The Need for Doctors in Underserved Areas

Under Sub-Section 254b of the U.S. Code, governments must ensure centers for health care are in place to attend to the medical needs of underserved communities; particularly in areas where there are increased poverty and health risks, as well as insufficiency of primary health care providers.

According to the tenets of the American Medical Association (AMA), every doctor of medicine has an obligation to take part in providing care to the poor people in their communities to ensure everyone’s medical needs are met, The AMA further emphasized that caring for the needy should form part of a doctor’s overall services to patients.

Underserved locations are usually provided with primary health care by physicians who practice their medical profession full time in community health centers and other public health systems. Others who can’t afford to serve full time, go to local free clinics on a part-time basis.

Although some doctors engage in private practice in their own clinics, they provide charity care to patients who cannot afford to pay, particularly those who do not qualify for Medicaid assistance.

What Exactly are the Underserved Areas and Who are the Needy?

Rural and urban sectors with areas that have inadequate primary care physicians, without resources for primary medical care and other health requirements are marked as Health Profession Shortage Areas or Medically Underserved areas. They are designated as such by the federal Health Resources and Services Administration (HRSA), Community health services that are provided with funding by the HRSA are also labeled as “Federally Qualified Health Centers”.

People who live in underserved areas are usually those who:

Have little, to no access to means of transportation;
Cannot communicate fluently in English;
Have low wages or earnings;
Have attained low levels of education and;
Have limited literacy about health.

A Florida Doctor’s View about Providing Health Care in Underserved Areas

In an interview conducted last July 2021, by Denise Hicks, the Research Director of The Orlando Business Journal, with the President and CEO of Community Health Centers Florida Dr. Debra S. Andree, the latter shared her own views about rendering medical services in Central Florida’s most underserved communities.

The Community Health Centers deliver care to those in need regardless of their background where the care is focused on healing and compassion. The interest to serve stems from one’s desire to relieve the suffering of patients and to improve the quality of their life.

Dr. Andree said a CHC doctor orlando patients consult with regardless of current circumstances embodies the application of a principle that will lead to advancement for all

Cognitive Performance Anxiety – The Risks of Developing CPA as a Disorder

Cognitive performance anxiety (CPA) negatively affects individuals in their performance even if they have the ability and skills to complete the tasks. CPA is a phenomena that can lead to mental block, test anxiety, or stage fright. It particularly refers to the anxiety that individuals experience before doing, or while doing an important task, which more often than not, compromises the quality of their performance.

Cognitive Performance Anxiety in Relation to Stress

Cognitive performance anxiety is felt by individuals who feel stressed about the possibility of being negatively judged by others, whether the assessment exercise is for real or just imaginary. While CPA commonly causes stress to students who worry about the results of their school tests and their grades, CPA stress also happens to employees who worry about getting a negative evaluation from a higher-up

CPA stress that comes in moderate levels can actually push or motivate a person to improve his or her cognitive performance. However, once stress due to CPA reaches high levels, it can be detrimental to an individual’s health, because a stressed out condition can make a person feel constantly tired and depressed.

Harmful Effects of High Levels of CPA

People who feel overly anxious instinctively inspect their surroundings for any signs of potential threats. As the stress level increases, they find it more difficult to shake off negative thoughts. As the unwanted, and disturbing thoughts persist in the mind of a person, the constant high levels of stress can lead to the development of CPA as an anxiety disorder.

Anxiety as a Disorder : Alteration of Neurobiological System

According to studies, fear is activated in the amygdala, an important part of the brain’s network of nerves, which influences the levels of serotonin being produced.

Serotonin is a compound that serves as a neurotransmitter and has the ability to intensify sympathetic nervous activity. An increase of negative activity in turn, releases an additional hormone called norepinephrine that is found dominant in the ends of sympathetic nerve fibers.

The increased production of both serotonin and norepinephrine yields feelings of fear, promoting hyperactivity in the hypothalamus and amygdala. Hyperactivity then leads to the release of corticotropic hormone (CRH) like cortisol. Once CRH levels are high, both body and mind will experience feelings of anxiety, and at worst could lead to depression.

Cortisol is a major stress hormone because it serves as the human body’s alarm system in regulating the circadian system. The latter refers to the internal body clock responsible for managing and determining the rhythm of the body functions, including sleep and wake phases.

Perpetuation of high levels of cortisol and other corticotropic hormones can cause neurobiological alteration that changes anxiety into depression, a mental health condition that needs to have some form of relief.

Natural Remedies for Relief of Anxiety and Depression

Having anxiety or depression can be very draining as it burdens the neurobiological systems with worries that can hinder you from having a pleasant and enjoyable life. Nonetheless, it is helpful to know of natural remedies that provide relief and subsequently allow the body to feel relaxed. Such natural remedies include: :

  • Green tea
  • Regular exercise or staying active at the least;
  • Meditation as it trains your mind to focus on pleasant and serene thoughts;
  • Eating types of food rich in Vitamin B12 and Omega-3 Fatty Acids as both nutrients help the brain work well;
  • Light therapy which utilizes special lamps that produce synthetic sunlight,that triggers the brain to produce chemicals countering the effects of high CHR levels and make the mind feel less anxious and tired

If despite these natural remedies you still feel you need to find ways on how to stop feeling tired, consider taking energy drops as supplements. Energy drops formulated with the right blend of potent natural ingredients like cannabis oil, ashwagandha, guarana and valerian roots can have a mind boosting effect. Although they do not require a medical prescription, it would be best to consult with your doctor as there could be other underlying conditions causing your anxiety. Moreover, they are recommended for use only by individuals aged 18 or older.

Should We be Worried about Using Hair Dyes Much Too Often?

While many are now into using hair dye to color or add highlights to their hair, preliminary studies on the chemicals of hair colourants remain inconclusive. The general perception is that since hair dyes tend to penetrate into the hair shafts, the chemical components used by these hair additives applied on a regular basis can increase cancer risks.

Related studies conducted to determine if the chemicals in hair dyes are linked to the cases of cancerous diseases, there was not sufficient evidence to prove that the hair dyes in use today have the same cancer-causing effects as the hair colourants used during the 1980s. While manufacturers claim to have changed the formulation in order to make the colourants safer to use, there is still the possibility that some ingredients can still heighten cancer risks.

Chemical Ingredients Commonly Used in Hair Dyes

Hair dyes or highlights that cen easily be washed off by shampoo obviously do not have the chemical ingredients used in permanent hair colors. The problem in determining which chemical ingredients are cancer causing is the availability of many different types of hair colourants applied DIY or accessed as a hair salon service.

According to studies, there are actually thousands of different chemicals in use but the most common are hydrogen peroxide, aromatic amines and ammonia. Some other unknown chemicals were found to affect the body’s level of hormone production, particularly estrogen. Such changes are deemed as relevant in the the growth and spread of cancer.

Lab Researchers Show that Some Hair Dye Chemicals Can Increase Risks of Cancer Growth

Lab experiments performed on laboratory animals and on human cancer cells revealed that aromatic animes have caused cancer growth. Yet not all hair dye lab experiments produced the same results, which is why up to now the links associating hair dyes to cancer diseases are still regarded as not conclusive.

In a separate study, African Americans who are into using hair dye at intervals of between 5 to 8 weeks, have shown 60% increased risk if developing breast cancer, compared to African American women who do not use hair dye at all.

However, the World Health Organization, through its subsidiary, the International Agency for Research on Cancer (IARC) conducted reviews of the studies concerning hair dyes and cancer. The IARC later released a report on their reviews, stating that there is still not enough evidence to prove that people who use hair dyes are likely to develop a cancerous disease.

What the IARC found is some evidence that hair salon workers, particularly hairdressers who are directly involved in the application of hair dyes on numerous customers are more likely to be at risk of developing a type of cancer.

The studies are considered as not entirely conclusive because many other factors can increase cancer risks, in addition to the presence of hair dyes; Such factors include family genetics, an individual’s diet and lifestyle including smoking.

Consider the Balayage Highlight Application Method

The Balayage highlight application method is not new as the French have been using this hair-coloring technique for a long time. It gained popularity in upscale beauty salons in the U.S. since more and more people have become concerned with the cancer risks being linked to hair dyes.

Instead of combing in or shampooing hair colorant on the hair in ways that allow chemical ingredients to penetrate the hair shaft, the Balayage highlight method is literally and manually painted on the hair strand by the salon’s professional colorists. The technique is safe because the dye and its chemical ingredient will not sit on the scalp while wrapped in foil.

If you are a Florida resident, be in the know that there’s a hair salon Orlando women particularly like because its services include Balayage highlights. Known as The Look Salon and Spa, it’s actually located in Oviedo, just a few miles outside of Orlando, Florida.

Vascular Doctors : When Poor Blood Circulation Leads to Vascular Disorder

Risk factors that trigger poor blood circulation in the legs can be health- or non-health issues, which if not treated can lead to a vascular disease. In such cases, general medical practitioners would recommend for patients to seek proper medical treatment from a vascular doctor. Mainly because a vascular disease is life-threatening, if left without proper medical attention or medication.

The most common non-health related risk factors that increase the potential development of poor blood circulation into a vascular disorder includes, age, smoking, obesity and inactive or sedentary lifestyle.

What Makes a Vascular Doctor Different from a General Physician?

A physician who received comprehensive and specialized education in the treatment of the arteries, blood vessels, veins, capillaries and nerves. All of which work as auxiliary components in helping the heart and spinal cord carry out the blood circulation process in the body. A vascular surgeon also acquires special training in performing invasive or non-invasive treatment in addition to providing comprehensive medical care to patients suffering from vascular disorders.

Vascular doctors who perform surgery in relation to invasive treatments may also be referred to as vascular surgeons. There are also vascular doctors or surgeons who advance their knowledge and expertise in performing heart surgery and in the process become heart specialists known as cardiologists.

Still, the primary concern of a vascular doctor is to seek the best vascular treatment matching a patient’s vascular disease, to which surgery is not immediately recommended as the best solution.

While poor blood circulation in the legs and feet may start out as a minor vascular disorder, leaving them unchecked and without treatment could progress into a deadly heart disease.

There are many types of vascular disorders, and the most common examples are stroke, blood clots (pulmonary embolism), chronic venous insufficiency, deep vein thrombosis, abdominal aortic aneurism, peripheral artery disease, carotid artery disease and critical limb-threatening ischemia, just to name a few.

Vascular doctors also give advice to patients on different ways to minimize, if not eliminate the impact of the risk factors that led to the vascular problems. Some of which not only requires medication and proper diet but also a change of lifestyle in order to improve blood circulation in the legs and feet.

Research Studies that Led to the Discovery of Nitric Oxide and Its Impact on Vascular Health

Researchers in the 1980s established the fact that the ability of blood vessels to open wide will improve blood circulation. Blood vessels that dilate by a larger diameter allows blood to flow freely. On the other hand, those that have narrower openings as a result of constricted blood vessel muscle tissues caused blood build up in certain areas, and as a result caused blood pressure.

In 2004, molecular medicine scientist Dr. Nathan S. Bryan completed his studies about nitric oxide as the most important nutrient needed by blood vessels, because it promotes vasodilation or the opening up of arteries. He concluded that in order to improve a body’s circulator processes, a patient’s nutrition must include nitrate-rich vegetables to increase the body’s natural production of nitric oxide.

Dr. Bryan’s research indicated that low nitric oxide production tend to inhibit the blood vessels from opening wide, which causes poor blood circulation. The most common areas affected are the legs and feet because they tend to be the farthest from the heart.

Dr. Bryan’s discovery also led to the development of nitric oxide supplements, as most people find it difficult to regularly consume nitrate-rich vegetables like celery, spinach, beetroots, lettuce and the likes. Some nitric oxide supplements, like Rocket Man Naturals contain nitrates derived from exotic plants like ginseng, maca, tongkat ali, yohimbe and tribulus terrestris. Still, before taking a nitric oxide supplement do so only if one’s physician or vascular doctor gives his or her medical approval.

What Makes Prescription Weight Loss Drugs Different from Weight Loss Supplements

Prescription weight loss drugs are taken only if under the supervision of a doctor who prescribed them as drug-based medical treatment of a health disorder. They are usually administered to address obesity, since an overweight condition often leads to serious health problems like hypertension and diabetes.

In including weight reduction as part of a medical treatment, doctors also require patients to engage in physical exercises, and avoid certain types of food. Additionally, a change of lifestyle will also be required if it’s vital to the achievement of a weight loss goal; especially if obesity is the main cause of a health problem. Doctors only prescribe FDA-Approved weight loss drugs and that they are safe to take in combination with other medications.

Why Doctors Do Not Recommend Weight Loss Supplements?

Supplements on the other hand, do not require medical prescriptions. Mainly because their formulation use only ingredients sourced or extracted from natural products to supplement the intakes of vitamins, minerals and other botanical ingredients that can help improve a person’s body physically and/or physiologically. While supplements do not require FDA approval, they are registered with the agency before they are cleared for distribution and sale in markets.

Since most weight loss supplements or fat burners are not FDA approved, it would be safer for a person to first consult with a doctor. The latter will ask questions and check a consulting patient’s medical history, as well as examine the patient to make sure that there is no undiagnosed medical problem. In doing so, a doctor will be able to determine if a weight loss supplement is safe to take; or if a prescription weight loss drug is the more appropriate solution.

Nonetheless, even if a doctor gives a person a clean bill of health, one should still make a careful assessment of the weight loss or fat burner supplement to take. Fake fat burners as well as poor quality weight loss supplements proliferate in markets, and are not as effective as those that have garnered genuine word of mouth recommendations.

Checkout reviews and related contents about the ingredients, to understand what makes a fat burner work effectively. Best female supplements found here at this publication have been personally reviewed and evaluated accordingly by the content editor.

To Whom and When Do Doctors Prescribe Weight Loss Drugs?

Generally, doctors prescribe weight loss drugs to adults with a Body Mass Index (BMI) of more than 30 as it is deemed as the index for obesity; and especially if physical exercise and dieting do not result in critical weight reduction improvements. Weight loss drugs are also prescribed to patients with serious medical problems whose BMI is over 27

When prescribing a weight loss drug, doctors have the responsibility to discuss to the patient, the drug’s potential side effects and other health challenges. While it is normal for weight-loss medicines to have some side effects, the administering physician will monitor if such side effects lessen with time because there have been rare and serious adverse cases. If the prescribed drug has not caused any serious side effects and has assisted in achieving weight reduction goals toward improving health conditions, the doctor will continue to prescribe the drug.

More About Prescription Weight Loss Drugs

Prescription weight loss drugs are significantly more effective when paired with health-improving modifications in lifestyle as opposed to being taken alone, usually up to 12 weeks. Ideally, after a year of supervised weight loss and medical treatment, a weight reduction of 3% to 7% can be achieved. In addition, other medical benefits like the lowering of triglyceride levels, blood pressure, and blood sugar.will help a patient sustain an improved weight for a long term.

The most common FDA-Approved weight loss drugs that doctors recommend for long-term use are: Bupropion-naltrexone (Contrave), Liraglutide (Saxenda), Orlistat (Xenical) and Phentermine-topiramate (Qsymia). Keep in mind though that these are drugs and therefore should not be abused; or used over and beyond the term prescribed by the doctor since they can lead to serious side effects.