chơi xổ số keno trực tuyến

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But it's not perfect. 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When you know what your blood pressure is, you need to know what to do next. The good news is, you may be able to prevent high blood pressure or reduce your blood pressure by making some lifestyle changes. You also need to look for signs of resistant high blood pressure, and if you need high blood pressure medication, consult a physician to find the right medication for you.","description":"The first step to dealing with high blood pressure is understanding your blood pressure measurement — those over and under numbers. When you know what your blood pressure is, you need to know what to do next. The good news is, you may be able to prevent high blood pressure or reduce your blood pressure by making some lifestyle changes. 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Rubin</b> is one of the leading authorities on diabetes and the author of many books, including <i>Diabetes For Dummies, Type 1 Diabetes For Dummies</i>, and <i>Prediabetes For Dummies</i>. <p><b>Cait James, MS,</b> has counseled clients in individualized nutrition and personal fitness plans in health clubs.</p>","hasArticle":false,"_links":{"self":"//dummies-api.coursofppt.com/v2/authors/9008"}},{"authorId":9459,"name":"Richard Snyder","slug":"richard-snyder","description":" <p><b>Alan L. Rubin, MD,</b> is a physician in private practice and the author of the bestselling <i>Diabetes For Dummies, Diabetes Cookbook For Dummies</i>, and <i>Thyroid For Dummies</i>. ","hasArticle":false,"_links":{"self":"//dummies-api.coursofppt.com/v2/authors/9459"}}],"_links":{"self":"//dummies-api.coursofppt.com/v2/books/"}},"collections":[],"articleAds":{"footerAd":"<div class=\"du-ad-region row\" id=\"article_page_adhesion_ad\"><div class=\"du-ad-unit col-md-12\" data-slot-id=\"article_page_adhesion_ad\" data-refreshed=\"false\" \r\n data-target = \"[{&quot;key&quot;:&quot;cat&quot;,&quot;values&quot;:[&quot;body-mind-spirit&quot;,&quot;physical-health-well-being&quot;,&quot;diseases&quot;,&quot;high-blood-pressure&quot;]},{&quot;key&quot;:&quot;isbn&quot;,&quot;values&quot;:[&quot;9781394224944&quot;]}]\" id=\"du-slot-65de4d941fd1e\"></div></div>","rightAd":"<div class=\"du-ad-region row\" id=\"article_page_right_ad\"><div class=\"du-ad-unit col-md-12\" data-slot-id=\"article_page_right_ad\" data-refreshed=\"false\" \r\n data-target = \"[{&quot;key&quot;:&quot;cat&quot;,&quot;values&quot;:[&quot;body-mind-spirit&quot;,&quot;physical-health-well-being&quot;,&quot;diseases&quot;,&quot;high-blood-pressure&quot;]},{&quot;key&quot;:&quot;isbn&quot;,&quot;values&quot;:[&quot;9781394224944&quot;]}]\" id=\"du-slot-65de4d9421b47\"></div></div>"},"articleType":{"articleType":"Cheat Sheet","articleList":[{"articleId":194874,"title":"Blood Pressure Classifications","slug":"blood-pressure-classifications","categoryList":["body-mind-spirit","physical-health-well-being","diseases","high-blood-pressure"],"_links":{"self":"//dummies-api.coursofppt.com/v2/articles/194874"}},{"articleId":194831,"title":"What to Do after You Know Your Blood Pressure","slug":"what-to-do-after-you-know-your-blood-pressure","categoryList":["body-mind-spirit","physical-health-well-being","diseases","high-blood-pressure"],"_links":{"self":"//dummies-api.coursofppt.com/v2/articles/194831"}},{"articleId":194830,"title":"How to Prevent or Reduce High Blood Pressure","slug":"how-to-prevent-or-reduce-high-blood-pressure","categoryList":["body-mind-spirit","physical-health-well-being","diseases","high-blood-pressure"],"_links":{"self":"//dummies-api.coursofppt.com/v2/articles/194830"}},{"articleId":194832,"title":"Evidence of Secondary High Blood Pressure","slug":"evidence-of-secondary-high-blood-pressure","categoryList":["body-mind-spirit","physical-health-well-being","diseases","high-blood-pressure"],"_links":{"self":"//dummies-api.coursofppt.com/v2/articles/194832"}},{"articleId":194878,"title":"Assessing High Blood Pressure Drugs","slug":"assessing-high-blood-pressure-drugs","categoryList":["body-mind-spirit","physical-health-well-being","diseases","high-blood-pressure"],"_links":{"self":"//dummies-api.coursofppt.com/v2/articles/194878"}}],"content":[{"title":"Understanding your blood pressure measurement","thumb":null,"image":null,"content":"<p>When you have a blood pressure reading, the doctor will tell you two numbers: the systolic blood pressure (SBP) over the diastolic blood pressure (DBP). Use the following chart to compare your SBP and DBP numbers and find out if your blood pressure is normal, elevated, or high. If your SBP and DBP fall into different categories, use the higher category (for example, if your blood pressure is 130 over 75, you’re in stage 1 of high blood pressure).</p>\n<table>\n<tbody>\n<tr>\n<th>Category</th>\n<th>SBP (in mm Hg)</th>\n<th></th>\n<th>DBP (in mm Hg)</th>\n<th>What to Do</th>\n</tr>\n<tr>\n<td>Normal</td>\n<td>Less than 120</td>\n<td>and</td>\n<td>Less than 80</td>\n<td>Have your blood pressure rechecked in two years.</td>\n</tr>\n<tr>\n<td>Elevated blood pressure</td>\n<td>120–129</td>\n<td>and</td>\n<td>Less than 80</td>\n<td>Modify your lifestyle and have your blood pressure monitored.</td>\n</tr>\n<tr>\n<td>High blood pressure, stage 1</td>\n<td>130–139</td>\n<td>or</td>\n<td>80–89</td>\n<td>Modify your lifestyle and have your blood pressure monitored. Talk with your doctor about your risk of heart attack and stroke and consider taking medications to lower your blood pressure.</td>\n</tr>\n<tr>\n<td>High blood pressure, stage 2</td>\n<td>140 or greater</td>\n<td>or</td>\n<td>90 or greater</td>\n<td>Modify your lifestyle and have your blood pressure monitored. Talk with your doctor about your risk of heart attack and stroke and take medications to lower your blood pressure.</td>\n</tr>\n</tbody>\n</table>\n"},{"title":"How to prevent or reduce high blood pressure","thumb":null,"image":null,"content":"<p>If you’ve been diagnosed with elevated or high blood pressure, you can make lifestyle changes to lower your blood pressure to a healthy level:</p>\n<ul>\n<li>Adopt the <a href=\"/article/body-mind-spirit/physical-health-well-being/diet-nutrition/dash-diet/dash-diet-for-dummies-cheat-sheet-207659/\">DASH diet</a>.</li>\n<li>Reduce your sodium intake.</li>\n<li>Quit smoking.</li>\n<li>Limit your consumption of alcohol.</li>\n<li>Cut down or eliminate your caffeine intake.</li>\n<li>Start an exercise program and stick with it.</li>\n<li>Use mind-body techniques, such as yoga and meditation.</li>\n<li>Avoid medications that raise blood pressure, like steroids, nonsteroidal anti-inflammatory drugs (NSAIDs), and certain diet pills.</li>\n<li>Take blood pressure medications regularly if your doctor has prescribed them.</li>\n</ul>\n"},{"title":"Evidence of resistant high blood pressure","thumb":null,"image":null,"content":"<p><em>Resistant high blood pressure </em>is a result of a specific medical condition. After the underlying condition is treated, your blood pressure will typically return to normal. The following signs may indicate you have resistant high blood pressure:</p>\n<ul>\n<li>Onset of high blood pressure before age 20 or after the age of 50</li>\n<li>Flushing spells</li>\n<li>Rapid pulse</li>\n<li>Intolerance to heat</li>\n<li>Very high blood pressure (over 180/120)</li>\n<li>Damage to the eyes, kidneys, or heart</li>\n<li>Low level of potassium in the blood</li>\n<li>Loud humming sound in the abdomen (called a <em>bruit</em>)</li>\n<li>Family history of kidney disease</li>\n<li>Poor response to medications that are usually effective</li>\n</ul>\n"},{"title":"Assessing high blood pressure medications","thumb":null,"image":null,"content":"<p>If you’ve wholeheartedly made lifestyle changes trying to reduce your high blood pressure and it doesn’t seem to be working, you may need high blood pressure medication. Numerous medications exist for high blood pressure, but you need to meet with your health-care provider to discuss what medicine is right for you. Medications for high blood pressure fall into several classes:</p>\n<ul>\n<li><strong>Angiotensin-converting enzyme (ACE) inhibitors:</strong> These medications lower blood pressure by blocking the formation of a key hormone, angiotensin II, which both narrows arteries and causes the release of another blood-pressure-raising hormone. They’re first-line medications for the treatment of high blood pressure.</li>\n<li><strong>Angiotensin II receptor blockers:</strong> These medications lower blood pressure by preventing angiotensin II from attaching to a receptor site. They’re also first-line medications for the treatment of high blood pressure.</li>\n<li><strong>Beta blockers:</strong> These medications lower blood pressure by decreasing the amount of blood pumped by the heart and by lowering the heart rate. They’re only indicated for the treatment of high blood pressure if there is a history of recent heart attack or heart failure.</li>\n<li><strong>Calcium-channel blockers:</strong> These medications lower blood pressure by preventing calcium from entering cells, thus increasing (or dilating) the size of arteries. They’re also first-line medications for the treatment of high blood pressure.</li>\n<li><strong>Diuretics:</strong> These medications lower blood pressure by causing salt loss in the urine with accompanying body water, thereby reducing blood volume and pressure. A specific diuretic class, the thiazide diuretics, is also first line for the treatment of high blood pressure.</li>\n</ul>\n"}],"videoInfo":{"videoId":null,"name":null,"accountId":null,"playerId":null,"thumbnailUrl":null,"description":null,"uploadDate":null}},"sponsorship":{"sponsorshipPage":false,"backgroundImage":{"src":null,"width":0,"height":0},"brandingLine":"","brandingLink":"","brandingLogo":{"src":null,"width":0,"height":0},"sponsorAd":"","sponsorEbookTitle":"","sponsorEbookLink":"","sponsorEbookImage":{"src":null,"width":0,"height":0}},"primaryLearningPath":"Solve","lifeExpectancy":"Two years","lifeExpectancySetFrom":"2024-12-21T00:00:00+00:00","dummiesForKids":"no","sponsoredContent":"no","adInfo":"","adPairKey":[]},"status":"publish","visibility":"public","articleId":209358},{"headers":{"creationTime":"2024-10-31T21:24:21+00:00","modifiedTime":"2024-10-31T21:24:21+00:00","timestamp":"2024-11-01T00:01:04+00:00"},"data":{"breadcrumbs":[{"name":"Body, Mind, & Spirit","_links":{"self":"//dummies-api.coursofppt.com/v2/categories/34038"},"slug":"body-mind-spirit","categoryId":34038},{"name":"Physical Health & Well-Being","_links":{"self":"//dummies-api.coursofppt.com/v2/categories/34095"},"slug":"physical-health-well-being","categoryId":34095},{"name":"Diseases","_links":{"self":"//dummies-api.coursofppt.com/v2/categories/34139"},"slug":"diseases","categoryId":34139}],"title":"COVID-19 For Dummies Cheat Sheet","strippedTitle":"covid-19 for dummies cheat sheet","slug":"covid-19-for-dummies-cheat-sheet","canonicalUrl":"","检目录擎seo":{"metaDescription":"COVID-19 For Dummies gives you great guidance on how to keep yourself and others healthy — from the ins and outs of stopping the virus from spreading, to caring","noIndex":0,"noFollow":0},"content":"<em>COVID-19 For Dummies</em> gives you great guidance on how to keep yourself and others healthy — from the ins and outs of stopping the virus from spreading, to caring for yourself if you do become infected, and even staying safe at work and other public places.\r\n\r\nThis handy Cheat Sheet contains quick info to help you prevent spreading or catching COVID-19, figure out whether the illness that you have is the flu or COVID-19, and get better when you’re sick.","description":"<em>COVID-19 For Dummies</em> gives you great guidance on how to keep yourself and others healthy — from the ins and outs of stopping the virus from spreading, to caring for yourself if you do become infected, and even staying safe at work and other public places.\r\n\r\nThis handy Cheat Sheet contains quick info to help you prevent spreading or catching COVID-19, figure out whether the illness that you have is the flu or COVID-19, and get better when you’re sick.","blurb":"","authors":[{"authorId":9314,"name":"Edward K. 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","hasArticle":false,"_links":{"self":"//dummies-api.coursofppt.com/v2/authors/9314"}}],"primaryCategoryTaxonomy":{"categoryId":34139,"title":"Diseases","slug":"diseases","_links":{"self":"//dummies-api.coursofppt.com/v2/categories/34139"}},"secondaryCategoryTaxonomy":{"categoryId":0,"title":null,"slug":null,"_links":null},"tertiaryCategoryTaxonomy":{"categoryId":0,"title":null,"slug":null,"_links":null},"trendingArticles":null,"inThisArticle":[],"relatedArticles":{"fromBook":[],"fromCategory":[{"articleId":297775,"title":"Epidemiology For Dummies Cheat Sheet","slug":"epidemiology-for-dummies-cheat-sheet","categoryList":["body-mind-spirit","physical-health-well-being","diseases"],"_links":{"self":"//dummies-api.coursofppt.com/v2/articles/297775"}}]},"hasRelatedBookFromSearch":false,"relatedBook":{"bookId":301110,"slug":"covid-19-for-dummies","isbn":"9781394211715","categoryList":["body-mind-spirit","physical-health-well-being","general-physical-health-well-being"],"amazon":{"default":"//www.amazon.com/gp/product/1394211716/ref=as_li_tl?ie=UTF8&tag=wiley01-20","ca":"//www.amazon.ca/gp/product/1394211716/ref=as_li_tl?ie=UTF8&tag=wiley01-20","indigo_ca":"//www.tkqlhce.com/click-9208661-13710633?url=//www.chapters.indigo.ca/en-ca/books/product/1394211716-item.html&cjsku=978111945484","gb":"//www.amazon.co.uk/gp/product/1394211716/ref=as_li_tl?ie=UTF8&tag=wiley01-20","de":"//www.amazon.de/gp/product/1394211716/ref=as_li_tl?ie=UTF8&tag=wiley01-20"},"image":{"src":"//coursofppt.com/wp-content/uploads/covid-19-for-dummies-cover-9781394211715-165x255.jpg","width":165,"height":255},"title":"COVID-19 For Dummies","testBankPinActivationLink":"","bookOutOfPrint":true,"authorsInfo":"<p><p><b><b data-author-id=\"9314\">Edward K. 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","hasArticle":false,"_links":{"self":"//dummies-api.coursofppt.com/v2/authors/9314"}}],"_links":{"self":"//dummies-api.coursofppt.com/v2/books/"}},"collections":[],"articleAds":{"footerAd":"<div class=\"du-ad-region row\" id=\"article_page_adhesion_ad\"><div class=\"du-ad-unit col-md-12\" data-slot-id=\"article_page_adhesion_ad\" data-refreshed=\"false\" \r\n data-target = \"[{&quot;key&quot;:&quot;cat&quot;,&quot;values&quot;:[&quot;body-mind-spirit&quot;,&quot;physical-health-well-being&quot;,&quot;diseases&quot;]},{&quot;key&quot;:&quot;isbn&quot;,&quot;values&quot;:[&quot;9781394211715&quot;]}]\" id=\"du-slot-654195409509b\"></div></div>","rightAd":"<div class=\"du-ad-region row\" id=\"article_page_right_ad\"><div class=\"du-ad-unit col-md-12\" data-slot-id=\"article_page_right_ad\" data-refreshed=\"false\" \r\n data-target = \"[{&quot;key&quot;:&quot;cat&quot;,&quot;values&quot;:[&quot;body-mind-spirit&quot;,&quot;physical-health-well-being&quot;,&quot;diseases&quot;]},{&quot;key&quot;:&quot;isbn&quot;,&quot;values&quot;:[&quot;9781394211715&quot;]}]\" id=\"du-slot-65419540957a9\"></div></div>"},"articleType":{"articleType":"Cheat Sheet","articleList":[{"articleId":0,"title":"","slug":null,"categoryList":[],"_links":{"self":"//dummies-api.coursofppt.com/v2/articles/"}}],"content":[{"title":"Dos and don'ts of COVID-19","thumb":null,"image":null,"content":"<p>Following, are basic safety steps to take and what to avoid if you want to reduce your risk of catching or transmitting COVID-19.</p>\n<h3>Do:</h3>\n<ul>\n<li>Get vaccinated and stay current with booster shots</li>\n<li>Practice good hygiene, such as washing your hands and covering your coughs and sneezes</li>\n<li>Isolate and get tested if you have symptoms</li>\n<li>Wear a mask if you have symptoms or are in close contact with others who have symptoms</li>\n<li>Keep up with the latest COVID-19 information from the World Health Organization (WHO) and your local public health agencies</li>\n</ul>\n<p class=\"article-tips remember\">Since the pandemic began in 2020, the COVID-19 virus has experienced multiple variants, which all behave differently. This situation isn’t changing, so staying apprised of the most current information on virus variants and related treatments is critical.</p>\n<h3>Don’t:</h3>\n<ul>\n<li>Assume that everyone is vaccinated</li>\n<li>Go to work or school when you’re sick</li>\n<li>Assume that you’re not contagious simply because you don’t have symptoms</li>\n<li>Use prescription medications that aren’t prescribed to you to treat COVID-19</li>\n</ul>\n"},{"title":"Flu vs. COVID-19 symptoms","thumb":null,"image":null,"content":"<p>The flu and COVID-19 share similar symptoms. You can’t know for sure which you have unless you take a test, but if you don’t have easy access to a test, here’s a handy symptoms chart that you can use to try to figure out which illness you likely have.</p>\n<table>\n<tbody>\n<tr>\n<td width=\"133\"><strong>Symptom</strong></td>\n<td width=\"133\"><strong>Flu</strong></td>\n<td width=\"105\"><strong>COVID-19</strong></td>\n</tr>\n<tr>\n<td width=\"133\">Onset</td>\n<td width=\"105\">Rapid</td>\n<td width=\"105\">Gradual</td>\n</tr>\n<tr>\n<td width=\"133\">Shortness of breath</td>\n<td width=\"105\">Rare</td>\n<td width=\"105\">Common</td>\n</tr>\n<tr>\n<td width=\"133\">Body aches</td>\n<td width=\"105\">Often</td>\n<td width=\"105\">Often</td>\n</tr>\n<tr>\n<td width=\"133\">Chills</td>\n<td width=\"105\">Occasionally</td>\n<td width=\"105\">Occasionally</td>\n</tr>\n<tr>\n<td width=\"133\">Congestion</td>\n<td width=\"105\">Occasionally</td>\n<td width=\"105\">Occasionally</td>\n</tr>\n<tr>\n<td width=\"133\">Cough</td>\n<td width=\"105\">Often</td>\n<td width=\"105\">Often</td>\n</tr>\n<tr>\n<td width=\"133\">Diarrhea</td>\n<td width=\"105\">Occasionally</td>\n<td width=\"105\">Occasionally</td>\n</tr>\n<tr>\n<td width=\"133\">Earache</td>\n<td width=\"105\">Occasionally</td>\n<td width=\"105\">Occasionally</td>\n</tr>\n<tr>\n<td width=\"133\">Fatigue</td>\n<td width=\"105\">Often</td>\n<td width=\"105\">Occasionally</td>\n</tr>\n<tr>\n<td width=\"133\">Fever</td>\n<td width=\"105\">Often</td>\n<td width=\"105\">Often</td>\n</tr>\n<tr>\n<td width=\"133\">Headache</td>\n<td width=\"105\">Occasionally</td>\n<td width=\"105\">Occasionally</td>\n</tr>\n<tr>\n<td width=\"133\">Loss of smell</td>\n<td width=\"105\">Occasionally</td>\n<td width=\"105\">Occasionally</td>\n</tr>\n<tr>\n<td width=\"133\">Loss of taste</td>\n<td width=\"105\">Rarely</td>\n<td width=\"105\">Occasionally</td>\n</tr>\n<tr>\n<td width=\"133\">Nausea</td>\n<td width=\"105\">Occasionally</td>\n<td width=\"105\">Occasionally</td>\n</tr>\n<tr>\n<td width=\"133\">Runny nose</td>\n<td width=\"105\">Occasionally</td>\n<td width=\"105\">Occasionally</td>\n</tr>\n<tr>\n<td width=\"133\">Sneezing</td>\n<td width=\"105\">Rarely</td>\n<td width=\"105\">No</td>\n</tr>\n<tr>\n<td width=\"133\">Sore throat</td>\n<td width=\"105\">Occasionally</td>\n<td width=\"105\">Occasionally</td>\n</tr>\n</tbody>\n</table>\n"},{"title":"Tips for recovering from COVID-19","thumb":null,"image":null,"content":"<p>Some cases of COVID-19 are severe enough that the ill person has to be hospitalized to receive treatment, but most cases are mild. If you have a mild case, you can recover at home by</p>\n<ul>\n<li><strong>Resting as much as possible: </strong>Sleep allows your immune system to focus on fighting COVID-19 (or any illness) and helps relieve fatigue.</li>\n<li><strong>Pausing exercise: </strong>Although staying active is generally good advice for a healthy lifestyle, working out when you’re sick only makes your body aches, congestion, and fatigue worse.</li>\n<li><strong>Hydrating:</strong> Drinking water and other fluids helps replace fluid lost in sweat during episodes of fever, as well as by diarrhea or vomiting.</li>\n<li><strong>Taking over-the-counter pain relievers:</strong> You don’t need to take medication to lower a fever because that’s your body’s way of fighting off the virus. However, if you have pain that prevents you from sleeping, take acetaminophen, naproxen, or ibuprofen to help bring down inflammation and, therefore, relieve pain. If your child has a fever, consult a pediatrician to determine whether you should give them anything for it.</li>\n<li><strong>Using steam:</strong> Whether you slurp hot soup, sit in a warm bath, use a humidifier, or even hold a mug of tea near your face, steam can help loosen your nasal congestion and keep your mucus membranes from drying out.</li>\n<li><strong>Monitoring your symptoms:</strong> If you have trouble breathing, feel persistent chest pain or pressure, can’t stay awake, or have pale skin, call or visit a doctor.</li>\n</ul>\n"}],"videoInfo":{"videoId":null,"name":null,"accountId":null,"playerId":null,"thumbnailUrl":null,"description":null,"uploadDate":null}},"sponsorship":{"sponsorshipPage":false,"backgroundImage":{"src":null,"width":0,"height":0},"brandingLine":"","brandingLink":"","brandingLogo":{"src":null,"width":0,"height":0},"sponsorAd":"","sponsorEbookTitle":"","sponsorEbookLink":"","sponsorEbookImage":{"src":null,"width":0,"height":0}},"primaryLearningPath":"Solve","lifeExpectancy":"Five years","lifeExpectancySetFrom":"2024-10-31T00:00:00+00:00","dummiesForKids":"no","sponsoredContent":"no","adInfo":"","adPairKey":[]},"status":"publish","visibility":"public","articleId":301136},{"headers":{"creationTime":"2018-09-18T01:56:38+00:00","modifiedTime":"2024-09-18T15:13:59+00:00","timestamp":"2024-09-18T18:01:02+00:00"},"data":{"breadcrumbs":[{"name":"Body, Mind, & Spirit","_links":{"self":"//dummies-api.coursofppt.com/v2/categories/34038"},"slug":"body-mind-spirit","categoryId":34038},{"name":"Physical Health & Well-Being","_links":{"self":"//dummies-api.coursofppt.com/v2/categories/34095"},"slug":"physical-health-well-being","categoryId":34095},{"name":"Diseases","_links":{"self":"//dummies-api.coursofppt.com/v2/categories/34139"},"slug":"diseases","categoryId":34139},{"name":"Cancer","_links":{"self":"//dummies-api.coursofppt.com/v2/categories/34146"},"slug":"cancer","categoryId":34146}],"title":"Detecting and Living with Breast Cancer For Dummies Cheat Sheet","strippedTitle":"detecting and living with breast cancer for dummies cheat sheet","slug":"detecting-living-breast-cancer-dummies-cheat-sheet","canonicalUrl":"","检目录擎seo":{"metaDescription":"In this Cheat Sheet, you'll find help information about mastectomies, detecting breast cancer early, and what can cause breast pain.","noIndex":0,"noFollow":0},"content":"Breast cancer is a particularly devastating and intimate disease. Although not as deadly as some other forms of cancer — five-year survival rates in the United States are between 80 percent and 90 percent — the toll that breast cancer takes on the body, mind, and psychology make it an especially difficult disease to contend with.\r\n\r\nThe good news is that it is a relatively easy cancer to detect early, and usually the earlier it is caught, the better the prognosis. Breast cancer survivors have several treatment avenues, including chemotherapy, radiation, therapy, hormonal therapy, and a few different surgery options, including different mastectomies.","description":"Breast cancer is a particularly devastating and intimate disease. Although not as deadly as some other forms of cancer — five-year survival rates in the United States are between 80 percent and 90 percent — the toll that breast cancer takes on the body, mind, and psychology make it an especially difficult disease to contend with.\r\n\r\nThe good news is that it is a relatively easy cancer to detect early, and usually the earlier it is caught, the better the prognosis. Breast cancer survivors have several treatment avenues, including chemotherapy, radiation, therapy, hormonal therapy, and a few different surgery options, including different mastectomies.","blurb":"","authors":[{"authorId":11223,"name":"Marshalee George","slug":"marshalee-george","description":" <p><b>Marshalee George, PhD,</b> is Faculty and Oncology Nurse Practitioner at the Johns Hopkins University School of Medicine, Division of Surgical Oncology at Johns Hopkins Breast Center. <p><b>Kimlin Tam Ashing, PhD,</b> is Professor and Founding Director of City of Hope&#39;s Center of Community Alliance for Research and Education. Together they have over 40 years combined experience in treating breast cancer patients through diagnosis, treatment, recovery, and recurrent illness, as well as survivorship and follow&#45;up care. ","hasArticle":false,"_links":{"self":"//dummies-api.coursofppt.com/v2/authors/11223"}},{"authorId":11224,"name":"Kimlin Tam Ashing","slug":"kimlin-tam-ashing","description":" <p><b>Marshalee George, PhD,</b> is Faculty and Oncology Nurse Practitioner at the Johns Hopkins University School of Medicine, Division of Surgical Oncology at Johns Hopkins Breast Center. <p><b>Kimlin Tam Ashing, PhD,</b> is Professor and Founding Director of City of Hope&#39;s Center of Community Alliance for Research and Education. Together they have over 40 years combined experience in treating breast cancer patients through diagnosis, treatment, recovery, and recurrent illness, as well as survivorship and follow&#45;up care. 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Together they have over 40 years combined experience in treating breast cancer patients through diagnosis, treatment, recovery, and recurrent illness, as well as survivorship and follow-up care. </p>","authors":[{"authorId":11224,"name":"Kimlin Tam Ashing","slug":"kimlin-tam-ashing","description":" <p><b>Marshalee George, PhD,</b> is Faculty and Oncology Nurse Practitioner at the Johns Hopkins University School of Medicine, Division of Surgical Oncology at Johns Hopkins Breast Center. <p><b>Kimlin Tam Ashing, PhD,</b> is Professor and Founding Director of City of Hope&#39;s Center of Community Alliance for Research and Education. Together they have over 40 years combined experience in treating breast cancer patients through diagnosis, treatment, recovery, and recurrent illness, as well as survivorship and follow&#45;up care. ","hasArticle":false,"_links":{"self":"//dummies-api.coursofppt.com/v2/authors/11224"}},{"authorId":11223,"name":"Marshalee George","slug":"marshalee-george","description":" <p><b>Marshalee George, PhD,</b> is Faculty and Oncology Nurse Practitioner at the Johns Hopkins University School of Medicine, Division of Surgical Oncology at Johns Hopkins Breast Center. <p><b>Kimlin Tam Ashing, PhD,</b> is Professor and Founding Director of City of Hope&#39;s Center of Community Alliance for Research and Education. Together they have over 40 years combined experience in treating breast cancer patients through diagnosis, treatment, recovery, and recurrent illness, as well as survivorship and follow&#45;up care. ","hasArticle":false,"_links":{"self":"//dummies-api.coursofppt.com/v2/authors/11223"}}],"_links":{"self":"//dummies-api.coursofppt.com/v2/books/"}},"collections":[],"articleAds":{"footerAd":"<div class=\"du-ad-region row\" id=\"article_page_adhesion_ad\"><div class=\"du-ad-unit col-md-12\" data-slot-id=\"article_page_adhesion_ad\" data-refreshed=\"false\" \r\n data-target = \"[{&quot;key&quot;:&quot;cat&quot;,&quot;values&quot;:[&quot;body-mind-spirit&quot;,&quot;physical-health-well-being&quot;,&quot;diseases&quot;,&quot;cancer&quot;]},{&quot;key&quot;:&quot;isbn&quot;,&quot;values&quot;:[&quot;9781119272243&quot;]}]\" id=\"du-slot-6508905ee3941\"></div></div>","rightAd":"<div class=\"du-ad-region row\" id=\"article_page_right_ad\"><div class=\"du-ad-unit col-md-12\" data-slot-id=\"article_page_right_ad\" data-refreshed=\"false\" \r\n data-target = \"[{&quot;key&quot;:&quot;cat&quot;,&quot;values&quot;:[&quot;body-mind-spirit&quot;,&quot;physical-health-well-being&quot;,&quot;diseases&quot;,&quot;cancer&quot;]},{&quot;key&quot;:&quot;isbn&quot;,&quot;values&quot;:[&quot;9781119272243&quot;]}]\" id=\"du-slot-6508905ee4324\"></div></div>"},"articleType":{"articleType":"Cheat Sheet","articleList":[{"articleId":244229,"title":"Things That Can Cause Breast Pain","slug":"things-can-cause-breast-pain","categoryList":["home-auto-hobbies","food-drink","recipes","cancer-recipes"],"_links":{"self":"//dummies-api.coursofppt.com/v2/articles/244229"}},{"articleId":244232,"title":"Detecting Breast Cancer Early","slug":"detecting-breast-cancer-early","categoryList":["home-auto-hobbies","food-drink","recipes","cancer-recipes"],"_links":{"self":"//dummies-api.coursofppt.com/v2/articles/244232"}},{"articleId":244236,"title":"What to Know about Mastectomies","slug":"what-to-know-about-mastectomies","categoryList":["home-auto-hobbies","food-drink","recipes","cancer-recipes"],"_links":{"self":"//dummies-api.coursofppt.com/v2/articles/244236"}}],"content":[{"title":"Things that can cause breast pain","thumb":null,"image":null,"content":"<p>Breast pain isn&#8217;t necessarily a sign of breast cancer. Here are some common reasons your breast may be in pain:</p>\n<ul>\n<li><strong>A poorly fitting bra:</strong> You should get refitted for a bra when you gain or lose weight. If your breast jiggles or moves while you are walking, your bra is not fitting well. When your breast isn&#8217;t supported well in a bra, the weight of the breast is being supported by your chest wall muscles and connective tissue, which causes trauma and pain to those structures.</li>\n<li>\n<p class=\"first-para\"><strong>Breast lump or mass:</strong> Any structure that presses against nerves in your breast can send a message to your brain that it interprets as pain. A breast <em>cyst </em>is a lump filled with fluid, and a breast mass is a lump filled with solid material. Both cysts and masses can cause breast pain. Breast pain caused by a cyst often occurs from hormonal changes before and during menstruation.</p>\n<p class=\"child-para\">A breast mass will usually cause breast pain when it has increased in size. Taking an over-the-counter non-steroidal anti-inflammatory drug (NSAIDS) such as aspirin, ibuprofen, or naproxen at least 24 hours prior to menstruation can significantly reduce breast pain caused by a cyst. Remember to first ask your doctor if NSAIDS are okay for you to take. Some people can&#8217;t take NSAIDS due to their medical history and may have to be prescribed an alternative drug.</p>\n</li>\n<li><strong>Breast surgery:</strong> Any time you cut the skin by accident or intentionally from a surgery, there will be pain. The most intense pain from surgery is usually felt within the first two weeks, and the pain should gradually reduce over the next four weeks. Sharp, shooting, electric shock-like sensations or pain felt in the breast after surgery is normal. This sharp pain usually occurs because the nerves got irritated and inflamed when they were disrupted during surgery. As the nerves heal, the pain will be reduced and become less frequent. This may last six to nine weeks after surgery and is normal.</li>\n<li><strong>Tight clothing:</strong> Tight clothing especially under the arm and across the chest when worn for several hours can cause breast pain. The best treatment for breast pain caused by tight clothing is to <em>wear your size.</em> Don&#8217;t try to fit into small clothing because it can reduce circulation and cause injury to your skin in addition to pain.</li>\n<li><strong>Trauma to the breast:</strong> If you play sports or fall face down, you may bruise the breast and may develop a <em>hematoma</em> (collection of blood in the breast tissue) from the injury. A hematoma can take at least two weeks to heal or longer if you&#8217;re taking medications to thin the blood, such as aspirin or Warfarin.</li>\n</ul>\n"},{"title":"Detecting breast cancer early","thumb":null,"image":null,"content":"<p>The earlier breast cancer is detected and diagnosed, the better the chances for successful treatment. Here are the best things you can do to improve your odds of catching breast cancer early:</p>\n<ul>\n<li><strong>Do regular breast self-exams.</strong> Feel all over the breast for any lumps or masses on a regular basis. In the shower is a good time and place as the fingers glide more smoothly. Tell your doctor immediately if you notice anything unusual.</li>\n<li><strong>Know your family history.</strong> Identify family members on both your maternal and paternal sides who have a history of breast and ovarian cancer. You must share this information with your doctor to determine if you are high risk.</li>\n<li><strong>Have screening mammograms.</strong> If you have a mother diagnosed with breast cancer, then you should start having screening mammograms ten years before her age at diagnosis.</li>\n<li><strong>Participate in high-risk screening.</strong> Have a TOMO mammogram alternating with a breast MRI, if available,  if you have a 20 percent or more chance in a lifetime of developing breast cancer. Talk to your doctor to help you assess your breast cancer risk.</li>\n<li><strong>Follow up.</strong> Get additional testing when you have new breast symptoms or if your mammogram is abnormal and make sure you complete the entire treatment recommended for you.</li>\n</ul>\n"},{"title":"What to know about mastectomies","thumb":null,"image":null,"content":"<p>The surgery known as <em>mastectomy</em> is sometimes a necessary treatment for breast cancer, but not all mastectomies are the same. Here are some basic facts about mastectomies to be aware of:</p>\n<ul>\n<li>You have options. With a total mastectomy, the entire breast is removed. A modified radical mastectomy is where the entire breast along with the lymph nodes under the arm are removed. A prophylactic mastectomy occurs when a person chooses to remove one or both breasts because of familial or genetic risk factors. A mastectomy with reconstruction is where reconstruction is performed at the same time as removal of the breast. Many types of reconstruction include placement of an implant or tissue expander, or the use of your own tissue to reconstruct the breast.</li>\n<li>Saline and silicone implants are equally safe for breast reconstruction.</li>\n<li>If you chose to have a mastectomy without breast reconstruction, your insurance will likely pay for you to have prosthesis, bras, and sometimes even camisoles. Contact your insurance to find out your specific coverage.</li>\n<li>If you had a mastectomy many years ago and have now decided to have breast reconstruction, most health insurance will still cover the cost. Contact your insurance to find out your coverage.</li>\n<li>If you develop excess tissue at the mastectomy site (sometimes called <em>dog ears</em>), especially under the arm, your health insurance will likely cover revision surgery to remove the excess tissue.</li>\n</ul>\n"}],"videoInfo":{"videoId":null,"name":null,"accountId":null,"playerId":null,"thumbnailUrl":null,"description":null,"uploadDate":null}},"sponsorship":{"sponsorshipPage":false,"backgroundImage":{"src":null,"width":0,"height":0},"brandingLine":"","brandingLink":"","brandingLogo":{"src":null,"width":0,"height":0},"sponsorAd":"","sponsorEbookTitle":"","sponsorEbookLink":"","sponsorEbookImage":{"src":null,"width":0,"height":0}},"primaryLearningPath":"Solve","lifeExpectancy":"Five years","lifeExpectancySetFrom":"2024-09-18T00:00:00+00:00","dummiesForKids":"no","sponsoredContent":"no","adInfo":"","adPairKey":[]},"status":"publish","visibility":"public","articleId":244241},{"headers":{"creationTime":"2021-03-13T04:22:43+00:00","modifiedTime":"2024-08-10T20:23:17+00:00","timestamp":"2024-08-10T21:01:03+00:00"},"data":{"breadcrumbs":[{"name":"Body, Mind, & Spirit","_links":{"self":"//dummies-api.coursofppt.com/v2/categories/34038"},"slug":"body-mind-spirit","categoryId":34038},{"name":"Physical Health & Well-Being","_links":{"self":"//dummies-api.coursofppt.com/v2/categories/34095"},"slug":"physical-health-well-being","categoryId":34095},{"name":"Diseases","_links":{"self":"//dummies-api.coursofppt.com/v2/categories/34139"},"slug":"diseases","categoryId":34139},{"name":"Addiction","_links":{"self":"//dummies-api.coursofppt.com/v2/categories/34140"},"slug":"addiction","categoryId":34140},{"name":"Smoking & Vaping","_links":{"self":"//dummies-api.coursofppt.com/v2/categories/34141"},"slug":"smoking-vaping","categoryId":34141}],"title":"Getting Seriously Sick from Smoking","strippedTitle":"getting seriously sick from smoking","slug":"getting-seriously-sick-from-smoking","canonicalUrl":"","检目录擎seo":{"metaDescription":"Examine the ways in which smoking can make you seriously sick and how smoking continues to be the most preventable cause of death in the United States.","noIndex":0,"noFollow":0},"content":"Unfortunately, ingesting poison into your system daily for many years takes a toll. We say that not to shame or scare you. Mercifully, we’re keeping some of the gory details limited. The reason it’s important to know about these issues is that it may help give you additional motivation for quitting.\r\n\r\nThe good news is that quitting smoking confers substantial health benefits no matter when you do it. The bad news is that you actually have to quit to get these benefits.\r\n\r\nSo, exactly what can you expect in the relatively near term when you <a href=\"//coursofppt.com/article/body-mind-spirit/physical-health-well-being/diseases/addiction/smoking-vaping/quitting-smoking-vaping-for-dummies-cheat-sheet-268899/\">quit smoking</a>? Here are a few of the benefits:\r\n<ul>\r\n \t<li>If you’re an exerciser, your lung function starts to improve after just a few weeks of not smoking.</li>\r\n \t<li>Fertility returns to normal quickly after quitting.</li>\r\n \t<li>The risk of babies born with low birth weight is the same as nonsmokers upon quitting.</li>\r\n \t<li>Your smell and taste will gradually return after six months or less.</li>\r\n \t<li>You won’t cough as much in the first year or so.</li>\r\n \t<li>Your heart disease risk reduces after the first year and improves to that of a nonsmoker after 15 years.</li>\r\n \t<li>Cancer risk reduction takes longer but declines after five years.</li>\r\n \t<li>Your risk of a stroke declines substantially after five years.</li>\r\n</ul>\r\n<h2 id=\"tab1\" >Smoking effects on the vascular system</h2>\r\nThe circulatory system includes the heart, arteries and veins and is responsible for delivering oxygen-rich nutrients and removing waste from all areas in the body. In a healthy body, the process of circulation is effortless. Smoking interferes with that process.\r\n<h3>Cardiovascular disease</h3>\r\nHeart disease is the leading cause of death for men and women in the United States. About 20 percent of all deaths from heart disease can be directly attributed to smoking. In addition, smokers who have heart disease are more likely to die younger than nonsmokers.\r\n<p class=\"article-tips warning\">Every single cigarette a smoker consumes increases the risk of heart disease. In other words, the more you smoke, the more likely you’ll die of heart disease.</p>\r\nWhat does smoking do to the cardiovascular system? If your health care provider tells you that you suffer from one of the following health issues, you can bet that smoking has contributed to these interrelated diseases:\r\n<ul>\r\n \t<li><strong>Hypertension (high blood pressure):</strong> Smoking increases blood pressure immediately and over the long term. Hypertension causes the heart to pump harder. It damages blood vessels, causing them to narrow, weaken, or rupture. That damage, in turn, can lead to stroke or heart attack.</li>\r\n \t<li><strong>Arteriosclerosis</strong><strong>:</strong> This disease involves plaque buildup in the arteries which can result in a serious blockage resulting in stroke or heart attack.</li>\r\n \t<li><strong>Heart disease:</strong> When the plaque buildup affects the blood supply to the heart or the coronary arteries, it can cause chest pain, shortness of breath, or a heart attack. When a heart is weakened, it can lead to what’s known as <em>heart failure.</em> Heart failure occurs gradually, and symptoms include shortness of breath, weakness, fatigue, wheezing, and retention of fluids, resulting in swollen feet and ankles.</li>\r\n</ul>\r\n<p class=\"article-tips warning\">Although many pipe and cigar smokers claim that they don’t inhale, some do, and all of them ingest secondhand smoke close up. Smoking cigars and pipes increases both the risk of heart disease and stroke.</p>\r\n\r\n<h3>Cerebrovascular disease</h3>\r\nStrokes occur when the blood supply to the brain is impeded by a blockage or leakage. The more you smoke, the higher your risk for stroke. In fact, strokes are the top cause of serious long-term disability in the United States. The acronym FAST can help you remember the symptoms of a stroke. Here’s what the acronym stands for:\r\n<ul>\r\n \t<li><strong>Face: </strong>Numbness or weakness as evidenced by a droopy or asymmetrical smile.</li>\r\n \t<li><strong>Arms: </strong>Weakness or paralysis on one side of the body, which can be determined by trying to raise both arms at the same time. With a stroke, one arm may not function the way the other one does.</li>\r\n \t<li><strong>Speech: </strong>Confusion or difficulty speaking, or understanding may show themselves.</li>\r\n \t<li><strong>Time: </strong>If these symptoms appear, call a doctor immediately. Urgent, prompt attention can improve the outcome greatly.</li>\r\n</ul>\r\nSmoking leads to a host of cerebrovascular problems. It also hijacks the mind, body, and soul. Ted’s story, in the nearby sidebar, “Dying for a smoke,” shows how powerfully addiction leads to deterioration in health, but also impedes recovery.\r\n<h3>Checking for peripheral artery disease</h3>\r\nWith peripheral artery disease (PAD), plaque builds up in the arteries of the outer (or peripheral) part of the body, most commonly the legs. PAD results in pain, cramping, weakness, and numbness in the extremities. If the blood flow is sufficiently restricted, it can also lead to a high risk of infection, which is difficult to treat. Those with severe PAD, can develop gangrene in the affected tissues, which can lead to amputation or even death. Smoking and diabetes are both risk factors for PAD.\r\n<h2 id=\"tab2\" >How smoking affects lungs</h2>\r\nFrom the moment a smoker inhales for the first time, the lungs rebel. Most first-timers choke and cough as part of this rebellion. But the lungs adapt after a while and seem just fine again — until they’re not so fine.\r\n\r\n[caption id=\"attachment_269062\" align=\"alignnone\" width=\"519\"]<img class=\"size-full wp-image-269062\" src=\"//coursofppt.com/wp-content/uploads/vaping-smoking-lungs.jpg\" alt=\"smoking lungs\" width=\"519\" height=\"600\" /> ©Linda Bucklin/Shutterstock.com[/caption]\r\n<p class=\"article-tips warning\">In addition to lung problems directly caused by smoking, smoking exacerbates preexisting asthma, makes recovery from colds or flu slower, and can increase the risk of pneumonia.</p>\r\n<p class=\"article-tips warning\">See your doctor for any cough that lasts for three weeks or more or immediately if you’re coughing up blood.</p>\r\n\r\n<h3>Confronting coughs</h3>\r\nMost smokers develop a smokers’ cough. It’s caused by toxins setting up shop in your lungs, which the body tries to eliminate by coughing. In the beginning, it’s a dry, unproductive cough without phlegm. As time passes, it becomes more frequent, gets worse in the morning, and starts producing phlegm. Treatments designed for typical coughs are not particularly effective for smoker’s cough. Eventually, smoker’s cough often leads to more serious conditions.\r\n<h3>Taking a turn for the worse</h3>\r\nMany people fear lung cancer as the worst outcome of long-term smoking, and for good reason. However, chronic obstructive pulmonary disease (COPD) ranks pretty high on the list, too. In fact, the U.S. Centers for Disease Control and Prevention (CDC) ranks COPD the fourth leading cause of death in the United States. As COPD progresses, the lungs struggle to function properly. The lung tissues thicken, which makes it more difficult to inhale and exhale. More mucus is also produced as the disease progresses.\r\n\r\nAgain, our intention is not to scare you, but people with end-stage COPD have great difficult breathing and become cognitively impaired due to the lack of oxygen. Most experience substantial anxiety because of being unable to catch their breath, which can turn into feelings of drowning. Although there are medications for easing symptoms for a while, there is no cure for COPD. Smoking causes at least 75 percent of all cases of COPD.\r\n<p class=\"article-tips tech\">COPD is often used as an umbrella term encompassing both chronic bronchitis and emphysema. <em>Chronic bronchitis</em> is bronchitis that persists for months, often recurring over years. Symptoms of chronic bronchitis include</p>\r\n\r\n<ul>\r\n \t<li>Shortness of breath</li>\r\n \t<li>Unusually low energy</li>\r\n \t<li>Cough</li>\r\n \t<li>Overproduction of mucus or phlegm</li>\r\n \t<li>Sometimes fever</li>\r\n</ul>\r\nThe most severe symptom of <em>emphysema</em> is shortness of breath. That shortness of breath may appear when going for a long walk at first. However, as the disease progresses, shortness of breath becomes much worse and can be evoked by almost doing nothing, even when sitting. Also, people with advanced emphysema suffer chronic fatigue, poor alertness, and blue or gray fingernails.\r\n<h3>Confronting lung cancer</h3>\r\nEighty percent to 90 percent of all lung cancers appear to be caused by smoking. Most lung cancers are not diagnosed in the early stages, which is why about half of all patients die in the first year following diagnosis. The five-year survival rate is just under 20 percent. We should note that a few new, targeted medications and immunotherapy hold some promise for future improvements in these outcomes.\r\n<p class=\"article-tips warning\">Smoking light or menthol cigarettes does <em>not</em> reduce a smoker’s risk of lung cancer compared to regular cigarettes. However, smoking unfiltered cigarettes doubles the risk of lung cancer for smokers. Filters do <em>not</em> make cigarettes safe in any way, shape, or form. But if you’re going to smoke something, come hell or high water, at least consider avoiding unfiltered cigarettes.</p>\r\n<p class=\"article-tips tip\">Early detection greatly improves survival rates. If you’re a smoker, consider going to <a href=\"//www.lung.org\" target=\"_blank\" rel=\"noopener\">www.lung.org</a> for a free quiz that you can use to determine if you’re eligible for a low-dose CT screening exam that could save your life.</p>\r\nNormally, the first sign of lung cancer is a cough that doesn’t go away. Hoarseness, shortness of breath, chest pain, coughing up blood, weight loss, and frequent lung infections represent more concerning symptoms. Don’t wait; if you think you’re at high risk or you have some of these symptoms, see your healthcare professional right away.\r\n<p class=\"article-tips warning\">When it comes to your risk of heart disease, stroke, and especially COPD and lung cancer, you may think you’ve succeeded at dodging the bullet if you use smokeless tobacco. Although your risk of lung cancer and COPD may be lower as a smokeless tobacco user, that’s not necessarily the case for many other forms of cancer. In the next section, we look at some of the health risks faced by smokeless tobacco users.</p>\r\n<p class=\"article-tips warning\">HTPs have not yet been linked to lung cancer. And tobacco companies claim that they’re safer than cigarettes. We have two problems with this claim:</p>\r\n\r\n<ul>\r\n \t<li>There have not been any long-term studies of the safety of HTPs compared to cigarettes.</li>\r\n \t<li>You’re inhaling the vapor of the entire tobacco product. Indeed, HTPs don’t involve the range of carcinogenic materials and chemicals of burned tobacco, but they do contain some of the same toxins.</li>\r\n</ul>\r\n<h2 id=\"tab3\" >Other cancers caused by smoking</h2>\r\nSmoking not only devastates the lungs and circulatory system but also is responsible for many otherwise preventable cancers. Cancer involves cells going wild dividing and invading healthy tissue. Cancer cells move stealthily through the blood and lymphatic system. Toxic chemicals from tobacco make emerging cancer cells more likely and stopping cancer cells more difficult. Warning signs of cancer include\r\n<ul>\r\n \t<li>Unexplained weight loss</li>\r\n \t<li>Persistent cough or hoarseness</li>\r\n \t<li>Sores that take too long to heal</li>\r\n \t<li>Unexplained lumps that appear anywhere on the body</li>\r\n \t<li>Bleeding or discharge</li>\r\n \t<li>Fatigue</li>\r\n</ul>\r\n<p class=\"article-tips warning\">If you have any of the troubling signs above, or significant changes in appetite, bowel or bladder routine, or unexplained pain, see your healthcare provider for a checkup.</p>\r\nThe more cigarettes you smoke and the more years you smoke them, the greater your risk of cancer of most types. Sending toxic chemicals throughout your body has consequences including a higher risk of the following:\r\n<ul>\r\n \t<li>Mouth and throat cancer</li>\r\n \t<li>Esophageal cancer</li>\r\n \t<li>Cancer of the larynx</li>\r\n \t<li>Cancer of the trachea</li>\r\n \t<li>Pancreatic cancer</li>\r\n \t<li>Stomach cancer</li>\r\n \t<li>Bladder cancer</li>\r\n \t<li>Kidney cancer</li>\r\n \t<li>Liver cancer</li>\r\n \t<li>Cervical cancer</li>\r\n \t<li>Colon and rectum cancer</li>\r\n \t<li>Leukemia</li>\r\n</ul>\r\n<p class=\"article-tips warning\">Whether smoky or smokeless, using tobacco causes cancer. For those who smoke pipes or cigars, chew tobacco, or use snuff, the resulting cancer is mainly found in areas that have been directly exposed to the tobacco, such as the mouth, throat, nose, and sinuses. In addition, smokeless tobacco is associated with a higher risk of pancreatic cancer.</p>\r\n\r\n<h2 id=\"tab4\" >How smoking erodes overall health</h2>\r\nIngesting poison into your body day after day, not only causes cancer, heart disease, and stroke, but a whole lot of other heartache. Smoking negatively impacts every part of your body. Smoking increases the risk for a variety of disorders, from loss of hearing to loss of bone mass. The following problems have been linked to smoking:\r\n<ul>\r\n \t<li><strong>Hearing loss:</strong> Smoking decreases oxygen levels, which negatively effects the blood vessels that keep the critical hair cells in the inner ear healthy.</li>\r\n \t<li><strong>Cataracts and macular degeneration: </strong>Smoking tobacco substantially increases the risk of eye problems. Some studies have found that smokeless tobacco also increases risk.</li>\r\n \t<li><strong>Crohn’s disease:</strong> Crohn’s disease is a type of inflammatory bowel disease that causes pain, diarrhea, weight loss, and malnutrition. Smoking is a risk factor, and it can lead to more disease.</li>\r\n \t<li><strong>Periodontal disease:</strong> This disease involves chronic infections of the gums around the teeth. Tobacco use makes it worse, and chewing tobacco is a particular risk.</li>\r\n \t<li><strong>Type 2</strong> <strong>diabetes:</strong> This chronic disease impacts health negatively across a variety of domains and is 30 percent to 40 percent more likely to occur for smokers as compared to nonsmokers.</li>\r\n \t<li><strong>Rheumatoid</strong> <strong>arthritis (RA):</strong> RA is a chronic, autoimmune disease, and smoking has been shown to increase its risk and severity.</li>\r\n \t<li><strong>Osteoarthritis:</strong> It’s unknown exactly why, but smoking actually seems to confer some small benefit for reducing this disease of the cartilage that protects the ends of bones. Given all the other problems smoking causes, it hardly seems worth going for this mild benefit.</li>\r\n \t<li><strong>Osteoporosis:</strong> This disease involves a deterioration of bone density. The more cigarettes you smoke, the more likely you’ll have osteoporosis and break bones. And if you do break a few bones, they’ll heal more slowly.</li>\r\n \t<li><strong>Ulcers: </strong>Evidence suggests that ingesting tobacco increases the risk of stomach ulcers and slows healing.</li>\r\n</ul>\r\nYou could almost get the impression that the human body just isn’t designed to handle cigarette smoke or tobacco products.","description":"Unfortunately, ingesting poison into your system daily for many years takes a toll. We say that not to shame or scare you. Mercifully, we’re keeping some of the gory details limited. The reason it’s important to know about these issues is that it may help give you additional motivation for quitting.\r\n\r\nThe good news is that quitting smoking confers substantial health benefits no matter when you do it. The bad news is that you actually have to quit to get these benefits.\r\n\r\nSo, exactly what can you expect in the relatively near term when you <a href=\"//coursofppt.com/article/body-mind-spirit/physical-health-well-being/diseases/addiction/smoking-vaping/quitting-smoking-vaping-for-dummies-cheat-sheet-268899/\">quit smoking</a>? Here are a few of the benefits:\r\n<ul>\r\n \t<li>If you’re an exerciser, your lung function starts to improve after just a few weeks of not smoking.</li>\r\n \t<li>Fertility returns to normal quickly after quitting.</li>\r\n \t<li>The risk of babies born with low birth weight is the same as nonsmokers upon quitting.</li>\r\n \t<li>Your smell and taste will gradually return after six months or less.</li>\r\n \t<li>You won’t cough as much in the first year or so.</li>\r\n \t<li>Your heart disease risk reduces after the first year and improves to that of a nonsmoker after 15 years.</li>\r\n \t<li>Cancer risk reduction takes longer but declines after five years.</li>\r\n \t<li>Your risk of a stroke declines substantially after five years.</li>\r\n</ul>\r\n<h2 id=\"tab1\" >Smoking effects on the vascular system</h2>\r\nThe circulatory system includes the heart, arteries and veins and is responsible for delivering oxygen-rich nutrients and removing waste from all areas in the body. In a healthy body, the process of circulation is effortless. Smoking interferes with that process.\r\n<h3>Cardiovascular disease</h3>\r\nHeart disease is the leading cause of death for men and women in the United States. About 20 percent of all deaths from heart disease can be directly attributed to smoking. In addition, smokers who have heart disease are more likely to die younger than nonsmokers.\r\n<p class=\"article-tips warning\">Every single cigarette a smoker consumes increases the risk of heart disease. In other words, the more you smoke, the more likely you’ll die of heart disease.</p>\r\nWhat does smoking do to the cardiovascular system? If your health care provider tells you that you suffer from one of the following health issues, you can bet that smoking has contributed to these interrelated diseases:\r\n<ul>\r\n \t<li><strong>Hypertension (high blood pressure):</strong> Smoking increases blood pressure immediately and over the long term. Hypertension causes the heart to pump harder. It damages blood vessels, causing them to narrow, weaken, or rupture. That damage, in turn, can lead to stroke or heart attack.</li>\r\n \t<li><strong>Arteriosclerosis</strong><strong>:</strong> This disease involves plaque buildup in the arteries which can result in a serious blockage resulting in stroke or heart attack.</li>\r\n \t<li><strong>Heart disease:</strong> When the plaque buildup affects the blood supply to the heart or the coronary arteries, it can cause chest pain, shortness of breath, or a heart attack. When a heart is weakened, it can lead to what’s known as <em>heart failure.</em> Heart failure occurs gradually, and symptoms include shortness of breath, weakness, fatigue, wheezing, and retention of fluids, resulting in swollen feet and ankles.</li>\r\n</ul>\r\n<p class=\"article-tips warning\">Although many pipe and cigar smokers claim that they don’t inhale, some do, and all of them ingest secondhand smoke close up. Smoking cigars and pipes increases both the risk of heart disease and stroke.</p>\r\n\r\n<h3>Cerebrovascular disease</h3>\r\nStrokes occur when the blood supply to the brain is impeded by a blockage or leakage. The more you smoke, the higher your risk for stroke. In fact, strokes are the top cause of serious long-term disability in the United States. The acronym FAST can help you remember the symptoms of a stroke. Here’s what the acronym stands for:\r\n<ul>\r\n \t<li><strong>Face: </strong>Numbness or weakness as evidenced by a droopy or asymmetrical smile.</li>\r\n \t<li><strong>Arms: </strong>Weakness or paralysis on one side of the body, which can be determined by trying to raise both arms at the same time. With a stroke, one arm may not function the way the other one does.</li>\r\n \t<li><strong>Speech: </strong>Confusion or difficulty speaking, or understanding may show themselves.</li>\r\n \t<li><strong>Time: </strong>If these symptoms appear, call a doctor immediately. Urgent, prompt attention can improve the outcome greatly.</li>\r\n</ul>\r\nSmoking leads to a host of cerebrovascular problems. It also hijacks the mind, body, and soul. Ted’s story, in the nearby sidebar, “Dying for a smoke,” shows how powerfully addiction leads to deterioration in health, but also impedes recovery.\r\n<h3>Checking for peripheral artery disease</h3>\r\nWith peripheral artery disease (PAD), plaque builds up in the arteries of the outer (or peripheral) part of the body, most commonly the legs. PAD results in pain, cramping, weakness, and numbness in the extremities. If the blood flow is sufficiently restricted, it can also lead to a high risk of infection, which is difficult to treat. Those with severe PAD, can develop gangrene in the affected tissues, which can lead to amputation or even death. Smoking and diabetes are both risk factors for PAD.\r\n<h2 id=\"tab2\" >How smoking affects lungs</h2>\r\nFrom the moment a smoker inhales for the first time, the lungs rebel. Most first-timers choke and cough as part of this rebellion. But the lungs adapt after a while and seem just fine again — until they’re not so fine.\r\n\r\n[caption id=\"attachment_269062\" align=\"alignnone\" width=\"519\"]<img class=\"size-full wp-image-269062\" src=\"//coursofppt.com/wp-content/uploads/vaping-smoking-lungs.jpg\" alt=\"smoking lungs\" width=\"519\" height=\"600\" /> ©Linda Bucklin/Shutterstock.com[/caption]\r\n<p class=\"article-tips warning\">In addition to lung problems directly caused by smoking, smoking exacerbates preexisting asthma, makes recovery from colds or flu slower, and can increase the risk of pneumonia.</p>\r\n<p class=\"article-tips warning\">See your doctor for any cough that lasts for three weeks or more or immediately if you’re coughing up blood.</p>\r\n\r\n<h3>Confronting coughs</h3>\r\nMost smokers develop a smokers’ cough. It’s caused by toxins setting up shop in your lungs, which the body tries to eliminate by coughing. In the beginning, it’s a dry, unproductive cough without phlegm. As time passes, it becomes more frequent, gets worse in the morning, and starts producing phlegm. Treatments designed for typical coughs are not particularly effective for smoker’s cough. Eventually, smoker’s cough often leads to more serious conditions.\r\n<h3>Taking a turn for the worse</h3>\r\nMany people fear lung cancer as the worst outcome of long-term smoking, and for good reason. However, chronic obstructive pulmonary disease (COPD) ranks pretty high on the list, too. In fact, the U.S. Centers for Disease Control and Prevention (CDC) ranks COPD the fourth leading cause of death in the United States. As COPD progresses, the lungs struggle to function properly. The lung tissues thicken, which makes it more difficult to inhale and exhale. More mucus is also produced as the disease progresses.\r\n\r\nAgain, our intention is not to scare you, but people with end-stage COPD have great difficult breathing and become cognitively impaired due to the lack of oxygen. Most experience substantial anxiety because of being unable to catch their breath, which can turn into feelings of drowning. Although there are medications for easing symptoms for a while, there is no cure for COPD. Smoking causes at least 75 percent of all cases of COPD.\r\n<p class=\"article-tips tech\">COPD is often used as an umbrella term encompassing both chronic bronchitis and emphysema. <em>Chronic bronchitis</em> is bronchitis that persists for months, often recurring over years. Symptoms of chronic bronchitis include</p>\r\n\r\n<ul>\r\n \t<li>Shortness of breath</li>\r\n \t<li>Unusually low energy</li>\r\n \t<li>Cough</li>\r\n \t<li>Overproduction of mucus or phlegm</li>\r\n \t<li>Sometimes fever</li>\r\n</ul>\r\nThe most severe symptom of <em>emphysema</em> is shortness of breath. That shortness of breath may appear when going for a long walk at first. However, as the disease progresses, shortness of breath becomes much worse and can be evoked by almost doing nothing, even when sitting. Also, people with advanced emphysema suffer chronic fatigue, poor alertness, and blue or gray fingernails.\r\n<h3>Confronting lung cancer</h3>\r\nEighty percent to 90 percent of all lung cancers appear to be caused by smoking. Most lung cancers are not diagnosed in the early stages, which is why about half of all patients die in the first year following diagnosis. The five-year survival rate is just under 20 percent. We should note that a few new, targeted medications and immunotherapy hold some promise for future improvements in these outcomes.\r\n<p class=\"article-tips warning\">Smoking light or menthol cigarettes does <em>not</em> reduce a smoker’s risk of lung cancer compared to regular cigarettes. However, smoking unfiltered cigarettes doubles the risk of lung cancer for smokers. Filters do <em>not</em> make cigarettes safe in any way, shape, or form. But if you’re going to smoke something, come hell or high water, at least consider avoiding unfiltered cigarettes.</p>\r\n<p class=\"article-tips tip\">Early detection greatly improves survival rates. If you’re a smoker, consider going to <a href=\"//www.lung.org\" target=\"_blank\" rel=\"noopener\">www.lung.org</a> for a free quiz that you can use to determine if you’re eligible for a low-dose CT screening exam that could save your life.</p>\r\nNormally, the first sign of lung cancer is a cough that doesn’t go away. Hoarseness, shortness of breath, chest pain, coughing up blood, weight loss, and frequent lung infections represent more concerning symptoms. Don’t wait; if you think you’re at high risk or you have some of these symptoms, see your healthcare professional right away.\r\n<p class=\"article-tips warning\">When it comes to your risk of heart disease, stroke, and especially COPD and lung cancer, you may think you’ve succeeded at dodging the bullet if you use smokeless tobacco. Although your risk of lung cancer and COPD may be lower as a smokeless tobacco user, that’s not necessarily the case for many other forms of cancer. In the next section, we look at some of the health risks faced by smokeless tobacco users.</p>\r\n<p class=\"article-tips warning\">HTPs have not yet been linked to lung cancer. And tobacco companies claim that they’re safer than cigarettes. We have two problems with this claim:</p>\r\n\r\n<ul>\r\n \t<li>There have not been any long-term studies of the safety of HTPs compared to cigarettes.</li>\r\n \t<li>You’re inhaling the vapor of the entire tobacco product. Indeed, HTPs don’t involve the range of carcinogenic materials and chemicals of burned tobacco, but they do contain some of the same toxins.</li>\r\n</ul>\r\n<h2 id=\"tab3\" >Other cancers caused by smoking</h2>\r\nSmoking not only devastates the lungs and circulatory system but also is responsible for many otherwise preventable cancers. Cancer involves cells going wild dividing and invading healthy tissue. Cancer cells move stealthily through the blood and lymphatic system. Toxic chemicals from tobacco make emerging cancer cells more likely and stopping cancer cells more difficult. Warning signs of cancer include\r\n<ul>\r\n \t<li>Unexplained weight loss</li>\r\n \t<li>Persistent cough or hoarseness</li>\r\n \t<li>Sores that take too long to heal</li>\r\n \t<li>Unexplained lumps that appear anywhere on the body</li>\r\n \t<li>Bleeding or discharge</li>\r\n \t<li>Fatigue</li>\r\n</ul>\r\n<p class=\"article-tips warning\">If you have any of the troubling signs above, or significant changes in appetite, bowel or bladder routine, or unexplained pain, see your healthcare provider for a checkup.</p>\r\nThe more cigarettes you smoke and the more years you smoke them, the greater your risk of cancer of most types. Sending toxic chemicals throughout your body has consequences including a higher risk of the following:\r\n<ul>\r\n \t<li>Mouth and throat cancer</li>\r\n \t<li>Esophageal cancer</li>\r\n \t<li>Cancer of the larynx</li>\r\n \t<li>Cancer of the trachea</li>\r\n \t<li>Pancreatic cancer</li>\r\n \t<li>Stomach cancer</li>\r\n \t<li>Bladder cancer</li>\r\n \t<li>Kidney cancer</li>\r\n \t<li>Liver cancer</li>\r\n \t<li>Cervical cancer</li>\r\n \t<li>Colon and rectum cancer</li>\r\n \t<li>Leukemia</li>\r\n</ul>\r\n<p class=\"article-tips warning\">Whether smoky or smokeless, using tobacco causes cancer. For those who smoke pipes or cigars, chew tobacco, or use snuff, the resulting cancer is mainly found in areas that have been directly exposed to the tobacco, such as the mouth, throat, nose, and sinuses. In addition, smokeless tobacco is associated with a higher risk of pancreatic cancer.</p>\r\n\r\n<h2 id=\"tab4\" >How smoking erodes overall health</h2>\r\nIngesting poison into your body day after day, not only causes cancer, heart disease, and stroke, but a whole lot of other heartache. Smoking negatively impacts every part of your body. Smoking increases the risk for a variety of disorders, from loss of hearing to loss of bone mass. The following problems have been linked to smoking:\r\n<ul>\r\n \t<li><strong>Hearing loss:</strong> Smoking decreases oxygen levels, which negatively effects the blood vessels that keep the critical hair cells in the inner ear healthy.</li>\r\n \t<li><strong>Cataracts and macular degeneration: </strong>Smoking tobacco substantially increases the risk of eye problems. Some studies have found that smokeless tobacco also increases risk.</li>\r\n \t<li><strong>Crohn’s disease:</strong> Crohn’s disease is a type of inflammatory bowel disease that causes pain, diarrhea, weight loss, and malnutrition. Smoking is a risk factor, and it can lead to more disease.</li>\r\n \t<li><strong>Periodontal disease:</strong> This disease involves chronic infections of the gums around the teeth. Tobacco use makes it worse, and chewing tobacco is a particular risk.</li>\r\n \t<li><strong>Type 2</strong> <strong>diabetes:</strong> This chronic disease impacts health negatively across a variety of domains and is 30 percent to 40 percent more likely to occur for smokers as compared to nonsmokers.</li>\r\n \t<li><strong>Rheumatoid</strong> <strong>arthritis (RA):</strong> RA is a chronic, autoimmune disease, and smoking has been shown to increase its risk and severity.</li>\r\n \t<li><strong>Osteoarthritis:</strong> It’s unknown exactly why, but smoking actually seems to confer some small benefit for reducing this disease of the cartilage that protects the ends of bones. Given all the other problems smoking causes, it hardly seems worth going for this mild benefit.</li>\r\n \t<li><strong>Osteoporosis:</strong> This disease involves a deterioration of bone density. The more cigarettes you smoke, the more likely you’ll have osteoporosis and break bones. And if you do break a few bones, they’ll heal more slowly.</li>\r\n \t<li><strong>Ulcers: </strong>Evidence suggests that ingesting tobacco increases the risk of stomach ulcers and slows healing.</li>\r\n</ul>\r\nYou could almost get the impression that the human body just isn’t designed to handle cigarette smoke or tobacco products.","blurb":"","authors":[{"authorId":9100,"name":"Charles H. Elliott","slug":"charles-h-elliott","description":" <p><b>Charles H. Elliott, Ph.D.&nbsp;</b> (Corrales, New Mexico) is a clinical psychologist and a Founding Fellow in the Academy of Cognitive Therapy. He is also a member of the faculty at Fielding Graduate University. He specializes in the treatment of adolescents and adults with obsessive compulsive disorder, anxiety, anger, depression, and personality disorders. He presents nationally and internationally on new developments in the assessment and therapy of emotional disorders.</p> <p><b>Laura L. Smith, Ph.D.</b> (Corrales, New Mexico) is a clinical psychologist who specializes in the assessment and treatment of adults and children with obsessive compulsive disorder, as well as personality disorders, depression, anxiety, ADHD, and learning disorders. She is often asked to provide consultations to attorneys, school districts, and governmental agencies. She presents workshops on cognitive therapy and mental health issues to national and international audiences.</p>","hasArticle":false,"_links":{"self":"//dummies-api.coursofppt.com/v2/authors/9100"}},{"authorId":9101,"name":"Laura L. Smith","slug":"laura-l-smith","description":" <p><b>Charles H. Elliott, Ph.D.&nbsp;</b> (Corrales, New Mexico) is a clinical psychologist and a Founding Fellow in the Academy of Cognitive Therapy. He is also a member of the faculty at Fielding Graduate University. He specializes in the treatment of adolescents and adults with obsessive compulsive disorder, anxiety, anger, depression, and personality disorders. He presents nationally and internationally on new developments in the assessment and therapy of emotional disorders.</p> <p><b>Laura L. Smith, Ph.D.</b> (Corrales, New Mexico) is a clinical psychologist who specializes in the assessment and treatment of adults and children with obsessive compulsive disorder, as well as personality disorders, depression, anxiety, ADHD, and learning disorders. She is often asked to provide consultations to attorneys, school districts, and governmental agencies. She presents workshops on cognitive therapy and mental health issues to national and international audiences.</p>","hasArticle":false,"_links":{"self":"//dummies-api.coursofppt.com/v2/authors/9101"}}],"primaryCategoryTaxonomy":{"categoryId":34141,"title":"Smoking & Vaping","slug":"smoking-vaping","_links":{"self":"//dummies-api.coursofppt.com/v2/categories/34141"}},"secondaryCategoryTaxonomy":{"categoryId":0,"title":null,"slug":null,"_links":null},"tertiaryCategoryTaxonomy":{"categoryId":0,"title":null,"slug":null,"_links":null},"trendingArticles":null,"inThisArticle":[{"label":"Smoking effects on the vascular system","target":"#tab1"},{"label":"How smoking affects lungs","target":"#tab2"},{"label":"Other cancers caused by smoking","target":"#tab3"},{"label":"How smoking erodes overall health","target":"#tab4"}],"relatedArticles":{"fromBook":[{"articleId":269072,"title":"The Dangers of Vaping","slug":"the-dangers-of-vaping","categoryList":["body-mind-spirit","physical-health-well-being","diseases","addiction","smoking-vaping"],"_links":{"self":"//dummies-api.coursofppt.com/v2/articles/269072"}},{"articleId":269067,"title":"Is Vaping Safer than Smoking?","slug":"is-vaping-safer-than-smoking","categoryList":["body-mind-spirit","physical-health-well-being","diseases","addiction","smoking-vaping"],"_links":{"self":"//dummies-api.coursofppt.com/v2/articles/269067"}},{"articleId":269058,"title":"Analyzing Addiction","slug":"analyzing-addiction","categoryList":["body-mind-spirit","physical-health-well-being","diseases","addiction","smoking-vaping"],"_links":{"self":"//dummies-api.coursofppt.com/v2/articles/269058"}},{"articleId":269053,"title":"The Costs of Smoking","slug":"the-costs-of-smoking","categoryList":["body-mind-spirit","physical-health-well-being","diseases","addiction","smoking-vaping"],"_links":{"self":"//dummies-api.coursofppt.com/v2/articles/269053"}},{"articleId":269048,"title":"10 Ways to Help Someone Quit Smoking or Vaping","slug":"10-ways-to-help-someone-quit-smoking-or-vaping","categoryList":["body-mind-spirit","physical-health-well-being","diseases","addiction","smoking-vaping"],"_links":{"self":"//dummies-api.coursofppt.com/v2/articles/269048"}}],"fromCategory":[{"articleId":269072,"title":"The Dangers of Vaping","slug":"the-dangers-of-vaping","categoryList":["body-mind-spirit","physical-health-well-being","diseases","addiction","smoking-vaping"],"_links":{"self":"//dummies-api.coursofppt.com/v2/articles/269072"}},{"articleId":269067,"title":"Is Vaping Safer than Smoking?","slug":"is-vaping-safer-than-smoking","categoryList":["body-mind-spirit","physical-health-well-being","diseases","addiction","smoking-vaping"],"_links":{"self":"//dummies-api.coursofppt.com/v2/articles/269067"}},{"articleId":269058,"title":"Analyzing Addiction","slug":"analyzing-addiction","categoryList":["body-mind-spirit","physical-health-well-being","diseases","addiction","smoking-vaping"],"_links":{"self":"//dummies-api.coursofppt.com/v2/articles/269058"}},{"articleId":269053,"title":"The Costs of Smoking","slug":"the-costs-of-smoking","categoryList":["body-mind-spirit","physical-health-well-being","diseases","addiction","smoking-vaping"],"_links":{"self":"//dummies-api.coursofppt.com/v2/articles/269053"}},{"articleId":269048,"title":"10 Ways to Help Someone Quit Smoking or Vaping","slug":"10-ways-to-help-someone-quit-smoking-or-vaping","categoryList":["body-mind-spirit","physical-health-well-being","diseases","addiction","smoking-vaping"],"_links":{"self":"//dummies-api.coursofppt.com/v2/articles/269048"}}]},"hasRelatedBookFromSearch":false,"relatedBook":{"bookId":282521,"slug":"quitting-smoking-vaping-for-dummies","isbn":"9781119616917","categoryList":["body-mind-spirit","physical-health-well-being","diseases","addiction","smoking-vaping"],"amazon":{"default":"//www.amazon.com/gp/product/1119616913/ref=as_li_tl?ie=UTF8&tag=wiley01-20","ca":"//www.amazon.ca/gp/product/1119616913/ref=as_li_tl?ie=UTF8&tag=wiley01-20","indigo_ca":"//www.tkqlhce.com/click-9208661-13710633?url=//www.chapters.indigo.ca/en-ca/books/product/1119616913-item.html&cjsku=978111945484","gb":"//www.amazon.co.uk/gp/product/1119616913/ref=as_li_tl?ie=UTF8&tag=wiley01-20","de":"//www.amazon.de/gp/product/1119616913/ref=as_li_tl?ie=UTF8&tag=wiley01-20"},"image":{"src":"//coursofppt.com/wp-content/uploads/quitting-smoking-and-vaping-for-dummies-cover-9781119616917-203x255.jpg","width":203,"height":255},"title":"Quitting Smoking & Vaping For Dummies","testBankPinActivationLink":"","bookOutOfPrint":false,"authorsInfo":"<p><b data-author-id=\"9100\">Charles H. Elliott, PhD</b> and <b data-author-id=\"9101\">Laura L. Smith, PhD</b> are clinical psychologists with years of experience treating people with emotional problems, including addictions. They are authors of a variety of <i>For Dummies</i> books including <i>Overcoming Anxiety For Dummies</i> and <i>Borderline Personality Disorder For Dummies.</i> </p>","authors":[{"authorId":9101,"name":"Laura L. Smith","slug":"laura-l-smith","description":" <p><b>Charles H. Elliott, Ph.D.&nbsp;</b> (Corrales, New Mexico) is a clinical psychologist and a Founding Fellow in the Academy of Cognitive Therapy. He is also a member of the faculty at Fielding Graduate University. He specializes in the treatment of adolescents and adults with obsessive compulsive disorder, anxiety, anger, depression, and personality disorders. He presents nationally and internationally on new developments in the assessment and therapy of emotional disorders.</p> <p><b>Laura L. Smith, Ph.D.</b> (Corrales, New Mexico) is a clinical psychologist who specializes in the assessment and treatment of adults and children with obsessive compulsive disorder, as well as personality disorders, depression, anxiety, ADHD, and learning disorders. She is often asked to provide consultations to attorneys, school districts, and governmental agencies. She presents workshops on cognitive therapy and mental health issues to national and international audiences.</p>","hasArticle":false,"_links":{"self":"//dummies-api.coursofppt.com/v2/authors/9101"}},{"authorId":9100,"name":"Charles H. Elliott","slug":"charles-h-elliott","description":" <p><b>Charles H. Elliott, Ph.D.&nbsp;</b> (Corrales, New Mexico) is a clinical psychologist and a Founding Fellow in the Academy of Cognitive Therapy. He is also a member of the faculty at Fielding Graduate University. He specializes in the treatment of adolescents and adults with obsessive compulsive disorder, anxiety, anger, depression, and personality disorders. He presents nationally and internationally on new developments in the assessment and therapy of emotional disorders.</p> <p><b>Laura L. Smith, Ph.D.</b> (Corrales, New Mexico) is a clinical psychologist who specializes in the assessment and treatment of adults and children with obsessive compulsive disorder, as well as personality disorders, depression, anxiety, ADHD, and learning disorders. She is often asked to provide consultations to attorneys, school districts, and governmental agencies. She presents workshops on cognitive therapy and mental health issues to national and international audiences.</p>","hasArticle":false,"_links":{"self":"//dummies-api.coursofppt.com/v2/authors/9100"}}],"_links":{"self":"//dummies-api.coursofppt.com/v2/books/"}},"collections":[],"articleAds":{"footerAd":"<div class=\"du-ad-region row\" id=\"article_page_adhesion_ad\"><div class=\"du-ad-unit col-md-12\" data-slot-id=\"article_page_adhesion_ad\" data-refreshed=\"false\" \r\n data-target = \"[{&quot;key&quot;:&quot;cat&quot;,&quot;values&quot;:[&quot;body-mind-spirit&quot;,&quot;physical-health-well-being&quot;,&quot;diseases&quot;,&quot;addiction&quot;,&quot;smoking-vaping&quot;]},{&quot;key&quot;:&quot;isbn&quot;,&quot;values&quot;:[&quot;9781119616917&quot;]}]\" id=\"du-slot-64d5500f29b18\"></div></div>","rightAd":"<div class=\"du-ad-region row\" id=\"article_page_right_ad\"><div class=\"du-ad-unit col-md-12\" data-slot-id=\"article_page_right_ad\" data-refreshed=\"false\" \r\n data-target = \"[{&quot;key&quot;:&quot;cat&quot;,&quot;values&quot;:[&quot;body-mind-spirit&quot;,&quot;physical-health-well-being&quot;,&quot;diseases&quot;,&quot;addiction&quot;,&quot;smoking-vaping&quot;]},{&quot;key&quot;:&quot;isbn&quot;,&quot;values&quot;:[&quot;9781119616917&quot;]}]\" id=\"du-slot-64d5500f2a059\"></div></div>"},"articleType":{"articleType":"Articles","articleList":null,"content":null,"videoInfo":{"videoId":null,"name":null,"accountId":null,"playerId":null,"thumbnailUrl":null,"description":null,"uploadDate":null}},"sponsorship":{"sponsorshipPage":false,"backgroundImage":{"src":null,"width":0,"height":0},"brandingLine":"","brandingLink":"","brandingLogo":{"src":null,"width":0,"height":0},"sponsorAd":"","sponsorEbookTitle":"","sponsorEbookLink":"","sponsorEbookImage":{"src":null,"width":0,"height":0}},"primaryLearningPath":"Solve","lifeExpectancy":"Two years","lifeExpectancySetFrom":"2024-08-10T00:00:00+00:00","dummiesForKids":"no","sponsoredContent":"no","adInfo":"","adPairKey":[]},"status":"publish","visibility":"public","articleId":269061},{"headers":{"creationTime":"2017-03-27T16:54:29+00:00","modifiedTime":"2024-07-03T20:49:39+00:00","timestamp":"2024-07-03T21:01:03+00:00"},"data":{"breadcrumbs":[{"name":"Body, Mind, & Spirit","_links":{"self":"//dummies-api.coursofppt.com/v2/categories/34038"},"slug":"body-mind-spirit","categoryId":34038},{"name":"Physical Health & Well-Being","_links":{"self":"//dummies-api.coursofppt.com/v2/categories/34095"},"slug":"physical-health-well-being","categoryId":34095},{"name":"Diseases","_links":{"self":"//dummies-api.coursofppt.com/v2/categories/34139"},"slug":"diseases","categoryId":34139},{"name":"Asthma","_links":{"self":"//dummies-api.coursofppt.com/v2/categories/34797"},"slug":"asthma","categoryId":34797}],"title":"Asthma For Dummies Cheat Sheet","strippedTitle":"asthma for dummies cheat sheet","slug":"asthma-for-dummies-cheat-sheet","canonicalUrl":"","检目录擎seo":{"metaDescription":"Learn about the major myths and misconceptions about asthma, common problems related to asthma, and the top ten asthma triggers.","noIndex":0,"noFollow":0},"content":"At least 330 million people in the world have asthma, which is a life-long lung disease characterized by respiratory symptoms such as coughing, wheezing, chest tightness, and shortness of breath.\r\n\r\nAlthough there is no cure for asthma, it can be well managed and controlled with new and innovative medications and treatments. You and your doctor can design a step-by-step plan for living with your condition and preventing asthma attacks.","description":"At least 330 million people in the world have asthma, which is a life-long lung disease characterized by respiratory symptoms such as coughing, wheezing, chest tightness, and shortness of breath.\r\n\r\nAlthough there is no cure for asthma, it can be well managed and controlled with new and innovative medications and treatments. You and your doctor can design a step-by-step plan for living with your condition and preventing asthma attacks.","blurb":"","authors":[{"authorId":10207,"name":"William E. Berger","slug":"william-e-berger","description":"<span class=\"a-text-bold\"><strong>William E. Berger</strong>, MD, MBA,</span> has over 40 years of clinical experience diagnosing and treating patients with allergies and asthma. He founded the Allergy &amp; Asthma Associates of Southern California, where he practiced both adult and pediatric allergy and immunology.","hasArticle":false,"_links":{"self":"//dummies-api.coursofppt.com/v2/authors/10207"}},{"authorId":35310,"name":"Tonya A. Winders","slug":"tonya-a-winders","description":"<strong>Tonya A. Winders</strong>, MBA, is the president of the Global Allergy &amp; Airways Patient Platform and former CEO of Allergy &amp; Asthma Network. She has 15 years of experience in the pharmaceutical and medical device industries.","hasArticle":false,"_links":{"self":"//dummies-api.coursofppt.com/v2/authors/35310"}}],"primaryCategoryTaxonomy":{"categoryId":34797,"title":"Asthma","slug":"asthma","_links":{"self":"//dummies-api.coursofppt.com/v2/categories/34797"}},"secondaryCategoryTaxonomy":{"categoryId":0,"title":null,"slug":null,"_links":null},"tertiaryCategoryTaxonomy":{"categoryId":0,"title":null,"slug":null,"_links":null},"trendingArticles":null,"inThisArticle":[],"relatedArticles":{"fromBook":[],"fromCategory":[]},"hasRelatedBookFromSearch":false,"relatedBook":{"bookId":292654,"slug":"asthma-for-dummies","isbn":"9781119908081","categoryList":["body-mind-spirit","physical-health-well-being","diseases","asthma"],"amazon":{"default":"//www.amazon.com/gp/product/1119908086/ref=as_li_tl?ie=UTF8&tag=wiley01-20","ca":"//www.amazon.ca/gp/product/1119908086/ref=as_li_tl?ie=UTF8&tag=wiley01-20","indigo_ca":"//www.tkqlhce.com/click-9208661-13710633?url=//www.chapters.indigo.ca/en-ca/books/product/1119908086-item.html&cjsku=978111945484","gb":"//www.amazon.co.uk/gp/product/1119908086/ref=as_li_tl?ie=UTF8&tag=wiley01-20","de":"//www.amazon.de/gp/product/1119908086/ref=as_li_tl?ie=UTF8&tag=wiley01-20"},"image":{"src":"//coursofppt.com/wp-content/uploads/asthma-for-dummies-2nd-edition-cover-9781119908081-207x255.jpg","width":207,"height":255},"title":"Asthma For Dummies","testBankPinActivationLink":"","bookOutOfPrint":true,"authorsInfo":"<p><span class=\"a-text-bold\"><strong><b data-author-id=\"10207\">William E. Berger</b></strong>, MD, MBA,</span> has over 40 years of clinical experience diagnosing and treating patients with allergies and asthma. He founded the Allergy &amp; Asthma Associates of Southern California, where he practiced both adult and pediatric allergy and immunology. <strong><b data-author-id=\"35310\">Tonya A. Winders</b></strong>, MBA, is the president of the Global Allergy &amp; Airways Patient Platform and former CEO of Allergy &amp; Asthma Network. She has 15 years of experience in the pharmaceutical and medical device industries.</p>","authors":[{"authorId":10207,"name":"William E. Berger","slug":"william-e-berger","description":"<span class=\"a-text-bold\"><strong>William E. Berger</strong>, MD, MBA,</span> has over 40 years of clinical experience diagnosing and treating patients with allergies and asthma. He founded the Allergy &amp; Asthma Associates of Southern California, where he practiced both adult and pediatric allergy and immunology.","hasArticle":false,"_links":{"self":"//dummies-api.coursofppt.com/v2/authors/10207"}},{"authorId":35310,"name":"Tonya A. Winders","slug":"tonya-a-winders","description":"<strong>Tonya A. Winders</strong>, MBA, is the president of the Global Allergy &amp; Airways Patient Platform and former CEO of Allergy &amp; Asthma Network. She has 15 years of experience in the pharmaceutical and medical device industries.","hasArticle":false,"_links":{"self":"//dummies-api.coursofppt.com/v2/authors/35310"}}],"_links":{"self":"//dummies-api.coursofppt.com/v2/books/"}},"collections":[],"articleAds":{"footerAd":"<div class=\"du-ad-region row\" id=\"article_page_adhesion_ad\"><div class=\"du-ad-unit col-md-12\" data-slot-id=\"article_page_adhesion_ad\" data-refreshed=\"false\" \r\n data-target = \"[{&quot;key&quot;:&quot;cat&quot;,&quot;values&quot;:[&quot;body-mind-spirit&quot;,&quot;physical-health-well-being&quot;,&quot;diseases&quot;,&quot;asthma&quot;]},{&quot;key&quot;:&quot;isbn&quot;,&quot;values&quot;:[&quot;9781119908081&quot;]}]\" id=\"du-slot-64a3370f85e59\"></div></div>","rightAd":"<div class=\"du-ad-region row\" id=\"article_page_right_ad\"><div class=\"du-ad-unit col-md-12\" data-slot-id=\"article_page_right_ad\" data-refreshed=\"false\" \r\n data-target = \"[{&quot;key&quot;:&quot;cat&quot;,&quot;values&quot;:[&quot;body-mind-spirit&quot;,&quot;physical-health-well-being&quot;,&quot;diseases&quot;,&quot;asthma&quot;]},{&quot;key&quot;:&quot;isbn&quot;,&quot;values&quot;:[&quot;9781119908081&quot;]}]\" id=\"du-slot-64a3370f864ce\"></div></div>"},"articleType":{"articleType":"Cheat Sheet","articleList":[{"articleId":188982,"title":"Major Myths about Asthma and Allergies","slug":"major-myths-about-asthma-and-allergies","categoryList":[],"_links":{"self":"//dummies-api.coursofppt.com/v2/articles/188982"}},{"articleId":188989,"title":"Asthma-Related Problems","slug":"asthma-related-problems","categoryList":[],"_links":{"self":"//dummies-api.coursofppt.com/v2/articles/188989"}},{"articleId":188981,"title":"Common Asthma Triggers","slug":"common-asthma-triggers","categoryList":[],"_links":{"self":"//dummies-api.coursofppt.com/v2/articles/188981"}}],"content":[{"title":"Myths and misconceptions about asthma and allergies","thumb":null,"image":null,"content":"<p>The following ideas are myths and misinformation that you may often hear about asthma and allergies. This listing isn’t a true-or-false test — all these statements are incorrect!</p>\n<p><strong>Myth: Moving to Arizona will cure my asthma and allergies. </strong></p>\n<p><strong>Truth</strong>: Asthma and allergies can occur throughout the United States, especially due to the spread of non-native pollinating plants around the country, such as mulberry trees that were planted in Arizona, which produce large amounts of pollen that are airborne in the windy dry weather of the Southwest.</p>\n<p><strong>Myth: A cat or dog with short hair is safer for my asthma than a long-haired pet.</strong></p>\n<p><strong>Truth:</strong> A majority of the allergens (proteins that cause allergy) that cats and dogs spread is in their dander (skin cells shed by the animals), saliva, and urine, whereas the pet’s hair itself is not allergenic.</p>\n<p><strong>Myth: Asthma is contagious. </strong></p>\n<p><strong>Truth:</strong> Asthma is not infectious or contagious and is not caused by a virus or bacteria, so don’t worry about catching asthma from someone who has the condition.</p>\n<p><strong>Myth: I can’t exercise because I have asthma. </strong></p>\n<p><strong>Truth:</strong> People with well-controlled asthma can exercise and participate in all types of athletic activities. In fact, regular physical activity is essential for managing your health and can improve airway function by strengthening breathing muscles.</p>\n<p><strong>Myth: I just have a recurring chest cold; I don’t need to check for asthma. </strong></p>\n<p><strong>Truth:</strong> Recurrent cold symptoms such as coughing and wheezing may in fact be a presentation of asthma and should be evaluated by a physician.</p>\n<p><strong>Myth: My children don’t need to be evaluated or treated for asthma because they’ll outgrow it. </strong></p>\n<p><strong>Truth:</strong> Asthma is a life-long disease. Some people’s symptoms might improve as they mature but may return later in life.</p>\n<p><strong>Myth: My asthma is all in my head. </strong></p>\n<p><strong>Truth:</strong> Asthma is not a psychological condition. It’s a serious lung disease that needs to be evaluated and treated appropriately. However, strong emotions, such as stress, or reactions to feelings, such crying or even laughing, can cause respiratory symptoms in patients with asthma.</p>\n<p><strong>Myth: The only medication I’ll ever need for my asthma is a quick-relief rescue inhaler such as albuterol or Ventolin. </strong></p>\n<p><strong>Truth:</strong> There is very strong evidence that repeated use of short-acting beta<sub>2</sub>-adrenergic (beta<sub>2</sub>-agonist) bronchodilators (SABAs) alone makes asthma worse because the underlying airway inflammation is not being addressed. In fact, newer rescue inhalers are combinations of albuterol (SABA) and budesonide (inhaled corticosteroid).</p>\n<p><strong>Myth: I get stomach cramps and diarrhea every time I drink milk, so I must be allergic to it. </strong></p>\n<p><strong>Truth:</strong> Milk allergy is caused by an allergic reaction to the protein in milk, in contrast with lactose intolerance, which is an adverse digestive reaction to the sugar found in milk.</p>\n<p><strong>Myth: Allergic rhinitis (hay fever) is just a minor annoyance and won’t cause any serious problems. </strong></p>\n<p><strong>Truth:</strong> Allergic rhinitis commonly can lead to complications including nasal polyps, sinusitis, ear infections, and worsening of asthma.</p>\n<p><strong>Myth: I can take as many over-the-counter (OTC) medications as I want because if I don’t need a prescription for them, these products probably don’t cause any side effects. Besides, my doctor didn’t prescribe them, so it’s none of their business if I’m taking OTC medications. </strong></p>\n<p><strong>Truth:</strong> Just because a medication is OTC doesn’t mean it can be taken without any concern. For example, aspirin has been known to cause severe systemic reactions, requiring emergency care in some individuals. Inform your physician of all medications you are taking, whether prescription, OTC, or supplements because of possible adverse reactions between those products and medications your physician might prescribe.</p>\n<p><strong>Myth: I should stop taking all my allergy and asthma medications while I’m pregnant. </strong></p>\n<p><strong>Truth:</strong> Asthma symptoms worsen in approximately one-third of pregnant people. Fortunately, most asthma medications are safe to use during pregnancy. If your asthma is well controlled, there is very little risk for you or your baby; therefore, you should continue to take your prescribed asthma treatments during your pregnancy.</p>\n<p><strong>Myth: I’ll try to drop by my doctor’s office for allergy shots when it’s convenient for me. I don’t need to stick to a regular schedule for immunotherapy. </strong></p>\n<p><strong>Truth:</strong> Allergy shots (immunotherapy) must be given once or twice a week during the buildup period to achieve the optimal maintenance dose. Once this maintenance dose is reached, the shots can gradually be given less often. However, for the treatment to be effective, patients need to stick to the prescribed immunotherapy schedule.</p>\n<p><strong>Myth: I don’t need to check with my doctor. I can just give my child half an adult dose of my asthma or allergy medication. </strong></p>\n<p><strong>Truth:</strong> For most adults, medications are given as fixed doses. However, because pediatric doses are based on children’s age and weight, giving half an adult dose is not prudent or safe because children come in all ages and sizes.</p>\n<p><strong>Myth: Nothing’s going to happen during the flight, so I don’t need to pack my asthma and allergy medications in my carry-on bag. </strong></p>\n<p><strong>Truth:</strong> Asthma and allergy attacks can occur on planes, which are considered high-risk locations because of the limitations of space and available therapy. Therefore, it is essential that you have access to your medications during the flight by keeping them in your carry-on bag.</p>\n<p><strong>Myth: It’s okay to figure out how to use an epinephrine kit (for example, EpiPen) when I need it. </strong></p>\n<p><strong>Truth:</strong> Anaphylaxis (a severe, potentially life-threatening allergic reaction) is a medical emergency that requires quick and appropriate treatment. Therefore, the quicker epinephrine is administered, the better the outcome. For this reason, you should be familiar with and be prepared to use your epinephrine kit whenever needed.</p>\n<p><strong>Myth: I can’t do much to improve my asthma, so I’ll have to settle for less and just live with my condition. </strong></p>\n<p><strong>Truth:</strong> With appropriate diagnosis and treatment, the vast majority of people with asthma can lead normal and active lives. Effective management of your condition is vital, which means seeing your doctor on a regular basis and sticking with the treatment plan that has been designed specifically for you.</p>\n"},{"title":"Common problems among asthma patients","thumb":null,"image":null,"content":"<p>Asthma and allergic rhinitis (hay fever) can affect you in several ways:</p>\n<ul>\n<li><strong>Airways of the lungs:</strong> Asthma, food hypersensitivities, and anaphylaxis (a widespread, potentially life-threatening reaction that affects many organs simultaneously)</li>\n<li><strong>Eyes:</strong> Allergic conjunctivitis (red, itchy eyes)</li>\n<li><strong>Ears:</strong> Otitis media, an inflammation of the middle ear, often leading to an ear infection — a frequent complication of allergic rhinitis</li>\n<li><strong>Gastrointestinal tract:</strong> Food hypersensitivities and anaphylaxis</li>\n<li><strong>Nose:</strong> Allergic rhinitis, which is the medical term for hay fever</li>\n<li><strong>Sinus:</strong> Sinusitis, inflammation of the sinuses — a frequent complication of allergic rhinitis</li>\n<li><strong>Throat:</strong> Allergic rhinitis and/or pharyngitis (a complication of postnasal drip associated with allergic rhinitis) and food hypersensitivities</li>\n</ul>\n"},{"title":"Top 10 common asthma triggers","thumb":null,"image":null,"content":"<ol>\n<li>Animal dander — especially from cats and dogs</li>\n<li>Dust mites</li>\n<li>Mold spores and pollens from certain grasses, weeds, and trees</li>\n<li>Exercise</li>\n<li>Tobacco smoke</li>\n<li>Air pollution and weather changes</li>\n<li>Occupational irritants and allergens</li>\n<li>Other ailments, including rhinitis, sinusitis, gastroesophageal reflux disease (GERD), and viral infections</li>\n<li>Household products</li>\n<li>Aspirin and other nonsteroidal anti-inflammatory drugs (NSAIDs)</li>\n</ol>\n"}],"videoInfo":{"videoId":null,"name":null,"accountId":null,"playerId":null,"thumbnailUrl":null,"description":null,"uploadDate":null}},"sponsorship":{"sponsorshipPage":false,"backgroundImage":{"src":null,"width":0,"height":0},"brandingLine":"","brandingLink":"","brandingLogo":{"src":null,"width":0,"height":0},"sponsorAd":"","sponsorEbookTitle":"","sponsorEbookLink":"","sponsorEbookImage":{"src":null,"width":0,"height":0}},"primaryLearningPath":"Solve","lifeExpectancy":"Five years","lifeExpectancySetFrom":"2024-07-03T00:00:00+00:00","dummiesForKids":"no","sponsoredContent":"no","adInfo":"","adPairKey":[]},"status":"publish","visibility":"public","articleId":208702},{"headers":{"creationTime":"2017-03-26T15:26:30+00:00","modifiedTime":"2024-06-06T18:33:40+00:00","timestamp":"2024-06-06T21:01:02+00:00"},"data":{"breadcrumbs":[{"name":"Body, Mind, & Spirit","_links":{"self":"//dummies-api.coursofppt.com/v2/categories/34038"},"slug":"body-mind-spirit","categoryId":34038},{"name":"Physical Health & Well-Being","_links":{"self":"//dummies-api.coursofppt.com/v2/categories/34095"},"slug":"physical-health-well-being","categoryId":34095},{"name":"Diseases","_links":{"self":"//dummies-api.coursofppt.com/v2/categories/34139"},"slug":"diseases","categoryId":34139},{"name":"Crohn's & Colitis","_links":{"self":"//dummies-api.coursofppt.com/v2/categories/34149"},"slug":"crohns-and-colitis","categoryId":34149}],"title":"8 Things That Can Worsen Crohn’s & Colitis Symptoms","strippedTitle":"8 things that can worsen crohn’s & colitis symptoms","slug":"eight-things-that-may-worsen-your-crohns-and-colitis-symptoms","canonicalUrl":"","检目录擎seo":{"metaDescription":"Taking your medications as prescribed is one way to keep your Crohn’s and colitis under control. However, the disease can become active despite taking medicatio","noIndex":0,"noFollow":0},"content":"Taking your medications as prescribed is one way to keep your Crohn’s and colitis under control. However, the disease can become active despite taking medications. Certain things are known to trigger Crohn’s and colitis flares or increase your symptoms. But if you know about these triggers ahead of time — and avoid them — you can help yourself stay in remission and avoid flares. Here are the common triggers for Crohn’s and colitis:\r\n<ul class=\"level-one\">\r\n \t<li>\r\n<p class=\"first-para\"><b>Smoking:</b> Smoking not only increases your risk of having Crohn’s disease, but also makes the disease worse, causing you to have more flares. Studies have also shown that smoking brings Crohn’s disease back after surgery.</p>\r\n</li>\r\n \t<li>\r\n<p class=\"first-para\"><b>Drugs:</b> A variety of drugs can trigger Crohn’s and colitis symptoms, including frequent use of non-steroidal anti-inflammatory drugs (NSAIDs), such as Motrin, Advil, or Aleve. Certain antibiotics (such as ciprofloxacin and penicillin) increase your risk of having infection of your intestines, which can mimic acute flare.</p>\r\n<p class=\"child-para Warning\">Talk with your doctor if you have any concerns about medications you’ve been prescribed. Don’t stop taking a prescribed antibiotic without consulting with your doctor first.</p>\r\n</li>\r\n \t<li>\r\n<p class=\"first-para\"><b>Diet:</b> Certain foods may give you more problems than others, but everyone reacts differently to different foods — so what your sibling with Crohn’s or colitis can tolerate and what you can tolerate may be different. Pay attention to which foods are giving you trouble and avoid them in the future. Here are some common culprits:</p>\r\n\r\n<ul class=\"level-two\">\r\n \t<li>\r\n<p class=\"first-para\">Artificial sweeteners</p>\r\n</li>\r\n \t<li>\r\n<p class=\"first-para\">Fatty foods</p>\r\n</li>\r\n \t<li>\r\n<p class=\"first-para\">High-fiber food</p>\r\n</li>\r\n \t<li>\r\n<p class=\"first-para\">Gas-producing food (lentils, beans, legumes, broccoli)</p>\r\n</li>\r\n \t<li>\r\n<p class=\"first-para\">Caffeine</p>\r\n</li>\r\n \t<li>\r\n<p class=\"first-para\">Spicy foods</p>\r\n</li>\r\n \t<li>\r\n<p class=\"first-para\">Nuts and seeds</p>\r\n</li>\r\n \t<li>\r\n<p class=\"first-para\">Dairy products (if you’re lactose intolerant)</p>\r\n</li>\r\n \t<li>\r\n<p class=\"first-para\">Wheat and other products<i> </i>(if you’re sensitive to gluten)</p>\r\n</li>\r\n</ul>\r\n</li>\r\n \t<li>\r\n<p class=\"first-para\"><b>Alcohol:</b> Studies have <i>not</i> shown that drinking adversely affects the inflammation in Crohn’s and colitis patients. Alcohol does, however, irritate the intestines and can worsen symptoms of diarrhea in some patients. It can also interact with certain medications you may take for your disease, such as metronidazole and methotrexate.</p>\r\n</li>\r\n \t<li>\r\n<p class=\"first-para\"><b>Dehydration: </b>Active disease makes you go to the restroom frequently, causing you to lose water and salt and putting you at risk for dehydration. Dehydration itself can cause stress to your body functions and cause more weakness and inability to cope with illness. And a vicious cycle starts. . . . Bottom line: Stay hydrated by drinking at least eight 8-ounce glasses of clean water a day.</p>\r\n<p class=\"child-para Tip\">The amount of water you need may vary depending on your age, weight, activity level, and body fluid losses (such as water lost during diarrhea). Talk with your doctor and dietitian about your total daily water requirement.</p>\r\n</li>\r\n \t<li>\r\n<p class=\"first-para\"><b>Depression:</b> Studies have shown that depression can cause disease flare. You can have more symptoms and an increase in inflammation of the intestines when you’re depressed. Your doctor may prescribe an antidepressant to treat depression and, thus, reduce the symptoms of your Crohn’s or colitis. Be sure to talk with your doctor if you’re feeling depressed.</p>\r\n</li>\r\n \t<li>\r\n<p class=\"first-para\"><b>Lack of sleep:</b> Sleep can affect the immune system, and poor sleep or sleep deprivation can activate inflammation. Poor sleepers tend to have more inflammation of their intestines and are at risk for future flares. Getting an uninterrupted seven to eight hours of sleep can keep your symptoms at a bay.</p>\r\n</li>\r\n \t<li>\r\n<p class=\"first-para\"><b>Stress:</b> Stress has a negative impact on the immune system. Physical and emotional stress has been shown to cause disease flare and an increase in symptoms. Nobody has a stress-free life, but do what you can to keep your stress at a minimum, even if that means taking a yoga class or dropping the kids off at your health club’s daycare center while you sit in the sauna for 30 minutes. (Just make sure to stay hydrated if you’re sweating out your stress.)</p>\r\n</li>\r\n</ul>","description":"Taking your medications as prescribed is one way to keep your Crohn’s and colitis under control. However, the disease can become active despite taking medications. Certain things are known to trigger Crohn’s and colitis flares or increase your symptoms. But if you know about these triggers ahead of time — and avoid them — you can help yourself stay in remission and avoid flares. Here are the common triggers for Crohn’s and colitis:\r\n<ul class=\"level-one\">\r\n \t<li>\r\n<p class=\"first-para\"><b>Smoking:</b> Smoking not only increases your risk of having Crohn’s disease, but also makes the disease worse, causing you to have more flares. Studies have also shown that smoking brings Crohn’s disease back after surgery.</p>\r\n</li>\r\n \t<li>\r\n<p class=\"first-para\"><b>Drugs:</b> A variety of drugs can trigger Crohn’s and colitis symptoms, including frequent use of non-steroidal anti-inflammatory drugs (NSAIDs), such as Motrin, Advil, or Aleve. Certain antibiotics (such as ciprofloxacin and penicillin) increase your risk of having infection of your intestines, which can mimic acute flare.</p>\r\n<p class=\"child-para Warning\">Talk with your doctor if you have any concerns about medications you’ve been prescribed. Don’t stop taking a prescribed antibiotic without consulting with your doctor first.</p>\r\n</li>\r\n \t<li>\r\n<p class=\"first-para\"><b>Diet:</b> Certain foods may give you more problems than others, but everyone reacts differently to different foods — so what your sibling with Crohn’s or colitis can tolerate and what you can tolerate may be different. Pay attention to which foods are giving you trouble and avoid them in the future. Here are some common culprits:</p>\r\n\r\n<ul class=\"level-two\">\r\n \t<li>\r\n<p class=\"first-para\">Artificial sweeteners</p>\r\n</li>\r\n \t<li>\r\n<p class=\"first-para\">Fatty foods</p>\r\n</li>\r\n \t<li>\r\n<p class=\"first-para\">High-fiber food</p>\r\n</li>\r\n \t<li>\r\n<p class=\"first-para\">Gas-producing food (lentils, beans, legumes, broccoli)</p>\r\n</li>\r\n \t<li>\r\n<p class=\"first-para\">Caffeine</p>\r\n</li>\r\n \t<li>\r\n<p class=\"first-para\">Spicy foods</p>\r\n</li>\r\n \t<li>\r\n<p class=\"first-para\">Nuts and seeds</p>\r\n</li>\r\n \t<li>\r\n<p class=\"first-para\">Dairy products (if you’re lactose intolerant)</p>\r\n</li>\r\n \t<li>\r\n<p class=\"first-para\">Wheat and other products<i> </i>(if you’re sensitive to gluten)</p>\r\n</li>\r\n</ul>\r\n</li>\r\n \t<li>\r\n<p class=\"first-para\"><b>Alcohol:</b> Studies have <i>not</i> shown that drinking adversely affects the inflammation in Crohn’s and colitis patients. Alcohol does, however, irritate the intestines and can worsen symptoms of diarrhea in some patients. It can also interact with certain medications you may take for your disease, such as metronidazole and methotrexate.</p>\r\n</li>\r\n \t<li>\r\n<p class=\"first-para\"><b>Dehydration: </b>Active disease makes you go to the restroom frequently, causing you to lose water and salt and putting you at risk for dehydration. Dehydration itself can cause stress to your body functions and cause more weakness and inability to cope with illness. And a vicious cycle starts. . . . Bottom line: Stay hydrated by drinking at least eight 8-ounce glasses of clean water a day.</p>\r\n<p class=\"child-para Tip\">The amount of water you need may vary depending on your age, weight, activity level, and body fluid losses (such as water lost during diarrhea). Talk with your doctor and dietitian about your total daily water requirement.</p>\r\n</li>\r\n \t<li>\r\n<p class=\"first-para\"><b>Depression:</b> Studies have shown that depression can cause disease flare. You can have more symptoms and an increase in inflammation of the intestines when you’re depressed. Your doctor may prescribe an antidepressant to treat depression and, thus, reduce the symptoms of your Crohn’s or colitis. Be sure to talk with your doctor if you’re feeling depressed.</p>\r\n</li>\r\n \t<li>\r\n<p class=\"first-para\"><b>Lack of sleep:</b> Sleep can affect the immune system, and poor sleep or sleep deprivation can activate inflammation. Poor sleepers tend to have more inflammation of their intestines and are at risk for future flares. Getting an uninterrupted seven to eight hours of sleep can keep your symptoms at a bay.</p>\r\n</li>\r\n \t<li>\r\n<p class=\"first-para\"><b>Stress:</b> Stress has a negative impact on the immune system. Physical and emotional stress has been shown to cause disease flare and an increase in symptoms. Nobody has a stress-free life, but do what you can to keep your stress at a minimum, even if that means taking a yoga class or dropping the kids off at your health club’s daycare center while you sit in the sauna for 30 minutes. (Just make sure to stay hydrated if you’re sweating out your stress.)</p>\r\n</li>\r\n</ul>","blurb":"","authors":[{"authorId":9752,"name":"Tauseef Ali","slug":"tauseef-ali","description":" <p><b>Tauseef Ali</b>, MD, is an expert in the field of inflammatory bowel disease. Currently, he serves as a faculty member in the Section of Digestive Diseases and Nutrition at the University of Oklahoma College of Medicine. He is also the director of the OU Physicians Inflammatory Bowel Disease Center. 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Currently, he serves as a faculty member in the Section of Digestive Diseases and Nutrition at the University of Oklahoma College of Medicine. He is also the director of the OU Physicians Inflammatory Bowel Disease Center. Dr. Ali has served as an academic editor-in-chief of the <i>World Journal of Gastroenterology</i>.</p>","hasArticle":false,"_links":{"self":"//dummies-api.coursofppt.com/v2/authors/9752"}},{"authorId":35254,"name":"David T. Rubin","slug":"david-t-rubin","description":" <p><b>Tauseef Ali</b>, MD, is an expert in the field of inflammatory bowel disease. Currently, he serves as a faculty member in the Section of Digestive Diseases and Nutrition at the University of Oklahoma College of Medicine. He is also the director of the OU Physicians Inflammatory Bowel Disease Center. Dr. Ali has served as an academic editor-in-chief of the <i>World Journal of Gastroenterology</i>.</p>","hasArticle":false,"_links":{"self":"//dummies-api.coursofppt.com/v2/authors/35254"}}],"_links":{"self":"//dummies-api.coursofppt.com/v2/books/"}},"collections":[],"articleAds":{"footerAd":"<div class=\"du-ad-region row\" id=\"article_page_adhesion_ad\"><div class=\"du-ad-unit col-md-12\" data-slot-id=\"article_page_adhesion_ad\" data-refreshed=\"false\" \r\n data-target = \"[{&quot;key&quot;:&quot;cat&quot;,&quot;values&quot;:[&quot;body-mind-spirit&quot;,&quot;physical-health-well-being&quot;,&quot;diseases&quot;,&quot;crohns-and-colitis&quot;]},{&quot;key&quot;:&quot;isbn&quot;,&quot;values&quot;:[&quot;9781119875772&quot;]}]\" id=\"du-slot-647f9e8ec5700\"></div></div>","rightAd":"<div class=\"du-ad-region row\" id=\"article_page_right_ad\"><div class=\"du-ad-unit col-md-12\" data-slot-id=\"article_page_right_ad\" data-refreshed=\"false\" \r\n data-target = \"[{&quot;key&quot;:&quot;cat&quot;,&quot;values&quot;:[&quot;body-mind-spirit&quot;,&quot;physical-health-well-being&quot;,&quot;diseases&quot;,&quot;crohns-and-colitis&quot;]},{&quot;key&quot;:&quot;isbn&quot;,&quot;values&quot;:[&quot;9781119875772&quot;]}]\" id=\"du-slot-647f9e8ec5f73\"></div></div>"},"articleType":{"articleType":"Articles","articleList":null,"content":null,"videoInfo":{"videoId":null,"name":null,"accountId":null,"playerId":null,"thumbnailUrl":null,"description":null,"uploadDate":null}},"sponsorship":{"sponsorshipPage":false,"backgroundImage":{"src":null,"width":0,"height":0},"brandingLine":"","brandingLink":"","brandingLogo":{"src":null,"width":0,"height":0},"sponsorAd":"","sponsorEbookTitle":"","sponsorEbookLink":"","sponsorEbookImage":{"src":null,"width":0,"height":0}},"primaryLearningPath":"Solve","lifeExpectancy":"Five years","lifeExpectancySetFrom":"2024-06-06T00:00:00+00:00","dummiesForKids":"no","sponsoredContent":"no","adInfo":"","adPairKey":[]},"status":"publish","visibility":"public","articleId":168336},{"headers":{"creationTime":"2017-03-27T16:58:21+00:00","modifiedTime":"2024-05-15T15:42:55+00:00","timestamp":"2024-05-15T18:01:04+00:00"},"data":{"breadcrumbs":[{"name":"Body, Mind, & Spirit","_links":{"self":"//dummies-api.coursofppt.com/v2/categories/34038"},"slug":"body-mind-spirit","categoryId":34038},{"name":"Physical Health & Well-Being","_links":{"self":"//dummies-api.coursofppt.com/v2/categories/34095"},"slug":"physical-health-well-being","categoryId":34095},{"name":"Diseases","_links":{"self":"//dummies-api.coursofppt.com/v2/categories/34139"},"slug":"diseases","categoryId":34139},{"name":"Addiction","_links":{"self":"//dummies-api.coursofppt.com/v2/categories/34140"},"slug":"addiction","categoryId":34140},{"name":"General Addiction","_links":{"self":"//dummies-api.coursofppt.com/v2/categories/34142"},"slug":"general-addiction","categoryId":34142}],"title":"Addiction and Recovery For Dummies Cheat Sheet","strippedTitle":"addiction and recovery for dummies cheat sheet","slug":"addiction-and-recovery-for-dummies-cheat-sheet","canonicalUrl":"","检目录擎seo":{"metaDescription":"Learn how to recognize addiction in yourself or a loved one and the common approaches to treatment and recovery.","noIndex":0,"noFollow":0},"content":"To overcome an addiction, first you need to recognize addiction in yourself or a loved one. 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Take a good, hard look at yourself and be perfectly honest. Are any of these statements true for you?</p>\n<ul>\n<li>Your substance-seeking behavior is increasing, or your compulsion to do the problematic behavior is increasing.</li>\n<li>Your main focus on living is getting and using the substance or doing the addictive behavior.</li>\n<li>You’re losing touch with the priorities in your life, such as friends, work, school, and family responsibilities, because of your substance use or addictive behavior.</li>\n</ul>\n"},{"title":"How to recognize addition in a loved one","thumb":null,"image":null,"content":"<p>If you suspect an addiction is happening in someone else look at this list of questions and see if the answer is yes or no. Does this person . . .</p>\n<ul>\n<li>Turn up late for functions or dates?</li>\n<li>No longer follow through consistently on commitments?</li>\n<li>Have more trouble with illness than usual?</li>\n<li>Have more problems at work than usual?</li>\n<li>Seem to be withdrawing from intimate contacts, especially with you?</li>\n<li>Have unexplained absences from or inconsistencies in their usual schedule?</li>\n<li>Appear to have a new set of friends whom you don’t get to meet?</li>\n<li>Have major financial fluctuations (for example, spending more or considerably less money than usual)?</li>\n<li>Have lapses of concentration or memory?</li>\n<li>Stay up later at night and sleep in more during the day?</li>\n<li>Have more trouble than usual getting it together in the morning?</li>\n<li>Seem surprisingly secretive about specific aspects of their life?</li>\n</ul>\n<p>While this checklist cannot diagnose an addiction, the more “yes” answers, the more likely your loved one is suffering from an addiction.</p>\n"},{"title":"Approaches to addiction treatment and recovery","thumb":null,"image":null,"content":"<p>Entering treatment for addiction entails finding the right method of treatment for you. Keep in mind that virtually all addiction recovery programs use one or more of these seven views on addiction:</p>\n<ul>\n<li><strong>Moral:</strong> People will and often do sacrifice anything to feed an addiction.</li>\n<li><strong>Disease:</strong> Addiction is a disease that causes unhealthy brain function.</li>\n<li><strong>Pharmacological:</strong> Addiction stems from chemical imbalances that some nonaddictive drugs can help with (for example, antidepressants, anti-anxiety medications, and some psychedelic medications).</li>\n<li><strong>Cognitive-behavioral:</strong> Cognitive distortions drive addictions and can be replaced with “healthy thinking” and healthy satisfactions.</li>\n<li><strong>Learning:</strong> Different kinds and levels of learning cause addiction. <em>Conditioning</em> is important as it can be largely automatic and dominant, involving less or little or no thinking.</li>\n<li><strong>Psychodynamic:</strong> Difficulties in emotional regulation cause extremes like numbing and emotional flooding — addictive substances can then calm, sedate, excite, and sexualize unhealthfully.</li>\n<li><strong>Biopsychosocial:</strong> Physical, psychological, and social aspects of addiction are addressed in combination treatments.</li>\n</ul>\n<p>These views are structured into programs in residential treatment centers (for example, 28-day programs) or outpatient centers, guided by professionals or self-help trainers who apply evidence-based treatments.</p>\n"}],"videoInfo":{"videoId":null,"name":null,"accountId":null,"playerId":null,"thumbnailUrl":null,"description":null,"uploadDate":null}},"sponsorship":{"sponsorshipPage":false,"backgroundImage":{"src":null,"width":0,"height":0},"brandingLine":"","brandingLink":"","brandingLogo":{"src":null,"width":0,"height":0},"sponsorAd":"","sponsorEbookTitle":"","sponsorEbookLink":"","sponsorEbookImage":{"src":null,"width":0,"height":0}},"primaryLearningPath":"Solve","lifeExpectancy":"Five years","lifeExpectancySetFrom":"2024-05-15T00:00:00+00:00","dummiesForKids":"no","sponsoredContent":"no","adInfo":"","adPairKey":[]},"status":"publish","visibility":"public","articleId":209422},{"headers":{"creationTime":"2017-03-26T22:58:23+00:00","modifiedTime":"2024-05-03T18:28:38+00:00","timestamp":"2024-05-03T21:01:03+00:00"},"data":{"breadcrumbs":[{"name":"Body, Mind, & Spirit","_links":{"self":"//dummies-api.coursofppt.com/v2/categories/34038"},"slug":"body-mind-spirit","categoryId":34038},{"name":"Physical Health & Well-Being","_links":{"self":"//dummies-api.coursofppt.com/v2/categories/34095"},"slug":"physical-health-well-being","categoryId":34095},{"name":"Diseases","_links":{"self":"//dummies-api.coursofppt.com/v2/categories/34139"},"slug":"diseases","categoryId":34139},{"name":"Addiction","_links":{"self":"//dummies-api.coursofppt.com/v2/categories/34140"},"slug":"addiction","categoryId":34140},{"name":"General Addiction","_links":{"self":"//dummies-api.coursofppt.com/v2/categories/34142"},"slug":"general-addiction","categoryId":34142}],"title":"The Three Phases of Compulsive Gambling","strippedTitle":"the three phases of compulsive gambling","slug":"taking-a-look-at-the-three-phases-of-compulsive-gambling","canonicalUrl":"","检目录擎seo":{"metaDescription":"Gambling involves the betting or wagering of valuables on uncertain outcomes and takes many forms — from games of chance to skill-based activities. People have ","noIndex":0,"noFollow":0},"content":"<i>Gambling</i> involves the betting or wagering of valuables on uncertain outcomes and takes many forms — from games of chance to skill-based activities. People have many motivations for gambling, but all involve the hope of gaining more.\r\n\r\nGambling is sometimes a rite of passage by which people discover more about themselves and how to compete with others. It is sometimes a way of life (for people such as casino pros and escape gamblers). It can be, in its healthiest form, a way of socializing and having fun.\r\n\r\nPathological gambling is a progressive disorder that involves impulse-control problems. The consequences of pathological gambling are severe and may be devastating to the addicted person's family and career, but the disorder can be treated.\r\n\r\nAs with all addictions, pathological gambling has personal, familial, and neurochemical aspects. Pathological gamblers may even have a genetic vulnerability, although such complex behaviors are unlikely to be traced to one specific gene in the same way some medical conditions, like cystic fibrosis, have been.\r\n\r\nProblem gambling pioneer Dr. Robert Custer identified three phases to a progressive gambling problem: a winning phase, a losing phase, and a desperation phase.\r\n<h2 id=\"tab1\" >Winning phase</h2>\r\nIn the winning phase, you may experience a \"big win\" or a series of smaller wins that result in excess optimism. You may feel an unrealistic sense of power and control and you're excited by the prospect of more wins. (\"Hey Doc, this is a sure thing. I'm betting the farm.\") At the same time, you can't maintain the excitement unless you're continually involved in high-risk bets. Your bets increase, and ultimately, the increased risk puts you in a vulnerable situation where you can't afford to lose . . . and then, sure as the sun rises, you do lose.\r\n<h2 id=\"tab2\" >Losing phase</h2>\r\nIn the losing phase, you may brag about past wins; how you had the casino or track or bookie on the ropes. But in the immediate situation, you're losing more than winning. You're more likely to gamble alone, and when not gambling, you're more likely to spend time thinking about how and when you'll gamble next.\r\n\r\nMost importantly, you're concerned with how you'll raise more money, legally or illegally. You may have a few wins that fuel the size of your bets. But the dominant pattern is that of losing. Moreover, making the next bet becomes more important than the winning of any previous bet.\r\n\r\nAs the losing continues, you start lying to family and friends and feeling more irritable, restless, and emotionally isolated. You start borrowing money that you're unsure about being able to repay.\r\n\r\nAs your life becomes unmanageable, you may be developing some serious financial problems. Your denial of the huge financial pressures that are building may seem unbelievable to some people: You're also likely to start <i>chasing your losses,</i> trying to win back what you lost. (\"Doc, I'll stop, but first I've got to get back to even.\") If you don't change your pattern, however, you'll be engaging in more and more self-destructive behavior.\r\n<h2 id=\"tab3\" >Desperation phase</h2>\r\nThe next phase, the desperation phase, involves still another marked change in your gambling behavior. You may now make bets more often than is normal, in more desperate attempts to catch up and \"get even.\" The behavior that's now out of control is associated with deep remorse, with blaming others, and with the alienation of family and friends.\r\n\r\nYou may engage in illegal activities to finance your gambling. You may experience a sense of hopelessness and think about suicide and divorce. Other addictions and emotional problems may also intensify during this phase and drag you down.","description":"<i>Gambling</i> involves the betting or wagering of valuables on uncertain outcomes and takes many forms — from games of chance to skill-based activities. People have many motivations for gambling, but all involve the hope of gaining more.\r\n\r\nGambling is sometimes a rite of passage by which people discover more about themselves and how to compete with others. It is sometimes a way of life (for people such as casino pros and escape gamblers). It can be, in its healthiest form, a way of socializing and having fun.\r\n\r\nPathological gambling is a progressive disorder that involves impulse-control problems. The consequences of pathological gambling are severe and may be devastating to the addicted person's family and career, but the disorder can be treated.\r\n\r\nAs with all addictions, pathological gambling has personal, familial, and neurochemical aspects. Pathological gamblers may even have a genetic vulnerability, although such complex behaviors are unlikely to be traced to one specific gene in the same way some medical conditions, like cystic fibrosis, have been.\r\n\r\nProblem gambling pioneer Dr. Robert Custer identified three phases to a progressive gambling problem: a winning phase, a losing phase, and a desperation phase.\r\n<h2 id=\"tab1\" >Winning phase</h2>\r\nIn the winning phase, you may experience a \"big win\" or a series of smaller wins that result in excess optimism. You may feel an unrealistic sense of power and control and you're excited by the prospect of more wins. (\"Hey Doc, this is a sure thing. I'm betting the farm.\") At the same time, you can't maintain the excitement unless you're continually involved in high-risk bets. Your bets increase, and ultimately, the increased risk puts you in a vulnerable situation where you can't afford to lose . . . and then, sure as the sun rises, you do lose.\r\n<h2 id=\"tab2\" >Losing phase</h2>\r\nIn the losing phase, you may brag about past wins; how you had the casino or track or bookie on the ropes. But in the immediate situation, you're losing more than winning. You're more likely to gamble alone, and when not gambling, you're more likely to spend time thinking about how and when you'll gamble next.\r\n\r\nMost importantly, you're concerned with how you'll raise more money, legally or illegally. You may have a few wins that fuel the size of your bets. But the dominant pattern is that of losing. Moreover, making the next bet becomes more important than the winning of any previous bet.\r\n\r\nAs the losing continues, you start lying to family and friends and feeling more irritable, restless, and emotionally isolated. You start borrowing money that you're unsure about being able to repay.\r\n\r\nAs your life becomes unmanageable, you may be developing some serious financial problems. Your denial of the huge financial pressures that are building may seem unbelievable to some people: You're also likely to start <i>chasing your losses,</i> trying to win back what you lost. (\"Doc, I'll stop, but first I've got to get back to even.\") If you don't change your pattern, however, you'll be engaging in more and more self-destructive behavior.\r\n<h2 id=\"tab3\" >Desperation phase</h2>\r\nThe next phase, the desperation phase, involves still another marked change in your gambling behavior. You may now make bets more often than is normal, in more desperate attempts to catch up and \"get even.\" The behavior that's now out of control is associated with deep remorse, with blaming others, and with the alienation of family and friends.\r\n\r\nYou may engage in illegal activities to finance your gambling. You may experience a sense of hopelessness and think about suicide and divorce. Other addictions and emotional problems may also intensify during this phase and drag you down.","blurb":"","authors":[{"authorId":10561,"name":"Brian F. Shaw","slug":"brian-f-shaw","description":" <p><b>Brian F. Shaw, PhD, Paul Ritvo, PhD,</b> and <b>Jane Irvine, DPhil,</b> are all university professors with more than 20 years&#39; experience in private consulting. ","hasArticle":false,"_links":{"self":"//dummies-api.coursofppt.com/v2/authors/10561"}},{"authorId":10562,"name":"Paul Ritvo","slug":"paul-ritvo","description":" <p><b>Brian F. Shaw, PhD, Paul Ritvo, PhD,</b> and <b>Jane Irvine, DPhil,</b> are all university professors with more than 20 years&#39; experience in private consulting. ","hasArticle":false,"_links":{"self":"//dummies-api.coursofppt.com/v2/authors/10562"}},{"authorId":10563,"name":"Jane Irvine","slug":"jane-irvine","description":" <p><b>Brian F. Shaw, PhD, Paul Ritvo, PhD,</b> and <b>Jane Irvine, DPhil,</b> are all university professors with more than 20 years&#39; experience in private consulting. ","hasArticle":false,"_links":{"self":"//dummies-api.coursofppt.com/v2/authors/10563"}},{"authorId":10564,"name":"M. David Lewis","slug":"m-david-lewis","description":" <p><b>Brian F. Shaw, PhD, Paul Ritvo, PhD,</b> and <b>Jane Irvine, DPhil,</b> are all university professors with more than 20 years&#39; experience in private consulting. ","hasArticle":false,"_links":{"self":"//dummies-api.coursofppt.com/v2/authors/10564"}}],"primaryCategoryTaxonomy":{"categoryId":34142,"title":"General Addiction","slug":"general-addiction","_links":{"self":"//dummies-api.coursofppt.com/v2/categories/34142"}},"secondaryCategoryTaxonomy":{"categoryId":0,"title":null,"slug":null,"_links":null},"tertiaryCategoryTaxonomy":{"categoryId":0,"title":null,"slug":null,"_links":null},"trendingArticles":null,"inThisArticle":[{"label":"Winning phase","target":"#tab1"},{"label":"Losing phase","target":"#tab2"},{"label":"Desperation phase","target":"#tab3"}],"relatedArticles":{"fromBook":[{"articleId":209422,"title":"Addiction and Recovery For Dummies Cheat Sheet","slug":"addiction-and-recovery-for-dummies-cheat-sheet","categoryList":["body-mind-spirit","physical-health-well-being","diseases","addiction","general-addiction"],"_links":{"self":"//dummies-api.coursofppt.com/v2/articles/209422"}},{"articleId":200634,"title":"Considering the Cost of Addiction to Families","slug":"considering-the-cost-of-addiction-to-families","categoryList":["body-mind-spirit","physical-health-well-being","diseases","addiction","general-addiction"],"_links":{"self":"//dummies-api.coursofppt.com/v2/articles/200634"}},{"articleId":200160,"title":"Effects of Psychedelics and Hallucinogens","slug":"examining-the-effects-of-psychedelics-and-hallucinogens","categoryList":["body-mind-spirit","physical-health-well-being","diseases","addiction","general-addiction"],"_links":{"self":"//dummies-api.coursofppt.com/v2/articles/200160"}},{"articleId":199936,"title":"Interventions: Breaking through Denial and Fear","slug":"interventions-breaking-through-denial-and-fear","categoryList":["body-mind-spirit","physical-health-well-being","diseases","addiction","general-addiction"],"_links":{"self":"//dummies-api.coursofppt.com/v2/articles/199936"}},{"articleId":195447,"title":"How to Recognize Addiction in Yourself","slug":"how-to-recognize-addiction-in-yourself","categoryList":["body-mind-spirit","physical-health-well-being","diseases","addiction","general-addiction"],"_links":{"self":"//dummies-api.coursofppt.com/v2/articles/195447"}}],"fromCategory":[{"articleId":297561,"title":"Overcoming Internet Addiction For Dummies Cheat Sheet","slug":"overcoming-internet-addiction-for-dummies-cheat-sheet","categoryList":["body-mind-spirit","physical-health-well-being","diseases","addiction","general-addiction"],"_links":{"self":"//dummies-api.coursofppt.com/v2/articles/297561"}},{"articleId":209422,"title":"Addiction and Recovery For Dummies Cheat Sheet","slug":"addiction-and-recovery-for-dummies-cheat-sheet","categoryList":["body-mind-spirit","physical-health-well-being","diseases","addiction","general-addiction"],"_links":{"self":"//dummies-api.coursofppt.com/v2/articles/209422"}},{"articleId":200634,"title":"Considering the Cost of Addiction to Families","slug":"considering-the-cost-of-addiction-to-families","categoryList":["body-mind-spirit","physical-health-well-being","diseases","addiction","general-addiction"],"_links":{"self":"//dummies-api.coursofppt.com/v2/articles/200634"}},{"articleId":200160,"title":"Effects of Psychedelics and Hallucinogens","slug":"examining-the-effects-of-psychedelics-and-hallucinogens","categoryList":["body-mind-spirit","physical-health-well-being","diseases","addiction","general-addiction"],"_links":{"self":"//dummies-api.coursofppt.com/v2/articles/200160"}},{"articleId":199936,"title":"Interventions: Breaking through Denial and Fear","slug":"interventions-breaking-through-denial-and-fear","categoryList":["body-mind-spirit","physical-health-well-being","diseases","addiction","general-addiction"],"_links":{"self":"//dummies-api.coursofppt.com/v2/articles/199936"}}]},"hasRelatedBookFromSearch":false,"relatedBook":{"bookId":281931,"slug":"addiction-and-recovery-for-dummies","isbn":"9780764576256","categoryList":["body-mind-spirit","physical-health-well-being","diseases","addiction","general-addiction"],"amazon":{"default":"//www.amazon.com/gp/product/0764576259/ref=as_li_tl?ie=UTF8&tag=wiley01-20","ca":"//www.amazon.ca/gp/product/0764576259/ref=as_li_tl?ie=UTF8&tag=wiley01-20","indigo_ca":"//www.tkqlhce.com/click-9208661-13710633?url=//www.chapters.indigo.ca/en-ca/books/product/0764576259-item.html&cjsku=978111945484","gb":"//www.amazon.co.uk/gp/product/0764576259/ref=as_li_tl?ie=UTF8&tag=wiley01-20","de":"//www.amazon.de/gp/product/0764576259/ref=as_li_tl?ie=UTF8&tag=wiley01-20"},"image":{"src":"//coursofppt.com/wp-content/uploads/addiction-and-recovery-for-dummies-cover-9780764576256-169x255.jpg","width":169,"height":255},"title":"Addiction and Recovery For Dummies","testBankPinActivationLink":"","bookOutOfPrint":false,"authorsInfo":"<p><b data-author-id=\"10562\">Brian F. Shaw, PhD, Paul Ritvo, PhD,</b> and <b data-author-id=\"10563\">Jane Irvine, DPhil,</b> are all university professors with more than 20 years' experience in private consulting. </p>","authors":[{"authorId":10562,"name":"Paul Ritvo","slug":"paul-ritvo","description":" <p><b>Brian F. Shaw, PhD, Paul Ritvo, PhD,</b> and <b>Jane Irvine, DPhil,</b> are all university professors with more than 20 years&#39; experience in private consulting. ","hasArticle":false,"_links":{"self":"//dummies-api.coursofppt.com/v2/authors/10562"}},{"authorId":10563,"name":"Jane Irvine","slug":"jane-irvine","description":" <p><b>Brian F. Shaw, PhD, Paul Ritvo, PhD,</b> and <b>Jane Irvine, DPhil,</b> are all university professors with more than 20 years&#39; experience in private consulting. ","hasArticle":false,"_links":{"self":"//dummies-api.coursofppt.com/v2/authors/10563"}},{"authorId":10564,"name":"M. David Lewis","slug":"m-david-lewis","description":" <p><b>Brian F. Shaw, PhD, Paul Ritvo, PhD,</b> and <b>Jane Irvine, DPhil,</b> are all university professors with more than 20 years&#39; experience in private consulting. ","hasArticle":false,"_links":{"self":"//dummies-api.coursofppt.com/v2/authors/10564"}},{"authorId":10561,"name":"Brian F. Shaw","slug":"brian-f-shaw","description":" <p><b>Brian F. Shaw, PhD, Paul Ritvo, PhD,</b> and <b>Jane Irvine, DPhil,</b> are all university professors with more than 20 years&#39; experience in private consulting. ","hasArticle":false,"_links":{"self":"//dummies-api.coursofppt.com/v2/authors/10561"}}],"_links":{"self":"//dummies-api.coursofppt.com/v2/books/"}},"collections":[],"articleAds":{"footerAd":"<div class=\"du-ad-region row\" id=\"article_page_adhesion_ad\"><div class=\"du-ad-unit col-md-12\" data-slot-id=\"article_page_adhesion_ad\" data-refreshed=\"false\" \r\n data-target = \"[{&quot;key&quot;:&quot;cat&quot;,&quot;values&quot;:[&quot;body-mind-spirit&quot;,&quot;physical-health-well-being&quot;,&quot;diseases&quot;,&quot;addiction&quot;,&quot;general-addiction&quot;]},{&quot;key&quot;:&quot;isbn&quot;,&quot;values&quot;:[&quot;9780764576256&quot;]}]\" id=\"du-slot-6452cb8f0af69\"></div></div>","rightAd":"<div class=\"du-ad-region row\" id=\"article_page_right_ad\"><div class=\"du-ad-unit col-md-12\" data-slot-id=\"article_page_right_ad\" data-refreshed=\"false\" \r\n data-target = \"[{&quot;key&quot;:&quot;cat&quot;,&quot;values&quot;:[&quot;body-mind-spirit&quot;,&quot;physical-health-well-being&quot;,&quot;diseases&quot;,&quot;addiction&quot;,&quot;general-addiction&quot;]},{&quot;key&quot;:&quot;isbn&quot;,&quot;values&quot;:[&quot;9780764576256&quot;]}]\" id=\"du-slot-6452cb8f0b643\"></div></div>"},"articleType":{"articleType":"Articles","articleList":null,"content":null,"videoInfo":{"videoId":null,"name":null,"accountId":null,"playerId":null,"thumbnailUrl":null,"description":null,"uploadDate":null}},"sponsorship":{"sponsorshipPage":false,"backgroundImage":{"src":null,"width":0,"height":0},"brandingLine":"","brandingLink":"","brandingLogo":{"src":null,"width":0,"height":0},"sponsorAd":"","sponsorEbookTitle":"","sponsorEbookLink":"","sponsorEbookImage":{"src":null,"width":0,"height":0}},"primaryLearningPath":"Solve","lifeExpectancy":"Five years","lifeExpectancySetFrom":"2024-05-03T00:00:00+00:00","dummiesForKids":"no","sponsoredContent":"no","adInfo":"","adPairKey":[]},"status":"publish","visibility":"public","articleId":201643},{"headers":{"creationTime":"2017-03-26T17:32:29+00:00","modifiedTime":"2024-04-27T19:54:33+00:00","timestamp":"2024-04-27T21:01:03+00:00"},"data":{"breadcrumbs":[{"name":"Body, Mind, & Spirit","_links":{"self":"//dummies-api.coursofppt.com/v2/categories/34038"},"slug":"body-mind-spirit","categoryId":34038},{"name":"Physical Health & Well-Being","_links":{"self":"//dummies-api.coursofppt.com/v2/categories/34095"},"slug":"physical-health-well-being","categoryId":34095},{"name":"Diseases","_links":{"self":"//dummies-api.coursofppt.com/v2/categories/34139"},"slug":"diseases","categoryId":34139},{"name":"Diabetes","_links":{"self":"//dummies-api.coursofppt.com/v2/categories/34150"},"slug":"diabetes","categoryId":34150}],"title":"Screening Guidelines for Diabetes","strippedTitle":"screening guidelines for diabetes","slug":"screening-guidelines-for-diabetes","canonicalUrl":"","检目录擎seo":{"metaDescription":"The American Diabetes Association (ADA) updates its guidelines for standards of medical care annually. These are the 2022 guidelines for screening: People with ","noIndex":0,"noFollow":0},"content":"The American Diabetes Association (ADA) updates its guidelines for standards of medical care annually. These are the 2022 guidelines for screening:\r\n<ul class=\"level-one\">\r\n \t<li>\r\n<p class=\"first-para\">People with symptoms of thirst, frequent urination, and weight loss are tested immediately.</p>\r\n</li>\r\n \t<li>\r\n<p class=\"first-para\">Starting at age 35, all people without risk factors should be tested for prediabetes and type 2 diabetes every three years if tests are normal. (The ADA changed this from the previously recommended age of 45.)</p>\r\n</li>\r\n \t<li>Women planning to become pregnant should be screened with a fasting glucose test, especially if they have risk factors.</li>\r\n \t<li>\r\n<p class=\"first-para\">People should be tested at a younger age and more often if:</p>\r\n\r\n<ul class=\"level-two\">\r\n \t<li>\r\n<p class=\"first-para\">They are obese.</p>\r\n</li>\r\n \t<li>\r\n<p class=\"first-para\">They have a parent or sibling with diabetes.</p>\r\n</li>\r\n \t<li>\r\n<p class=\"first-para\">They are from a high-risk group, such as African American, Hispanic, Asian, or Native American.</p>\r\n</li>\r\n \t<li>\r\n<p class=\"first-para\">They have delivered a baby more than 9 pounds or had gestational diabetes.</p>\r\n</li>\r\n \t<li>\r\n<p class=\"first-para\">They have high blood pressure.</p>\r\n</li>\r\n \t<li>\r\n<p class=\"first-para\">They have low HDL cholesterol or high triglycerides.</p>\r\n</li>\r\n</ul>\r\n</li>\r\n</ul>","description":"The American Diabetes Association (ADA) updates its guidelines for standards of medical care annually. These are the 2022 guidelines for screening:\r\n<ul class=\"level-one\">\r\n \t<li>\r\n<p class=\"first-para\">People with symptoms of thirst, frequent urination, and weight loss are tested immediately.</p>\r\n</li>\r\n \t<li>\r\n<p class=\"first-para\">Starting at age 35, all people without risk factors should be tested for prediabetes and type 2 diabetes every three years if tests are normal. (The ADA changed this from the previously recommended age of 45.)</p>\r\n</li>\r\n \t<li>Women planning to become pregnant should be screened with a fasting glucose test, especially if they have risk factors.</li>\r\n \t<li>\r\n<p class=\"first-para\">People should be tested at a younger age and more often if:</p>\r\n\r\n<ul class=\"level-two\">\r\n \t<li>\r\n<p class=\"first-para\">They are obese.</p>\r\n</li>\r\n \t<li>\r\n<p class=\"first-para\">They have a parent or sibling with diabetes.</p>\r\n</li>\r\n \t<li>\r\n<p class=\"first-para\">They are from a high-risk group, such as African American, Hispanic, Asian, or Native American.</p>\r\n</li>\r\n \t<li>\r\n<p class=\"first-para\">They have delivered a baby more than 9 pounds or had gestational diabetes.</p>\r\n</li>\r\n \t<li>\r\n<p class=\"first-para\">They have high blood pressure.</p>\r\n</li>\r\n \t<li>\r\n<p class=\"first-para\">They have low HDL cholesterol or high triglycerides.</p>\r\n</li>\r\n</ul>\r\n</li>\r\n</ul>","blurb":"","authors":[{"authorId":9008,"name":"Alan L. 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Take a look at these guidelines to find out when to get tested for diabetes:</p>\n<ul>\n<li>People with symptoms of thirst, frequent urination, and weight loss should be tested immediately.</li>\n<li>People older than age 45 should be tested every three years if normal.</li>\n<li>People should be tested at a younger age and more often if\n<ul>\n<li>They are obese</li>\n<li>They have a parent or sibling with diabetes</li>\n<li>They are from a high-risk group, such as African American, Latino, Asian, or Native American</li>\n<li>They have delivered a baby more than 9 pounds or had gestational diabetes</li>\n<li>They have high blood pressure</li>\n<li>They have low HDL cholesterol or high triglycerides</li>\n</ul>\n</li>\n</ul>\n"},{"title":"10 rules for diabetes control","thumb":null,"image":null,"content":"<p>Diabetes doesn’t have to rule your life. Be proactive! Follow these guidelines for controlling your diabetes, and your problems should be few and far between:</p>\n<ul>\n<li><strong>A positive attitude:</strong> View diabetes as an opportunity to make healthier choices; a positive attitude results in better control of your blood sugar.</li>\n<li><strong>Proper nutrition:</strong> Work with a dietitian to develop a great eating plan.</li>\n<li><strong>Enthusiastic exercising:</strong> Burn off calories and help your heart.</li>\n<li><strong>Preventive planning:</strong> Practice meal planning at home and review the menu before you go out to eat.</li>\n<li><strong>Major monitoring:</strong> Monitor your blood sugar before and after exercising and meals.</li>\n<li><strong>Tenacious testing:</strong> Check your blood glucose at correct intervals and have your doctors regularly screen you for complications.</li>\n<li><strong>Lifelong learning:</strong> New things are being discovered and you need to know about them.</li>\n</ul>\n"},{"title":"Standards for continuing your diabetes care","thumb":null,"image":null,"content":"<p>Managing diabetes requires regular doctor visits that include standard monitoring of various diabetic factors. Following, are guidelines for your diabetes care — like when to see your doctor, what should happen at each visit, when to have lab tests done, and how often to self-monitor blood glucose.</p>\n<p class=\"Remember\">Consistent diabetes management is key; if test results show any change from your history, then you and your doctor can address them before any problem worsens.</p>\n<p><strong>Frequency of visits:</strong></p>\n<ul class=\"level-one\">\n<li>\n<p class=\"first-para\">Daily if starting insulin</p>\n</li>\n<li>\n<p class=\"first-para\">Weekly if starting oral drugs</p>\n</li>\n<li>\n<p class=\"first-para\">Monthly if not stable</p>\n</li>\n<li>\n<p class=\"first-para\">Quarterly if stable</p>\n</li>\n</ul>\n<p><strong>History at each visit:</strong></p>\n<ul class=\"level-one\">\n<li>\n<p class=\"first-para\">Frequency of hypoglycemia</p>\n</li>\n<li>\n<p class=\"first-para\">Results of blood glucose self-monitoring</p>\n</li>\n<li>\n<p class=\"first-para\">Changes in treatment</p>\n</li>\n<li>\n<p class=\"first-para\">Symptoms of complications</p>\n</li>\n<li>\n<p class=\"first-para\">Psychosocial issues</p>\n</li>\n<li>\n<p class=\"first-para\">New medications</p>\n</li>\n</ul>\n<p><strong>Physical at each visit:</strong></p>\n<ul class=\"level-one\">\n<li>\n<p class=\"first-para\">Blood pressure</p>\n</li>\n<li>\n<p class=\"first-para\">Weight</p>\n</li>\n<li>\n<p class=\"first-para\">Foot exam</p>\n</li>\n</ul>\n<p><strong>Physical at least annually or every two years if eyes are stable:</strong></p>\n<ul class=\"level-one\">\n<li>\n<p class=\"first-para\">Dilated eye exam by eye doctor</p>\n</li>\n<li>\n<p class=\"first-para\">Filament test for foot sensation</p>\n</li>\n</ul>\n<p><strong>Lab tests:</strong></p>\n<ul class=\"level-one\">\n<li>\n<p class=\"first-para\">Hemoglobin A1c every three months</p>\n</li>\n<li>\n<p class=\"first-para\">Fasting lipid profile yearly</p>\n</li>\n<li>\n<p class=\"first-para\">Microalbumin measurement yearly if urine protein negative</p>\n</li>\n</ul>\n<p><strong>Frequency o</strong><strong>f blood glucose self-monitoring:</strong></p>\n<ul class=\"level-one\">\n<li>\n<p class=\"first-para\">Before meals and bedtime for person with type 1 diabetes</p>\n</li>\n<li>\n<p class=\"first-para\">Before breakfast and supper for person with type 2 diabetes</p>\n</li>\n<li>\n<p class=\"first-para\">Once daily for person with stable diabetes</p>\n</li>\n<li>\n<p class=\"first-para\">Before and one hour after meals for pregnant woman with type 1 diabetes or gestational diabetes</p>\n</li>\n</ul>\n"},{"title":"Oral drugs for Type 2 diabetes","thumb":null,"image":null,"content":"<p>Insulin shots aren’t the only drug treatment for diabetes. Oral medications are the first line of treatment if diet and lifestyle strategies aren’t enough to control your HbA1c, with insulin reserved for those who don’t respond sufficiently to tablets.</p>\n<p>The following describes the most commonly prescribed groups of medications for treating diabetes. Remember, there may be several drugs in each class, with different brand names that vary between countries.</p>\n<h3>Metformin</h3>\n<p>Often the first line medication, with low risk of hypoglycemia side effects</p>\n<h3>Sulfonylureas</h3>\n<p>Powerful medications that reduce blood sugar very effectively and can be associated with hypoglycemia</p>\n<h3>SGLT2 inhibitors or <em>flozins</em></h3>\n<p>A newer group of drugs that are less likely to cause hypoglycemia and are particularly useful to add protection for people who are at increased risk of heart disease or heart failure.</p>\n<h3>Thiazolidineones or <em>glitazones</em></h3>\n<p>The first group of medications that act by reducing insulin resistance. The first example of this class of drugs has been the subject of controversy about possible associations with serious side effects.</p>\n<h3>DPP-4 inhibitors or <em>gliptins</em></h3>\n<p>A group of drugs that work by effecting hormones that are produced when you eat. This class of medications is becoming more popular to gain better control of glucose metabolism.</p>\n<h3>Meglitinides</h3>\n<p>These medications encourage the pancreas to produce more insulin. They’re increasingly used in combination with other medications</p>\n"},{"title":"Navigating the U.S. health care system","thumb":null,"image":null,"content":"<p>Here we explore some of the issues that specifically relate to the U.S health care system.</p>\n<p>In the United States, you can get insurance for your medical care several ways. The Patient Protection and Affordable Care Act (also known as ACA, PPACA, or Obamacare) has made it possible for many people who didn’t have health insurance to have some coverage. The following sections explain how the ACA  works with private insurance, Medicare, and Medicaid.</p>\n<p class=\"article-tips tip\">For more information on the Affordable Care Act and its provisions in your state, visit the <a href=\"//obamacarefacts.com/obamacare-facts/\" target=\"_blank\" rel=\"noopener\">Obamacare Facts website</a>.</p>\n<h3>Employer insurance</h3>\n<p>Half of the U.S. population has insurance through its employer. Any employer with 50 or more employees must provide health insurance under ACA .</p>\n<p>Employers with fewer than 50 employees have marketplaces set up by the government where they can buy less expensive insurance and may get tax breaks if they do. These marketplaces can’t charge more if the employee is sick or for a preexisting condition.</p>\n<h3>Government insurance</h3>\n<p>A third of the U.S. population has government insurance. Under the ACA, Medicare (elderly) insurance is similar to what it was before the act, but Medicaid has expanded to cover more poor people. However, the governor of each state must decide whether to allow Medicaid expansion in that state.</p>\n<p>In states that agree to expand Medicaid, the government covers most of the costs. In those that don’t, no more poor people are covered than before.</p>\n<h3>Private insurance</h3>\n<p>A tenth of the population (30 million people) buys insurance. Currently, there are two major forms of payment for medical care — fee-for-service and capitated payment — with a lot of hybrids in between.</p>\n<p>The old <em>fee-for-service</em> method pays the medical provider — whether a physician, a lab, or a hospital — based on the number of services provided. More services and procedures mean more profit for the provider. So, the incentive is to do more to make more money (not that providers would ever do more than is necessary for the money).</p>\n<p>The other main method of reimbursement is <em>capitation</em>. Here, the provider gets a fixed amount of money for each patient. The risk is divided among many patients so that if one costs more, ideally another will cost less.</p>\n<p>This system is the basis of the health maintenance organization (HMO), which hires physicians to provide the care. HMOs look to enroll people who cost as little as possible for their medical care.</p>\n<p>Because they seem to end up costing less money overall, capitation plans are growing while fee-for-service plans are declining. The government is even encouraging HMOs to enroll Medicare recipients to reduce costs.</p>\n<p>At the same time, the government requires HMOs to enroll people who cost more, like most people with diabetes.</p>\n<p>Each state has a health insurance marketplace where insurance companies compete for your business by offering plans with more or less coverage that vary in cost from expensive to cheap.</p>\n<p>These plans can’t charge more for people who are sick or have preexisting conditions. The federal government gives tax credits to those individuals with incomes below a certain level.</p>\n<p>Regardless of cost, all plans cover doctor visits, hospital visits, maternity visits, and mental health visits. Children can remain on their parents’ plan until age 26 and can buy low-cost catastrophic coverage until age 30.</p>\n<p class=\"article-tips tip\">If you don’t know what your state marketplace is, start with <a href=\"//www.healthcare.gov/\" target=\"_blank\" rel=\"noopener\">Healthcare.gov</a>.</p>\n<p>As a health care consumer, you want to look for a large group containing many patients because such a group can spread out your extra expenses among many people who don’t consume as much medical care. Before you sign up, ask several questions:</p>\n<ul>\n<li>What is your total annual cost, and how often is a payment required?</li>\n<li>Will you have a <em>deductible</em><em>,</em> meaning that you have to pay the first so-many dollars before the insurance starts paying?</li>\n<li>Will you have a <em>copayment</em><em>,</em> meaning that every time you use a provider, you have to pay some dollars?</li>\n<li>Does your plan pay for durable medical equipment, like an insulin pump (see Chapter 11), which can be very expensive? (You want to ask this even if, when you sign up, you may not foresee a need for it.)</li>\n<li>Will your plan pay for your diabetes medication and diabetes supplies, and to what extent?</li>\n<li>Can your physician order any medications you need, or are they restricted to certain medications?</li>\n<li>How often will you need to travel to the pharmacy to pick up medications? (Some plans make you go back every 30 days.)</li>\n<li>Are you covered for specialists, particularly eye doctors and foot doctors?</li>\n<li>Are you limited to certain hospitals, certain physicians, and certain laboratories? (If so, this restriction may be inconvenient for you, not to mention possibly requiring you to change from a physician with whom you’re very comfortable.)</li>\n<li>Is home health care included in the plan, and to what extent?</li>\n</ul>\n<p class=\"article-tips remember\">After you sign up for a plan, you need to be vigilant to be sure you’re getting what you paid for. You and your physician may need to make many phone calls to get what you need, but if you persist, you can often come away with a “Yes.” The insurance company may provide goods and services that are excluded in your original contract if you’re persistent.</p>\n<h3>Supplemental insurance and brokers</h3>\n<p>Many Americans, especially elderly ones or those with chronic health concerns, invest in supplemental insurance care. Medicare Supplement Insurance (Medigap), for example, helps fill “gaps” in original Medicare coverage and is sold by private companies.</p>\n<p>For more info, visit the <a href=\"//www.medicare.gov/supplements-other-insurance/whats-medicare-supplement-insurance-medigap\" target=\"_blank\" rel=\"noopener\">Medicare supplement insurance web page</a>. You can also ask your doctor or contact your state for specific additional programs in your area that would best meet your needs.</p>\n<p>State-run Department of Aging or Office of the Aging services are free to qualifying residents. Many offer the services of insurance brokers who can help you get the best coverage possible within your budget.</p>\n<h3>No insurance</h3>\n<p>Another significant amount  of the U.S. population doesn’t have any insurance, even under ACA (PPACA), which mandates a fine if you have no insurance, but the government waves the fine if you absolutely can’t afford to buy insurance.</p>\n"}],"videoInfo":{"videoId":null,"name":null,"accountId":null,"playerId":null,"thumbnailUrl":null,"description":null,"uploadDate":null}},"sponsorship":{"sponsorshipPage":false,"backgroundImage":{"src":null,"width":0,"height":0},"brandingLine":"","brandingLink":"","brandingLogo":{"src":null,"width":0,"height":0},"sponsorAd":"","sponsorEbookTitle":"","sponsorEbookLink":"","sponsorEbookImage":{"src":null,"width":0,"height":0}},"primaryLearningPath":"Solve","lifeExpectancy":"Five 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