Pre-Eclampsia Is Killing Black Moms. Lupus in Black Women #SecondOpinion
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Summary
Takeaways
- ❖Domestic violence includes coercive control, emotional, spiritual, and financial abuse, not just physical harm.
- ❖Women often stay in abusive relationships due to hope for change, spiritual beliefs, concern for children, and financial dependence.
- ❖Pancreatic cancer has a 13% 5-year survival rate and is 30-70% more prevalent in Black Americans, with higher death rates.
- ❖Multi-Cancer Early Detection (MCED), a genomic blood test, can detect hard-to-find cancers like pancreatic cancer early.
- ❖ALS is a rare, progressive neurological disease with a 3-5 year life expectancy post-diagnosis, often starting with muscle twitching or tripping.
- ❖Prevention, including environmental improvement and healthy lifestyle, is considered the best approach for managing ALS.
- ❖Sitting on the toilet for more than 5-10 minutes significantly increases the risk of hemorrhoids due to sustained downward pressure.
- ❖Hemorrhoids are treatable with lifestyle changes, over-the-counter remedies, banding, or, in severe cases, surgery.
Insights
1Domestic Violence Encompasses More Than Physical Abuse
Domestic violence extends beyond physical harm to include coercive control, emotional, spiritual, and financial abuse. These non-physical forms are often overlooked but are deeply damaging, leading women to feel trapped and unsafe. Factors like hope for change, perceived spiritual obligations, concern for children, and financial dependency contribute significantly to why women remain in abusive relationships.
Licensed mental therapist Robin May details, 'I am dealing with women who are navigating the terrains of what we can call coercive control, emotional abuse, spiritual abuse, financial abuse, and those dynamics often go overlooked because you don't see a physical manifestation of the violence.' She also highlights that women often stay due to a 'deep deep hope and belief that they're going to change,' cultural factors, and financial insecurity.
2Pancreatic Cancer Disproportionately Affects Black Americans and Requires Early Detection
Pancreatic cancer is one of the deadliest cancers, with a 5-year survival rate of only 13%. Black Americans face significantly higher incidence and death rates compared to other racial groups. Its deadliness is largely due to vague early symptoms (belly pain, jaundice, digestive issues) that lead to late detection. New technologies like Multi-Cancer Early Detection (MCED), a genomic blood test, offer a promising avenue for earlier screening, especially for individuals with a family history.
Dr. Mitchell states, 'Black Americans have the highest pancreatic cancer incidence rate of any other racial group in the United States... with a 32% higher pancreatic cancer death rates than white Americans.' He explains that MCED utilizes 'liquid as well as AI algorithms to detect... cancer-free DNA that's circulating in the bloodstream,' making it a crucial screening tool for hard-to-detect cancers.
3ALS Progression and Early Warning Signs
Amyotrophic Lateral Sclerosis (ALS) is a rare, progressive neurological disease characterized by the loss of motor neurons, leading to muscle weakness and paralysis. Most cases are sporadic, but environmental exposures, particularly in military populations, are a focus of research. The disease progresses relatively quickly, with an average life expectancy of 3-5 years post-diagnosis. Early symptoms are often subtle and include muscle fasciculations (twitches), unexplained tripping, weakness in limbs, and difficulty swallowing, which can be overlooked until the disease is advanced.
Dr. Richard Benson describes ALS as a 'rare progressive neurological disease where individuals... get loss of the motor neurons.' He notes that 'most cases about 90% of cases of ALS are sporadic' and that early symptoms include 'muscle fasciculations or twitches of the muscles,' 'tripping a lot,' and 'difficulty swallowing.'
4Prolonged Toilet Sitting Increases Hemorrhoid Risk
Research indicates a 46% higher risk of developing hemorrhoids for individuals who spend extended periods on the toilet, regardless of straining. This is primarily due to gravity, as the unsupported sitting position directs body weight and pressure to the anal area, aggravating the veins. Hemorrhoids, while usually not life-threatening, cause discomfort, itching, burning, and bleeding. Prevention involves limiting toilet time to 5-10 minutes, maintaining soft stools through fiber and hydration, and exercising.
Gastroenterologist Dr. Nadia Sanford explains that 'your whole body weight is going where? All that gravity is going down to that area. So that's putting pressure on the area and therefore can aggravate the veins to become hemorrhoids.' She advises, 'you shouldn't be sitting there more than 5-10 minutes most.'
Lessons
- If you suspect domestic violence, offer a safe, non-judgmental space to the survivor, repeatedly emphasizing, 'This door is always open. You are always safe here.'
- Pay attention to subtle red flags in relationships like coercive control, isolation from loved ones, financial control, physical intimacy without consent, and easy agitation.
- Individuals with a family history of pancreatic cancer should discuss early screening, including Multi-Cancer Early Detection (MCED) blood tests, with their healthcare provider.
- Limit time spent on the toilet to 5-10 minutes to reduce the risk of hemorrhoids; ensure adequate fiber and hydration for soft stools.
- Recognize early ALS symptoms like persistent muscle twitching (fasciculations), unexplained tripping, or difficulty swallowing, and seek prompt neurological evaluation.
Quotes
"I don't want women to minimize any level of controlling behavior, harmful behavior, even if it hasn't yet risen to physical violence."
"I want us to start asking why did they feel unsafe to leave? Why did they feel like they couldn't leave?"
"A pattern becomes a pattern after one time. So when you've given two, three, four passes, it's now a pattern."
"I had to forgive myself. I had to forgive my relationship with God. You know, I had to forgive my ex-husband because at the end of the day, the love that I have for him is through this child that I'm able to raise with love and with care every single day."
"The best way to treat a stroke is to prevent it from occurring. Although we don't know what causes ALS, we suspect that a lot of it is related to exposures. So, I think the best we can do to try to make sure that we improve the environment for all people..."
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