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Plasma Donations for COVID-19 Patients: What You Need to Know
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Last updated at 10:30 am Wednesday, May 27, 2020.
Luminis Health is participating in a national study sponsored by the FDA and Mayo Clinic to collect “convalescent” plasma from recovered coronavirus (COVID-19) patients, to give to patients currently hospitalized with COVID-19-related illness.
The approach involves transferring antibodies from recovered patients to those still acutely ill as means of therapy. This is not currently a preventative treatment at the current time.
What is plasma and convalescent plasma?
Plasma is the liquid portion of your blood. It contains factors that help with blood clotting and contains antibodies that fight infections. Those who have recovered from COVID-19 will have antibodies to the virus in their blood plasma that might help protect them against future infections. Whether or not this works is the purpose of the study.
What is a convalescent plasma donation?
Donors who have fully recovered from COVID-19 have antibodies in their blood plasma to help protect against future infections. These antibodies can be collected from the recovered donor and infused safely to patients with acute COVID-related illness.
What is involved in donating?
Donors must have had a positive swab test from the nasal pharynx.
Donors must be symptom free (no fever, cough, fatigue or shortness of breath) for at least 14 days before they can donate plasma. Potential eligible donors should complete a donor eligibility screening form. Someone will then contact you to gather more details, such as medical history and COVID-19 history to determine eligibility.
What is involved in donating plasma?
During a plasma donation, blood is drawn from your arm and sent through a high-tech machine that collects your plasma and then safely and comfortably returns your red cells and platelets back to you, along with some salt water through another intravenous line. It only takes a few minutes longer than donating blood.
Is convalescent plasma a proven treatment for COVID-19?
According to the Food and Drug Administration (FDA), it is not currently known if convalescent plasma will be an effective treatment against COVID-19. Since there are no known effective treatments, multiple options are under investigation by the scientific community. Some information from prior infections suggests that convalescent plasma could help some COVID-19 patients — especially those who are hospitalized. Since plasma transfusions are generally safe for most patients, the FDA announced an initiative to investigate this as a treatment option. We are committed to assisting with plasma collections from carefully-screened recovered COVID-19 patients to enable rapid access to treatment for the most seriously ill patients.
I don’t have a positive COVID-19 test, but am certain I had it, can I still participate? Thank you for your willingness to donate convalescent plasma to help patients.
You may still qualify if your blood contains COVID-19 antibodies, however, at this time we do not have a process by which antibody testing can be done. We encourage you to fill out our donor eligibility screening form and we will contact you to provide a sample for antibody testing once it’s available.
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Behavioral Health, Senior Care, Wellness, Uncategorized
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How alcohol affects seniors
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Seniors tend to face special risks from alcohol, even if they aren’t heavy drinkers. Even moderate drinking can be a problem in this age group.
Health risks of alcohol in the aging
Alcohol poses special risks for seniors for a variety of reasons. For example, alcohol can:
Interact with medications. The older we get, the more likely we are to take medications, according to the American Society on Aging. And medicines—whether prescribed by a doctor or bought over the counter—often don’t mix well with alcohol. Alcohol can counteract or decrease the effects of some medications, such as those taken for high blood pressure,reflux disease or gout.
Alcohol also can magnify a medication’s action. The combined sedative effects of alcohol with tranquilizers, sleeping pills or pain relievers can be particularly dangerous.
Increase the risk of accidents. Alcohol impairs coordination and increases the likelihood of falls and other accidents. For older people, that raises an already increased risk for hip fractures and disability.
Hide other health troubles. Alcohol can mask symptoms of other medical problems, according to the National Institute on Alcohol Abuse and Alcoholism (NIAAA). For example, the changes it causes in heart and blood vessels may dull the pain of angina—an important warning sign of heart attack.
Cause problems in small amounts. The body’s ability to absorb and deal with alcohol changes as we age. Our tolerance level goes down, meaning it takes little alcohol to have a big effect.
A diagnosis overlooked
It’s not always easy to know when an older person is abusing alcohol, according to the NIAAA.
They’re often retired, which eliminates occupational red flags like missing work or losing jobs. Older people also are more likely to drink alone at home, according to the American Geriatrics Society. That makes them less likely than younger drinkers to be arrested for fighting or drunk driving.
In addition, some of the side effects of alcohol abuse may be dismissed as signs of “getting old.” Mental confusion caused by heavy drinking can be mistaken for symptoms of Alzheimer’s disease, for example. Depression, insomnia and poor eating habits are associated with aging—and alcohol abuse.
So how can you tell if someone you love is abusing alcohol?
If someone minimizes how much they drink, that’s a red flag. Or if someone takes offense when asked about their drinking, that’s a red flag.
Other signs may include someone who:
Drinks alone or hides his or her drinking from others.
Feels irritable or resentful when he or she is not drinking.
Uses alcohol to cope with problems like depression or sleeplessness.
To get an idea of whether or not you might have a drinking problem, take this short quiz.
If you think alcohol might be a problem for you or someone you love, seek the advice of a health care professional. He or she may suggest counseling or a treatment program. The good news is that older people tend to stick with treatment programs better than younger people. In fact, research has found that simply pointing out the ill effects of alcohol can significantly reduce an older person’s drinking.
For more information about alcohol visit AAMC’s Pathways drug and alcohol rehabilitation center, askAAMC.org/Pathways.
Originally published Dec. 23, 2014. Last updated Jan. 21, 2019.
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Men's Health, Women's Health
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Signs your thyroid isn’t working right
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The thyroid is a butterfly-shaped gland that sits in the front of your neck and controls a lot of your bodily functions. As part of the endocrine system, the thyroid makes hormones that affect nearly every organ in your body.
“The thyroid is actually one of the powerhouses of the body because it regulates your metabolism,” says Barbara Onumah, MD, medical director of AAMG Diabetes and Endocrine Specialists.
But for how important it is, it’s not uncommon for something to go wrong. Lots of people have problems with their thyroid. An estimated 20 million Americans have some form of thyroid disease. And up to 60 percent of people with thyroid disease don’t know they have it.
The thyroid can be overactive and make too much of the thyroid hormone. This is called hyperthyroidism. Symptoms include weight loss, diarrhea, palpitations, feeling anxious or jittery, increased sweating, feeling hot and trouble sleeping.
The thyroid can also be underactive, which happens when the gland does not make enough of the hormone. This is called hypothyroidism and can result in intolerance to cold, constipation, dry skin, dry hair, loss of hair, difficulty losing weight or even weight gain. Women may have irregular or heavy menstrual periods and may feel fatigue.
And although thyroid problems are common, Dr. Onumah says they are difficult to identify.
“The problem is that the symptoms associated with thyroid problems aren’t specific to thyroid disease,” explains Dr. Onumah. “They could all be due to something else.”
So what can you do if you suspect you have a thyroid problem? Don’t hesitate to talk to your doctor. They can perform a simple blood test to identify any abnormal thyroid behavior. And for those who have been diagnosed with a thyroid condition, Dr. Onumah says to make sure to take medications as prescribed.
“If you have questions or concerns, or your doctor has any doubts about regulating your thyroid, it’s always best to see an endocrinologist,” says Dr. Onumah. “At AAMG Diabetes and Endocrine Specialists, we’re ready to help.”
Contributor
Barbara Onumah, MD, is medical director of AAMG Diabetes and Endocrine Specialists.
Originally published Feb. 23, 2016. Last updated Aug. 28, 2018.
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Women's Health
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Tips for Treating Urinary Incontinence
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Whether it’s a ‘small tinkle’ with a sneeze or a ‘potty dance’ while headed toward the bathroom, the uncontrolled leakage of urine is called urinary incontinence. This condition can be a real bother for many ladies.
Do you skip gym class for fear of leaking urine? Are your daily trips planned around restroom breaks? Have you ever heard yourself say, “Stop, don’t make me laugh!”? When the bladder is functioning normally, you should be able to delay a bathroom break until a socially acceptable time and not worry about leaking during activity.
You do not need to have pelvic organ prolapse (or a collapsed bladder) for urine to leak. You may look and feel the same, however, the dampness signals a problem. Sometimes this condition can be temporary, such as with a urinary tract infection or during pregnancy. If so, urinary incontinence will quickly resolve after the temporary condition has passed. At other times, leakage may start slowly and worsen over time. Many women wear panty-liners or change their underwear frequently because of urinary incontinence, a condition that according to the National Association for Continence affects close to 18 million women.
Urinary incontinence may be common but it’s not normal and, thankfully, there is often a cure. Here are some things you can do to help:
Do Kegel exercises. These exercises help muscle strength and endurance training for the pelvic floor.
Try core muscle strengthening exercises, like Pilates and yoga. The core muscle and pelvic floor muscles work closely together. Getting one region stronger can help the other.
Wear a tampon during exercise, or a pessary vaginal insert made to help with stress leakage.
Achieve normal body weight through nutrition or lower impact exercise.
Consider a surgical procedure to support the urethra (the tube that empties urine from the body).
READ MORE: Bladder control problems: 5 ways women can manage
There are other cases when medical conditions or prior surgeries are causing the leakage. Even issues that limit the speed and ease of walking can contribute to leakage. Urinary incontinence and constant dampness can cause skin irritation in the regions of dampness.
I have seen firsthand how urinary incontinence can affect day to day activities, plans for the future and even self-esteem. If this problem continues, talk to your healthcare team. Details about treatment can be discussed with your provider or a pelvic floor physical therapist.
Leakage can control your life. Even though you can live with these problems, ask yourself, ‘Why should I?’ Would you give your daughter or girlfriend the same advice? Let’s do better for ourselves. For more information on urinary incontinence, visit us today!
Author
Kay Hoskey, MD is a board certified urogynecologist at the Women’s Center for Pelvic Health at Anne Arundel Medical Center.
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