Reframing hospice and palliative care

People who choose hospice care forego aggressive medical interventions, but still receive symptom relief and comfort measures. Palliative care differs by offering symptom-focused relief for people who are seriously ill at any stage. Routine hospice care supports patients in their home with medication and visits, while patients who need round-the-clock care can be cared for in either a hospital-based hospice unit, dedicated hospice facility, or nursing home. Patients who choose hospice receive support to carry out end-of-life priorities.

Content restricted. Requires subscription

Lynch syndrome: Reclaiming power

Lynch syndrome is an inherited condition that predisposes people to colorectal, uterine, ovarian, and other forms of cancer. Genetic testing can pinpoint Lynch syndrome, and genetic counseling is also recommended. People with Lynch syndrome need frequent cancer screenings and should watch for symptoms. Women with Lynch syndrome are also advised to undergo risk-reducing surgery that removes the ovaries, fallopian tubes, and uterus between ages 35 and 40, unless a woman is planning another pregnancy.

Content restricted. Requires subscription

Why are my heels cracked?

Cracks in the heels occur when the skin on the bottom of the heel becomes hard and parched. Applying thick moisturizers often helps. If it doesn’t, other causes may include athlete’s foot, hypothyroidism, Sjogren’s syndrome, or bone spurs in the heels.

Content restricted. Requires subscription

Beyond appetite suppression

Semaglutide (Ozempic, Wegovy), which mimics a natural hormone called GLP-1, has become a popular obesity drug because it promotes dramatic weight loss. New evidence suggests this drug and others like it may also curb compulsions for things other than food. The drugs may also dampen cravings for alcohol, smoking, gambling, and excessive shopping by hampering activation of the brain’s reward pathways. If further research confirms preliminary findings, the demand for GLP-1 drugs is likely to increase.

Content restricted. Requires subscription

Blasting through mental health misperceptions

An estimated 58 million American adults live with a mental illness such as anxiety, depression, or bipolar disorder. More women than men receive treatment such as medication or counseling. But despite its pervasiveness, mental illness remains stigmatized. Scientific advances are helping dismantle damaging public attitudes about mental illness. People with mental health challenges can help combat stigma by embracing treatment, not taking other people’s offhand comments personally, and sharing their personal stories.

Content restricted. Requires subscription