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SALT LAKE CITY, Feb cheap kamagra pills. 23, 2022 /PRNewswire/ -- Health Catalyst, Inc. ("Health Catalyst," cheap kamagra pills Nasdaq.

HCAT), a leading provider of data and analytics technology and services to healthcare organizations, today announced an engagement with Temple University Health System, a major Philadelphia-based academic health system recognized for its work driving medical advances through clinical innovation, pioneering research and world-class education. Temple Health selected Health Catalyst cheap kamagra pills PowerCosting™, a part of Health Catalyst's Financial Empowerment Suite, to power the healthcare organization's financial transformation while ensuring excellence in clinical outcomes and improvements. Nick Barcellona, Temple Health's Chief Financial Officer, shared his excitement over this announcement and how it reinforces the health system's commitment to being a leader in delivering high quality and high value care to the community it serves in Philadelphia.

Barcellona's roots in finance were established in long-cycle manufacturing cost accounting, which fostered cheap kamagra pills his passion to constantly enhance his team's ability to provide cost insight to their operational and clinical partners. "The Temple Health team views this engagement as a key strategic investment to ensure the highest value in clinical care for patients, while successfully focusing on population health and risk-based contracting," Barcellona commented.Health care executives across the country continue to navigate the perfect storm of a shifting payer mix, ongoing erectile dysfunction treatment challenges, and ever-increasing expenses. This navigation requires cheap kamagra pills an integrated and comprehensive view of data.

The Financial Empowerment Suite leverages the Health Catalyst Data Operating System (DOS™) platform and gives healthcare leaders across the organization this critical view. PowerCosting, as part of the Financial Empowerment Suite, helps Temple Health to understand its true costs as the healthcare organization works to use resources more effectively and provide the best care possible cheap kamagra pills for patients. Chris Snyder, Temple Health's Vice President of Financial Operations and Business Intelligence, said his team is pleased to partner with Health Catalyst for activity-based costing solutions.

"Health Catalyst's experience implementing precise cost accounting methodologies and business intelligence tools at complex academic healthcare providers gave us confidence that we will garner the insight we need into ways to optimize the value-based patient care we provide," Snyder said. "With reimbursement cheap kamagra pills under continued pressure, identifying efficiencies and reducing variability of care are critical steps to maintaining performance. These tools will equip us to meet that challenge," he added.

Dan Burton, CEO of Health Catalyst shared, "We cheap kamagra pills are honored to partner with Temple Health, a top-tier academic and healthcare organization, in their effort to transform their financial future and achieve continued clinical success. I'm confident that our PowerCosting solution combined with Temple Health's commitment to excellence, will enable the organization to achieve measurable, data-informed healthcare improvement."About Health CatalystHealth Catalyst is a leading provider of data and analytics technology and services to healthcare organizations committed to being the catalyst for massive, measurable, data-informed healthcare improvement. Its customers leverage the cloud-based data platform—powered by data from more than 100 million patient records and encompassing trillions of facts—as cheap kamagra pills well as its analytics software and professional services expertise to make data-informed decisions and realize measurable clinical, financial, and operational improvements.

Health Catalyst envisions a future in which all healthcare decisions are data informed.Media Contact:Amanda HundtVice President, Corporate Communicationsamanda.hundt@healthcatalyst.com View original content to download multimedia:https://www.prnewswire.com/news-releases/temple-university-health-system-selects-health-catalysts-data-platform-to-help-strengthen-financial-performance-and-optimize-value-based-care-301487854.htmlSOURCE Health CatalystSALT LAKE CITY, Feb. 22, 2022 cheap kamagra pills /PRNewswire/ -- Health Catalyst, Inc. ("Health Catalyst," Nasdaq.

HCAT), a leading provider of data and analytics technology and services to healthcare organizations, today announced that it has entered into a definitive agreement to acquire cheap kamagra pills KPI Ninja, a Lincoln, Nebraska-based provider of interoperability solutions and population health analytics. KPI Ninja's end-to-end technology solution combines the agility of a centralized platform with interoperability and analytic technology. Health Catalyst believes cheap kamagra pills KPI Ninja's powerful and flexible event-driven data processing capabilities, a natural complement to Health Catalyst's Data Operating System (DOS™) Platform, will empower customers with the ability to build and customize new services, clinical solutions, and operational tools around their core care systems, without the major refactoring and processing typically required of these systems.

Additionally, Health Catalyst expects KPI Ninja's ability to seamlessly ingest, aggregate, and analyze varied data sources from inside and outside the hospital, such as FHIR, Hl7 V2, CCDs, flat files, and APIs, will bolster Health Catalyst's existing data processing capabilities and maximize functionality of Health Catalyst's Analytics Applications layer. Health Catalyst is committed to enabling KPI Ninja's focus to be on continued outstanding execution and delivery to existing clients, with its current client support teams and relationships uninterrupted in enabling this focus and execution. We anticipate that these attributes, together with Health Catalyst, will help ensure data is ready to power insights at every step of the decision-making process, allowing customers to see results faster with greater cost efficiency."KPI Ninja's powerful and flexible event-driven streaming capability strengthen our ability to offer innovative solutions within the healthcare data and cheap kamagra pills analytics technology ecosystem and our ability to support healthcare organizations on their clinical, financial, and operational improvement journeys," said Dan Burton, CEO of Health Catalyst.

"We look forward to welcoming every current KPI Ninja team member to Health Catalyst, and we are committed to supporting, as the top-priority, the current team's efforts to continue to deliver these tremendous solutions, consistently, and without interruption or disruption, to KPI Ninja's current clients.""Both Health Catalyst and KPI Ninja share a common vision of advancing health care through arming health with data-driven insights," said Vineeth Yeddula, CEO of KPI Ninja. "By combining our technologies, we make a giant step toward advancing cheap kamagra pills our shared vision. We are grateful to have Health Catalyst's support as we continue to serve our existing clients, ensuring the delivery of world class KPI Ninja products and services without interruption, while we continue to expand our footprint and maximize the value we deliver to the industry."About Health CatalystHealth Catalyst is a leading provider of data and analytics technology and services to healthcare organizations committed to being the catalyst for massive, measurable, data-informed healthcare improvement.

Its customers leverage the cloud-based data platform—powered by data from more than 100 million patient records and encompassing trillions of cheap kamagra pills facts—as well as its analytics software and professional services expertise to make data-informed decisions and realize measurable clinical, financial, and operational improvements. Health Catalyst envisions a future in which all healthcare decisions are data informed.About KPI NinjaKPI Ninja is a mission-driven company that offers technology solutions that enable and empower those that work in the health care enterprise. As a leading provider of interoperability, enterprise analytics and value-based care solutions, KPI Ninja is known cheap kamagra pills for its powerful capabilities, flexible configurations, and comprehensive applications to fulfill the promise of data-driven health care.

Its platform is aligned to initiatives led by CMS, ONC, NCQA, including holding NCQA's Data Aggregator Validation (DAV) Certified Data Partner status, eCQM Certification, Measure Certification for HEDIS® Health Plan 2021, PCMH and PCSP Prevalidations, ONC Health IT Certification and is an eHealth Exchange Validated Product - demonstrating the commitment to serving as a trusted brand. Cautionary Note Regarding Forward-Looking StatementsThis press release contains forward-looking statements relating to expectations, plans, and prospects including expectations relating to our ability to close, and the timing of the closing of, this transaction and the benefits that will be derived from this cheap kamagra pills transaction. These forward-looking statements are based upon the current expectations and beliefs of Health Catalyst's management as of the date of this release, and are subject to certain risks and uncertainties that could cause actual results to differ materially from those described in the forward-looking statements including, without limitation, the risk of adverse and unpredictable macro-economic conditions and risks related to closing this transaction and integration of the companies.

All forward-looking statements in this press release are based on information available to the Company as of the date hereof, and Health Catalyst disclaims any obligation to update these forward-looking statements.Contact:Amanda HundtVP of Corporate Communications amanda.hundt@healthcatalyst.com View original content to download multimedia:https://www.prnewswire.com/news-releases/health-catalyst-announces-intent-to-acquire-kpi-ninja-301487106.htmlSOURCE Health Catalyst.

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What happens when you take a reassuring whiff of your morning coffee or recoil buy kamagra oral jelly online usa in horror when you sniff the cream and realize it’s gone bad?. Your nose is loaded with special cells called "olfactory sensory neurons," and each of these neurons has one (and only one) odor receptor. When many molecules in the air around you stimulates one of these odor receptors, it sends a message directly to the brain, explains buy kamagra oral jelly online usa Justin Turner, otolaryngologist and director of the Smell and Taste Center at Vanderbilt University. Then your brain quickly identifies the scent and says, "Ah yes, that’s spoiled milk. Put it down now!.

"But despite the occasional spoiled buy kamagra oral jelly online usa milk or gas leak, modern humans don’t depend too much on smell to find food or to take care of other living necessities, explains Turner. That’s likely why our sense of smell isn’t as keen as many other animals.That doesn’t mean we can’t depend on it, however. Super SmellersThere is a great deal of variability in normal olfactory acuity, says Turner. And most buy kamagra oral jelly online usa of that comes down to genetics (women typically have higher smell acuity than men) or anatomy, such as a deviated septum. Temporary conditions (inflamed sinuses, for example) can dampen your sense of smell.

In addition, smell buy kamagra oral jelly online usa acuity lessens as we age.Some people, however, are super smellers. Hyperosmia is a rare condition in which the sense of smell is super-charged. Because it’s so rare, scientists don’t know much about the condition. Some illnesses, such as migraines, are buy kamagra oral jelly online usa associated with hyperosmia. While some of us are better smellers than others, most of us are better at it than we might realize.

In a 2017 review of the literature, John McGann found that humans are about as average as mammals when it comes to the sense of smell. Humans can follow a buy kamagra oral jelly online usa scent trail with an ability that might give bloodhounds pause, describes McGann in an interview with the journal Science about this paper. McGann is a neuroscientist who studies how the brain processes sensory input. (Here is an entertaining video of the experiment.) Muscles at WorkStill, most of us could probably do better in the day-to-day use of our sense of smell. Lacking some pathology or abnormal buy kamagra oral jelly online usa structure, much of our ability to smell comes down to habit and practice.

"If you’re a sommelier and you focus your efforts into smelling wine, then your brain puts extra effort into smelling wine," says Turner. In other words, buy kamagra oral jelly online usa if you try, you can train your brain to recognize smells — you can build your "smell muscles," so to speak. Turner and the other doctors at Vanderbilt’s Smell and Taste Center use this fact to help people who’ve lost their sense of smell due to erectile dysfunction treatment, or some other reason. The method is called olfactory retraining. The patient sniffs different scents or odors a couple of times a day buy kamagra oral jelly online usa for several months.

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Put it down now!. "But despite the occasional spoiled milk or gas leak, modern humans don’t depend too much on smell to find food cheap kamagra pills or to take care of other living necessities, explains Turner. That’s likely why our sense of smell isn’t as keen as many other animals.That doesn’t mean we can’t depend on it, however. Super SmellersThere is a great deal of variability in normal olfactory acuity, says Turner.

And most of cheap kamagra pills that comes down to genetics (women typically have higher smell acuity than men) or anatomy, such as a deviated septum. Temporary conditions (inflamed sinuses, for example) can dampen your sense of smell. In addition, smell acuity lessens as we age.Some people, however, are super cheap kamagra pills smellers. Hyperosmia is a rare condition in which the sense of smell is super-charged.

Because it’s so rare, scientists don’t know much about the condition. Some illnesses, such as migraines, are associated cheap kamagra pills with hyperosmia. While some of us are better smellers than others, most of us are better at it than we might realize. In a 2017 review of the literature, John McGann found that humans are about as average as mammals when it comes to the sense of smell.

Humans can follow a scent trail with an ability that might give bloodhounds pause, describes McGann cheap kamagra pills in an interview with the journal Science about this paper. McGann is a neuroscientist who studies how the brain processes sensory input. (Here is an entertaining video of the experiment.) Muscles at WorkStill, most of us could probably do better in the day-to-day use of our sense of smell. Lacking some cheap kamagra pills pathology or abnormal structure, much of our ability to smell comes down to habit and practice.

"If you’re a sommelier and you focus your efforts into smelling wine, then your brain puts extra effort into smelling wine," says Turner. In other words, if you try, you can train your brain to recognize smells — you can build your cheap kamagra pills "smell muscles," so to speak. Turner and the other doctors at Vanderbilt’s Smell and Taste Center use this fact to help people who’ve lost their sense of smell due to erectile dysfunction treatment, or some other reason. The method is called olfactory retraining.

The patient sniffs different scents or odors a couple of times a day for cheap kamagra pills several months. "The idea here is that you’re constantly stimulating those olfactory neurons and stimulating the brain and its processing power," explains Turner.Even if you haven’t lost your sense of smell, you can use a similar technique to improve it. In other words, practice. "A good example is a fragrance cheap kamagra pills expert," says Turner.

"These people get paid lots of money to identify fragrances and identify pleasurable smells that will go well together. To be able to do this, they practice, sometimes for years." If you want a better sense of smell, the next time you stop to smell the roses, pay attention..

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AdvertisementContinue reading the main storySupported byContinue reading the main storyWhy Heart Disease in Women Is So Often Missed or DismissedNew research shows that women may not realize their symptoms point to heart trouble, and that medical providers aren’t picking up buy kamagra pill on it either.Send any friend a storyAs a subscriber, you have 10 gift articles to give each month. Anyone can read what you share.22Credit...Charlotte FuMay 9, buy kamagra pill 2022, 9:53 a.m. ETHeart disease is the leading cause of death among men and women in America, killing nearly 700,000 people a year.

But studies have long shown that women are more likely than men to dismiss the warning signs of buy kamagra pill a heart attack, sometimes waiting hours or longer to call 911 or go to a hospital.Now researchers are trying to figure out why. They have found that women often hesitate to get help because they tend to have more subtle heart attack symptoms than men — but even when they do go to the hospital, health care providers are more likely to downplay their symptoms or delay treating them. Health authorities say that heart disease in women remains widely underdiagnosed and under treated, and that these factors contribute to worse outcomes among women and heightened rates buy kamagra pill of death from the disease.Most studies suggest that a major reason women delay seeking care — and are often misdiagnosed — is because of the symptoms they develop.

While chest pain or discomfort is the most common sign of a heart attack in both sexes, women who have heart attacks are far less likely than men to have any chest pain at all. Instead, they often have symptoms that can be harder buy kamagra pill to associate with cardiac trouble, like shortness of breath, cold sweats, malaise, fatigue and jaw and back pain. A report by the American Heart Association found that heart attacks are deadlier in women who do not exhibit chest pain, in part because it means both patients and doctors take longer to identify the problem.But when women suspect they are having a heart attack, they still have a harder time getting treated than men do.

Studies show they are more likely to buy kamagra pill be told that their symptoms are not cardiovascular related. Many women are told by doctors that their symptoms are all in their head. One study found that women complaining of symptoms consistent with heart disease — including chest pain — were twice as likely to be diagnosed with a mental illness compared to men who complained of identical symptoms.Women face longer waits and slower diagnosis.In a study published this month in the Journal of the American Heart buy kamagra pill Association, researchers analyzed data on millions of emergency room visits before the kamagra and found that women — and especially women of color — who complained of chest pain had to wait an average of 11 minutes longer to see a doctor or nurse than men who complained of similar symptoms.

Women were less likely to be admitted to the hospital, they received less thorough evaluations and they were less likely to be administered tests like an electrocardiogram, or EKG, which can detect cardiac problems.Dr. Alexandra Lansky, a cardiologist at Yale-New Haven Hospital, recalled one patient who had gone to multiple doctors complaining of jaw pain, only to be referred to a buy kamagra pill dentist, who extracted two molars. When the jaw pain didn’t go away, the woman went to see Dr.

Lansky, who discovered the problem was heart related buy kamagra pill. €œShe ended up having bypass surgery because the jaw pain was heart disease,” said Dr. Lansky, who directs the buy kamagra pill Yale Cardiovascular Research Center.Over the years, health authorities have tried to address the gender gap in cardiovascular care through a variety of public service campaigns.

The federal government and the American Heart Association launched campaigns to increase awareness of heart disease and its symptoms among women, as did the Women’s Heart Alliance, which started placing ads last year on Facebook, Instagram, and thousands of radio and television stations. Set to music from buy kamagra pill Lady Gaga, the group’s ads urge women to “know the signs” of a heart attack, which it cautions can be as vague as sweating, dizziness or unusual fatigue.In January, a group of scientists published a study that delved into the factors that drive women to delay seeking care for their cardiac troubles. They found that the absence of chest pain or discomfort was a major reason.

The study, published in the journal Therapeutics and Clinical Risk Management, looked at 218 men and women who were treated for heart attacks at four different hospitals in New York before the kamagra buy kamagra pill. It found that 62 percent of the women did not have any chest pain or discomfort, compared to just 36 percent of the men. Many women reported shortness of breath as well as gastrointestinal symptoms like buy kamagra pill nausea and indigestion.

About one-quarter of the men also reported having either shortness of breath or gastrointestinal distress.Ultimately, 72 percent of women who had a heart attack waited more than 90 minutes to go to a hospital or call 911, compared to 54 percent of men. Slightly more than half of the women called a relative or a friend buy kamagra pill before dialing 911 or going to a hospital, compared to 36 percent of the men. Heart disease is rising in younger women.“There’s a lack of understanding in both women and men that a heart attack does not have to cause chest pain or these incredible movie-like symptoms,” said Dr.

Jacqueline Tamis-Holland, an author of the January study and a cardiologist at buy kamagra pill Mount Sinai Morningside in New York.Dr. Tamis-Holland said there were other reasons for the delays. One is buy kamagra pill that women don’t consider themselves to be as vulnerable to heart disease as men.

Previous studies have shown that they are more likely to dismiss their symptoms as stress or anxiety. They also tend to develop heart disease buy kamagra pill at later ages than men. In Dr.

Tamis-Holland’s study, the women who buy kamagra pill had heart attacks were, on average, 69 years old, while the average age of the men was 61.But younger women are not immune to heart disease. In fact, recent studies have found that heart attacks and deaths from heart disease have been rising among women between the ages of 35 and 54, in part because of an increase in cardiometabolic risk factors like high blood pressure and obesity.“I think a lot of young women cannot believe they have heart disease because it’s never been labeled as a disease of young women,” said Dr. Lansky at Yale-New buy kamagra pill Haven Hospital.

€œSecond, the symptoms in younger women are even less typical — there’s less of the elephant-on-the-chest feeling and more indigestion, shortness of breath, malaise, fatigue and nausea — things that are not very specific. That makes buy kamagra pill it difficult for them to identify it as a problem.”Experts say that more outreach and education is needed to help women and men recognize the signs and risk factors for heart disease. But Dr.

Lansky said she also wants to empower buy kamagra pill people to become advocates for themselves. If you suspect something is wrong with your health then do not let a health care provider turn you away until you have answers, she said.“If you’re not feeling right and you think that in the realm of possibilities is an issue with your heart, then you should spell it out,” she said. €œSay.

€˜I am concerned I may be having a heart attack, and I want an EKG just to be sure.’ Nobody in the emergency department is going to say you can’t have it. But sometimes they’re just not thinking about it, so it’s good to flag it.”Dr. Lansky recommended that people be as detailed as possible when describing their symptoms, which can lead to better diagnoses.

She also pointed out that the Hollywood depictions of people clutching their chests during a heart attack can be misleading. Often people experience chest pressure or tightness because of heart disease, rather than pain. They may also feel unusually fatigued or short of breath in response to slight exertion.

€œIf you used to go up and down the steps and now you have to stop to catch your breath, that should raise a red flag,” she said.Dr. Lansky urged women to join clinical trials focused on cardiovascular medicine. She pointed out that much of what is known about heart disease comes from studies involving men.

Women represent just 20 to 25 percent of the participants in clinical trials related to heart attacks and interventional treatments, she said. One reason is that for many years health authorities excluded women, fearing that if they became pregnant or experienced hormonal fluctuations it could influence trial results.“In many cases, our recommendations are based on evidence that’s derived from male patients,” Dr. Lansky said.

€œIn cardiovascular medicine, it’s challenging to get more women involved. There are a million obstacles, but it’s just so important to encourage enrollment in clinical studies. If you want to do something for humankind, that’s a big one.”AdvertisementContinue reading the main storyAdvertisementContinue reading the main storySupported byContinue reading the main storyI’m a Motherhood Expert.

My Ambivalence Is Normal.After years of engaging with parenthood from a distance, it’s time for a psychiatrist specializing in women’s mental health to take her own advice.Send any friend a storyAs a subscriber, you have 10 gift articles to give each month. Anyone can read what you share.121Credit...Lilli CarréMay 7, 2022​​I’m not someone who dreamed of motherhood as a girl. Quite the opposite.

In my early 30s, I had a recurring nightmare in which I was unknowingly pregnant and the fetus felt like a parasite invading my body.Growing up in South Asian culture, which valorizes women’s childbearing and mothering responsibilities above all else, was one reason for my fear. I also got divorced in my late 20s. Becoming a mom didn’t seem like it was in the cards for me and I was OK with that.Despite these life experiences, I became a physician specializing in maternal mental health.

After I graduated from my psychiatry residency and chose to focus on perinatal psychiatry, my therapist gently suggested that my decision was perhaps a healthy coping mechanism — a way for me to “try on” motherhood from a comfortable distance. There was something pulling me close to motherhood, but the role did not feel safe for me to experience myself — until now.Currently, I am 34 weeks pregnant. I’m coming to motherhood at the age of 38.

My partner and I had the privilege of making this choice to become parents later in life, using assisted reproductive technology to conceive. And I know that my career and life experiences have provided me with a better understanding of what I was afraid of and with the ability to prepare for motherhood in the ways that matter most.Ambivalence about motherhood is normal.In psychoanalytic terms, you could say I was “conflicted” for many years. In day-to-day life, we often also call this “ambivalence” — the feeling of having two contradictory emotions at once.At work, I helped my patients seek relief from postpartum depression and anxiety, with the aid of psychotherapy and, sometimes, medication.

Simultaneously, I saw my friends go through the chaos of early parenthood. In one instance, a college friend visited me in my tiny Washington, D.C., apartment, and we were held hostage by her son’s nap schedule to a comical degree, unable to enter my bedroom or turn on any lights for 48 hours.I wondered why someone would want to put themselves through so much hardship. I knew the data and I wrote about the difficulties of motherhood — having a child in America was not an attractive proposition to me.But I still wanted to keep my options open.

At 35, my partner and I met with a fertility doctor about freezing my eggs. He and I learned that the success of egg freezing was more difficult to predict in a woman’s mid-30s. For the greatest likelihood of success conceiving in my late 30s, we would need not only to freeze embryos but also genetically test them — both of which are more expensive and time-consuming than freezing eggs.It was during the year of researching how to freeze my eggs and make embryos that I began to notice the positive aspects of motherhood in my clinical work.

I had taken care of enough patients to see that even those suffering from severe perinatal mood and anxiety disorders got better with treatment. In one session, a patient who had experienced a depressive episode during pregnancy described the delight she felt when her daughter first grasped her fingers, and later, recognized her face and started babbling. In witnessing these women soak up the pleasures of motherhood despite the dark times, I became less fearful and more curious about how I would feel in the role.Soon after, my partner and I started trying to have a baby.

After seven tedious months, I got pregnant, only to have a first trimester miscarriage over Thanksgiving in 2020. The loss was emotionally and physically painful even with a good support system to lean on. But looking back, the part that stands out to me was how happy I was to be pregnant for those few weeks.

That unexpected joy gave me clarity that we were making the right choice.Since I was 37 at the time, we decided to pursue in vitro fertilization, and after about a year of hormone injections and multiple medical procedures, I got pregnant again. The baby now growing inside me does not feel like a parasite or an alien and every time I feel a kick I get a jolt of excitement.But, that doesn’t mean my ambivalence has gone away. My career requires me to pour myself into my work in an almost singular fashion.

Once I become a mother, I won’t have that luxury.I’m meeting the next version of me.I recently spent an hour of my Saturday trying to find baby sheets that will fit the crib listed on our registry. Why aren’t baby products standardized?. This was yet another example of the mental load of motherhood, I posted on Instagram.I got an influx of recommendations on the “best” baby sheets to purchase.

Instead of relief, I felt enraged — the responses only proved my point further. The pressure to perform motherhood, to research all these products and show that you care about every little detail can feel oppressive, not to mention that in cisgender heterosexual couples, this expectation is generally reserved for mothers.During the transition to motherhood, I’ve needed to take some of my own advice. Make a habit of spending mental energy on yourself.Instead of decorating a nursery or reading parenting books, I am using this time to prioritize my well-being, knowing that every choice I make in service of my own mental health will serve this baby well.

Having previously suffered from depression and anxiety, I am at high risk for a postpartum mood disorder. Staying on medication, getting enough sleep and creating a social support network are three evidence-based interventions for preventing postpartum anxiety and depression. I am preemptively taking a selective serotonin reuptake inhibitor during pregnancy (with the support of my doctors).

I’ve also hired a postpartum doula and contacted a pelvic floor physical therapist for the inevitably bumpy recovery. Putting time and resources into my own mental health is not selfish — it’s what matters most.Yet, I am exceedingly fortunate. I have a supportive partner and health insurance that allows me to see a therapist, and I am part of a household with two stable incomes.

My close friends, all of whom have kids, even offered to make me a baby registry. Which brings me to my second point.Recognize the need for systemic change.Many families are not in a position of privilege to make the choices I have available to me during this vulnerable time. The seemingly simple intervention of making sure I’ll be able to get some sleep as a new mom is out of reach for many in a country where fewer than 5 percent of fathers take more than two weeks of leave, and one in four mothers return to work in two weeks.

Black and Latina women have an even more difficult time getting mental health support in early parenthood.As I’ve written in the past, we need broad social change. For example, a Swedish study found that when fathers were given flexible paid paternity leave, there was a 26 percent decrease in prescription anti-anxiety medications for postpartum moms.That said, alongside the fight for social change, small choices can help you feel a sense of control when living in an inequitable system. The weight of motherhood is far too heavy of a load to carry on your own.

Say yes when friends or family offer a postpartum meal train instead of reflexively declining the help. Set limits on the time you spend researching products and instead put that energy into activities that serve your well-being.Open yourself up to excitement in the face of fear.My due date is approaching, and I still spend time in therapy talking about my trepidation. I am coming to motherhood armed with the knowledge of what happens when things go terribly wrong, and with the tools to stay emotionally healthy.

I know I will be changed by the experience. Sometimes I just question whether I will like the new version of myself.Perhaps I am afraid of how much love I might feel for this baby, my therapist says. Maybe she’s right.

I’m terrified and excited to get to know this next version of myself, in the same way that I’m terrified and excited to get to know our child.Dr. Pooja Lakshmin, M.D., is a board-certified psychiatrist specializing in women’s mental health and a clinical assistant professor at the George Washington University School of Medicine. She is the founder and CEO of Gemma, a digital education platform focused on women’s mental health, impact and equity, and the author of a book on the tyranny of self-care coming in 2023.AdvertisementContinue reading the main story.

AdvertisementContinue reading the main storySupported byContinue reading the main storyWhy Heart Disease in Women Is So Often see this page Missed or DismissedNew research shows that women may not realize their symptoms point to heart trouble, and that medical providers aren’t picking up on cheap kamagra pills it either.Send any friend a storyAs a subscriber, you have 10 gift articles to give each month. Anyone can cheap kamagra pills read what you share.22Credit...Charlotte FuMay 9, 2022, 9:53 a.m. ETHeart disease is the leading cause of death among men and women in America, killing nearly 700,000 people a year. But studies cheap kamagra pills have long shown that women are more likely than men to dismiss the warning signs of a heart attack, sometimes waiting hours or longer to call 911 or go to a hospital.Now researchers are trying to figure out why.

They have found that women often hesitate to get help because they tend to have more subtle heart attack symptoms than men — but even when they do go to the hospital, health care providers are more likely to downplay their symptoms or delay treating them. Health authorities say that heart disease in women remains widely underdiagnosed and under treated, and that these factors contribute to worse outcomes among women and heightened rates of death from the disease.Most studies suggest that a cheap kamagra pills major reason women delay seeking care — and are often misdiagnosed — is because of the symptoms they develop. While chest pain or discomfort is the most common sign of a heart attack in both sexes, women who have heart attacks are far less likely than men to have any chest pain at all. Instead, they often have symptoms that can be harder to associate with cardiac trouble, like shortness cheap kamagra pills of breath, cold sweats, malaise, fatigue and jaw and back pain.

A report by the American Heart Association found that heart attacks are deadlier in women who do not exhibit chest pain, in part because it means both patients and doctors take longer to identify the problem.But when women suspect they are having a heart attack, they still have a harder time getting treated than men do. Studies show they are more likely to be told that their cheap kamagra pills symptoms are not cardiovascular related. Many women are told by doctors that their symptoms are all in their head. One study found that women cheap kamagra pills complaining of symptoms consistent with heart disease — including chest pain — were twice as likely to be diagnosed with a mental illness compared to men who complained of identical symptoms.Women face longer waits and slower diagnosis.In a study published this month in the Journal of the American Heart Association, researchers analyzed data on millions of emergency room visits before the kamagra and found that women — and especially women of color — who complained of chest pain had to wait an average of 11 minutes longer to see a doctor or nurse than men who complained of similar symptoms.

Women were less likely to be admitted to the hospital, they received less thorough evaluations and they were less likely to be administered tests like an electrocardiogram, or EKG, which can detect cardiac problems.Dr. Alexandra Lansky, a cardiologist at Yale-New Haven Hospital, recalled one patient who had gone to multiple doctors complaining of jaw pain, cheap kamagra pills only to be referred to a dentist, who extracted two molars. When the jaw pain didn’t go away, the woman went to see Dr. Lansky, who discovered the problem was heart cheap kamagra pills related.

€œShe ended up having bypass surgery because the jaw pain was heart disease,” said Dr. Lansky, who directs the Yale Cardiovascular Research cheap kamagra pills Center.Over the years, health authorities have tried to address the gender gap in cardiovascular care through a variety of public service campaigns. The federal government and the American Heart Association launched campaigns to increase awareness of heart disease and its symptoms among women, as did the Women’s Heart Alliance, which started placing ads last year on Facebook, Instagram, and thousands of radio and television stations. Set to music from Lady Gaga, the group’s ads urge women to cheap kamagra pills “know the signs” of a heart attack, which it cautions can be as vague as sweating, dizziness or unusual fatigue.In January, a group of scientists published a study that delved into the factors that drive women to delay seeking care for their cardiac troubles.

They found that the absence of chest pain or discomfort was a major reason. The study, published in the journal Therapeutics and Clinical Risk Management, looked at 218 men and women cheap kamagra pills who were treated for heart attacks at four different hospitals in New York before the kamagra. It found that 62 percent of the women did not have any chest pain or discomfort, compared to just 36 percent of the men. Many women reported shortness cheap kamagra pills of breath as well as gastrointestinal symptoms like nausea and indigestion.

About one-quarter of the men also reported having either shortness of breath or gastrointestinal distress.Ultimately, 72 percent of women who had a heart attack waited more than 90 minutes to go to a hospital or call 911, compared to 54 percent of men. Slightly more than half of the women called a cheap kamagra pills relative or a friend before dialing 911 or going to a hospital, compared to 36 percent of the men. Heart disease is rising in younger women.“There’s a lack of understanding in both women and men that a heart attack does not have to cause chest pain or these incredible movie-like symptoms,” said Dr. Jacqueline Tamis-Holland, an author of the January study and a cardiologist at Mount Sinai cheap kamagra pills Morningside in New York.Dr.

Tamis-Holland said there were other reasons for the delays. One is that women don’t cheap kamagra pills consider themselves to be as vulnerable to heart disease as men. Previous studies have shown that they are more likely to dismiss their symptoms as stress or anxiety. They also tend to develop heart disease at later ages than men cheap kamagra pills.

In Dr. Tamis-Holland’s study, the women who had heart attacks were, on average, 69 years old, while the cheap kamagra pills average age of the men was 61.But younger women are not immune to heart disease. In fact, recent studies have found that heart attacks and deaths from heart disease have been rising among women between the ages of 35 and 54, in part because of an increase in cardiometabolic risk factors like high blood pressure and obesity.“I think a lot of young women cannot believe they have heart disease because it’s never been labeled as a disease of young women,” said Dr. Lansky at Yale-New cheap kamagra pills Haven Hospital.

€œSecond, the symptoms in younger women are even less typical — there’s less of the elephant-on-the-chest feeling and more indigestion, shortness of breath, malaise, fatigue and nausea — things that are not very specific. That makes it difficult for them to identify it as a problem.”Experts say that more outreach and education is needed to help women and cheap kamagra pills men recognize the signs and risk factors for heart disease. But Dr. Lansky said she also wants to empower people to become cheap kamagra pills advocates for themselves.

If you suspect something is wrong with your health then do not let a health care provider turn you away until you have answers, she said.“If you’re not feeling right and you think that in the realm of possibilities is an issue with your heart, then you should spell it out,” she said. €œSay. €˜I am concerned I may be having a heart attack, and I want an EKG just to be sure.’ Nobody in the emergency department is going to say you can’t have it. But sometimes they’re just not thinking about it, so it’s good to flag it.”Dr.

Lansky recommended that people be as detailed as possible when describing their symptoms, which can lead to better diagnoses. She also pointed out that the Hollywood depictions of people clutching their chests during a heart attack can be misleading. Often people experience chest pressure or tightness because of heart disease, rather than pain. They may also feel unusually fatigued or short of breath in response to slight exertion.

€œIf you used to go up and down the steps and now you have to stop to catch your breath, that should raise a red flag,” she said.Dr. Lansky urged women to join clinical trials focused on cardiovascular medicine. She pointed out that much of what is known about heart disease comes from studies involving men. Women represent just 20 to 25 percent of the participants in clinical trials related to heart attacks and interventional treatments, she said.

One reason is that for many years health authorities excluded women, fearing that if they became pregnant or experienced hormonal fluctuations it could influence trial results.“In many cases, our recommendations are based on evidence that’s derived from male patients,” Dr. Lansky said. €œIn cardiovascular medicine, it’s challenging to get more women involved. There are a million obstacles, but it’s just so important to encourage enrollment in clinical studies https://www.gastern.at/2020/01/10/das-war-der-neujahrsempfang-2020/.

If you want to do something for humankind, that’s a big one.”AdvertisementContinue reading the main storyAdvertisementContinue reading the main storySupported byContinue reading the main storyI’m a Motherhood Expert. My Ambivalence Is Normal.After years of engaging with parenthood from a distance, it’s time for a psychiatrist specializing in women’s mental health to take her own advice.Send any friend a storyAs a subscriber, you have 10 gift articles to give each month. Anyone can read what you share.121Credit...Lilli CarréMay 7, 2022​​I’m not someone who dreamed of motherhood as a girl. Quite the opposite.

In my early 30s, I had a recurring nightmare in which I was unknowingly pregnant and the fetus felt like a parasite invading my body.Growing up in South Asian culture, which valorizes women’s childbearing and mothering responsibilities above all else, was one reason for my fear. I also got divorced in my late 20s. Becoming a mom didn’t seem like it was in the cards for me and I was OK with that.Despite these life experiences, I became a physician specializing in maternal mental health. After I graduated from my psychiatry residency and chose to focus on perinatal psychiatry, my therapist gently suggested that my decision was perhaps a healthy coping mechanism — a way for me to “try on” motherhood from a comfortable distance.

There was something pulling me close to motherhood, but the role did not feel safe for me to experience myself — until now.Currently, I am 34 weeks pregnant. I’m coming to motherhood at the age of 38. My partner and I had the privilege of making this choice to become parents later in life, using assisted reproductive technology to conceive. And I know that my career and life experiences have provided me with a better understanding of what I was afraid of and with the ability to prepare for motherhood in the ways that matter most.Ambivalence about motherhood is normal.In psychoanalytic terms, you could say I was “conflicted” for many years.

In day-to-day life, we often also call this “ambivalence” — the feeling of having two contradictory emotions at once.At work, I helped my patients seek relief from postpartum depression and anxiety, with the aid of psychotherapy and, sometimes, medication. Simultaneously, I saw my friends go through the chaos of early parenthood. In one instance, a college friend visited me in my tiny Washington, D.C., apartment, and we were held hostage by her son’s nap schedule to a comical degree, unable to enter my bedroom or turn on any lights for 48 hours.I wondered why someone would want to put themselves through so much hardship. I knew the data and I wrote about the difficulties of motherhood — having a child in America was not an attractive proposition to me.But I still wanted to keep my options open.

At 35, my partner and I met with a fertility doctor about freezing my eggs. He and I learned that the success of egg freezing was more difficult to predict in a woman’s mid-30s. For the greatest likelihood of success conceiving in my late 30s, we would need not only to freeze embryos but also genetically test them — both of which are more expensive and time-consuming than freezing eggs.It was during the year of researching how to freeze my eggs and make embryos that I began to notice the positive aspects of motherhood in my clinical work. I had taken care of enough patients to see that even those suffering from severe perinatal mood and anxiety disorders got better with treatment.

In one session, a patient who had experienced a depressive episode during pregnancy described the delight she felt when her daughter first grasped her fingers, and later, recognized her face and started babbling. In witnessing these women soak up the pleasures of motherhood despite the dark times, I became less fearful and more curious about how I would feel in the role.Soon after, my partner and I started trying to have a baby. After seven tedious months, I got pregnant, only to have a first trimester miscarriage over Thanksgiving in 2020. The loss was emotionally and physically painful even with a good support system to lean on.

But looking back, the part that stands out to me was how happy I was to be pregnant for those few weeks. That unexpected joy gave me clarity that we were making the right choice.Since I was 37 at the time, we decided to pursue in vitro fertilization, and after about a year of hormone injections and multiple medical procedures, I got pregnant again. The baby now growing inside me does not feel like a parasite or an alien and every time I feel a kick I get a jolt of excitement.But, that doesn’t mean my ambivalence has gone away. My career requires me to pour myself into my work in an almost singular fashion.

Once I become a mother, I won’t have that luxury.I’m meeting the next version of me.I recently spent an hour of my Saturday trying to find baby sheets that will fit the crib listed on our registry. Why aren’t baby products standardized?. This was yet another example of the mental load of motherhood, I posted on Instagram.I got an influx of recommendations on the “best” baby sheets to purchase. Instead of relief, I felt enraged — the responses only proved my point further.

The pressure to perform motherhood, to research all these products and show that you care about every little detail can feel oppressive, not to mention that in cisgender heterosexual couples, this expectation is generally reserved for mothers.During the transition to motherhood, I’ve needed to take some of my own advice. Make a habit of spending mental energy on yourself.Instead of decorating a nursery or reading parenting books, I am using this time to prioritize my well-being, knowing that every choice I make in service of my own mental health will serve this baby well. Having previously suffered from depression and anxiety, I am at high risk for a postpartum mood disorder. Staying on medication, getting enough sleep and creating a social support network are three evidence-based interventions for preventing postpartum anxiety and depression.

I am preemptively taking a selective serotonin reuptake inhibitor during pregnancy (with the support of my doctors). I’ve also hired a postpartum doula and contacted a pelvic floor physical therapist for the inevitably bumpy recovery. Putting time and resources into my own mental health is not selfish — it’s what matters most.Yet, I am exceedingly fortunate. I have a supportive partner and health insurance that allows me to see a therapist, and I am part of a household with two stable incomes.

My close friends, all of whom have kids, even offered to make me a baby registry. Which brings me to my second point.Recognize the need for systemic change.Many families are not in a position of privilege to make the choices I have available to me during this vulnerable time. The seemingly simple intervention of making sure I’ll be able to get some sleep as a new mom is out of reach for many in a country where fewer than 5 percent of fathers take more than two weeks of leave, and one in four mothers return to work in two weeks. Black and Latina women have an even more difficult time getting mental health support in early parenthood.As I’ve written in the past, we need broad social change.

For example, a Swedish study found that when fathers were given flexible paid paternity leave, there was a 26 percent decrease in prescription anti-anxiety medications for postpartum moms.That said, alongside the fight for social change, small choices can help you feel a sense of control when living in an inequitable system. The weight of motherhood is far too heavy of a load to carry on your own. Say yes when friends or family offer a postpartum meal train instead of reflexively declining the help. Set limits on the time you spend researching products and instead put that energy into activities that serve your well-being.Open yourself up to excitement in the face of fear.My due date is approaching, and I still spend time in therapy talking about my trepidation.

I am coming to motherhood armed with the knowledge of what happens when things go terribly wrong, and with the tools to stay emotionally healthy. I know I will be changed by the experience. Sometimes I just question whether I will like the new version of myself.Perhaps I am afraid of how much love I might feel for this baby, my therapist says. Maybe she’s right.

I’m terrified and excited to get to know this next version of myself, in the same way that I’m terrified and excited to get to know our child.Dr. Pooja Lakshmin, M.D., is a board-certified psychiatrist specializing in women’s mental health and a clinical assistant professor at the George Washington University School of Medicine. She is the founder and CEO of Gemma, a digital education platform focused on women’s mental health, impact and equity, and the author of a book on the tyranny of self-care coming in 2023.AdvertisementContinue reading the main story.

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