoccur, leaving the victim prone to pelvic inflammatory disease, other STDs, and premature births (if pregnant).

 8. Herpes

Painful sores or lesions on your mouth or genitals may indicate herpes, a viral STD that comes in two forms HSV1 (herpes of the mouth) and HSV2 (herpes of the genitals). Herpes is transmitted skin-to-skin—for instance, from genital to genital, mouth to genital, or mouth to mouth contact with an infected individual, even when they don’t have visible sores. Even though herpes symptoms be treated with antibiotics, the virus never goes away and reoccurs typically 2 to 4 times per year.

9. Trichomoniasis

Trichomoniasis, or “trich”, often masks itself as a yeast infection or bacterial vaginosis (BV) in women with similar symptoms—including a thick, grey discharge, offensive vaginal odor, pain or burning intercourse, and itchiness. A parasitic trichomonas vaginalis infection affects the urethra and the vagina in women. It can be transmitted back and forth between sex partners (man to woman and woman to woman) via vaginal intercourse and contact. However, most men typically don’t have any symptoms.

10. HIV

HIV is transmitted via the exchange of body fluids—such as semen, vaginal secretions, blood, or breast milk. Within a month or 2 of contracting HIV, about 40 to 90-percent of those afflicted suffer from flu-like symptoms including fever, fatigue, achy muscles, swollen lymph glands, sore throat, headache, skin rash, dry cough, nausea, rapid weight loss, night sweats, frequent yeast infections (for women), cold sores, and eventually, pneumonia. Luckily, many individuals who are diagnosed early can live a long, productive life with HIV thanks to a combination of highly active anti-retroviral drug therapy, which prevents to progression to AIDS.

“According to the American Podiatric Medical Association, approximately 20 percent of the U.S. population has at least one foot problem annually. It may be the result of poor fitting shoes, or the result of an underlying health problem such as peripheral neuropathy, diabetes or obesity.

The average person takes approximately 10,000 steps per day, which adds up to three million steps per year. We carry approximately four to six times our body weight across the ankle joint when climbing up stairs or walking steep inclines. Good foot health is essential for an active life.”

Blanchard Valley Health System (https://www.bvhealthsystem.org/expert-health-articles/national-foot-health-awareness-month)

Does it seem like a blister or sore on your foot takes forever to heal? For slow-healing wounds, remember the 50/30 rule: 50 percent healed after 30 days or check with your doctor.

People with chronic health problems (like diabetes, peripheral arterial disease and other vascular conditions) are at greater risk to develop a wound that won’t heal. Why?  It slows down oxygen blood supply due to thicker blood in the blood stream due to high glucose levels called hyperglycemia; or its due to a blockage starting from mild to moderate blockage to even complete blockage in the leg slowing down oxygenated blood supply or none that is suppose to  get below where the complete block is in the leg down to the feet.  The furthest from the heart is the feet so that will show the first in symptoms with a wound and work up the leg till the blockage or until the high glucose is in normal range if its hyperglycemia.  Until the problem is resolved the wound worsens.

That’s why it’s important to get medical attention before a wound becomes infected or causes serious health risks.

Wound care experts recommend people at risk for foot wounds choose proper footwear, eat a healthy diet and maintain healthy glucose levels to prevent chronic problems.  A podiatrist is the expert to see first.

Nearly 7 million people in the U.S. live with a chronic wound today. One in four suffers from diabetic foot ulcers. Chronic wounds can lead to infection, limb loss and even loss of life.

Follow this advice to keep feet healthy and happy during the holiday seasons.  Now we are in spring and than summer around the corner in what we will be dealing with for our feet.  Tips would be:

• Moisturize – Dry winter air and cold temperatures, which we still get at this time with warmer in spring, can take a toll on skin. Moisturize feet daily to help avoid dry, cracked and irritated skin.  Than when there is summer weather; one perk of a beach-bound vacation is knowing that instead of snow soaking through your shoes or having your feet feeling toasty, you can lounge happily with your toes dangling in the warm weather, shoe-free with the sand at your feet. But also, the dream does come with its own set of tootsie troubles. “Even if you are just lying still on your back soaking up the rays, your feet are still vulnerable,” says American Podiatric Medical Association.  You can seriously sunburn your feet and no matter how upscale your hotel, athlete’s foot can lurk in all public pool areas.”
• Exercise your feet – Stretching is a good way to avoid muscle cramps. Stave off toe cramps by raising, pointing and curling your toes for five seconds. Repeat 10 times. Rotating your ankles can also help relax feet. Cup your heel and turn each ankle slowly five times to loosen ankle joints.
• Massage – Foot rubs not only feel good, they’re a great way to release tension, boost circulation and refresh skin after a long day on your feet. Take a few minutes to massage your feet at the end of a day of shopping and celebrating. Use lotion and take care of moisturizing at the same time!
• Pedicure properly – Picture-perfect toes are part of a great holiday wardrobe for many women. Whether you do it yourself or go to a salon, be sure your pedicure is done properly. Never use a razor to remove dead skin – opt for a good pumice stone instead. Don’t cut cuticles; push them back gently with a rubber tool made for this purpose. Use toenail clippers with a straight edge to cut nails straight across.
• Raise your legs – Feet and ankles can swell from sitting too long in one position (taking a long flight to grandma’s house for the holidays, for example) or if you’ve been on your feet all day (shopping, baking or cooking). Elevate your legs to reduce swelling. Lay or sit and lift your legs above your heart.
• Wear smart shoes – OK, so you’ll never give up your sparkly high heels when it’s time for that special soiree. But for other holiday activities such as shopping, traveling or cooking, ditch the high heels. When you know you’ll be on your feet all day, wear comfortable shoes with good arch support and a padded sole. See which types of footwear have received the Seal of Acceptance and Seal of Approval for promoting foot health.
• Get help – Feet shouldn’t hurt all the time. Persistent foot pain can be an indication of injury, irritation or illness. See a podiatrist if you experience pain; don’t wait until the holidays end.
• In case of minor foot problems, be prepared with the following on-the-go foot gear:
  • Flip flops—for the pool, spa, hotel room, and airport security check points
  • Sterile bandages—for covering minor cuts and scrapes
  • Antibiotic cream—to treat any skin injury
  • Emollient-enriched cream—to hydrate feet
  • Blister pads or moleskin—to protect against blisters
  • Motrin or Advil (anti-inflammatory)—to ease tired, swollen feet
  • Toenail clippers—to keep toenails trimmed
  • Emery board—to smooth rough edges or broken nails
  • Pumice stone—to soften callused skin
  • Sunscreen—to protect against the scorching sun
  • Aloe vera or Silvadene cream—to relieve sunburns

Remember a podiatrist is a doctor of podiatric medicine (DPM), a physician and surgeon who treats the foot, ankle, and related structures of the leg.  Without a foot it is harder to get around and without feet a wheelchair pretty much!  So take care of your feet if you want to stay active on your feet to living a therapeutic life.

BE GOOD TO YOUR FEET!!

All have a Happy Easter weekend and safe one !

“Alcohol use that turns into a use disorder develops in stages.

• At-risk stage: This is when you drink socially or drink to relieve stress or to feel better. You may start to develop a tolerance for alcohol.
• Early alcohol use disorder: In this stage, you have progressed to blackouts, drinking alone or in secret, and thinking about alcohol a lot.
• Mid-stage alcohol use disorder: Your alcohol use is now out of control and causes problems with daily life (work, family, financial, physical and mental health). Organ damage can be seen on lab tests and scans.
• End-stage alcohol use disorder: Drinking is now the main focus of your life, to the exclusion of food, intimacy, health and happiness. Despair, complications of organ damage and death are now close.”

Cleveland Clinic (https://my.clevelandclinic.org/health/diseases/3909-alcoholism)

“Early adolescence is a time of immense and often confusing changes for your son or daughter, which makes it a challenging time for both your youngster and you. Understanding what it’s like to be a teen can help you stay closer to your child and have more influence on the choices he or she makes—including decisions about using alcohol.  A young teen who feels that he or she doesn’t fit in is more likely to do things to try to please friends, including experimenting with alcohol. During this vulnerable time, it is particularly important to let your children know that in your eyes, they do measure up—and that you care about them deeply.

Alcohol use disorder is a medical condition involving frequent or heavy alcohol use. People with alcohol use disorder can’t stop drinking, even when it causes problems, emotional distress or physical harm to themselves or others.  Alcohol use disorder can be mild, moderate or severe. It can develop quickly or over a long period of time. It’s also called alcohol dependence, alcohol addiction or alcohol abuse.  Drinking too much alcohol can damage your health.”

NIH National Institute on Alcohol Abuse and Alcoholism (https://www.niaaa.nih.gov/publications/brochures-and-fact-sheets/make-a-difference-child-alcohol)