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A Pain

Posted by MFish • Profile • 02/12/21 at 10:57PM • Life Stories - Memories • See more by MFish

A pain in my belly,
has now settled in.
I am uncertain
as to when it began.
A first worry is Covid19
or is it the result
of your shot of vaccine?
A new worry
or just a bad scene,
must be considered,
as there's no in between.

A Comment by Loy

Your avatar
Loy • 02/13/2021 at 03:31PM • Like 1 • Profile

Hope you are well - I look forward to the day when Covid isn’t our first worry. I’m glad you got your first shot. Fingers crossed 🤞 that’s what it is and you feel better soon.

A Comment by MFish

Your avatar
MFish • 02/13/2021 at 10:39PM • Like • Profile

My imagination is always creative about what my body might be doing. Everything is OK. Thanks

NASA Astronomy Picture of the Day:

This gorgeous island universe lies about 85 million light-years distant in the southern constellation Fornax. Inhabited by young blue star clusters, the tightly wound spiral arms of NGC 1350 seem to join in a circle around the galaxy's large, bright nucleus, giving it the appearance of a cosmic eye. In fact, NGC 1350 is about 130,000 light-years across. That makes it as large or slightly larger than the Milky Way. For earth-based astronomers, NGC 1350 is seen on the outskirts of the Fornax cluster of galaxies, but its estimated distance suggests that it is not itself a cluster member. Of course, the bright spiky stars in the foreground of this telescopic field of view are members of our own spiral Milky Way galaxy.

Photo by Mike Selby

Cook your steak on your stovetop in the comfort of your own kitchen and get a restaurant-quality results. The secret to success is a hot skillet, a good exhaust fan, and a butter and herb baste at the end. Click the image below to see Aaron Hutcherson's at Simply Recipes

NASA Astronomy Picture of the Day:

In brush strokes of interstellar dust and glowing gas, this beautiful skyscape is painted across the plane of our Milky Way Galaxy near the northern end of the Great Rift and the constellation Cygnus the Swan. Composed over a decade with 400 hours of image data, the broad mosaic spans an impressive 28x18 degrees across the sky. Alpha star of Cygnus, bright, hot, supergiant Deneb lies at the left. Crowded with stars and luminous gas clouds Cygnus is also home to the dark, obscuring Northern Coal Sack Nebula and the star forming emission regions NGC 7000, the North America Nebula and IC 5070, the Pelican Nebula, just left and a little below Deneb. Many other nebulae and star clusters are identifiable throughout the cosmic scene. Of course, Deneb itself is also known to northern hemisphere skygazers for its place in two asterisms, marking a vertex of the Summer Triangle, the top of the Northern Cross.

Photo by Astro Anarchy

As the pandemic sends thousands of recovering alcoholics into relapse, hospitals across the country have reported dramatic increases in alcohol-related admissions for critical diseases like alcoholic hepatitis and liver failure.

Alcoholism-related liver disease was a growing problem even before the pandemic, with 15 million people diagnosed with the condition around the country, and with hospitalizations doubling over the past decade.

But the pandemic has dramatically added to the toll. Although national figures are not available, admissions for alcoholic liver disease at Keck Hospital of the University of Southern California were up 30% in 2020 compared with 2019, said Dr. Brian Lee, a transplant hepatologist who treats the condition in alcoholics. Specialists at hospitals affiliated with the University of Michigan, Northwestern University, Harvard University and Mount Sinai Health System in New York City said rates of admissions for alcoholic liver disease have leapt by up to 50% since March.

High levels of alcohol ingestion lead to a constellation of liver diseases due to toxic byproducts associated with the metabolism of ethanol. In the short term, these byproducts can trigger extensive inflammation that leads to hepatitis. In the long term, they can lead to the accumulation of fatty tissue, as well as the scarring characteristic of cirrhosis — which can, in turn, cause liver cancer.

Since the metabolism of alcohol varies among individuals, these diseases can show up after only a few months of heavy drinking. Some people can drink heavily without experiencing side effects for a long time; others can suffer severe immune reactions that rapidly send them to the hospital.

Leading liver disease specialists and psychiatrists believe the isolation, unemployment and hopelessness associated with covid-19 are driving the explosion in cases.

“There’s been a tremendous influx,” said Dr. Haripriya Maddur, a hepatologist at Northwestern Medicine. Many of her patients “were doing just fine” before the pandemic, having avoided relapse for years. But subject to the stress of the pandemic, “all of a sudden, [they] were in the hospital again.”

Across these institutions, the age of patients hospitalized for alcoholic liver disease has dropped. A trend toward increased disease in people under 40 “has been alarming for years,” said Dr. Raymond Chung, a hepatologist at Harvard University and president of the American Association for the Study of Liver Disease. “But what we’re seeing now is truly dramatic.”

Maddur has also treated numerous young adults hospitalized with the jaundice and abdominal distension emblematic of the disease — a pattern she attributes to the pandemic-era intensification of economic struggles faced by the demographic. At the same time these young adults may be entering the housing market or starting a family, entry-level employment, particularly in the vast, crippled hospitality industry, is increasingly hard to come by. “They have mouths to feed and bills to pay, but no job,” she said, “so they turn to booze as the last coping mechanism remaining.”

Women may be suffering disproportionately from alcoholic liver disease during the pandemic because they metabolize alcohol at slower rates than men. Lower levels of the enzyme responsible for degrading ethanol leads to higher levels of the toxin in the blood and, in turn, more extensive organ damage in women than in men who drink the same amount. (The CDC recommends that women have one drink or less per day, compared with two or fewer for men.)

Socially, the “stress of the pandemic has, in some ways, particularly targeted women,” said Dr. Jessica Mellinger, a hepatologist at the University of Michigan. Lower wages, less job stability and the burdens of parenting tend to fall more heavily on women’s shoulders, she said.

“If you have all of these additional stressors, with all of your forms of support gone — and all you have left is the bottle — that’s what you’ll resort to,” Mellinger said. “But a woman who drinks like a man gets sicker faster.”

Nationwide, more adults are turning to the bottle during the pandemic: One study found rates of alcohol consumption in spring 2020 were up 14% compared with the same period in 2019 and drinkers consumed nearly 30% more than in pre-pandemic months. Unemployment, isolation, lack of daily structure and boredom all have increased the risk of heightened alcohol use.

“The pandemic has brought out our uneasy relationship with alcohol,” said Dr. Timothy Fong, an addiction psychiatrist at UCLA. “We’ve welcomed it into our homes as our crutch and our best friend.”

These relapses, and the hospitalizations they cause, can be life-threatening. More than 1 in 20 patients with alcohol-related liver failure die before leaving the hospital, and alcohol-related liver disease is the leading cause for transplantation.

The disease also makes people more susceptible to covid: Patients with liver disease die of covid at rates three times higher than those without it, and alcohol-associated liver disease has been found to increase the risk of death from covid by an additional 79% to 142%.

Some physicians, like Maddur, are concerned the stressors leading to increased alcohol consumption and liver disease may stretch well into the future — even after lockdowns lift. “I think we’re only on the cusp of this,” she said. “Quarantine is one thing, but the downturn of the economy, that’s not going away anytime soon.”

Others, like Lee, are more optimistic — albeit cautiously. “The vaccine is coming to a pharmacy near you, covid-19 will end, and things will begin to get back to normal,” he said. “But the real question is whether public health authorities decide to act in ways that combat [alcoholic liver disease].

“Because people are just fighting to cope day to day right now.”



NASA Astronomy Picture of the Day:

Why do stars twinkle? Our atmosphere is to blame as pockets of slightly off-temperature air, in constant motion, distort the light paths from distant astronomical objects. Atmospheric turbulence is a problem for astronomers because it blurs the images of the sources they want to study. The telescope featured in this image, located at ESO’s Paranal Observatory, is equipped with four lasers to combat this turbulence. The lasers are tuned to a color that excites atoms floating high in Earth's atmosphere -- sodium left by passing meteors. These glowing sodium spots act as artificial stars whose twinkling is immediately recorded and passed to a flexible mirror that deforms hundreds of times per second, counteracting atmospheric turbulence and resulting in crisper images. The de-twinkling of stars is a developing field of technology and allows, in some cases, Hubble-class images to be taken from the ground. This technique has also led to spin-off applications in human vision science, where it is used to obtain very sharp images of the retina.

Photo by Juan Carlos MuñozESO Text: Juan Carlos Muñoz

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