The FDA has approved a blood sugar monitor that doesnt require a finger prick

Further proof the U.S. Food and Drug Administration has been warming up to modern technology — it has just approved the first continuous blood sugar monitor that doesn’t require the user to prick themselves over and over for a blood sample.

Today, the FDA cleared Abbot’s FreeStyle Libre Flash Glucose Monitoring System, a device that uses a small sensor wire inserted under the skin to determine glucose levels in adult diabetics. Another wand-like device is then waved over the sensor to measure and give a readout of those glucose levels.

This is a milestone move for the FDA as diabetes affects nearly 30 million people in the United States who currently have to test their blood sugar by pricking themselves several times throughout the day and every time they eat.

However, the idea for a prickless blood sugar monitor isn’t new. Tech companies have increasingly shown an interest in the massive diabetics market over the past few years. Apple is rumored to be working on such a device and its CEO Tim Cook has even been spotted wearing a possible prototype that could connect to the Apple Watch.

Other companies endeavor to build something similar, including Glucowise, which has a device still under development.

However, it seems it’s not so easy to create a needleless blood sugar detector. Google tried to build a contact lens that could detect glucose but it seems the project has gone nowhere since drug company Novartis licensed the tech in 2014. Another FDA-approved device for glucose monitoring without the prick called the GlucoWatch was approved in the early 2000’s, but consumers found it cumbersome and it happened to cause a bad rash in some.

But there’s new hope today that the Freestyle monitor has worked out all the kinks. The device is intended for those 18 and older and, after a 12-hour start-up period, can be worn for up to 10 days, according to a statement on the FDA’s website.

“The FDA is always interested in new technologies that can help make the care of people living with chronic conditions, such as diabetes, easier and more manageable,” said FDA spokesperson Donald St. Pierre. “This system allows people with diabetics to avoid the additional step of finger stick calibration, which can sometimes be painful, but still provides necessary information for treating their diabetes—with a wave of the mobile reader.”

Read more: https://techcrunch.com/2017/09/28/the-fda-has-approved-the-first-blood-sugar-monitor-that-doesnt-require-a-finger-prick/

Joe Biden supports Julia Louis-Dreyfus after her breast cancer announcement like only a veep could

The "veeps" got this.
Image: HBO/Kobal/REX/Shutterstock

After Julia Louis-Dreyfus’ breast cancer diagnosis announcement Thursday, former Vice President Joe Biden voiced his support to the acclaimed actress who has played a fictional vice president on HBO’s Veep.

Biden assured Louis-Dreyfus that he was there for her during her cancer fight. “We Veeps stick together,” he wrote. He included a photo from a 2014 spot the two did together before the White House Correspondents’ Dinner in 2014. Aviators are obviously involved.

Louis-Dreyfus, who plays vice president-turned-president (briefly) Selina Meyer on the show, had produced a spoof video in character with the then-real-life veep. The two had an adventurous day in the White House and bumped into Michelle Obama, Rep. Nancy Pelosi, and called former Speaker of the House John Boehner.

Julia liked Joe’s tweet, and posted her own response shortly after.

Like Biden tweeted, we’re with you, Julia.

Read more: http://mashable.com/2017/09/28/joe-biden-julia-louis-dreyfus-veep-breast-cancer/

Hookworm, a disease of extreme poverty, is thriving in the US south. Why?

Exclusive: in America, the worlds richest country, diseases that thrive amid poverty are rampant, the first study of its kind in modern times shows

Children playing feet away from open pools of raw sewage; drinking water pumped beside cracked pipes of untreated waste; human faeces flushed back into kitchen sinks and bathtubs whenever the rains come; people testing positive for hookworm, an intestinal parasite that thrives on extreme poverty.

These are the findings of a new study into endemic tropical diseases, not in places usually associated with them in the developing world of sub-Saharan Africa and Asia, but in a corner of the richest nation on earth: Alabama.

Scientists in Houston, Texas, have lifted the lid on one of Americas darkest and deepest secrets: that hidden beneath fabulous wealth, the US tolerates poverty-related illness at levels comparable to the worlds poorest countries. More than one in three people sampled in a poor area of Alabama tested positive for traces of hookworm, a gastrointestinal parasite that was thought to have been eradicated from the US decades ago.

The long-awaited findings, revealed by the Guardian for the first time, are a wake-up call for the worlds only superpower as it grapples with growing inequality. Donald Trump has promised to Make America Great Again and tackle the nations crumbling infrastructure, but he has said very little about enduring chronic poverty, particularly in the southern states.

The study, the first of its kind in modern times, was carried out by the National School of Tropical Medicine at Baylor College of Medicine in conjunction with Alabama Center for Rural Enterprise (ACRE), a non-profit group seeking to address the root causes of poverty. In a survey of people living in Lowndes County, an area with a long history of racial discrimination and inequality, it found that 34% tested positive for genetic traces of Necator americanus.

Lowndes

The parasite, better known as hookworm, enters the body through the skin, usually through the soles of bare feet, and travels around the body until it attaches itself to the small intestine where it proceeds to suck the blood of its host. Over months or years it causes iron deficiency and anemia, weight loss, tiredness and impaired mental function, especially in children, helping to trap them into the poverty in which the disease flourishes.

Hookworm was rampant in the deep south of the US in the earlier 20th century, sapping the energy and educational achievements of both white and black kids and helping to create the stereotype of the lazy and lethargic southern redneck. As public health improved, most experts assumed it had disappeared altogether by the 1980s.

But the new study reveals that hookworm not only survives in communities of Americans lacking even basic sanitation, but does so on a breathtaking scale. None of the people included in the research had travelled outside the US, yet parasite exposure was found to be prevalent, as was shockingly inadequate waste treatment.

The peer-reviewed research paper, published in the American Journal of Tropical Medicine and Hygiene, focuses on Lowndes County, Alabama the home state of the US attorney general, Jeff Sessions, and a landmark region in the history of the nations civil rights movement. Bloody Lowndes, the area was called in reference to the violent reaction of white residents towards attempts to undo racial segregation in the 1950s.

It was through this county that Martin Luther King led marchers from Selma to Montgomery in 1965 in search of voting rights for black citizens, More than half a century later, Kings dream of what he called the dignity of equality remains elusive for many of the 11,000 residents of Lowndes County, 74% of whom are African American.

Raw
Raw sewage is carried through a PVC pipe to be dumped only a few yards away from a nearby home. Photograph: Bob Miller for the Guardian

The average income is just $18,046 (13,850) a year, and almost a third of the population live below the official US poverty line. The most elementary waste disposal infrastructure is often non-existent.

Some 73% of residents included in the Baylor survey reported that they had been exposed to raw sewage washing back into their homes as a result of faulty septic tanks or waste pipes becoming overwhelmed in torrential rains.

The Baylor study was inspired by Catherine Flowers, ACREs founder, who encouraged the Houston scientists to carry out the review after she became concerned about the health consequences of having so many open sewers in her home county. Hookworm is a 19th-century disease that should by now have been addressed, yet we are still struggling with it in the United States in the 21st century, she said.

Our billionaire philanthropists like Bill Gates fund water treatment around the world, but they dont fund it here in the US because no one acknowledges that this level of poverty exists in the richest nation in the world.

Flowers took the Guardian on a tour of Lowndes County to witness the conditions in which hookworm continues to proliferate. One stop was at a group of mobile homes outside Fort Deposit that graphically illustrated the crisis.

An eight-year-old child was sitting on the stoop of one of the trailers. Below him a white pipe ran from his house, across the yard just a few feet away from a basketball hoop, and into a copse of pine and sweet gum trees.

The pipe was cracked in several places and stopped just inside the copse, barely 30ft from the house, dripping ooze into a viscous pool the color of oil. Directly above the sewage pool, a separate narrow-gauge pipe ran up to the house, which turned out to be the main channel carrying drinking water to the residents.

The open sewer was festooned with mosquitoes, and a long cordon of ants could be seen trailing along the waste pipe from the house. At the end of the pool nearest the house the treacly fluid was glistening in the dappled sunlight a closer look revealed that it was actually moving, its human effluence heaving and churning with thousands of worms.

Ruby
Ruby Dee Rudolph, 66, noticed her septic tank was slowly sinking unevenly into the ground. Photograph: Bob Miller for the Guardian

This is the definition of Make America Great Again, said Aaron Thigpen, 29, a community activist who assisted with the hookworm study. This is the reality of how people are being forced to live.

Thigpens cousins live in the trailer park, and he has talked to them about the perils of piping sewage from their homes and dumping it in the open just a few feet away. They are disgusted about it, theyre sick and tired of living like this, but theres no public help for them here and if youre earning $700 a month theres no way you can afford your own private sanitation.

He added that people were afraid to report the problems, given the spate of criminal prosecutions that were launched by Alabama state between 2002 and 2008 against residents who were open-piping sewage from their homes, unable to afford proper treatment systems. One grandmother was jailed over a weekend for failing to buy a septic tank that cost more than her entire annual income.

People are scared. They dont like to speak out as theyre worried the health department will come round and cause trouble, Thigpen said.

The challenge to places like Lowndes County is not to restore existing public infrastructure, as Trump has promised, because there is no public infrastructure here to begin with. Flowers estimates that 80% of the county is uncovered by any municipal sewerage system, and in its absence people are expected and in some cases legally forced to provide their own.

Even where individuals can afford up to $15,000 to install a septic tank and very few can the terrain is against them. Lowndes County is located within the Black Belt, the southern sweep of loamy soil that is well suited to growing cotton and as a result spawned a multitude of plantations, each worked by a large enslaved population.

The same thing that made the land so good for cotton its water-retaining properties also makes it a hazard to the thousands of African Americans who still live on it today. When the rains come, the soil becomes saturated, overwhelming inadequate waste systems and providing a perfect breeding ground for hookworm.

Ruby Rudolph lives just beside the main Selma to Montgomery road where King led the protest walk. On the other side of the road theres a brown history placard to mark the spot where her grandmother, Rosie Steele, ran a campsite for the weary marchers.

After they moved on and the campsite was cleared, Rudolph said, her grandmothers grocery store was set on fire in an arson attack. She was 13 at the time, and can remember the flames leaping into the night sky.

Rudolph, now 66, does have her own septic tank at the back of her house, which she shows us in the sweltering 41C (105F) heat. But it doesnt function properly and when it rains the tank spills over, spreading raw waste all over the yard. Thats better than when it flushes back into the house, and Ive had that too, she said.

Shes been told a replacement system would cost her at least $12,000, which is beyond her means. She runs through her finances: she gets up at 4am every day to do an early shift at a Mapco convenience store, which brings in less than $1,200 a month. From that amount she has to pay $611 for her mortgage and theres the electricity bill that can be more than $300 a month when its hot and the air conditioning is busy. Theres not a lot left to put toward a new tank.

Perman
Perman Hardy, 58, stands with her grandson Carlos near the pipes that carry sewage from a relatives nearby trailer home into the woods, approximately 30ft from the back door. Photograph: Bob Miller for the Guardian

Perman Hardy, 58, lives in nearby Tyler in a collection of seven single-storey homes all occupied by members of her extended family. Only two of them have septic tanks, the rest just pipe raw waste into the surrounding woods and creeks.

Hardy is one of the lucky ones with a treatment system of her own, but like Rudolphs it is often overwhelmed in the rains with faeces washed back into her home. Last year the stench was so bad she had to vacate the property for two weeks over Christmas while it was professionally cleaned.

Hardy has traced her family back to slaves held on the Rudolph Bottom plantation about five miles away. The road that leads to the old plantation from her house is still called to this day by white neighbors Nigger Foot Road, she said, though she and other African Americans call it Collerine Cutoff Road.

As a child, Hardy worked in the cotton fields after school and, mindful of that and her familys slave history, shes determined to see a better future for her grandchildren. I dont want the same for my boys. But its still a struggle. Its the 21st century and we shouldnt be struggling like we still are today.

The daily hardship faced by Hardy, Rudolph and fellow inhabitants of Lowndes County is reflected in the Baylor studys glaring statistic of 34% testing positive for hookworm. The sample size was low 67 people participated with 55 giving stool samples, all of whom were African American but the results are so stark that the Houston scientists now want to conduct a larger survey across the region.

We now need to find how widespread hookworm is across the US, said Dr Peter Hotez, dean of the National School of Tropical Medicine, who led the research team along with Rojelio Mejia. Hotez, who has estimated that as many as 12 million Americans could be suffering from neglected tropical diseases in poor parts of the south and midwest, told the Guardian the results were a wake-up call for the nation.

This is the inconvenient truth that nobody in America wants to talk about, he said. These people live in the southern United States, and nobody seems to care; they are poor, and nobody seems to care; and more often than not they are people of color, and nobody seems to care.

Read more: https://www.theguardian.com/us-news/2017/sep/05/hookworm-lowndes-county-alabama-water-waste-treatment-poverty

You Lied Your Way Into A Job As A Surgeon! Can You Avoid Killing Anyone Long Enough To Collect Your First Paycheck?

Surgeons. The masters of the flesh. The gatekeepers of the organs. The doctors who get to shave patients.

These are the green-wearing gods who know that the human body is but a chessboard, and that the nipples are the king and queen, and the belly button is the opposing king or queen.

Today, finally, you are beginning your journey as one of them.

You have already gone through the arduous process of becoming a surgeon. After calling the hospital over and over every day for three weeks straight and praising Tylenol in the deepest voice you could muster to whoever picked up, being hung up on by countless doctors and nurses, you finally hit the big time.

Yesterday, you managed to get the chief of medicine on the line, who offered you a job after a mere 50 minutes of you bellowing to her about the white-and-red pill. Congratulations!

Okay. Being a surgeon is sweet as hell. You get to wear patients’ clothes around a hospital once the chemicals put them to sleep, you can eat as many tortilla chips as you want, and you can hide all of your favorite DVDs and family heirlooms inside toxic waste bins, the one place thieving pricks are too grossed out by to steal from.

Cool. But the best part of being a surgeon, bar none, is that incredible surgeon paycheck.

It’s no secret that surgeons are paid well, as every single day at 8 p.m., hardworking surgeons all over the world reap the fruits of their labor: a plastic bag filled with $600, given to them by their chief of medicine on their way out the door, in addition to a goodnight kiss on the forehead.

Exactly. So now that you’re a surgeon, you better do everything in your power to make it your $600 payday, because there is one universal stipulation that could jam you up: If a surgeon kills someone, everything completely goes to shit.

1) For starters, once a surgeon kills someone, they are NEVER allowed back in a hospital, ever. Even if you just want to go to hang out or to meet new lovers.

2) Your professional reference completely goes out the window. If a new job calls to ask about you, instead of a recommendation, the HR department hands the phone off to the absolute sickest pervert patient they have, and lets them air out whatever they’ve got kickin’ around up in their minds.

3) Lastly—and this one is the worst of all—you don’t get paid a dime, which would mean all of your efforts to become a surgeon were for NOTHING.

So, if you want to get to that sweet paycheck, you’re going to have to make it through one entire day as a surgeon without killing someone.

The hospital. The place where people come when they are bored to take off their pants and scream. This will be your new surgeon home, and today is your first day of work. As far as anyone inside is concerned, you are now a fully qualified surgeon, so if you want those 600 clams, you’re going to have to hold your own and stay off everyone’s radar.

“Please give me a surgery.”

Ah, shit. A sick kid is waiting for you right inside the lobby, and he looks all kinds of fucked up.

“I need a surgery pronto. I am dying, and it feels like none of my bones are connected to my other bones. I also have a rash that comes and goes. Please do surgery to me with your other doctor friends.”

“If you don’t give me a surgery right now, I will scream. I will scream so loud and for so long, and I will point at you the whole time. It will go on for so long that the rest of the doctors here will have no choice but to send you to jail.”

That was close. You’ve pissed your pants real good, and now you’re in the bathroom splashing your pants with water, the best way to clean pants that you’ve urinated in.

“You sure know your way around cleaning a pair of pissed pants, sport. Not bad at all.”

You look over and see that it’s the hospital’s janitor talking to you. He somehow opened the door in perfect silence while you were inside splashing your pants, and has been watching you for upwards of 90 full seconds.

“I’ve been watching you for upwards of 90 full seconds, and I can tell just by looking at you, you’re no surgeon.”

“Easy, easy. I’m not gonna rat you out. I’m gonna help you.

I take it that you’re in here lying to be a surgeon, hoping to get ‘The $600 Bag Treatment,’ huh? Well, you’ve got a friend in me. I’ve seen it before, and I’ll see it again. All you gotta do is make it until 8 p.m. without killing a soul and you’re in the clear. So whadya say you come lay low with me for the rest of the day, spend some time hanging with a new bud so you don’t end up killin’ no one before you get that money?”

“I, uh, how do you mean?” he says, visibly becoming self-conscious about the entire interaction so far. “I’m just tired today, so if I’m acting weird, that’s what that’s about, probably. Allergies are being weird, too.”

“Follow me!” the janitor says before sprinting down the hallway. You do your best to keep up with him as he weaves in and out of patients and doctors before you finally arrive at a huge metal door. He slides open the rusty door to reveal a set of long, winding stairs that lead to a dark, desolate basement, and turns to you with a half smile.

“It’s not delivery, it’s DiGiorno,” he says before letting out a quick, uncertain laugh, looking over his shoulder at you to kind of check in and see if you’re laughing or anything at what must have been some sort of joke.

“That was dumb, never mind,” the janitor says, shaking his head as his shoulders slump, trying to explain his joke before slowly progressing into full-blown self-deprecation. “I was thinking, like, how in the old commercials, I’d be the delivery guy and you’re the pizza—I don’t know, forget it. It was dumb. Sorry.”

You follow the janitor down the stairs and into the basement of the hospital, and lo and behold, it’s a full-blown bachelor’s pad! The janitor has stocked the place with some of the best things: a ping-pong table, a “Forever 27” poster, an old-timey popcorn machine, and a bunch of orange pill bottles filled with Frosted Cheerios.

“This is my chill zone. I’m down here almost all the time, which is why the hospital is filthy and patients always seem to get sick immediately after they get better.”

“We got all day, brother, so we could either sit down and talk about that important-looking guitar I have mounted on the wall over there, or we could stand near the stairs and wonder if Slash has ever signed a guitar and sold it for $20,000 online before, or maybe we could lay down on the ground and trade stories about the most expensive thing we’ve ever mounted on a wall. Your call.”

“I can’t lift my arms above my waist because of a power-washer accident.”

“You got a good eye, kid,” he says as though you brought it up completely unprompted, proudly looking up at the guitar he somehow mounted unnecessarily high on his wall.

“Believe it or not, Slash signed that guitar, and I was lucky enough to spend all of the money I have on it. I usually don’t do this for anyone, but for you, I’ll climb all the way up there and get it if you want to hold it.”

“I’d climb anywhere for one of my boys.”

“I’ll put a very wet towel over them. I’m sure that will be fine.”

You’ve killed! You’ve killed!

You put the janitor in grave danger by selfishly asking him to grab his Slash guitar off the wall. After the janitor put a soaking-wet towel on top of his countless basement wires in order to walk over to the wall and begin his climb, he was immediately electrocuted and fell crashing to the ground without the ability to raise his arms and break his fall. It’s unclear if it was the electricity surging through his body that did him in, or if it was the way his neck snapped on a nearby stool because of the horrible, unnatural way he fell. But either way, he is definitely dead, and it is your fault.

You’re no longer a surgeon, and you can kiss that bag of $600 goodbye.

As you go back up the stairs and start heading toward the lobby, you can hear that he starts to follow you, but then locks himself in the bathroom you were in earlier and begins screaming at himself in the mirror for messing up what could’ve been a nice day. His screaming gets louder and louder before it comes to a halt after you hear the sound of him snapping his mop over his knee in fury.

“I need you to give me a surgery right now.”

Ah, damn. It’s the sick kid from earlier.

“I feel like I’m on a boat at all hours of the day, and my elbows are dry. I need you to cut me open and drain me out, if that’s what it takes, and to please get me home by later today.”

You pick the kid up, throw him over your shoulder, and walk through the hospital looking for a good room to cut him open in. After 20 minutes, you finally find the room with all of the surgeons in it, and you slam the kid down on the empty table they’re all staring at.

Now all eyes are on you. You’re going to have to step up and say something pretty incredible to get all of these surgeons on your side.

You’ve killed! You’ve killed!

After you said that ridiculous, dumbass comment, every surgeon in the room became furious at you and began hammering you with questions about your qualifications. You tried mumbling through more Tylenol facts, which went much worse in person than it did on the phone, and somewhere during your 25-minute verbal beatdown from the other surgeons, the kid died on the table.

You are no longer a surgeon, and you will never get a plastic bag filled with $600.

Share Your Results

Everyone starts nodding and smiling and patting each other on the back. Good shit.

“Ha, nice,” a woman says, whose voice you recognize from the phone as the chief of medicine at the hospital. She quickly anesthetizes the patient to finally stop him from grabbing and clawing at everyone’s surgical masks, and within seconds the little spaz is sleeping.

At that moment, the tallest doctor you’ve ever seen walks into the door wearing a backwards hat and confidently drinking Barq’s Root Beer out of a 2-liter bottle.

“I’ve never seen you around here,” he says after putting the root beer down firmly into the lap of the unconscious kid and eyeing you up and down suspiciously. “Enlighten us, fresh meat. Now, what surgery are we performing on this little man, exactly?”

Ah, this guy is onto you. Need something big here to throw everyone off your tracks.

“Doctors, you two can be mean to each other in the parking lot all day long if you want to, but that’ll be enough fighting in my hospital,” says the chief of medicine after banging her fist down onto the kid’s chest like a gavel to get everyone’s attention.

“This little boy is in dire need of a heart transplant. We need to start immediately.”

“Doctors, that’ll be enough talk about whether or not there are actually types of surgeries or not, because there simply is not a correct answer,” says the chief of medicine after banging her fist down onto the kid’s chest like a gavel to get everyone’s attention.

“This little boy is in dire need of a heart transplant. We need to start immediately.”

“Doctors, please stop winking at each other,” says the chief of medicine after banging her fist down onto the kid’s chest like a gavel to get everyone’s attention.

“This little boy is in dire need of a heart transplant. We need to start immediately.”

After noticing that no one is reacting to you pissing yourself, you look around and realize that every surgeon in the room has also already pissed themselves. Then you remember that surgeons are constantly pissing themselves during surgery, like bicyclists during races, for reasons completely unknown.

The chief of medicine takes out a toolbox from underneath the surgery-room sink and hands each surgeon a tool. She takes each tool out one by one and starts passing them down the line. One doctor gets a small shovel, one gets a large knife, another gets a pickax, and on and on it goes, until you finally end up with the flashlight!

“Um, yeah, that’s my flashlight, pal. I’m always the flashlight man around here,” says the root-beer doctor.

“No,” interjects the chief. “New guy can hold the flashlight today. I have a good feeling about this.”

Your new rival is stunned. He shoots you a dirty look, threateningly crosses his thumb over his neck, and then does it again with his other thumb, but slower. Then he quietly mouths something that you didn’t really get a good read on, but from what you did see, your best guess is that he was saying something like “Fracking mountains,” or “Simply delicious.” Then he is handed the worst tool: the blood napkin, the tool that wipes up all the loose goo and pus.

“Ah, c’mon, man. Quit it. What the hell.”

The surgery is now well under way. The chief is slicing and dicing and moving parts around left and right. It’s pretty much a one-woman show.

Most of the other doctors are using their tools just to kind of scrape some bones and stuff when they feel like they should get in the mix, usually after not doing anything for a couple minutes straight and getting nervous that someone will notice how they’re not really that crucial to the operation.

You’re getting bored by the whole thing at this point, but at least you’re holding your own with these docs and, most importantly, haven’t killed anyone yet.

Surgery still going. Getting kind of repetitive. A couple doctors shuffled out for a minute and came back with crackers, but the crackers are all gone now. You didn’t even notice they had crackers until there were only, like, four left in the sleeve, so at that point, asking for some really wouldn’t have been cool.

Surgery is getting boring.

Surgery is boring as hell.Your arms got tired from holding the flashlight up, so you put it down for a minute and no one seemed to notice. You’re back up now.

Kid woke up and started screaming LOUD, but now he’s sleeping again.

“You were scared!” “No, you were scared!” “I wasn’t scared, you were scared!” The surgeons are all ragging on each other and having fun again. Finally got some juice in the room. Whole crew got a good laugh out of that one.

Woah, wait a minute. Oh, man. You see something inside the kid’s body. Wedged deep in between his rib cage and his liver, there looks to be something shining and throbbing, and you’re pretty sure you’re the only one who sees it.

Two doctors broke away from the surgery about 15 minutes ago to arm wrestle on a nearby stool, and the rest of the surgeons have all one-by-one walked over to form a circle around them so they can gamble. Meanwhile, the chief is still hacking away at this kid’s organs with all of her might, and seems way too dialed-in to notice the game changer you’ve found.

You’ve killed! You’ve killed!

You thought you were being a hero by yanking out what you thought were some sort of wet, shining metals, but were actually the poor kid’s veins. You are no longer a surgeon, and can go ahead and kiss that sweet paycheck goodbye.

“Those are veins. They are not ‘evil copper and metals sticking out of this poor bastard’s guts.’ Do not call them that.”

Damn. Misread that one. The chief is totally onto you now.

“But I appreciate you speaking your mind when you think something is amiss,” she continues, looking up and making eye contact with you for the first time. “That takes a commitment to the job that some of my other doctors lack at times,” she says, motioning to the doctors across the room who are now attempting to disguise their arm-wrestling gambling ring by draping a hospital gown over the two meaty, dueling arms.

The chief reciprocates your unblinking eye contact and begins nodding in perfect unison with your nodding. This goes on for a good 20 seconds or so, the grunts of the two arm wrestlers and the slaps of cold, hard cash hitting the tile becoming the only sounds in the room.

At that moment, you and the chief simultaneously feel a romantic charge between you, and it feels beautiful and right. But that romantic feeling is immediately followed by a simultaneous paternal feeling, but it’s unclear who is the parent and who is the child. Then the two feelings of physical attraction and familial protectiveness fuse together into one singular emotion, and it feels disgusting to both of you.

“Yeah, yeah, go catch up with them. I’ll hold it down over here, cool,” the chief kind of half-mutters to herself and to you while shaking her head and getting back to surgery.

You walk over to the gambling circle and see the two exhausted surgeons pulling and pushing as hard as they can to win. The two doctors are so evenly matched that their arms aren’t moving or shaking in the slightest. If it weren’t for the veins about to explode out of their temples and the tears streaming down their faces, you’d have no idea how intense the duel was.

All of the other surgeons are quietly going apeshit. Almost all of them are either gently pounding their chests, gingerly slapping the ground, or shaking their fists in the air, all the while whispering bad arm-wrestling advice like “Win the skin!” or “Make him smooth!”

It’s definitely a pretty sweet scene, and you decide that you want to get in the mix.

As you go to ask the doctor next to you, your rival doctor steps in front and interrupts:

“Looking to get in on the action but lacking the funds, newbie? Don’t worry, fresh meat. I got you covered. Also, we’re rival doctors, just in case that wasn’t clear.”

Whoa, pretty cool to get a rival doctor on your first day on the job. That probably usually takes years.

“That’s my coat over there,” he says, pointing to a white lab coat being worn by one of the arm-wrestling surgeons. “Go ahead and take my wallet out of the pocket and take out as much money as you want.”

He then lets out a weird little laugh and looks around to see if anyone else is laughing. One other doctor did laugh, but he’s in the middle of a conversation with another surgeon, so you’re pretty sure the laugh had nothing to do with your rival.

“I have coats all over this hospital that you wouldn’t know a thing about,” he says, raising his fist up to your chin real quick, trying to get you to flinch. You stand your ground and don’t flinch at all, though, and he sheepishly brings his fist back down to his side.

You’ve killed! You’ve killed!

In a brilliantly executed scheme, your rival tricked you into reaching into the coat of one of the doctors who is arm wrestling. When the arm wrestler saw you trying to steal his wallet, his mix of adrenaline and dangerously high blood pressure caused his heart to explode.

Your misconduct has resulted in a death, meaning you can no longer be a surgeon, and you will never see that sweet, sweet bag o’ cash.

Kate Middleton chats about mental health in video for children and parents

Kate Middleton has spoken out about the difficulty in opening up about one’s mental health in a video aimed at children and parents. 

Appearing in a video for charity Anna Freud National Centre for Children and Families, the Duchess of Cambridge explained in simple terms what “mental health” means. 

“Mental health is how we feel and think, things that can’t really be seen but affect us everyday. And talking about them can feel difficult,” she said. 

The Duchess’ words act by way of introduction to a short animation aimed at children to help them find the words to talk about mental health. The Duchess explained that the animation can help figure out “what to say and who to talk to when we have feelings that are too big to manage on our own.” 

The animation gives a simple breakdown of what the term “mental health” means, and it features tips and advice from children and adults on talking about thoughts, feelings and emotions. 

“Sometimes it’s just a simple conversation that can make things better,” Kate added. 

Read more: http://mashable.com/2017/09/19/duchess-of-cambridge-mental-health/

Terry Pratchett’s unfinished novels destroyed by steamroller

Unpublished works are lost for ever with crushing of computer hard drive as the late fantasy novelist had instructed

The unfinished books of Sir Terry Pratchett have been destroyed by a steamroller, following the late fantasy novelists wishes.

Pratchetts hard drive was crushed by a vintage John Fowler & Co steamroller named Lord Jericho at the Great Dorset Steam Fair, ahead of the opening of a new exhibition about the authors life and work.

Pratchett, famous for his colourful and satirical Discworld series, died in March 2015 after a long battle with Alzheimers disease.

After his death, fellow fantasy author Neil Gaiman, Pratchetts close friend and collaborator , told the Times that Pratchett had wanted whatever he was working on at the time of his death to be taken out along with his computers, to be put in the middle of a road and for a steamroller to steamroll over them all.

On Friday, Rob Wilkins, who manages the Pratchett estate, tweeted from an official Twitter account that he was about to fulfil my obligation to Terry along with a picture of an intact computer hard drive following up with a tweet that showed the hard drive in pieces.

The symbolism of the moment, which captured something of Pratchetts unique sense of humour, was not lost on fans, who responded on Twitter with a wry melancholy, though some people expressed surprise that the author who had previously discussed churning through computer hardware at a rapid rate would have stored his unfinished work on an apparently older model of hard drive.

The hard drive will go on display as part of a major exhibition about the authors life and work, Terry Pratchett: HisWorld, which opens at the Salisbury museum in September.

The author of over 70 novels, Pratchett was diagnosed with Alzheimers disease in 2007.

He became an advocate for assisted dying, giving a moving lecture on the subject, Shaking Hands With Death, in 2010, and presenting a documentary for the BBC called Terry Pratchett: Choosing to Die.

He continued to write and publish, increasingly with the assistance of others, until his death in 2015. Two novels were published posthumously: The Long Utopia (a collaboration with Stephen Baxter) and The Shepherds Crown, the final Discworld novel.

The Salisbury museum exhibition will run from 16 September until 13 January 2018.

Read more: https://www.theguardian.com/books/2017/aug/30/terry-pratchett-unfinished-novels-destroyed-streamroller

Plastic fibres found in tap water around the world, study reveals

Exclusive: Tests show billions of people globally are drinking water contaminated by plastic particles, with 83% of samples found to be polluted

Microplastic contamination has been found in tap water in countries around the world, leading to calls from scientists for urgent research on the implications for health.

Scores of tap water samples from more than a dozen nations were analysed by scientists for an investigation by Orb Media, who shared the findings with the Guardian. Overall, 83% of the samples were contaminated with plastic fibres.

The US had the highest contamination rate, at 94%, with plastic fibres found in tap water sampled at sites including Congress buildings, the US Environmental Protection Agencys headquarters, and Trump Tower in New York. Lebanon and India had the next highest rates.

European nations including the UK, Germany and France had the lowest contamination rate, but this was still 72%. The average number of fibres found in each 500ml sample ranged from 4.8 in the US to 1.9 in Europe.

The new analyses indicate the ubiquitous extent of microplastic contamination in the global environment. Previous work has been largely focused on plastic pollution in the oceans, which suggests people are eating microplastics via contaminated seafood.

We have enough data from looking at wildlife, and the impacts that its having on wildlife, to be concerned, said Dr Sherri Mason, a microplastic expert at the State University of New York in Fredonia, who supervised the analyses for Orb. If its impacting [wildlife], then how do we think that its not going to somehow impact us?

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A magnified image of clothing microfibres from washing machine effluent. One study found that a fleece jacket can shed as many as 250,000 fibres per wash. Photograph: Courtesy of Rozalia Project

A separate small study in the Republic of Ireland released in June also found microplastic contamination in a handful of tap water and well samples. We dont know what the [health] impact is and for that reason we should follow the precautionary principle and put enough effort into it now, immediately, so we can find out what the real risks are, said Dr Anne Marie Mahon at the Galway-Mayo Institute of Technology, who conducted the research.

Mahon said there were two principal concerns: very small plastic particles and the chemicals or pathogens that microplastics can harbour. If the fibres are there, it is possible that the nanoparticles are there too that we cant measure, she said. Once they are in the nanometre range they can really penetrate a cell and that means they can penetrate organs, and that would be worrying. The Orb analyses caught particles of more than 2.5 microns in size, 2,500 times bigger than a nanometre.

Microplastics can attract bacteria found in sewage, Mahon said: Some studies have shown there are more harmful pathogens on microplastics downstream of wastewater treatment plants.

Plastic fibres found in tap water across the world

Microplastics are also known to contain and absorb toxic chemicals and research on wild animals shows they are released in the body. Prof Richard Thompson, at Plymouth University, UK, told Orb: It became clear very early on that the plastic would release those chemicals and that actually, the conditions in the gut would facilitate really quite rapid release. His research has shown microplastics are found in a third of fish caught in the UK.

The scale of global microplastic contamination is only starting to become clear, with studies in Germany finding fibres and fragments in all of the 24 beer brands they tested, as well as in honey and sugar. In Paris in 2015, researchers discovered microplastic falling from the air, which they estimated deposits three to 10 tonnes of fibres on the city each year, and that it was also present in the air in peoples homes.

This research led Frank Kelly, professor of environmental health at Kings College London, to tell a UK parliamentary inquiry in 2016: If we breathe them in they could potentially deliver chemicals to the lower parts of our lungs and maybe even across into our circulation. Having seen the Orb data, Kelly told the Guardian that research is urgently needed to determine whether ingesting plastic particles is a health risk.

The new research tested 159 samples using a standard technique to eliminate contamination from other sources and was performed at the University of Minnesota School of Public Health. The samples came from across the world, including from Uganda, Ecuador and Indonesia.

How microplastics end up in drinking water is for now a mystery, but the atmosphere is one obvious source, with fibres shed by the everyday wear and tear of clothes and carpets. Tumble dryers are another potential source, with almost 80% of US households having dryers that usually vent to the open air.

We really think that the lakes [and other water bodies] can be contaminated by cumulative atmospheric inputs, said Johnny Gasperi, at the University Paris-Est Creteil, who did the Paris studies. What we observed in Paris tends to demonstrate that a huge amount of fibres are present in atmospheric fallout.

Plastic fibres may also be flushed into water systems, with a recent study finding that each cycle of a washing machine could release 700,000 fibres into the environment. Rains could also sweep up microplastic pollution, which could explain why the household wells used in Indonesia were found to be contaminated.

In Beirut, Lebanon, the water supply comes from natural springs but 94% of the samples were contaminated. This research only scratches the surface, but it seems to be a very itchy one, said Hussam Hawwa, at the environmental consultancy Difaf, which collected samples for Orb.

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This planktonic arrow worm, Sagitta setosa, has eaten a blue plastic fibre about 3mm long. Plankton support the entire marine food chain. Photograph: Richard Kirby/Courtesy of Orb Media

Current standard water treatment systems do not filter out all of the microplastics, Mahon said: There is nowhere really where you can say these are being trapped 100%. In terms of fibres, the diameter is 10 microns across and it would be very unusual to find that level of filtration in our drinking water systems.

Bottled water may not provide a microplastic-free alternative to tapwater, as the they were also found in a few samples of commercial bottled water tested in the US for Orb.

Almost 300m tonnes of plastic is produced each year and, with just 20% recycled or incinerated, much of it ends up littering the air, land and sea. A report in July found 8.3bn tonnes of plastic has been produced since the 1950s, with the researchers warning that plastic waste has become ubiquitous in the environment.

We are increasingly smothering ecosystems in plastic and I am very worried that there may be all kinds of unintended, adverse consequences that we will only find out about once it is too late, said Prof Roland Geyer, from the University of California and Santa Barbara, who led the study.

Mahon said the new tap water analyses raise a red flag, but that more work is needed to replicate the results, find the sources of contamination and evaluate the possible health impacts.

She said plastics are very useful, but that management of the waste must be drastically improved: We need plastics in our lives, but it is us that is doing the damage by discarding them in very careless ways.

Read more: https://www.theguardian.com/environment/2017/sep/06/plastic-fibres-found-tap-water-around-world-study-reveals

Apple reportedly in talks with Aetna to bring the Apple Watch to millions of customers

Apple and Aetna have held several secret meetings to discuss offering the Apple Watch to Aetnas 23 million customers, according to CNBC.

These meetings, held on Thursday and Friday of last week in Southern California,reportedly involved top executives from both companies, including Myoung Cha, who is in charge of Apples special health projects, and hospital chief medical information officers from across the country.

Aetna could roll out the plan as early as next year, according to a CNBC source.

Weve reached out to both Apple and Aetna and will be sure to update you if and when we hear more. So far Aetna has declined to comment.

This is not the first time Apple has joined up with the health insurance company. Aetna already offers the Apple Watch to its 50,000 employees. Aetna also announced last September it would be offering the Apple Watch to select large employers and these talks could be an extension of that announcement.

Aetna now reportedly has ambitions to offer it to a wider field adding large swaths of new health data to pull from and giving the health insurance company insight into the activities of its customers.

The deal also would be beneficial to Apple, which heavily promotes the Apple Watch for health and fitness and briefly became the top wearable vendor this year, beating out Fitbit before Xiaomi took the top spot in Q2.

Apple also has been secretly hiring biomedical engineers and beefing up work on sensors for tracking blood sugar levels and detection of other diseases, which would come in handy for any health insurer wanting data-driven insights into its customer base.

Of course, whether customers will be willing to give up that information in exchange for the Apple Watch remains to be seen.

Read more: https://techcrunch.com/2017/08/14/apple-reportedly-in-talks-with-aetna-to-bring-the-apple-watch-to-millions-of-customers/

Heroin laced with elephant tranquilizer hits the streets

(CNN)The American heroin epidemic has become more dangerous, as reports of heroin laced with carfentanil are being reported throughout the country.

Carfentanil is the most potent opioid used commercially, 10,000 times stronger than morphine. It is a version or analogue of fentanyl, the painkiller that most recently made headlines with its role in the death of pop star Prince.
    It is not clear whether the Indiana and Ohio overdoses are connected, but officials are investigating the possibility.
    This month, a seizure of carfentanil in Manatee County, Florida, coincided with an increase in overdose deathsthere.

    Little data to track the drug

    See the latest news and share your comments with CNN Health on Facebook and Twitter.

    The Drug Enforcement Administration does not track carfentanil cases separately. Most states flag a handful of fentanyl analogues in postmortem testing, but very few labs across the country are equipped to test for it or have any reference materials to help identify it. The University of Florida Forensic Toxicology Lab is currently developing a new test to identify the drug.
    Like fentanyl, carfentanil is dangerous not just to users but to anyone who comes into contact with it. Grains of it can be absorbed through the skin or inhaled.
    According to the DEA, most fentanyl analogues in the United States are being manufactured in China and transported through Mexico.

    Read more: http://www.cnn.com/2016/08/24/health/elephant-tranquilizer-carfentanil-heroin/index.html