Riker’s Island progressive alternate approaches

New York City has tackled homelessness for decades with no major resolve. Under Mayor DeBlasio, a new plan targets the destruction of Riker’s Island, a large island of buildings where poor, homeless, disenfranchised people are awaiting trial and justice. What once was designed to endure a speedy process is now jailing tens of thousands of men and women awaiting verdicts of guilt or innocence.

The jails on Riker’s Island remain largely filled with people who have yet to be tried, and those prisoners remain overwhelmingly black and Hispanic and too poor to afford bail, according to a 2017 report from the city’s Independent Budget Office.

The 400+ acre island has about 10 buildings and one infirmary. The average daily inmate population on the island is about 10,000, although it can hold a maximum of 15,000. The daytime population (including staff) can be 20,000 or more. The plan, under the auspices of the Department of Corrections is a projected 8.7 billion dollar plan. The goal is to shutter Riker’s Island, with an ambitious proposal that would replace the island with four borough-based jails by 2026. What failed with housing the homeless is being done for the impoverished in jail.

According to a 2017 article in the Village Voice, the average daily jail population last year was 9,790, of which 78 percent were people awaiting trial. Of those pretrial detainees, 52 percent were black, 33 percent Hispanic, and 10 percent white, the report found. (New York City’s overall population in 2010 was 44 percent white, 28 percent Latino, and 25 percent black, according to the U.S. Census Bureau.)

Perhaps one of the most infamous prisons (that is not a prison) is on Riker’s Island in New York City. This is the jail where some unprivileged, arrested, and arraigned New York people await being processed through the judicial system. New York Mayor Bill deBlasio wants to destroy the prisons on Riker’s Island and move them to other city boroughs.

The city Department of Correction is pushing hard to empty a Brooklyn jail by early 2020 to fast-track Mayor Bill de Blasio’s ultimate goal of closing the main lockup on Rikers Island, union officials told The Post. Of course, the Mayor was before he left the US Presidential race.

Those with lawyers usually don’t end up at Riker’s Island. They are processed in other jails. Riker’s Island is the distribution system for the poor, the sick, and awaiting Legal-Aid. It is overcrowded, dangerous, old, and mismanaged. They haven’t been convicted of a crime.

What we call Riker’s Island is thought to be named after Abraham Rycken, a Dutch settler who moved to Long Island in 1638 and whose descendants owned Riker’s Island until 1884, when it was sold to the city for $180,000. The island was used as a military training ground during the Civil War.

Around 1896, Public Charities managed the City’s hospitals and soup kitchens, and the Correction Department controlled penal institutions including the Penitentiary and Workhouse on Blackwell’s Island (now Roosevelt Island), City Prison, the Manhattan Tombs, the five district prisons and, the City cemetery on Hart Island known as Potter’s Field. In 1898, Brooklyn and Queens were added to New York City, creating a 5 borough network.

Riker’s Island was, like many parts of the city, marsh. Wetlands were pervasive throughout New York City. Landfill was used to help create dry lands. “Sanitary” landfills operate by layering waste in a large hole. Then they are covered with gravel and dirt. Landfill was waste management in the late 1800’s. It was used to connect Coney Island to Brighton Beach in Brooklyn.

In the 1900’s New York had a fetish of using landfills, especially with all its tunnel construction projects for the railroad and subway construction. They also use it to construct NY water tunnels 1 and 2. The side-effect….rats. Rats that loved waste. Overlooked rat eggs hatching in the land. This is why many NYC areas have major rat communities.

In 1931, landfill was used to construct Riker’s Island. Behold, it was rat infested. No safe rodent poison was available. Construction of the jails meant dealing with the rats. Strong, thick concrete foundations helped reduce rodent passage to cells. After nearly 90 years, those cement foundations wore away with little maintenance over years depending on the city’s budget needs.

Cities are important human environments and the proportion of the world’s population living in urban areas has been consistently increasing. The relationship between crime rates and population density is unclear from an intuitive standpoint. It seems likely that crime rates increase as population densities increase. According to the NYC Department of Planning, NYC has the most dense population of any city in the USA. Try riding an NYC bus or train during peak rush hour. There’s hardly any space to sit or stand comfortably.

Proxemics studies how humans create and respond to personal and public territories. Proxemics includes how we interact in our personal territory, physical territory, and geographic territory. There are four different kinds of space in our personal territory: public, social, personal, and intimate.

In dense populations, according to income status, education status, and affordability for “basic” needs, there will be areas with more crime and less crime. Aside from murder, there are burglaries and street crime. Those bent on mugging or stealing create territoriality and times to do their thing. While NYC is seen as 24/7, many streets are best used sunrise to sunset, especially park spaces. Riker’s Island jails are generally overcrowded and poorly staffed. Among desperate poor and sick awaiting trial, lack of spatial and ergonomic jail conditions result in fights, stabbings, drug use, sex abuse and general anger virtually 24/7. Yes, prison behavior in a jail awaiting trial. Add those to being cooped up in a dirty, rotting, rodent infested jail.

According to NYC, the proposed plans include easier ways to pay bail; reduce time people spend in jail by speeding the time that cases take; reduce the number of State parole violators using city jails; provide judges with updated evidence-based tools; replace short sentences with social support programs; expand dedicated housing for people with mental illness; technology expansion; reduction of adolescent and female populations at Riker’s. All reverent goals for a population awaiting trial that must prove guilt. They are innocent by law until guilt is proven.

Provided this proposal goes through, additional spaces within 4 boroughs are being sought for storing the jail populations.

Here lie some problems. Borough perimeters, often considered poor areas, were taken by many NYCHA projects in the 1050’s to 1970’s. Brooklyn, Queens, Manhattan now have greenway recreation areas built or in the process of building.

Many neighborhoods in all boroughs have seen an elevation in real-estate values, gentrification, and upscale development. What is the likelihood that residents of rentals, and apartments or homes are going to accept jails constructed nearby?

Mayor Bloomberg once touted plans for the homeless to live on barges.

In addition to New York’s 5 boroughs, New York City contains about 36 to 42 islands in total.These were used for small pox rehab, yellow fever rehab, reform schools, orphanages, insane asylums, and more. Early New York City wisely, before 20th century medicine, kept the ill away from Manhattan by using those islands. New York City recently added Governor’s Island. These islands might better be suited for use for an NYC jail construction. Some still have electricity and water since last used in the 1960’s.

Ward’s Island was the newest of New York State’s psychiatric hospitals, shut in th 1980’s. Today it is part of the city as Manhattan Psychiatric Center. It was built in the 1950’s to replace a structure of the 1860’s, NYC House of Refuge (for the homeless) and became Manhattan State Psychiatric Hospital. This facility, with some progressive rethinking, could be an option as part of the Riker’s Island renovation project.

Ward’s Island is situated near Hart’s Island, almost between Riker’s and Ward’s islands. The city’s current potter’s field, and one of the largest cemeteries in the United States, with at least 800,000 burials, is on Hart Island. There are facilities where Riker’s Island inmates buried the anonymous, unclaimed bodies.

To an outsider, no matter what anyone claims, being jailed is a grim, horrific experience. When you’re poor and have no money for bail and waiting for free legal-aid, being arrested is a frightening mode. In a society where people are considered innocent before proven guilty, there are progressive ways to use the city’s existing areas and facilities (that already exist). It is a more cost-effective and value preserving search to help improve the NYC Jails. New York City’s approaches to handling cases must meet progressive technologies as an example to all others.

I am surprised that our progressive Mayor does not see potential resources for accelerating NYC Jail improvements. The resources are there. Progressive means better living choices for all. For the victims at Riker’s, faster judicial processing and better facilities are a good idea. Using Ward’s Island and part of other uncharted city islands permits faster resolve, without messing lifestyles of neighborhoods and city residents.

PACs United States experiment unity divisiveness

Independent political action committees, called PACs, spend huge amounts of money to elected officials. Politics means business. PACs generate thousands to millions of dollars. They maneuver the government away from basic governance to new flavors. Not necessarily better.

For years, people running for elected offices have been deriding independent Political Action Committees or PACs. It never seems to happen. As awful as PACs may be seen, they coexist behind the impressive democracy and republic that makes USA unique and a destination.

It’s all about group dynamics. PACs address how groups in the USA (and elsewhere) impact our daily lives. They rarely agree. Outcome and values are always at odds making unity a constant challenge. Here is a list of top-20 PAC contributions to candidates 2017 to 2018. Are they working for or against you?

Radio and TV are wonderful. Through the 20th century and into the 21st, one channel became thousands of channels for entertainment, news, and lifestyle enhancers. Yet many of us stick to our favorites. One’s favored channel list may be five or 10 channels. My list may be different than yours. Channels are the many pre-paved paths we follow and help us create our own. In societies where freedom of choice exist, reality defies tradition and values over dictatorial guidance. Yet these societies still flourish. Often people still have few choices and freedom comes at costs. Influence and power to choose is expensive. Do many seek influence by one or many? When it comes to group dynamics, any group, PACs guide unity and diversity. Independent United States secretly is an experiment how diversity remains unified. Are PACs vital values?

The old testament claims that a God created the Earth. Then came people. Surviving as groups of people. Some claim goddesses preceded gods and others believed that idols represented the divine aspects of god. Few believed in an abstract invisible one god. Other’s believe that God needed a son. Before liberals and conservatives, no group really was in agreement. It was a game of thrones. PACs (Political Action Committees) are to democracies what advisers are to monarchic royalty and dictators. They wield power as invisibilities and very divisible outside of traditional government structures. When thinking about lifestyles and living, PACs exert huge degrees of power behind the scenes.

The president, judicial system, congress, and senate have other people of many different interests that want to influence decisions. There are over 4,600 active, registered PACs are “connected PACs” established by businesses, labor unions, trade groups, or health organizations. Then there are almost unmeasurable PACs that are not connected. A non connected committee does not have a “connected organization”—that is, no corporation or labor organization establishes, administers or raises money for a non-connected committee. (An SSF, by definition, always has a sponsoring corporation or labor organization.) SSF are even more ominous PACs. A separate segregated fund (SSF) is a political organization that is tax-exempt under Internal Revenue Code section 527. It may be a Traditional Federal PAC, State PAC, or a 527 organization that does not report to the Federal Election Commission. This may include religions, racial, and many others. All of these PACs work to influence our government.

Did you know that the Ku-Klux Klan (KKK) flourished as an influential PAC during Prohibition. The Klan’s main targets were immigrants from southern and eastern Europe, especially Catholic ones. It was clear that the KKK hated the Jews and Blacks. Prohibition, white Anglo-saxon protestant Americans advocated, would escalate drinking and criminality among the immigrants of the 1920’s. Prohibition was tied up in anti-immigrant and anti-Catholic bias, a clear KKK position that supported the Republican USA government. KKK revived after a major silent film, Birth of a Nation (1915) glorified the KKK. By 1921, membership in the Ku Klux Klan was rapidly spreading throughout America and an active chapter had been formed in Tulsa. On August 8, 1925 over 50,000 KKK members rallied and marched in Washington, DC. At another large KKK rally, in Queens, NYC, President Trump’s father (Fred Trump) was arrested. The KKK was a political power influencing politicians through the 1920’s. Fred Trump’s role in the riot is unclear. It is unclear how pervasive the KKK is today. According to Anti-Defammation League, KKK membership appears to be declining. An Alabama-based law center reported a sharp increase in neo-Nazi groups, from 99 in 2016 to 121 last year. And it counted a total of 954 active “hate groups” in 2017, an increase of 4 percent over the previous year. Do these have SSF PACs?

Then there are millions of writers, commentators, celebrities, and pundits that put-in their 2-cents that make-up the media. Within the tossed salad of the United States, via the internet, divisiveness lives and truths or facts become even more abstract. With 2020 elections coming, the voting public has much to discern before casting votes. Few go beyond Twitter to learn about other views.

Divisiveness and differences of opinions reflect free societies. Any person can express opinions and social media platforms are easy venues. Yet, public figures are under critical scrutiny by everyone. PACs work behinds those scenes. PACs can sidestep rules and regulations by creating as many as the prime organizations want over different classes of PACs.

PACs are neither good nor bad, depending on perspective. They do exert influence to elected officials and their staff. PACs have probably been around since the dawn of groups and politics. Just about any interest group you can think of has a presence in Washington-and spends money to maintain that presence. They do and can affect your life. PACs lobby elected officials with constancy.

Professional advocates make big bucks to lobby members of Congress and government officials on the issues their clients care about. But the money that industries, companies, unions and issue groups spend on lobbying is often just a drop in the bucket compared to what they can reap in return if their lobbyists are successful. Here you can see who spends what on federal lobbying and where they focus their resources. When you join religious organizations, AARP, ASPCA, even fraternal organizations, these and others have lobbies resourced through PACs.

Of course PACs have been very creative. Many thwart efforts of campaign finance reform.

For the longest time, campaign ads were almost exclusively produced by candidates and political parties, but in recent years outside issue groups have been getting in on the action. They often operate as so-called 527 committees (taking their name from the relevant section of the IRS tax code). Sometimes mysteriously named, these advocacy groups frequently have ties to labor, big business and super-wealthy individuals. Unlike political committees, they can accept unlimited contributions from just about anyone, and they deploy that money in various ways to influence elections.

Beyond international hacking, these 527 PACs operate within Cities, States, and Washington.

The Koch brothers, owners of Koch industries is a big business that works under 527 tax codes. Koch owns Invista, Georgia-Pacific, Molex, Flint Hills Resources, Koch Pipeline, Koch Fertilizer, Koch Minerals, Matador Cattle Company, and Guardian Industries. The firm employs 120,000 people in 60 countries, with about half of its business in the United States. In 2012, the Kochs’ network spent just under $400 million, an astonishing sum at the time. The $889 million spending goal for 2016 would put it on track to spend nearly as much as the campaigns of each party’s presidential nominee.

Koch supported Tea Party candidates and are against the Affordable Care Act. Most likely you are supporting Koch by buying one of their home paper products. Here are a list of companies and industries in which the Koch brothers own a stake: Paper Products: Angelsoft, Brawny, Dixie, Mardi Gras, Quilted Northern, Soft n Gentle, Sparkle, Vanity Fair. Another Koch company is Georgia-Pacific (largest plywood manufacturer in US. The Koch brothers support the Libertarian Party. Koch supports abolition of Social Security, the FBI, the CIA, and public schools. They favor and support candidates that agree.

So, when President Trump doesn’t want to share tax returns, it isn’t necessarily due to collusion with foreign entities. It can be more sinister. He might have strong bonds with 527-code PACs.

USA citizens seek peace, unity, economic security, education, comforts, and more. But who gets to share?

Over 310 Religions and Denominations are found in the United States. They do not coexist as a melting pot of values and traditions. They are more like a tossed salad. There are about 21 Christian religions in the United States. 75% of polled American adults identify themselves as Christian in 2015. Religion in the United States (2016) are polled as Protestantism (48.9%) Roman Catholicism (23.0%) Mormonism (1.8%) No religion (18.2%) Judaism (2.1%) Islam (0.8%). Each of these has a PAC.

According to the Southern Poverty Law Center, there are currently over 1,000 hate groups throughout the United States. National Public Radio (NPR) posted that hate groups in the USA have increased 30% since 2015 and 7% in 2018 alone. An American Values Super PAC has been trying to form over past year as a Republican/Conservative PAC.

Let’s face it! Without fear of being punished, freedom breeds divisiveness. About 2-1/2 centuries since the first USA congress, this experiment of a free society has endured many conflicts with divisive perspectives. As people, we seem to relish in being divisive and unified. War has been part of civilization for over thousands of years.

Throughout history, individuals, states, or political factions have gained sovereignty over regions through the use of war. The history of one of the earliest civilizations in the world, that of Mesopotamia, is a chronicle of nearly constant strife. Even after Sargon the Great of Akkad (2334-2279 BCE) unified the region under the Akkadian Empire, war was still waged in putting down rebellions or fending off invaders. In those days, they fought for resources and slave labor. Today, war is economically sound.

Besides guns and bullets, our soldiers need many things. Companies, like those controlled by Koch brothers, compete for what toilet paper and napkins are bought for use, clothes and shoes, foods, accessories, and other necessities of survival from home.

All competitors have PACs influencing military branches and representatives for contracts. So if Koch PACs are contributing a billion dollars toward political leaders that are aligned with extreme conservative views, they gain on sales to resolve conflicts militarily. Influence gains profit. Military PACs don’t care about resources and slaves. They seek money and government on their side.

Political influence, power, money have been very influential in building Unites States’ vast infrastructure from railroads to highways to tunnels and bridges. Though these were the basis of how PACs began, many members of State and Federal representatives were profiting from certain projects.

In a way, divisiveness in 2019 aren’t that much different than the temperance and hate dynamics from after the Civil War 1865 to 1919 Prohibition. Different PACs, similar divisiveness.

Religious PACs are burning about abortion, political correctness, upward shifting roles of women, non-white races, and waves of immigration. They have been seeking leadership and strong support since the 1950’s but especially since the end of segregation in the 1970’s. Intolerance to these have risen. Liberalism has been added as a scapegoat. Their leader is President Donald Trump. About 45% (give or take 9%) population sympathetic within these PACs hope Trump will be their god. Ironically, this takes Lincoln’s famous words, “government of the people, by the people, and for the people.” toward a division that the USA has witnessed more than once. We are aware of the influence business behind PACs. Will they shift the country to what they believe are traditional values? Will church and state take precedence again?

The First Amendment which ratified in 1791 states that “Congress shall make no law respecting an establishment of religion, or prohibiting the free exercise thereof.” However, the phrase “separation of church and state” itself does not appear in the United States Constitution. The First Amendment not only allows citizens the freedom to practice any religion of their choice, but also prevents the government from officially recognizing or favoring any religion. By 1833, all states had disestablished religion from government, providing protections for religious liberty in state constitutions. American Value PACs do realize that governing by Church and State are unclear in the US Constitution. Religion in the United States is remarkable in its high adherence level compared to other developed countries. So…are American Values integrated as the white protestants of past 300 years?

Given many alternative views, PACs represent the voices and needs of the many groups of these United States – from people to the environment. They help our elected representatives remember diverse priorities. Of course, wealthy PACs bear more weight than small ones. When it comes to business, these PACs have many interests.

Throughout it all, even with social media politics, PACs remain in (backyard) control. There’s an apathy in the USA about voting, viewing debates, and reading candidate websites. Getting everyone to vote is even harder. Most people already have an idea what party they’ll choose. No one is demonstrating. There are no protests. Few write their representatives via e-mail. Through all the bickering, 2020 is really hanging on a lottery draw. Behind all the media, PACs may control the outcome as invisible motivators behind the scenes.

Growing after dormancy of 100 years, are Progressive PACs and GOP-Lite (mid-road PACs). They struggle to recreate a cohesive identity. It’s a very big struggle as huge PACs feed the extremes. Over 100 years ago, Progressive meant pro-Unions – indivisible PACs. In the 1960’s, with the Vietnam war and military draft affecting the young, civil rights (etc) the “New Left” was the name loosely associated with liberal, radical, Marxist political movements that took place during the 1960’s, primarily among college students. These fizzled since then. Transitioning to more left PACs takes time. It takes greater identity and willingness to demonstrate like the 1900’s and the 1960’s.

Virtually any cause is somehow represented by a PAC seeking exposure and influence.

By the people and for the people has, in some ways, been taken over by PACs. Trump relies on his 43% base of followers almost as a PAC than a President. The other 57% need a voice. PACs try to bring back their perceptual views of facts and reasoning to the USA.

Within a global economy, to realize the dream that Abraham Lincoln intoned: By the people, of the people, and for the people. When we say “We the people”, we are us. We must remember that no elected official is greater. PACs do not have to be instigators into divisiveness. Divisiveness results when interests are in sharp oppositions. The right to vote for your candidate is priceless. Study their possible link to PACs. Politics is and always has been business, your business and lifestyle.

Myostatins myotonic dystrophy and bodybuilding

Protein is a vital part of your diet. Consisting of a variety of amino acids, proteins compound and fuse to regulate virtually every aspect of your body. Genetics play an important part in how and where those proteins are used – and how long they endure. Different proteins aid muscle development and use. They also help cellular growth. Over the last decade, researchers have isolated some proteins that can hinder and harm muscles and cells. Some may occur in birth others occur in your life span. Myostatin is a probable protein compound that does both. It is part of the roots of muscle diseases from dystrophies to recent diseases like DDX3X that affect many lives. Isolation of myostatin as having a role is a small part of a huge puzzle thwarting treatments and cures.

Myostatins are a group of micronutrients that bodybuilders use to control muscle growth. Most people have them naturally but, through aging process, there is muscle loss. Myostatins have this strange side-effect. They aid in the eventual wasting of muscle growth.

Myostatin inhibitors have been a rage in muscular and fitness. Some competitive athletes were disqualified for using supplements or gene-doping to produce enhanced performance effects. There are many muscle issues with natural aging and an entire list of neurological and muscle wasting diseases. Is it worth the excitement?

Myostatin is a secreted protein that acts as a negative regulator of skeletal muscle mass. During embryo-genesis (within the womb), myostatin is expressed by cells in the myotome (group of muscles that a single spinal nerve innervates) and in developing skeletal muscle and acts to regulate the final number of muscle fibers that are formed. The MSTN gene provides instructions for making a protein called myostatin. Myostatin is found almost exclusively in muscles used for movement (skeletal muscles), where it is active both before and after birth. This protein normally restrains muscle growth, ensuring that muscles do not grow too large.

The general theories to stop this myostatin-based muscle wasting is to inhibit this protein from infecting those muscles. Myostatin inhibitors are found in foods as phytonutrients – naturally occurring micronutrients:

Green tea
Chocolate (especially dark chocolate and raw cocoa powder)
Blackberries
Pomegranates
Broad beans (e.g. Fava Beans)

In the body, Myostatin is produced by the muscle tissue of the heart, and damage to the heart causes it to be released into the bloodstream. It is associated with potential muscle loss of heart tissue in people with heart disease. This may also be associated with producing naturally high LDL cholesterol levels within that group. It may also trigger low HDL and high triglyceride measurements within a cardiac lipid panel in repeated serum tests.

High myostatin levels are associated with muscle wasting and may be associated with many diseases. Research on animals indicate that Myostatin levels may be significantly higher in patients with diseases like amyotrophic lateral sclerosis (ALS), Duchenne muscular dystrophy, myotonic dystrophy and multiple sclerosis, among other neurological and muscle diseases. Disease diagnosis usually demonstrates a genetic cause. Those myostatin levels and muscular atrophy may be the result of this genetic impulse. Myostatin levels may show why drugs for Duchenne Muscular Dystrophy do not work.

So…it seems that myostatin inhibition might lead to helping people with muscle weakness but it isn’t easy. It’s very complicated. There are other proteins that have been influenced over time. For example, BP3 is a protein that may be involved in eliminating obesity. These proteins need co-factors to allow certain effects. Myostatin inhibition has to coincide with BP3 to trigger fat loss and muscle re-development.

One possible concern, according to Dr. Markus Schuelke, the pediatric neurologist at Charite University Medical Center in Berlin who discovered the myostatin mutation in the baby, is that blocking myostatin could interfere with satellite cells that help replace injured or dead muscle cells. It’s thought that myostatin helps keep the satellite cells at rest until they’re needed, and it’s possible that without myostatin the satellite cells could become depleted.

There are many conflicting opinions that myostatin blockers may be too targeted to boost muscle growth, as there are a variety of proteins similar to myostatin that also limit muscle growth.

There are several potential downsides to be aware of when using myostatin inhibitors for athletic enhancement.

One potential concern is that increased muscle growth will lead to an increased risk of injury due to increased stress on the muscle fibers. This is especially true for individuals using myostatin inhibitors as workout supplements instead of as part of a medical treatment for muscular dystrophy or other disorders. Muscle stress is linked with increased muscle atrophy among the various dystrophy illnesses.

It has been noted that drugs that induce myostatin inhibition may lead to higher probable risks of injury.

Other possible side effects of myostatin inhibitors include increased the chance of tendon rupture, heart failure due to inflamed cardiac muscle, and rhabdomyolysis, a breakdown of muscle fibers that often leads to kidney failure.

Meanwhile, vitamin supplement shelves have many products offering myostatin inhibitors in a bottle. They have many ingredients. Neither of these have been thoroughly tested by the FDA or European health organizations.

If myostatins and concordant protein compound interactions of the weaknesses of myotonia bring clues, treatments and cures are even more sophisticated as transport pathways may differ. Are transport pathways different because age or disease exist? Or were those pathways results from genetic instructions? Anyway, key muscles just do not work properly. That is myotonia.

Myostatin is a statin compound. Statins may irritate and amplify the effects of muscular dystrophy. Those with muscular dystrophies heart disease are told to avoid statins. The misuse of statins can produce some very insidious muscle effects without muscular dystrophy incidence.

According to WebMD, possible statin side effects among average people may be:
Headache
Difficulty sleeping
Flushing of the skin
Headache
Difficulty sleeping
Flushing of the skin
Muscle aches, tenderness, or weakness (myalgia)
Drowsiness
Dizziness
Nausea or vomiting
Abdominal cramping or pain
Bloating or gas
Diarrhea
Constipation
Rash
Drowsiness
Dizziness
Nausea or vomiting
Abdominal cramping or pain
Bloating or gas
Diarrhea
Constipation
Rash
Memory Loss

If muscle aches and weakness occur in people without muscular dystrophy, you might imagine how myostatin may effect those with muscular dystrophies.

The problems lie in the etiology or source among what makes muscles weak. For those with muscle wasting diseases – congenital and adult – the fantasy that myostatin inhibitors may work brings glimmers of hope. But will it heal the damages already done? There are research studies and results that are still clinically inconclusive. It may still be a long process ahead with many pathways. How myostatin works, how inhibitors work, and how dystrophic muscles vary are just a few of many questions that need thorough answers.

As I wrote this article, new DMD1 research is coming from UK using Tideglusib, as a pharmacological approach:

AMO-02 (tideglusib) is in development for the treatment of congenital myotonic dystrophy and has potential for use in additional CNS, neuromuscular and oncology indications. AM0-02 is positioned to enter clinical stage development for the treatment of the severe form of congenital myotonic dystrophy known as DM1 or Steinert disease. In cellular and animal models of DM1 and Duchenne muscular dystrophy, as well as in muscle biopsies from patients, activity of glycogen synthase kinase 3 beta (GSK3ß) has been shown to increase. Inhibitors of GSK3ß have been shown to correct the activity of regulatory proteins, such as CUGBP1 in animal models of DM1. AMO-02 is an inhibitor of GSK3ß that has demonstrated pre-clinical efficacy in transgenic models and reversal of muscle cell deficits in ex vivo tissue samples in patients with DM1.

I will follow this and see how it develops.

Mobile disability travel challenges

One would favor how many countries seem to be somewhat more conscious about tourists with mobile disabilities. They treat them as invalids – not valid. But they try. Overcoming mobile disability travel challenges are difficult both in the USA and internationally. It is virtually impossible for those without disabilities to conceive all the details people with wheels, crutches, and canes require to smoothly go from point-a to point-b. Current statistics show about 10% of the world’s population (650 million) have some form of disability.

Part of the statistical problem is that most people who need mobility aids don’t want to use them. It took me years to realize I needed a cane to walk better. Another 6 months that I needed AFO braces. Based on data from the 2002 US Census Bureau, 96 percent of people who live with an illness live with an invisible one, and 73 percent of people who live with a severe disability do not use devices like a wheelchair. So, counting invisible mobile disability and mental disability, about 15 percent of the world’s population — some 785 million people — has a significant physical or mental disability, including about 5 percent of children, based on the World Health Organization in 2011.

Mobility handicaps meant no challenges if you sat comfortably on the inside looking out. For most of history that seemed fine. Mobile disability travel challenges happen when you want to go somewhere. Devices and scooters help you move. Traveling between points and having the comforts and necessities you need require considerable study. Yes, when going to supermarkets to parks or on vacations, even visiting friends and relatives, mobile disabilities uncover some hidden travel challenges.

It can be very disconcerting for those with mobile disabilities to navigate into certain stores, houses of worship, and other public spaces. There are disability travel challenges whether you are young and old. United States, over the past 30 years, has been implementing standards to help enable those that require mobility aid. Passed by Congress in 1990, the Americans with Disabilities Act (ADA) is the nation’s first comprehensive civil rights law addressing the needs of people with disabilities. Of course many buildings, subways, and other areas built prior to 1990 still have poor access for disability travel.

I use AFO braces as a mobile compromise for walking. To others I am walking relatively well, albeit slowly. What many do not know is, while I can walk on smoothly paved paths, I really can’t walk stairs, on grass, on sand, cobblestones, and rough surfaces. Somehow, when it comes to mobile disability travel challenges, manufacturers are designing more mobility scooters for travel.

Thinking of accessibility, parts of New York City are working towards removal of 19th-century cobblestones so that disability travel on those streets could be more accessible. This is causing many debates from travelers and local residents who see the removal as damage to historic infrastructures. In countries all around the world, different cobblestones have remained for centuries. Some countries replace old cobblestones with new ones.

For people using AFO braces, canes, and walkers, these surfaces may be impossible to travel. For those in wheelchairs or mobility scooters, this can be a very bumpy ride, even a dangerous ride if the scooter isn’t stable. For tourists, these rough surfaces make public plazas and churches historically attractive. After all, when these were built, disabled people weren’t supposed to travel anywhere.

Many of these countries barely have accessible accessories (high toilets with bars or shower bars) available in hotel rooms. There aren’t any ADA standards there. They barely have sidewalks and most still maintain bricked streets.

Rough and rugged US National Parks also provide facilities for wheelchairs and some trails that accept human-pushed wheelchairs. They are not accommodating for powered mobility scooters and virtually impossible for AFO-brace users.

First introduced in the 1960’s, Mobility scooters offer freedom and independence, leading to improved quality of life for a growing number of people. Manufacturers are continually investing in research and development to enhance existing products and introduce new models and features. Even electric car research has trickled to mobility scooters by introducing longer-lasting and lighter lithium-ion batteries to extend power and range abilities. More companies are introducing folding scooters that may be stored in the boot of many cars. Some of these are called travel scooters. But are they easy to fold and unfold?

What’s Required to Transport a Typical Travel Mobility Scooter:

Remove the seat by lifting it off of the scooter
Remove the battery pack by lifting it off of the scooter
Undo the retaining clips that connect the front and rear halves of the scooter, separating the frame into 2 compact pieces
Fold the tiller (steering column)
Place the scooter component into vehicle

Basically, any person with the need for convenient disability travel would require a competent aid. There are new design revolutions that simplify the processes, if you aren’t very tall or big.

Yet the largest challenges that disability travel encounter are the many roads, hotels, dining areas, and recreation areas that define accessible within narrow definitions. For example, Disney parks are accessible – bathrooms and paths. The rides and shows are probably not. Some restaurants there may have some stairs.

I have spoken to people using mobility scooters and their realities are they wish they could use AFO or K-AFO instead. Ultimately, all these disability travel accessories are compromises and out-of-the-box compromises. They allow mobility challenged individuals some control to move around environments.

Many technologies are being explored to allow people with mobility challenges more independence. Some scooters have elevating seats so you can have eye-contact with people. There are also more heavy-duty models with solid suspensions to tackle rough and rugged terrains, while remaining comfortable and easy to maneuver. Advances in battery technology mean you can now cover substantial distances on a single charge too, offering greater freedom. In deed, greater hope exists for overcoming disability travel challenges. The world wasn’t really designed for us.

Among all the challenges that people with motion disabilities encounter is that handicap accessible usually does not follow ADA standards. People without these challenges, as in many things, can only view things through their constructions of reality. After accidents, they might be sharing your perspectives. They get better but you don’t. Thankfully physiatrists, orthodists, and manufacturers strive for better mobility devices to give those with disability travel challenges better solutions that promote movement.

As far as international traveling, much care and attention is still required. On an AFO, I found it impossible. Some people with scooters find it challenging. We, unfortunately, can’t expect the world to adapt to our conditions. Thankfully, in the USA, the Congress passed the ADA act. Since passing that act, people with all forms of disabilities may get accessibility options that were never considered before.

In the aging baby-boomer generation, deeper studies isolate issues of disability as a stigma. Having a disability is seen as socially inferior. There is a sense of discrimination toward those with physical or mental disabilities. Some disabled people try to adapt to the world around them, if they can. As one of the most overlooked minorities of the world, disabilities are by ways of genetics and environment. No one wants a disability.

When travelling to other countries, the stigma is probably unintentional. Mobile disability travel challenges are to try to overcome the many staircases, cobblestones, and other features that make areas tourist destinations. From bathrooms, hotel rooms, and many public spaces, one actually sees those features that are not adaptable.

For fear of falling or injury, while physically disabled people do attempt to adapt toward experiencing many of the world’s wonders, those remain from a chair staring at images on a tablet or computer. Mobile disability travel challenges will likely remain one of those perilous things that require extensive research for superior disability awareness.

Sarcopenia muscle loss with aging

Is it possible to maintain muscle strength and integrity through the duration of life? Sarcopenia may be against you. Can you battle against sarcopenia? Maybe. If not today, perhaps soon.

There’s an old Grimm fable that when living things asked God about longevity, God like the number 30 years.With a little negotiating, humans got 70 years but at a price. Sometimes these fairy tales are true. At age 30, lean muscle tissue decreases and is replaced by fat. This decrease is partly caused by a loss of muscle tissue (atrophy). The speed and amount of skeletal muscle changes seem to be caused by genes. This muscle loss happens very slowly yet gradually – usually noticed un 10 year differences. The process is Sarcopenia that, thus far, is an untestable condition.

Barring genetic diseases such as Muscular Dystrophy and DDNX3, sarcopenia is a normal process of aging. Body builders have been using a pseudo-genetic chemical called Myostatin, that some believe may help slow sarcopenia muscle loss with aging.

Myostatin (also known as growth differentiation factor 8, abbreviated GDF-8) is a myokine, a protein produced and released by myocytes that acts on muscle cells’ function to inhibit myogenesis: muscle cell growth and differentiation. In humans it is encoded by the MSTN gene. Myogenesis is a form of regeneration as the process by which damaged skeletal, smooth or cardiac muscle undergoes biological repair and formation of new muscle when other muscle fibers waste or die due to disease. This process may slow with aging and hormonal changes.

When discussing sarcopenia and myostatin, there are two sides of a coin. Muscle atrophy is a decrease in muscle mass; muscle hypertrophy is an increase in muscle mass due to an increase in muscle cell size. Hypertrophy is a very rare condition and sarcopenia is more associated with aging and conditions like muscular dystrophies. As a possible method at treating sarcopenia, myostatin inhibitors are being explored by doctors albeit at mouse level experiments.

The potential side effects of using myostatin inhibitors provoke heated debates in research communities. With few studies, there are some negative side effects reported:

One potential concern is that increased muscle growth will lead to an increased risk of injury due to increased stress on the muscle fibers. This is especially true for individuals using myostatin inhibitors as workout supplements instead of as part of a medical treatment for muscular dystrophy or other disorders.

Other possible side effects of myostatin inhibitors include increased the chance of tendon rupture, heart failure due to inflamed cardiac muscle, and rhabdomyolysis, a breakdown of muscle fibers that often leads to kidney failure

Despite few thorough clinical trials, Myostatin has become a main target for the development of drugs for cachexia and muscle wasting diseases. While sarcopenia behaves at wasting skeletal muscles, The cachectic state is observed in many pathological conditions such as cancer, chronic obstructive pulmonary disease (COPD), sepsis, or chronic heart failure. These are also muscles. The other problem associated with Myostatin is it is not targeted for research by the US Food and Drug Administration for testing and approval. It is available as a supplement.

In the United Kingdom, use of a myostatin inhibitor is targeted for experimentation for Duchenne Muscular Dystrophy, one of many muscular dystrophy diseases.

While muscle wasting is associated with muscular dystrophies and other emerging genetic conditions, including sarcopenia, there is no certainty whether myostatin might reverse muscle wasting that has already happened. Among small and possibly skewed studies it is generally accepted that age-related changes in skeletal muscle structure and function are inevitable, whether these deleterious effects on skeletal muscle can be stopped or reversed is debatable.Some studies support myostatin inhibitor supplementation, most studies agree that more research is needed. In 2017, a reasonably thorough German study of myostatin inhibitors as treatment for muscle wasting concluded with interest but for further experimentation required.

The general wisdom is that muscle integrity within normal sarcopenia is activity – virtually any activity – may reduce muscle wasting over time. Activity may also benefit hippocampus growth for cognitive support. Unused muscles can waste away if you are not active. Even after it begins, this type of atrophy can often be reversed with exercise and improved nutrition. Muscle atrophy can also happen if you are bedridden or unable to move certain body parts due to a medical condition.

Muscle wasting with age varies but sarcopenia may not be considered a leading cause of death in aging. There are some foods that include flavonoids that dietitians believe may work as myostatin inhibitors. They are: green tea, chocolate (especially dark chocolate and raw cocoa powder),
blackberries, pomegranates, and broad beans, broccoli, cauliflower, and spinach.

There are genetic tests to evaluate your myostatin levels. Discuss with your doctor to determine whether you need one.

Aging well seems to many a fantasy as new diseases and conditions creep in unrelenting succession. Living is an activity. Damned genetic muscle wasting diseases may one day be curbed. Will it be myostatin related? There seem to be many promises but all we can do is wait. Might as well go for a walk while waiting. Wisdom points that activity may be helpful. Sarcopenia and many other neuromuscular disease treatments is definitely worth researching as the aging population increases.

As you battle with the bulges and size upgrades as you grow older, sarcopenia might be the cause behind the results.

Holy mackerel

Tuna, salmon, sardines have been popular sandwich-stuffers and salad toppers for decades. Shifted to the side, virtually ignored, was another fish – mackerel. Holy mackerel! Why?

Mackerel is the common name for members of the family Scombridae, which includes many species of open-sea fishes, including the bonito and tuna. Mackerel is loaded with omega-3 fatty acids; some varieties have a stronger, oilier flavor than other fish, as saturated, monounsaturated, and polyunsaturated fat from about 5 grams per 3-ounce serving.

Mackerels are pelagic fish. Examples of species include forage fish such as anchovies, sardines, shad, and menhaden and the predatory fish that feed on them. Oceanic pelagic fish typically inhabit waters below the continental shelf. Pelagic fishes are those that spend much of their lives swimming in open water away from the bottom. These areas are highly productive and supply nutrients for the growth of plankton which forms the food for the smaller pelagic species. A mackerel is typically less than 2 feet in length. Fourteen-inch fish weigh about 1 pound in the spring and about 1¼ pounds in the fall when they are fat; 18-inch fish weigh about 2 to 2½ pounds; a 22-inch mackerel will likely weigh 4 pounds. Examples of pelagic fish include larger fish such as swordfish, tuna, mackerel, and even sharks. Of these, the mackerel is the smallest. They are found in the Atlantic and Pacific ocean regions.

Typically, a mackerel has fins, gills, and they are considered kosher. Popular kosher fish are bass, carp, cod, flounder, halibut, herring, sardines, mackerel, trout and salmon.

Mackerel is an oily fish, a rich source of healthy omega-3 fatty acids. The flesh of mackerel spoils quickly, especially in the tropics, and can cause scombroid, a type of food poisoning. Mackerel should be eaten on the day of capture, unless properly refrigerated or cured. Mackerel preservation is not simple. In the USA, you can find canned and smoked mackerel that’s perfectly safe. While salmon and tuna are caught in colder climates, they are also vulnerable to the bacteria that may result in food poisoning. So why is mackerel segregated from other canned fish products?

A serving 3 ounces of cooked Boston mackerel contains 1.1 grams of omega-3 fatty acids. Like tuna, mackerel is also an important source of protein and B vitamins, particularly vitamin B12. A 3-ounce serving provides nearly 700 percent of the recommended daily amount of the vitamin. Canned mackerel provides comparable nutritional values.

It should be noted that (if you are monitoring cholesterol) there is about 79.0 mg amount of Cholesterol in 100 grams (3-ounces) portion amount of Fish, mackerel, canned food, drained solids. It is similar to salmon, a little bit more than tuna, or sardines. Although fish will not help to lower cholesterol, it has lots of benefits for your heart. Omega-3 fats, which are found in oil-rich fish such as salmon, trout, mackerel, herring and sardines, are very beneficial for your heart. It is also believed that eating fatty fish several times per week may help increase HDL cholesterol levels (good cholesterol). These fish may also reduce triglycerides.

Oily fish such as salmon, mackerel and sardines are said to help against cardiovascular disease, prostate cancer, age-related vision loss and dementia. It’s a good source of vitamin D, protein, some B vitamins and selenium. It’s also a rich source of omega-3 fatty acids, a type of fat that is good for health and digestion. Why do few restaurants serve Mackerel in the USA?

Among the two-dozen species of Mackerel found around the world, some have a fishy odor. People in many Asian countries may like it. People in European and USA consider that type of mackerel as a pet food ingredient. In the USA, mackerel tastes like a cross between Hake and Swai and is part of normal diets, as a mild tasting fish. Atlantic mackerel or jack mackerel are popular and safe in the USA. Jack mackerel is sourced from the Pacific, along the California coast. Jack mackerel usually is sold canned.

Most people hate to eat mackerel because they don’t know how to cook them. Broil or bake the mackerel (remove fat from the flesh, don’t add more fat/oil). Some people like to bake them with a little anchovy paste/butter – try it. Bar-b-queued mackerel is fairly good and smoked mackerel is even better. But no, it will never be the same as eating halibut but halibut often sells at 3-4 times the price as mackerel.

Mackerel may be pan fried if placed on a grill. For example:

Heat a roasting pan with rack in the oven at around 400 degrees.
Clean the fish, pad dry, and covered it in olive oil, salt, and pepper. …
Stuff slices of lemon into the cavity.
Place the fish on the hot rack.
Cook for about 20 minutes on each side, or until they are crispy.

Compared to salmon, mackerel may have a fishier taste. Yet…there are many mackerel recipes available.

Mackerel is a relatively inexpensive fish. Fresh Mackerel often sells for less than $5.00 per pound. Canned mackerel sells for about $2.00 per 15-ounce can. As such, more people can access mackerel and its nutrients in a healthy diet, as salads, fish cakes, and stews.

Why is mackerel so holy? Many agree that the phrase is a euphemism for Holy Mary. Blurting “Holy Mackerel” instead of taking the Madonna’s name in vain. Holy mackerel is phrase having no direct relationship to the fish? Originally, Catholics were told to have fish on Fridays. Mackerel were relatively easy to catch and, thus, became very popular Friday foods.

Mackerel is a big, oily fish, similar to tuna, but it has lower levels of mercury per serving, and is less at risk of overfishing. It’s high in both omega-3 and -6 fatty acids and a good source of protein, and has been found to lower blood pressure in men. Pregnant? King mackerel contains too much mercury to be considered safe during pregnancy.

USA Government dietary guidelines recommend that people eat fish twice a week. It offers significant protein and nutrients, and we know that fish are full of omega-3 fatty acids—which can benefit both heart and brain. While most use 3 ounces as a serving, a portion is around 140g (4.9oz). Compared to tuna and wild salmon, mackerel has lower Mercury levels.

Just as you would make tuna, salmon, shrimp or sardine salad sandwiches, mackerel may be another alternative. Mash it with dressing, onions, shredded carrots, and diced celery, I doubt any eater would know the difference.

There really isn’t anything holy about mackerel. It is a reasonable, inexpensive, and healthy alternative to tuna, salmon, and sardines. These days, when budgets seem tight, mackerel is a great, cheap addition for you and your family to get the nutrition and protein they need.

Vascular fun and folly

Barring an accident or some trauma, pain management often requires some depth of investigation. Well…opioids and cortisone injections might help get rid of the pain, but what if there might be something lurking in your blood flow? Let’s get into the holistic concepts of vascular system and how USA doctors seem to avoid the topic in helping you.

Do your legs hurt when you walk? Do your muscles feel cramped? Do they tingle? Check with your doctor. It could be several things and you may get several opinions. One of the least likely diagnoses might be peripheral vascular disease (PVD). Routine blood pressure exams measure health issues pertaining to your heart and brain health. Has anyone measured the blood pressure at your ankle? Inadequate blood flow to arms, legs, and many other things below the waist might be related to peripheral vascular conditions. How would you know?

It’s how the blood flows to bring life and joy. Yet, vascular disease may also bring woe and tension. Let’s talk about vascular fun and folly.

The vascular system is the body’s network of blood vessels. It includes the arteries, veins and capillaries that carry blood to and from the heart. Cardiologists attempt to monitor vascular integrity leading to and from the heart. Deeper exams also view the carotid arteries leading to the brain.

Very few physicians are concerned with the vessels in your other body areas. Chances are that if stiffness and plaque interfere in heart arteries, it may also exist in peripheral blood vessels.

Increase in age usually is associated with vascular diseases but there are other possibilities:

Family history of vascular or heart diseases
Pregnancy
Illness or injury
Long periods of sitting or standing still
Any condition that affects the heart and blood vessels, such as diabetes or high cholesterol
Smoking
Obesity

According to many medical and health organizations, losing weight, eating healthy foods, being active and not smoking can help prevent vascular disease. All of these should not be sporadic but integrated into your lifestyle.

Managing stress well may also help reduce the incidence of vascular diseases. General anxiety is a common part of a long-term stress behavior. It is characterized by long-lasting anxiety that is not focused on any one object or situation. Those suffering from generalized anxiety disorder experience non-specific persistent fear and worry, and become overly concerned with everyday matters, and indirect associations.

According to Harvard Health, anxiety may be one variable in developing vascular disease and heart problems.

Beyond general conceptions about anxiety, your body chemicals called hormones, may increase anxiety. Imbalances in the body’s stress hormones adrenaline and cortisol, and the precursor hormone DHEA — can cause a variety of symptoms that seem to be mentally health-related, including depression, anxiety, and insomnia. Hormones, such as estrogen and testosterone may contribute to anxiety. Studies on rats appear to confirm this belief. Thyroid Hormone An overactive thyroid can also cause a significant problem with anxiety, and is very likely to cause panic attacks.

The positive correlation of vascular disease among the aging population may be related to many hormonal changes. Hormone changes may be associated with weight gain, reduced energy, and other conditions despite having followed a healthy lifestyle. These changes are also associated with anxiety.

One symptom that hints of vascular disease is blood pressure. Blood pressure measurements may deviate based on instrumentation. Digital machines have differing programs. That means 110/60 on one unit might be 130/80 on another unit. Anxiety (every now and then) doesn’t cause long-term high blood pressure (hypertension). Frequent episodes of anxiety have been known to cause dramatic, temporary spikes in your blood pressure. The belief is that frequent temporary spikes in blood pressure can have negative consequences that are similar to those of high blood pressure.

Another factor of blood pressure and vascular disease might be sub-conscious brainwaves of consciousness. Your brain has differing wave patterns when you are alert and relaxed. People with hypertension are prescribed beta blockers. These work to help reduce stress and anxiety. Beta brainwaves dominate our normal waking state of consciousness when attention is directed towards cognitive tasks and the outside world. Beta is a ‘fast’ activity, present when we are alert, attentive, engaged in problem solving, judgment, decision making, or focused mental activity. While remaining in beta too long may result in adverse reactions among people with hypertension, little research fails to reach any firm conclusions on associations with vascular diseases.

Vascular diseases begin as inflammation on vascular walls. They turn into lesions over time. Consider getting a paper-cut on your finger. That’s a lesion on your skin. Among the miles of veins and arteries in your body, these lesions form. The body works to protect itself. Vascular plaque forms not only near your heart or brain but other parts too.

Yet the far-reaching roads pf the vascular system extend over every sector and place of your body. Apart from cardiovascular and neurovascular pathways, there are several known peripheral vascular diseases:

Atherosclerosis and Peripheral Artery Disease.
Aneurysm.
Raynaud’s Phenomenon (Raynaud’s Disease or Raynaud’s Syndrome)
Buerger’s Disease.
Peripheral Venous Disease and Varicose Veins.
Blood Clots in Veins (VTE)
Blood Clotting Disorders.
Lymphedema.

Perhaps one of the more disabling of peripheral diseases is Erectile Dysfunction. Some say it is age related. It may be from a vascular disease. When there are peripheral vascular conditions, the blood flow does not just struggle to get to the legs and feet, but also to the penis. This then causes the ever-terrifying condition known as “erectile dysfunction”! Usually, this poor circulation is a result of other health conditions like high blood pressure, high cholesterol, or diabetes. Some studies from 2011 found that vascular disease may have had less to do with erectile dysfunction.

Hormonal changes after menopause and possible vascular disease may be behind sexual mishappenings. While peripheral atherosclerosis from high cholesterol and high fats may lead to sexual disabilities, diabetes (hormonal and vascular) might be more significant contributors. In women, diabetes can lead to hardening of the blood vessels of the vaginal wall. Decreased blood flow can affect vaginal lubrication, causing the vagina to be too dry for comfortable intercourse. This condition also seems to put women at greater risk for recurring yeast infections. In men, diabetes can lead to a hardening and narrowing of the blood vessels that supply the erectile tissue of the penis. This can cause problems in getting an erection, and the penis may be less firm while erect. Basically, obesity linkage with diabetes may result in vascular folly.

Apart from sexual issues, peripheral pain in limbs may be more associated with vascular conditions than neuromuscular or skeletal issues.

Factors that increase your risk of developing peripheral artery disease include:
Smoking.
Diabetes.
Obesity (a body mass index over 30)
High blood pressure.
High cholesterol.
Increasing age, especially after reaching 50 years of age.
A family history of peripheral artery disease, heart disease or stroke.

Many of these conditions demonstrate possible circulatory problems in the peripheral vascular system. Diabetics are known to develop gangrene in toes and fingers, in extreme cases, with surgeries required for removal. Certain dietary choices and smoking may deprive areas of blood – over time. Constriction of the blood vessels is the body’s way to raise the blood pressure. By narrowing the passage in the blood vessels, blood flows more slowly to the organs and the extremities. This goes way beyond the scope of heart and brain vascular issues. Peripheral vasoconstriction is associated with chronic stress.

Peripheral vasoconstriction is the narrowing of the blood vessels resulting from contraction of the muscular wall of the vessels, in particular the large arteries and small arterioles. The process is the opposite of vasodilation, the widening of blood vessels. Vasoconstriction of the arterioles increases resistance and decreases blood flow. This may cause hypertension readings in early stages.

Peripheral vascular testing is generally overlooked by most traditional physicians. The diagnosis of Peripheral Arterial Disease (PAD) should always be confirmed using objective vascular testing. Sometimes heart and brain vascular health seem clean and normal. Other parts of your vascular system may not be as healthy. When it comes to where the blood flows and how, a thorough vascular health screening is a more holistic approach for the bigger picture.

The most common symptom of peripheral vascular disease in the legs is pain in one or both calves, thighs, or hips. Like many other health-related issues, proper diets and movement exercises are beneficial for treatment and lifestyle. Your health care professional will most likely recommend physical therapy or physiatry as part of a treatment plan. When no other treatment is offered by a general physician, you may want to consult with a vascular specialist.

In the flowing tributaries so vital to our lives, vascular health influences us through arteries, veins, and capillaries. PAD usually affects the arteries in the legs, but it also can affect the arteries that carry blood from your heart to your head, arms, kidneys, and stomach. The center hub is your heart beating constantly. And by genetics or personal choice, determinants of what is in your blood contribute to your health and how you feel. Managing dietary and activity lifestyles, monitoring hormones, and insisting that your doctor examines all your vascular system may help you enjoy life better. Seek vascular fun over folly.

Hardcore exercise destroys your kidneys

19th-century writer and speaker, Edward Brooks is quoted as saying in 1882 The desire of activity is designed by nature to promote our physical well-being. Physical activity is the law of physical health. But how much exercise is necessary? Well…many centuries earlier Socrates wrote Moderate exercise is indispensable; exercise till the mind feels delight in reposing from the fatigue. Yet, in this heyday run-quick, digital world. people want quick results and shift from still to hardcore exercise. Hardcore exercise may be toxic to your health.

Almost any health condition may be helped by activity and diet. When it comes to controlling activity levels, mind over body usually is a losing battle. The rage of hardcore exercise to lose weight, control cholesterol, or bring down hyperactivity is popular in a competitive society seeking speedy results. We tend to shift into hardcore modes instead of regulating our habits over time. Hardcore exercise not only causes physical pain but may also result in kidney failure. Can you learn to moderate your hardcore exercise regimen?

For many, the very thought of exercise is profane. Exercise is a dirty word. Every time I hear it, I wash my mouth out with chocolate. Yet, the inevitable results are weight gain, loss of muscle plasticity, and diabetes. The answer isn’t a hardcore exercise regimen. For most people, it can result with serious health issues.

The goal of exercising to active extremes follows the “No Pain No Gain” approach. But exercise mavens caution moderation. Don’t practice for a marathon or a great body if you don’t realize stamina and endurance must teach your metabolism that activity is normal. Exercising too much to feel muscular pain may deliver reverse results and also damage your kidneys. Rhabdomyolysis is a condition dealing with muscle breakdown that releases the enzyme myoglobin—along with creatine kinase—into the bloodstream. The result, over a long term, may be severe kidney impairment.

Now as hardcore exercise may result in degrees of kidney problems, treating Rhabdomyolysis equally requires certain avenues. It usually does not require hospitalization. The goals of at-home treatment include resting the body so muscles can recover and hydration to help prevent further kidney damage. When you’re feeling fatigued, recline in a comfortable position and try to relax. Essentially hardcore exercise is nixed.

How do you know if you are at risk? Do your muscles ache for longer than usual? Diagnosing Rhabdomyolosis requires a doctor of sports medicine that is experienced with hardcore exercise issues. It requires a blood test.

Hardcore exercise isn’t the only cause. Rhabdomyolysis may occur as a result of several conditions that disrupt body balance.

Trauma or crush injuries
Use of drugs such as cocaine, amphetamines, statins, heroin, or PCP
Genetic muscle diseases
Extremes of body temperature
Ischemia or death of muscle tissue
Low phosphate levels
Seizures or muscle tremors
Severe exertion, such as marathon running or calisthenics
Lengthy surgical procedures
Severe dehydration

Fundamentally, many conditions taken to a chronic level may cause Rhabdomyolosis to emerge. The issue is how long and pain severity. If you wait for dark urine then it’s likely you are damaging kidney function. Some pharmaceutical medications may also result in hormonal harm. A popular class are Statins, used to control cholesterol and blood lipid levels.

The hardcore exercise adage of “No Pain, No Gain”, us something that newly active people must take lightly. The ceiling of pain is relatively low, even if not felt during exercise itself. Yet, hours later your muscles stiffen and you feel immobilizing pain. Yes, you will add muscle tone when you recover but the cost may crmp your lifestyle by causing un-needed trauma.

By being inactive over most of your lifetime, hardcore exercise is relatively dangerous. Appropriate exercises may actually be positively therapeutic.

I have myotonic dystrophy, a genetic disease that results in muscle loss and immobility. Prior to symptom onset I was very active. In my condition, if I exercise to pain, I accelerate muscle loss. Moderation is a tough lesson. With no cure and no treatment, exercise is low impact and brief. Myotonic dystrophy, one of many muscular dystrophy diseases, makes one conscious that those who begin hardcore exercise without professional training, may cause severe muscle trauma. The idea is not to over-exercise. The secret is learning endurance when exercising.

While there are many people that market hardcore exercise for, let’s say, cardiovascular strength, improper training may result in heart, kidney, and other hormonal failures. It can result in physical and emotional pain.

The burden of hardcore exercise is that no one will ever attain or keep the perfect body appearance. Genetics, age, diet, and other conditions will interfere. Establishing and developing active body habits over a lifestyle will be less traumatic to your kidneys and other vital organs. Hardcore exercise may seem sensible. Yet, it can make you sick. Exercise for health.

Unfortunately, I can’t do these anymore. But you can benefit from these low-impact routines. Don’t do more than you can. Exercise and diet are the keys to finding strength and energy without provoking disease. Hardcore exercise benefits the precious few. You are aiming for the healthier roads.

Socrates also wrote, All things in moderation, including moderation.. It is wise. Not everyone could appear as an Amazon goddess or an Athenian god. Hardcore exercise may cause kidney failure. Your body wants balance and will rebel if you push it too hard.

USDA MyPlate Pyramid diet plan

Are you eating right or wrong? Are you eating what you need for proper nutrition? The Unites States Department of Agriculture (USDA) has a food pyramid that helps you make choices. Is it helpful? There are supporters and critics. Let’s study the USDA food pyramid and their more recent MyPlate plan.

The USDA Pyramid, developed in 1992, emphasized eating more vegetables and fruits, less meat, salt, sugary foods, bad fat, and additive-rich factory foods. There has been quite a but if research in nutrition and dietary plans since then. Also, obesity, diet-based diabetes and other health issues arose since then. No-fat diets were proven as a suspicious way to diet. In 2015, the USDA revised the pyramid approach with Choose MyPlate. The new guidelines add whole grains and varied protein sources as the correct diets for Americans to eat from 2015 to 2020:

MyPlate plan is designed to help you eat food from the 5 basic food groups
Vegetables and legumes/beans.
Fruit.
Grain (cereal) foods, mostly wholegrain and/or high cereal fibre varieties.
Lean meats and poultry, fish, eggs, tofu, nuts and seeds and legumes/beans.
Milk, yogurt cheese and/or alternatives, mostly reduced fat.

Make half your plate fruits and vegetables. Focus on whole fruits. Vary your veggies.
Make half your grains whole grains.
Move to low-fat and fat-free dairy.
Vary your protein routine.
Eat and drink the right amount for you.

Yet, the food pyramid has been around for so long. The abstract notions of the food pyramid seemed biblical but difficult to follow with reason.

The USDA food pyramid was a widely recognized nutrition education tool that translated nutritional recommendations into the kinds and amounts of food to eat each day. The Pyramid is based on USDA’s research on what foods Americans eat, nutrition, and quantity. While the USDA food pyramid has been fine all these years, the USDA updated the program to What’s On My Plate for the present and future.

The U.S. Department of Agriculture (USDA) created MyPlate, an easy-to-follow food guide, to help parents to figure out how to feed their kids nutritious, balanced meals. The colorful divided plate includes sections for vegetables, fruits, grains, and foods high in protein. MyPlate helps you eat on the basis of a 1600 calorie diet plan, while maintaining fullness from one meal to another. Using MyPlate approaches, variance is the key to help make meals interesting. Besides, kids (and adults) are picky (and irresponsible) consumers of food.

The USDA targets the USA diet and the bluegrass roots for outlining good meals as the core of the healthy USA eating lifestyle. It isn’t about starving. It’s about diversifying the food groups and understanding what constitutes a serving. Does this mean that those 16-ounce sirloin steaks are gone? Well….not as a habit. The My Plate theme is habit of most meals. USDA Choose MyPlate seems to make more sense than the Pyramid but is it realistic?

The Choose My Plate method helps organize meals according to the USDA dietary guidelines for basic health. It’s a more focused approach, especially if you eat at home.

While the Cover MyPlate food choices don’t account for cakes, cookies, and fried snacks, the USDA makes sure that people – young and old – can access the wholesome nutrition these meals provide. USDA Cover MyPlate meals are distributed to schools, summer camps, seniors, and depressed areas.

The Commodity Supplemental Food Program (CSFP) works to improve the health of low-income elderly persons at least 60 years of age by supplementing their diets with nutritious USDA Foods. These include hot breakfasts and lunches at day senior centers and food distribution directly to elderly with severe mobility problems. The latter usually requires registering with a neighborhood senior program for direct distribution to your door.

Since the 1960’s, under President Lyndon Baines Johnson, USA made a pledge that no USA resident should ever go hungry. While there are many fancy diets available these days targeting weight and health management, the USDA helps overwhelmingly (often incognito) to aid healthy food to the needy of the USA.

While Cover MyPlate may not include many of the advertised and marketed food and serving sizes, over the past decade nutrition has been partnering with medicine. From US Dietary Guidelines to scientific nutrition research, nutrition brings many important factors for health management and wellness.

Yet, most physicians were poorly trained in nutrition. Few medical schools offered more than 25 hours of nutrition studies. Many…zero.

Nutrition has also been associated with moods, including depression and anxiety disorders.

While the USDA MyPlate Pyramid diet plan may be basic and not exactly mouth watering, MyPlate helps provide nutrition through food to many needy individuals. While research hasn’t been vast enough to support MyPlate as an overall route to health and longevity, it’s a basis for all to begin eating healthier. Smoking, alcohol, and richer foods might be confounding variables in any study. Then there are genetic and activity issues – many undiscovered.

USDA MyPlate is a budget minded entrance to getting healthy nutrition directly from small servings of whole foods. The USDA offers many resources to help you choose whether MyPlate is suitable for you. They also provide a list of informative videos.

Click this link for a sample of a 2-week MyPlate meal example.

The USDA MyPlate diet plan wasn’t intended to help everyone reduce obesity. MyPlate was designed to provide healthy nutrition to the young, old, poor and devastated. Yet, for those seeking a healthier lifestyle, choosing a USDA MyPlate flexible diet plan may be one benefit to help bring your health to normal levels.

With USDA MyPlate plan dieting isn’t a matter of right or wrong. Like anything of value, it’s a lifestyle choice.

Nxivm slavery empowerment thru faith and reason

Nxivm is a recently emerging cult group facing federal prosecution for constructing a secret society of dominants over submissives. The Nxivm group mostly operated from the west coast of the United States but the leader is facing trial at a Brooklyn Federal Court. Keith Raniere faces sex trafficking and forced labor charges along with actress Allison Mack ( who played one of Superman’s flames, in the TV series Smallville). They are listed as co-founders of Nxivm.

Self-proclaimed guru Keith Raniere is the head of Nxivm. Apart from being co-founder of Nxivm, Allison Mack is his direct slave and master of all the slave members. In this age of self-help and trend psychology, Nxivm targeted women who felt lonely and powerless. Here is a promo video of Raniere and Mack:

The strange thing is that, in this conversation, Raniere and Mack don’t quite appear to be leaders of a master and slave community. They are having a conversation of authenticity within the human condition. These, according to allegations and interviews with members, make Nxivm seem, like many cults, a well designed mask.

We have heard sayings such as, “a wolf in sheep’s clothing” and have enjoyed masquerade fashion and parties. Within relationships and human interactions – at home, at work, with family, with friends, with adversaries – that people have many layers. Primarily, each individual person is a person and persona. And these two realities are constantly in conflict. Based on this interview many might hit on the viewpoints that Raniere spoke about are absolute facts, not theories or falsehoods. If you are in need of help, this person seemed likely. Would you have imagined it might be persona?

Thousands of years ago, human extension and survival depended on attachment to groups for food, clothing, shelter, and protection. These are the foundations of group dynamics and how people are attracted and persevere through time. When we think of western religions, we think of Abraham, Moses, Jesus, Peter, Paul, and Mohammed. Before these became real facts of faith, they were considered cults. Within this world, many cults exist while few become newsworthy. They do not invite masses. They reach out to selected, small numbers – believers in ideas. In a sense, what we define as cults may seem like new religions

Among some of the cults over past two generations are EST and Scientology. Ehrhardt Seminars Training (EST) is a costly group of meetings focusing on human potentials NOW. They have aggressive recruiting and make it difficult to leave the group. Scientology addresses the spirit—not the body or mind—and believes that Man is far more than a product of his environment, or his genes. Scientology further holds Man to be basically good, and that his spiritual salvation depends upon himself, his fellows and his attainment of brotherhood with the universe toward true spiritual enlightenment. Actor Tom Cruise is an ardent member and contributor to Scientology and has invited other actors to join.

Of course, Nxivm was formed under an umbrella group called ESP – Executive Success Programs. Nxivm was the secret organization beneath it. No association with EST.

Nxivm also-has many former actresses and wealthy women as believers and contributors. According to allegations, they procure and train new members – in master/slave relationships. Mentioned actors are Grace Park (Hawaii 5-0) and Allison Mack. Also mentioned are the Seagram heiresses. Those that did not become sponsors are at the lowest tier – slaves.

Members were required to provide nude pictures of themselves, all sorts of personal information, and allow branding. They were to follow diets with severe calorie restrictions. Although they are free to pursue their lives independently, they were always on 24/7 call. While this consensual dominance over submission is a complex dynamic, some women struggling with loneliness and emptiness were drawn to the magnetism of Raniere.

A good question is were the women who joined ESP or Nxivm aware of what they were signing into? Are we learning not to read the print before signing documents on paper or online? This case is bound to raise many more questions within the context of contract agreements.

Groucho Marx once said, “I won’t join any club that’ll have me as a member.” The sad states of affairs is that everyone wants to feel connected, especially an active part of group dynamics to feel more whole. It is discussed in Gestalt Psychology. Gestalt psychologists argued that these principles exist because the mind has an innate disposition to perceive patterns in the stimulus based on certain rules. These principles are organized into five categories: Proximity, Similarity, Continuity, Closure, and Connectedness. Connectiveness can be emotional, physical, cognitive, supportive. Stanford University of Medicine demonstrated how Connectedness promotes good health.

The importance of Connectedness or being part of a group has been key to survival. Excommunication and exile were the most severe punishment on crimes against a group. Yet, within an age of reason and science, we haven’t as yet found great ways to cope with feelings of social isolation and loneliness. Some of these are susceptible to anyone who gives attention to them. Brainwashed? I don’t know. Just reaching for a new reality. They haven’t learned yet that the helper may just have a slippery hand beneath his glove.

I am curious how the case against Nxivm will go. Within a society with hard-fought histories for pursuing liberty and happiness, consenting to being someone’s slave for Connectedness is not an answer. Loneliness and depression may be chronic pains like hunger, there are more choices to find help than some guru or healer.

Raniere has had several enterprises over decades where his mild persona was used to capture investors or victims. With Nxivm, he became Vanguard to his supporters and members who willingly became slaves before the secrets were revealed to the public. While slavery exists and has existed for most of human civilization, many enjoy being led willingly . In the biblical book of Isaiah (53:7) there is a saying “He was oppressed and afflicted, yet he did not open his mouth.” Many people willingly accept being victimized at levels as sacrifices for their own self benefit and empowerment. Volunteering as a slave in a society that cherishes free opportunities may not be smart. Under Raniere’s darkness beneath his persona, his talents brought him several followers. And he got them to sign on the dotted line. Does that signature remove the victims responsibility as a follower? Did Raniere control a slave ring with human trafficking? There are some heavy questions and implications to be garnered in this legal war pitting free will against slavery.

No matter how sad or bitter you are, freedom of choice and opportunity are rights and virtues not to be surrendered lightly. Without bail, or with high restrictions, I hope this Nxivm case demonstrates that your senses of living have other options.

In the dilution of gods, reason plays more responsibilities on selves to extend their human potentials and “spirits”. Perhaps in a world where gods are diminished where more explanations for the unexplainable are available, reason seems more attractive. The Human Potential Movement, created by the Esalen Institute, has played a role in spawning these strange cult religions. For the most part, they do not offer profound explanations. Should anybody really take these new religions seriously? It appears they do. There are still teachers and many willing students. Do they replace divinity?

The Human Potential Movement discusses that we only use about 10% of our brain power, based on observations of earlier psychologists. There are many that are attracted to increasing their potential beyond 10% to achieve happiness and contentment. It’s attractive but there are many ways people try to achieve this. Some attribute stress as a possibility and unhappiness is a stressor. And there are exercises that help. Does giving yourself to a master help realize that potential?

In the 55 years of this Human Potential Movement, we have witnessed many crooks and, ironically, many supporters. Keith Raniere and Allison Mack will stand trial. They will be viewed microscopically by the press. Some ex-followers will testify against them. Will it have any suppressing effect on the Human Potential Movement? Doubtful. Stressing individualism and uniqueness and sought dreams of identities, small groups – cults or new religions – will always remain silently at the fringes. Exposing Nxivm was a good find. Yet, like the TV show, The Following, there will be the leaders and followers seeking to find human potential in extremely strange ways. Here is where faith and reason meet the apocalyptic battles that forge the future of our planet.