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Johnson\u003c/strong>\u003c/a> \u003c/span>","isLoading":false},"byline_stateofhealth_360759":{"type":"authors","id":"byline_stateofhealth_360759","meta":{"override":true},"slug":"byline_stateofhealth_360759","name":"\u003ca href=\"http://californiahealthline.org/news/author/kellen-browning/\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cstrong>Kellen Browning\u003c/strong>\u003c/a> \u003c/span>","isLoading":false},"byline_stateofhealth_360752":{"type":"authors","id":"byline_stateofhealth_360752","meta":{"override":true},"slug":"byline_stateofhealth_360752","name":"\u003ca href=\"http://khn.org/news/author/anna-gorman/\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cstrong>Anna Gorman\u003c/strong>\u003c/a>","isLoading":false},"samharnett":{"type":"authors","id":"253","meta":{"index":"authors_1591205172","id":"253","found":true},"name":"Sam Harnett","firstName":"Sam","lastName":"Harnett","slug":"samharnett","email":"samharnett@gmail.com","display_author_email":false,"staff_mastheads":[],"title":"KQED Contributor","bio":"Sam Harnett covered tech and work at KQED. He is the co-creator of \u003cem>\u003ca href=\"http://www.theworldaccordingtosound.org\">The World According to Sound\u003c/a>,\u003c/em> a 90-second podcast that features different sounds and the stories behind them.\r\n\r\nBefore coming to KQED, Sam worked as an independent reporter who contributed regularly to \u003cem>The California Report, Marketplace,\u003c/em> \u003cem>The World \u003c/em>and NPR.","avatar":"https://secure.gravatar.com/avatar/2538b972ac02f2b9546c7a6c59a0f3d0?s=600&d=blank&r=g","twitter":"Samwharnett","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"news","roles":["edit_others_posts","subscriber"]},{"site":"stateofhealth","roles":["author"]},{"site":"science","roles":["editor"]},{"site":"quest","roles":["subscriber"]}],"headData":{"title":"Sam Harnett | KQED","description":"KQED Contributor","ogImgSrc":"https://secure.gravatar.com/avatar/2538b972ac02f2b9546c7a6c59a0f3d0?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/2538b972ac02f2b9546c7a6c59a0f3d0?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/samharnett"},"adembosky":{"type":"authors","id":"3205","meta":{"index":"authors_1591205172","id":"3205","found":true},"name":"April Dembosky","firstName":"April","lastName":"Dembosky","slug":"adembosky","email":"adembosky@kqed.org","display_author_email":false,"staff_mastheads":["news","science"],"title":"KQED Health Correspondent","bio":"April Dembosky is the health correspondent for KQED News and a regular contributor to NPR. She specializes in covering altered states of mind, from postpartum depression to methamphetamine-induced psychosis to the insanity defense. Her investigative series on insurance companies sidestepping mental health laws won multiple awards, including first place in beat reporting from the national Association of Health Care Journalists. She is the recipient of numerous other prizes and fellowships, including a national Edward R. Murrow award for investigative reporting, a Society of Professional Journalists award for long-form storytelling, and a Carter Center Fellowship for Mental Health Journalism.\r\n\r\nDembosky reported and produced \u003cem>Soundtrack of Silence\u003c/em>, an audio documentary about music and memory that is currently being made into a feature film by Paramount Pictures.\r\n\r\nBefore joining KQED in 2013, Dembosky covered technology and Silicon Valley for \u003cem>The Financial Times of London,\u003c/em> and contributed business and arts stories to \u003cem>Marketplace \u003c/em>and \u003cem>The New York Times.\u003c/em> She got her undergraduate degree in philosophy from Smith College and her master's in journalism from the University of California, Berkeley. She is a classically trained violinist and proud alum of the first symphony orchestra at Burning Man.","avatar":"https://secure.gravatar.com/avatar/ef92999be4ceb9ea60701e7dc276f813?s=600&d=blank&r=g","twitter":"adembosky","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"arts","roles":["author"]},{"site":"news","roles":["editor"]},{"site":"futureofyou","roles":["author"]},{"site":"stateofhealth","roles":["editor"]},{"site":"science","roles":["editor"]},{"site":"forum","roles":["editor"]}],"headData":{"title":"April Dembosky | KQED","description":"KQED Health Correspondent","ogImgSrc":"https://secure.gravatar.com/avatar/ef92999be4ceb9ea60701e7dc276f813?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/ef92999be4ceb9ea60701e7dc276f813?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/adembosky"},"cfeibel":{"type":"authors","id":"11314","meta":{"index":"authors_1591205172","id":"11314","found":true},"name":"Carrie Feibel","firstName":"Carrie","lastName":"Feibel","slug":"cfeibel","email":"cfeibel@KQED.org","display_author_email":false,"staff_mastheads":[],"title":"KQED Contributor","bio":"Carrie Feibel is a former health editor at KQED, where she has also reported for radio and online. Her stories have appeared on the national NPR shows \u003cem>Morning Edition\u003c/em>, \u003cem>All Things Considered\u003c/em>, and \u003cem>Here & Now\u003c/em>, and on the national website, Kaiser Health News. Her print career included stints at the \u003cem>Houston Chronicle\u003c/em>, \u003cem>The (Bergen) Record,\u003c/em> and the Associated Press in New York City. A native of St. Louis, Feibel attended Cornell University, and earned a master's in journalism from Columbia University.","avatar":"https://secure.gravatar.com/avatar/c64a7e3c9a910e1bffd4ad32a5264aa9?s=600&d=blank&r=g","twitter":"KQEDHealth","facebook":null,"instagram":null,"linkedin":null,"sites":[{"site":"news","roles":["subscriber"]},{"site":"stateofhealth","roles":["administrator"]}],"headData":{"title":"Carrie Feibel | KQED","description":"KQED Contributor","ogImgSrc":"https://secure.gravatar.com/avatar/c64a7e3c9a910e1bffd4ad32a5264aa9?s=600&d=blank&r=g","twImgSrc":"https://secure.gravatar.com/avatar/c64a7e3c9a910e1bffd4ad32a5264aa9?s=600&d=blank&r=g"},"isLoading":false,"link":"/author/cfeibel"}},"breakingNewsReducer":{},"campaignFinanceReducer":{},"firebase":{"requesting":{},"requested":{},"timestamps":{},"data":{},"ordered":{},"auth":{"isLoaded":false,"isEmpty":true},"authError":null,"profile":{"isLoaded":false,"isEmpty":true},"listeners":{"byId":{},"allIds":[]},"isInitializing":false,"errors":[]},"navBarReducer":{"navBarId":"home","fullView":true,"showPlayer":false},"navMenuReducer":{"menus":[{"key":"menu1","items":[{"name":"News","link":"/","type":"title"},{"name":"Politics","link":"/politics"},{"name":"Science","link":"/science"},{"name":"Education","link":"/educationnews"},{"name":"Housing","link":"/housing"},{"name":"Immigration","link":"/immigration"},{"name":"Criminal Justice","link":"/criminaljustice"},{"name":"Silicon Valley","link":"/siliconvalley"},{"name":"Forum","link":"/forum"},{"name":"The California Report","link":"/californiareport"}]},{"key":"menu2","items":[{"name":"Arts & Culture","link":"/arts","type":"title"},{"name":"Critics’ Picks","link":"/thedolist"},{"name":"Cultural Commentary","link":"/artscommentary"},{"name":"Food & Drink","link":"/food"},{"name":"Bay Area Hip-Hop","link":"/bayareahiphop"},{"name":"Rebel Girls","link":"/rebelgirls"},{"name":"Arts Video","link":"/artsvideos"}]},{"key":"menu3","items":[{"name":"Podcasts","link":"/podcasts","type":"title"},{"name":"Bay Curious","link":"/podcasts/baycurious"},{"name":"Rightnowish","link":"/podcasts/rightnowish"},{"name":"The Bay","link":"/podcasts/thebay"},{"name":"On Our Watch","link":"/podcasts/onourwatch"},{"name":"Mindshift","link":"/podcasts/mindshift"},{"name":"Consider This","link":"/podcasts/considerthis"},{"name":"Political Breakdown","link":"/podcasts/politicalbreakdown"}]},{"key":"menu4","items":[{"name":"Live Radio","link":"/radio","type":"title"},{"name":"TV","link":"/tv","type":"title"},{"name":"Events","link":"/events","type":"title"},{"name":"For Educators","link":"/education","type":"title"},{"name":"Support KQED","link":"/support","type":"title"},{"name":"About","link":"/about","type":"title"},{"name":"Help Center","link":"https://kqed-helpcenter.kqed.org/s","type":"title"}]}]},"pagesReducer":{},"postsReducer":{"stream_live":{"type":"live","id":"stream_live","audioUrl":"https://streams.kqed.org/kqedradio","title":"Live Stream","excerpt":"Live Stream information currently unavailable.","link":"/radio","featImg":"","label":{"name":"KQED Live","link":"/"}},"stream_kqedNewscast":{"type":"posts","id":"stream_kqedNewscast","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/newscast.mp3?_=1","title":"KQED Newscast","featImg":"","label":{"name":"88.5 FM","link":"/"}},"stateofhealth_363545":{"type":"posts","id":"stateofhealth_363545","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"363545","score":null,"sort":[1526497955000]},"guestAuthors":[],"slug":"in-the-land-of-legal-weed-drug-education-moves-from-dont-to-delay","title":"In the Land of Legal Weed, Drug Education Moves From ‘Don’t’ to ‘Delay’","publishDate":1526497955,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>Californians legalized marijuana in 2016, with 57 percent of the vote. But the momentousness of that decision was somewhat lost in the drama of Donald Trump’s victory. Voters also had to wait over a year for full implementation, while state agencies crafted new regulations for quality, safety and marketing.\u003c/p>\n\u003cp>But the social significance of the vote finally burst into view this Jan. 1, when eager customers -- who had lined up in the darkness outside medical marijuana dispensaries across the state -- streamed through the doors at the stroke of midnight.\u003c/p>\n\u003cp>But the change hasn’t been confined to the cannabis cash register. Everyone has seen the advertising or heard the chatter -- and that includes minors, although marijuana remains illegal for those under 21.\u003c/p>\n\u003cp>“Coming out of SFO airport, there are billboards for \u003ca href=\"https://www.eaze.com/\" target=\"_blank\" rel=\"noopener\">Eaze\u003c/a> that say ‘Marijuana is here,’ ” said \u003ca href=\"http://profiles.ucsf.edu/danielle.ramo-larios\" target=\"_blank\" rel=\"noopener\">Danielle Ramo\u003c/a>, a psychologist who conducts research at UCSF on adolescent drug use.\u003c/p>\n\u003cp>“I'm not sure parents were expecting to see so many images of cannabis all over,” she said.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>Public schools in California are required by law to provide anti-drug abuse education, although experts say the quality of the instruction varies widely from district to district, and there’s little enforcement.\u003c/p>\n\u003cp>I was curious to know how marijuana legalization was being discussed in schools, so I embedded with \u003ca href=\"http://livingadept.org/beingadept/\" target=\"_blank\" rel=\"noopener\">Being Adept\u003c/a>, an evidence-based curriculum that has been used in about 20 schools in the Bay Area.\u003c/p>\n\u003cp>To my surprise, I discovered that the rollout of legal recreational marijuana in California and other states hasn’t led to any big changes in substance abuse prevention. Drug educators have always covered both legal substances (alcohol, tobacco, prescription drugs) and illicit ones (pot, ecstasy, cocaine, LSD, heroin, meth … ). Students have accessed, and abused, both categories of drugs for decades.\u003c/p>\n\u003cp>But I was more struck by the evolution of drug education since the 1980s. Today, drug abuse education is an advanced pedagogy, drawing on decades of rigorous effectiveness research and the newest teaching techniques.\u003c/p>\n\u003cp>The “Just Say No” approach, popularized by Nancy Reagan, has been discredited. The PSAs that Gen-Xers may remember -- the egg in a frying pan (“\u003ca href=\"https://www.youtube.com/watch?v=GOnENVylxPI\" target=\"_blank\" rel=\"noopener\">this is your brain on drugs\u003c/a>”), or the boy calling out his dad’s drug use (“\u003ca href=\"https://www.youtube.com/watch?v=MkxCcXHwRkk\" target=\"_blank\" rel=\"noopener\">I learned it by watching you!\u003c/a>”) -- live on as memes, but they’re no longer used as messages.\u003c/p>\n\u003cp>“Those scare-tactic-based programs have tended to quite clearly not work, based on most of the research that evaluated its effectiveness,” Ramo said. “Today there is an entirely different mindset about school-based prevention.”\u003c/p>\n\u003cp>In a nutshell, the focus now is on facts, not fear. Also conspicuously absent are simplistic dictates like “just say no.” Instead, teachers spur students to examine data, speculate on motives, discuss risks, and deliberate on their own goals and values.\u003c/p>\n\u003cp>Ashley Brady, a Being Adept instructor, was completely open about her method when she stood in front of the eighth-graders at Marin Primary and Middle School, a private school in Larkspur.\u003c/p>\n\u003cp>“I'm not here to tell you what to do today. Not at all,” she began. “I'm here to give you the most up-to-date information possible so that you can make your own healthy, informed decisions.”\u003c/p>\n\u003cp>Brady then jump-started a fast-paced, fact-filled discussion on brain chemistry and physiology. There was an animated video about how marijuana affects dopamine pathways in the brain. Then a discussion about marijuana “edibles” and how they are metabolized by the liver.\u003c/p>\n\u003cp>“It can take up to 30 minutes to maybe even an hour or two before it really hits you,” she said. “When somebody eats an edible and they don't really feel the effects, what do you think happens?”\u003c/p>\n\u003cp>“They eat more!” a student called out.\u003c/p>\n\u003cp>“They eat more,” Brady nodded. “Yeah, an hour, an hour and a half later? Boom! Like a freight train, they've been hit, and, you know, can barely move or can barely talk. That kind of thing. So they may have to go to the hospital.”\u003c/p>\n\u003cp>True, that sounds a \u003cem>little\u003c/em> scary, but it’s presented neutrally, as a consequence at the end of a sequence of decisions.\u003c/p>\n\u003cfigure id=\"attachment_363549\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-363549\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2018/05/IMG_8238-e1526427780998-800x1067.jpg\" alt=\"\" width=\"800\" height=\"1067\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2018/05/IMG_8238-e1526427780998-800x1067.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2018/05/IMG_8238-e1526427780998-160x213.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2018/05/IMG_8238-e1526427780998-768x1024.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2018/05/IMG_8238-e1526427780998-1020x1360.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2018/05/IMG_8238-e1526427780998-900x1200.jpg 900w, https://ww2.kqed.org/app/uploads/sites/27/2018/05/IMG_8238-e1526427780998-1180x1573.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2018/05/IMG_8238-e1526427780998-960x1280.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2018/05/IMG_8238-e1526427780998-240x320.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2018/05/IMG_8238-e1526427780998-375x500.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2018/05/IMG_8238-e1526427780998-520x693.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Ashley Brady explains the increase over time in marijuana potency to a class of eighth-graders at Marin Primary and Secondary School in Larkspur. \u003ccite>(KQED/Carrie Feibel)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Where the legalization of the marijuana industry \u003cem>has\u003c/em> affected the content of these lessons is on the subject of potency. Brady tells the students that legalization has spurred competition and innovation among suppliers, to the point where they’re now churning out extremely potent and precisely calibrated forms of pot called “concentrates,” which comes in various forms.\u003c/p>\n\u003cp>Brady runs through their names: oil, bubble, shatter, wax and dabs.\u003c/p>\n\u003cp>“They call it a ‘dab’ because one tiny little nail head [of it] -- I mean I'm talking like the end of my pinky -- one tiny little nail head is the same as three joints hitting the system all at once. So it’s a lot stronger than it used to be.”\u003c/p>\n\u003cp>Tests of THC levels in marijuana samples over the years back this up. Whereas a typical joint in the '70s probably had a THC level of 4-5 percent, at best, growers are now breeding strains of cannabis that produce buds with THC levels as high as 20-30 percent.\u003c/p>\n\u003cp>But the concentrates are in another category altogether. Processed concentrates sold at dispensaries now regularly test at 80, even 90 percent.\u003c/p>\n\u003cp>“It's not the same drug,” Brady tells them. People sometimes vomit from concentrates. Some people hallucinate and have even become psychotic.\u003c/p>\n\u003cp>And yes, she adds, it can be addictive. Not just psychologically, but physically. People do go into THC withdrawal and do go to rehab for pot addiction.\u003c/p>\n\u003cp>Still, as she describes the transformation of marijuana from a relatively mild intoxicant to a potentially debilitating one, Brady never once says “that’s why you shouldn’t” or even “so please be careful.”\u003c/p>\n\u003cp>Afterward, the students applauded this approach.\u003c/p>\n\u003cp>“It made you feel more mature, and that you're in control,\" said Devon Soofer, 13. “This [class] was actually telling you the long-term effects and what it can actually do to you. So it actually made you feel like ‘Wow, this is actually really bad,’ and not just being \u003cem>forced\u003c/em> not to do it.”\u003c/p>\n\u003cp>Later units in the Being Adept curriculum give students concrete tools: They rehearse what to do or say at parties, and talk about better ways to cope than using cannabis -- or any substance.\u003c/p>\n\u003cp>Ramo, who serves as a scientific advisor to Being Adept, decried “the overwhelming stress, anxiety, depression, suicidality that is so pervasive among teens in the United States today, especially in high-intensity educational areas, like a lot of schools in the Bay Area are.”\u003c/p>\n\u003cp>“Addressing that problem is key,” she added, as is “having teens come up with solutions to manage their stress, that they actually would use.”\u003c/p>\n\u003cp>\u003cstrong>“Delay, Delay, Delay” \u003c/strong>\u003c/p>\n\u003cp>So if drug educators aren’t telling students “Don’t!” anymore, what exactly are they telling them to \u003cem>do\u003c/em>? As I observed, they’re not overtly telling them to do anything, because teens are naturally resistant to the authoritarian approach -- and some of them may resist to the point of doing the opposite.\u003c/p>\n\u003cp>The underlying goal of drug education remains the same as before: keep children safe. The dangers of intoxicated driving, sexual assault, academic or athletic failure, social humiliation, social media embarrassment -- all of these do come up in the lessons.\u003c/p>\n\u003cp>But the instructors put a special emphasis on a less visible risk: the potential damage to their brains. And the science backs them up.\u003c/p>\n\u003cp>“More research is coming out looking at the ways in which all different kinds of substances can hijack normal brain functioning, and particularly so in adolescence,” Danielle Ramo explained.\u003c/p>\n\u003cp>“In heavily cannabis-using teens, there are some particularly important implications of using cannabis on the frontal lobe, and that interrupts a type of thinking called ‘executive functioning.’ ”\u003c/p>\n\u003cp>Also worrisome is a substantial body of research showing that using any potentially addictive substance while the brain is still developing -- whether alcohol, marijuana, nicotine, or other drug -- triggers neurological changes that can lead to addiction.\u003c/p>\n\u003cp>“The earlier teens start using, the more heavily they use in adolescence, the more likely it is that they'll go on to have problems throughout their adulthood,” said Ramo.\u003c/p>\n\u003cp>Being Adept instructors don’t say it outright, but the message is clear: If you’re not going to abstain, just push it off for a while. \u003cem>Your brain is too vulnerable right now.\u003c/em>\u003c/p>\n\u003cp>Jennifer Grellman, a \u003ca href=\"http://www.jennifergrellman.com/index.html\" target=\"_blank\" rel=\"noopener\">psychotherapist\u003c/a> in Kentfield and the founder of Being Adept, sums up the strategy in three words, just like the “Just Say No” campaign: “Delay, delay, delay.”\u003c/p>\n\u003cp>“The way to handle that with your kids is to say: ‘You know, you don't have to use this now. Maybe you want to use it someday, but not today, not now. It will always be there.’ Just tell them to \u003cem>wait\u003c/em>.”\u003c/p>\n\u003cp>Grellman said that advice may be more palatable for some teens, and therefore easier for parents to deliver.\u003c/p>\n\u003cp>They’re not forbidding something (and possibly making it more enticing). They’re not saying “never.”\u003c/p>\n\u003cp>\u003cstrong>The Role of Parents\u003c/strong>\u003c/p>\n\u003cp>Grellman said parents should talk about drugs and alcohol with their kids often -- as early as fourth grade. Use the new billboards or marijuana ads as an excuse to bring up the topic. Broach the subject obliquely: \u003cem>What do people at your school think about those ads? Do any of your friends know what a dab actually is? Did you see this article on the seventh-grader getting expelled for pot in his locker? What do you think about that? \u003c/em>\u003c/p>\n\u003cp>Listen to what they say and discuss it. Don’t lecture, but be clear about your expectations, and your values around drugs and alcohol.\u003c/p>\n\u003cp>At every school where Being Adept is taught, Grellman offers a “Parents Night” where parents can learn how to navigate those conversations. Some are encouraged when Grellman tells them that seemingly taboo subjects should be aired:\u003c/p>\n\u003cp>“Don't hide Uncle Harry, who is the old drinker, you know? Don't be ashamed to talk. You talk about Uncle Harry all the time,” Grellman said.\u003c/p>\n\u003cp>“Because these kids need to know ‘If I have alcohol, it could be, like, I may have the alcoholic gene,’ ” she added. “It doesn't mean they're going to for sure, but they sure need a heads-up about that.”\u003c/p>\n\u003cp>The same approach can be used for mental illness: “You know, I have anxiety. Your father has this issue. So chances are you might be a little anxious at times, so how are you going to deal with this?”\u003c/p>\n\u003cp>But it’s not just what parents say, it’s what they do, according to Grellman. Children are always watching how their parents use substances.\u003c/p>\n\u003cp>“Don’t glamorize it,” she advised. “It doesn't mean you have to become a monk and never have a drop of alcohol, but please drink responsibly. Never use it for stress control.”\u003c/p>\n\u003cp>“This idea of coming home from the office and saying ‘I've got to have my glass of wine’ ... if you want to have your glass of wine, have your glass of wine, but don't announce it! That you're just at wit's end, and you have to have this drink. “\u003c/p>\n\u003cp>Grellman said the modeling part becomes tricky when kids ask parents about their past: Did \u003cem>you\u003c/em> party? What drugs did you use?\u003c/p>\n\u003cp>When she led the Parents Night in March at Marin Primary and Secondary, she advised the parents to get ready for that moment, and have answers prepared.\u003c/p>\n\u003cp>\u003cem>But what if we did party in high school?\u003c/em> Several parents ask. \u003cem>Should we lie?\u003c/em>\u003c/p>\n\u003cp>Absolutely not, Grellman said, because if a kid senses dishonesty or hypocrisy, they’ll shut down. The most important thing is to keep the conversations going. If your child knows they can talk to you, no matter what, they will create a \"safety plan” with you. They will reach out to you when trouble comes.\u003c/p>\n\u003cp>\u003cem>But what do we tell them then?\u003c/em> \u003cem>How can we be honest, without encouraging them?\u003c/em>\u003c/p>\n\u003cp>“You don't have to tell the full story,” Grellman said. “You could say: ‘You know, I did smoke and I did drink when I was 13.' And if you loved it, I don't know if I would advertise that.\u003c/p>\n\u003cp>“You could say, ‘I did smoke, or I did drink, when I was 13. And you know, frankly? It was too early for me, man. I made some stupid decisions and I got in trouble.’ You can give them the consequences of it.”\u003c/p>\n\u003cp>Afterward, parents said they felt relieved to have concrete suggestions about how to talk with their kids, and how much was OK to bring up.\u003c/p>\n\u003cp>“It's much more prevalent than it was when I was growing up in the '80s,” said Joseph Sullivan, a physician from Larkspur.\u003c/p>\n\u003cp>“This is a different time, and so it's nice to hear that we're almost given permission to be talking about these different aspects of drug experimentation at different ages,” he added.\u003c/p>\n\u003cp>His wife, Dr. Sara Sullivan, said she’s glad that the “Just Say No” paradigm is dead.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“Just to give the kids more information, I think, is such a different way to approach it and I really appreciate that. And we've kind of started to have conversations in our family because of that,” she explained. “To really kind of take that approach and not be like ‘You're kind of out there on your own.’ ”\u003c/p>\n\n","blocks":[],"excerpt":"Fear-based messages didn't work. Today's students are learning why waiting as long as possible can protect their growing brains. ","status":"publish","parent":0,"modified":1526764081,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":69,"wordCount":2428},"headData":{"title":"In the Land of Legal Weed, Drug Education Moves From ‘Don’t’ to ‘Delay’ | KQED","description":"Fear-based messages didn't work. Today's students are learning why waiting as long as possible can protect their growing brains. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"363545 https://ww2.kqed.org/stateofhealth/?p=363545","disqusUrl":"https://ww2.kqed.org/stateofhealth/2018/05/16/in-the-land-of-legal-weed-drug-education-moves-from-dont-to-delay/","disqusTitle":"In the Land of Legal Weed, Drug Education Moves From ‘Don’t’ to ‘Delay’","path":"/stateofhealth/363545/in-the-land-of-legal-weed-drug-education-moves-from-dont-to-delay","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/2018/05/FeibelPotEducation.mp3","audioDuration":null,"audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Californians legalized marijuana in 2016, with 57 percent of the vote. But the momentousness of that decision was somewhat lost in the drama of Donald Trump’s victory. Voters also had to wait over a year for full implementation, while state agencies crafted new regulations for quality, safety and marketing.\u003c/p>\n\u003cp>But the social significance of the vote finally burst into view this Jan. 1, when eager customers -- who had lined up in the darkness outside medical marijuana dispensaries across the state -- streamed through the doors at the stroke of midnight.\u003c/p>\n\u003cp>But the change hasn’t been confined to the cannabis cash register. Everyone has seen the advertising or heard the chatter -- and that includes minors, although marijuana remains illegal for those under 21.\u003c/p>\n\u003cp>“Coming out of SFO airport, there are billboards for \u003ca href=\"https://www.eaze.com/\" target=\"_blank\" rel=\"noopener\">Eaze\u003c/a> that say ‘Marijuana is here,’ ” said \u003ca href=\"http://profiles.ucsf.edu/danielle.ramo-larios\" target=\"_blank\" rel=\"noopener\">Danielle Ramo\u003c/a>, a psychologist who conducts research at UCSF on adolescent drug use.\u003c/p>\n\u003cp>“I'm not sure parents were expecting to see so many images of cannabis all over,” she said.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>Public schools in California are required by law to provide anti-drug abuse education, although experts say the quality of the instruction varies widely from district to district, and there’s little enforcement.\u003c/p>\n\u003cp>I was curious to know how marijuana legalization was being discussed in schools, so I embedded with \u003ca href=\"http://livingadept.org/beingadept/\" target=\"_blank\" rel=\"noopener\">Being Adept\u003c/a>, an evidence-based curriculum that has been used in about 20 schools in the Bay Area.\u003c/p>\n\u003cp>To my surprise, I discovered that the rollout of legal recreational marijuana in California and other states hasn’t led to any big changes in substance abuse prevention. Drug educators have always covered both legal substances (alcohol, tobacco, prescription drugs) and illicit ones (pot, ecstasy, cocaine, LSD, heroin, meth … ). Students have accessed, and abused, both categories of drugs for decades.\u003c/p>\n\u003cp>But I was more struck by the evolution of drug education since the 1980s. Today, drug abuse education is an advanced pedagogy, drawing on decades of rigorous effectiveness research and the newest teaching techniques.\u003c/p>\n\u003cp>The “Just Say No” approach, popularized by Nancy Reagan, has been discredited. The PSAs that Gen-Xers may remember -- the egg in a frying pan (“\u003ca href=\"https://www.youtube.com/watch?v=GOnENVylxPI\" target=\"_blank\" rel=\"noopener\">this is your brain on drugs\u003c/a>”), or the boy calling out his dad’s drug use (“\u003ca href=\"https://www.youtube.com/watch?v=MkxCcXHwRkk\" target=\"_blank\" rel=\"noopener\">I learned it by watching you!\u003c/a>”) -- live on as memes, but they’re no longer used as messages.\u003c/p>\n\u003cp>“Those scare-tactic-based programs have tended to quite clearly not work, based on most of the research that evaluated its effectiveness,” Ramo said. “Today there is an entirely different mindset about school-based prevention.”\u003c/p>\n\u003cp>In a nutshell, the focus now is on facts, not fear. Also conspicuously absent are simplistic dictates like “just say no.” Instead, teachers spur students to examine data, speculate on motives, discuss risks, and deliberate on their own goals and values.\u003c/p>\n\u003cp>Ashley Brady, a Being Adept instructor, was completely open about her method when she stood in front of the eighth-graders at Marin Primary and Middle School, a private school in Larkspur.\u003c/p>\n\u003cp>“I'm not here to tell you what to do today. Not at all,” she began. “I'm here to give you the most up-to-date information possible so that you can make your own healthy, informed decisions.”\u003c/p>\n\u003cp>Brady then jump-started a fast-paced, fact-filled discussion on brain chemistry and physiology. There was an animated video about how marijuana affects dopamine pathways in the brain. Then a discussion about marijuana “edibles” and how they are metabolized by the liver.\u003c/p>\n\u003cp>“It can take up to 30 minutes to maybe even an hour or two before it really hits you,” she said. “When somebody eats an edible and they don't really feel the effects, what do you think happens?”\u003c/p>\n\u003cp>“They eat more!” a student called out.\u003c/p>\n\u003cp>“They eat more,” Brady nodded. “Yeah, an hour, an hour and a half later? Boom! Like a freight train, they've been hit, and, you know, can barely move or can barely talk. That kind of thing. So they may have to go to the hospital.”\u003c/p>\n\u003cp>True, that sounds a \u003cem>little\u003c/em> scary, but it’s presented neutrally, as a consequence at the end of a sequence of decisions.\u003c/p>\n\u003cfigure id=\"attachment_363549\" class=\"wp-caption alignnone\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-363549\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2018/05/IMG_8238-e1526427780998-800x1067.jpg\" alt=\"\" width=\"800\" height=\"1067\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2018/05/IMG_8238-e1526427780998-800x1067.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2018/05/IMG_8238-e1526427780998-160x213.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2018/05/IMG_8238-e1526427780998-768x1024.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2018/05/IMG_8238-e1526427780998-1020x1360.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2018/05/IMG_8238-e1526427780998-900x1200.jpg 900w, https://ww2.kqed.org/app/uploads/sites/27/2018/05/IMG_8238-e1526427780998-1180x1573.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2018/05/IMG_8238-e1526427780998-960x1280.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2018/05/IMG_8238-e1526427780998-240x320.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2018/05/IMG_8238-e1526427780998-375x500.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2018/05/IMG_8238-e1526427780998-520x693.jpg 520w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Ashley Brady explains the increase over time in marijuana potency to a class of eighth-graders at Marin Primary and Secondary School in Larkspur. \u003ccite>(KQED/Carrie Feibel)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Where the legalization of the marijuana industry \u003cem>has\u003c/em> affected the content of these lessons is on the subject of potency. Brady tells the students that legalization has spurred competition and innovation among suppliers, to the point where they’re now churning out extremely potent and precisely calibrated forms of pot called “concentrates,” which comes in various forms.\u003c/p>\n\u003cp>Brady runs through their names: oil, bubble, shatter, wax and dabs.\u003c/p>\n\u003cp>“They call it a ‘dab’ because one tiny little nail head [of it] -- I mean I'm talking like the end of my pinky -- one tiny little nail head is the same as three joints hitting the system all at once. So it’s a lot stronger than it used to be.”\u003c/p>\n\u003cp>Tests of THC levels in marijuana samples over the years back this up. Whereas a typical joint in the '70s probably had a THC level of 4-5 percent, at best, growers are now breeding strains of cannabis that produce buds with THC levels as high as 20-30 percent.\u003c/p>\n\u003cp>But the concentrates are in another category altogether. Processed concentrates sold at dispensaries now regularly test at 80, even 90 percent.\u003c/p>\n\u003cp>“It's not the same drug,” Brady tells them. People sometimes vomit from concentrates. Some people hallucinate and have even become psychotic.\u003c/p>\n\u003cp>And yes, she adds, it can be addictive. Not just psychologically, but physically. People do go into THC withdrawal and do go to rehab for pot addiction.\u003c/p>\n\u003cp>Still, as she describes the transformation of marijuana from a relatively mild intoxicant to a potentially debilitating one, Brady never once says “that’s why you shouldn’t” or even “so please be careful.”\u003c/p>\n\u003cp>Afterward, the students applauded this approach.\u003c/p>\n\u003cp>“It made you feel more mature, and that you're in control,\" said Devon Soofer, 13. “This [class] was actually telling you the long-term effects and what it can actually do to you. So it actually made you feel like ‘Wow, this is actually really bad,’ and not just being \u003cem>forced\u003c/em> not to do it.”\u003c/p>\n\u003cp>Later units in the Being Adept curriculum give students concrete tools: They rehearse what to do or say at parties, and talk about better ways to cope than using cannabis -- or any substance.\u003c/p>\n\u003cp>Ramo, who serves as a scientific advisor to Being Adept, decried “the overwhelming stress, anxiety, depression, suicidality that is so pervasive among teens in the United States today, especially in high-intensity educational areas, like a lot of schools in the Bay Area are.”\u003c/p>\n\u003cp>“Addressing that problem is key,” she added, as is “having teens come up with solutions to manage their stress, that they actually would use.”\u003c/p>\n\u003cp>\u003cstrong>“Delay, Delay, Delay” \u003c/strong>\u003c/p>\n\u003cp>So if drug educators aren’t telling students “Don’t!” anymore, what exactly are they telling them to \u003cem>do\u003c/em>? As I observed, they’re not overtly telling them to do anything, because teens are naturally resistant to the authoritarian approach -- and some of them may resist to the point of doing the opposite.\u003c/p>\n\u003cp>The underlying goal of drug education remains the same as before: keep children safe. The dangers of intoxicated driving, sexual assault, academic or athletic failure, social humiliation, social media embarrassment -- all of these do come up in the lessons.\u003c/p>\n\u003cp>But the instructors put a special emphasis on a less visible risk: the potential damage to their brains. And the science backs them up.\u003c/p>\n\u003cp>“More research is coming out looking at the ways in which all different kinds of substances can hijack normal brain functioning, and particularly so in adolescence,” Danielle Ramo explained.\u003c/p>\n\u003cp>“In heavily cannabis-using teens, there are some particularly important implications of using cannabis on the frontal lobe, and that interrupts a type of thinking called ‘executive functioning.’ ”\u003c/p>\n\u003cp>Also worrisome is a substantial body of research showing that using any potentially addictive substance while the brain is still developing -- whether alcohol, marijuana, nicotine, or other drug -- triggers neurological changes that can lead to addiction.\u003c/p>\n\u003cp>“The earlier teens start using, the more heavily they use in adolescence, the more likely it is that they'll go on to have problems throughout their adulthood,” said Ramo.\u003c/p>\n\u003cp>Being Adept instructors don’t say it outright, but the message is clear: If you’re not going to abstain, just push it off for a while. \u003cem>Your brain is too vulnerable right now.\u003c/em>\u003c/p>\n\u003cp>Jennifer Grellman, a \u003ca href=\"http://www.jennifergrellman.com/index.html\" target=\"_blank\" rel=\"noopener\">psychotherapist\u003c/a> in Kentfield and the founder of Being Adept, sums up the strategy in three words, just like the “Just Say No” campaign: “Delay, delay, delay.”\u003c/p>\n\u003cp>“The way to handle that with your kids is to say: ‘You know, you don't have to use this now. Maybe you want to use it someday, but not today, not now. It will always be there.’ Just tell them to \u003cem>wait\u003c/em>.”\u003c/p>\n\u003cp>Grellman said that advice may be more palatable for some teens, and therefore easier for parents to deliver.\u003c/p>\n\u003cp>They’re not forbidding something (and possibly making it more enticing). They’re not saying “never.”\u003c/p>\n\u003cp>\u003cstrong>The Role of Parents\u003c/strong>\u003c/p>\n\u003cp>Grellman said parents should talk about drugs and alcohol with their kids often -- as early as fourth grade. Use the new billboards or marijuana ads as an excuse to bring up the topic. Broach the subject obliquely: \u003cem>What do people at your school think about those ads? Do any of your friends know what a dab actually is? Did you see this article on the seventh-grader getting expelled for pot in his locker? What do you think about that? \u003c/em>\u003c/p>\n\u003cp>Listen to what they say and discuss it. Don’t lecture, but be clear about your expectations, and your values around drugs and alcohol.\u003c/p>\n\u003cp>At every school where Being Adept is taught, Grellman offers a “Parents Night” where parents can learn how to navigate those conversations. Some are encouraged when Grellman tells them that seemingly taboo subjects should be aired:\u003c/p>\n\u003cp>“Don't hide Uncle Harry, who is the old drinker, you know? Don't be ashamed to talk. You talk about Uncle Harry all the time,” Grellman said.\u003c/p>\n\u003cp>“Because these kids need to know ‘If I have alcohol, it could be, like, I may have the alcoholic gene,’ ” she added. “It doesn't mean they're going to for sure, but they sure need a heads-up about that.”\u003c/p>\n\u003cp>The same approach can be used for mental illness: “You know, I have anxiety. Your father has this issue. So chances are you might be a little anxious at times, so how are you going to deal with this?”\u003c/p>\n\u003cp>But it’s not just what parents say, it’s what they do, according to Grellman. Children are always watching how their parents use substances.\u003c/p>\n\u003cp>“Don’t glamorize it,” she advised. “It doesn't mean you have to become a monk and never have a drop of alcohol, but please drink responsibly. Never use it for stress control.”\u003c/p>\n\u003cp>“This idea of coming home from the office and saying ‘I've got to have my glass of wine’ ... if you want to have your glass of wine, have your glass of wine, but don't announce it! That you're just at wit's end, and you have to have this drink. “\u003c/p>\n\u003cp>Grellman said the modeling part becomes tricky when kids ask parents about their past: Did \u003cem>you\u003c/em> party? What drugs did you use?\u003c/p>\n\u003cp>When she led the Parents Night in March at Marin Primary and Secondary, she advised the parents to get ready for that moment, and have answers prepared.\u003c/p>\n\u003cp>\u003cem>But what if we did party in high school?\u003c/em> Several parents ask. \u003cem>Should we lie?\u003c/em>\u003c/p>\n\u003cp>Absolutely not, Grellman said, because if a kid senses dishonesty or hypocrisy, they’ll shut down. The most important thing is to keep the conversations going. If your child knows they can talk to you, no matter what, they will create a \"safety plan” with you. They will reach out to you when trouble comes.\u003c/p>\n\u003cp>\u003cem>But what do we tell them then?\u003c/em> \u003cem>How can we be honest, without encouraging them?\u003c/em>\u003c/p>\n\u003cp>“You don't have to tell the full story,” Grellman said. “You could say: ‘You know, I did smoke and I did drink when I was 13.' And if you loved it, I don't know if I would advertise that.\u003c/p>\n\u003cp>“You could say, ‘I did smoke, or I did drink, when I was 13. And you know, frankly? It was too early for me, man. I made some stupid decisions and I got in trouble.’ You can give them the consequences of it.”\u003c/p>\n\u003cp>Afterward, parents said they felt relieved to have concrete suggestions about how to talk with their kids, and how much was OK to bring up.\u003c/p>\n\u003cp>“It's much more prevalent than it was when I was growing up in the '80s,” said Joseph Sullivan, a physician from Larkspur.\u003c/p>\n\u003cp>“This is a different time, and so it's nice to hear that we're almost given permission to be talking about these different aspects of drug experimentation at different ages,” he added.\u003c/p>\n\u003cp>His wife, Dr. Sara Sullivan, said she’s glad that the “Just Say No” paradigm is dead.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Just to give the kids more information, I think, is such a different way to approach it and I really appreciate that. And we've kind of started to have conversations in our family because of that,” she explained. “To really kind of take that approach and not be like ‘You're kind of out there on your own.’ ”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/363545/in-the-land-of-legal-weed-drug-education-moves-from-dont-to-delay","authors":["11314"],"categories":["stateofhealth_12","stateofhealth_1"],"tags":["stateofhealth_643","stateofhealth_3247","stateofhealth_2808","stateofhealth_3248","stateofhealth_2519","stateofhealth_3222","stateofhealth_3246"],"featImg":"stateofhealth_363550","label":"stateofhealth"},"stateofhealth_363009":{"type":"posts","id":"stateofhealth_363009","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"363009","score":null,"sort":[1521633630000]},"guestAuthors":[],"slug":"couples-therapists-dish-on-their-own-relationships","title":"Couples’ Therapists Dish on Their Own Relationships","publishDate":1521633630,"format":"audio","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>Do you ever wonder what your couples’ therapist's own marriage is like? Do they fight over silly stuff, like the rest of us?\u003c/p>\n\u003cp>Harville Hendrix and Helen Hunt have been married for more than 30 years. They work as a \u003ca href=\"http://harvilleandhelen.com/\" target=\"_blank\" rel=\"noopener\">therapeutic team\u003c/a> and, now that their six kids are grown, they’ve been traveling the country teaching a course called \u003ca href=\"https://relationshipsfirst.org/\" target=\"_blank\" rel=\"noopener\">Safe Conversations\u003c/a>.\u003c/p>\n\u003cp>“Talking is the most dangerous thing people do,” Hendrix said during their presentation at a \u003ca href=\"https://lifespanlearn.org/conferences\" target=\"_blank\" rel=\"noopener\">couples’ counseling conference\u003c/a> in Los Angeles. “Listening is the most infrequent.”\u003c/p>\n\u003cp>Instead of calling their work therapy, they prefer “relationship education.” They teach people to look in each others’ eyes and take three deep breaths before talking. And to say things like, “Is now a good time to give you an appreciation?”\u003c/p>\n\u003cp>When they ask the audience in LA to find a partner and try this, people are \u003cem>into\u003c/em> it. It’s a room full of 500 couples’ therapists after all. But Hunt says they do get pushback when they try it with churches at home in Dallas.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“Most people think, ‘Oh well, it’s easy for Harville and Helen to talk about it, but they’re not married to a jerk. I’m married to a jerk,’” Hunt said. “That stuff’s never going to work on my marriage.”\u003c/p>\n\u003cp>But Hunt says, she and Hendrix could be jerks, too. For years, they were on the brink of divorce. They griped at each other all the time.\u003c/p>\n\u003cp>They sat on a panel together at the conference with four other couples, all in the relationship therapy business, talking about how they managed to turn things around.\u003c/p>\n\u003cp>“What we finally decided to do was Go Zero Negative,” said Hendrix, quoting one of the catch-phrases from their presentation.\u003c/p>\n\u003cp>“We ended the offhand comments like ‘What? Where’d you get an idea like that?’ Or the stare – like, ‘how could you possibly?’” he said. “And what we discovered was that put downs are endemic in human conversation. I didn’t know that we were being so – like everybody else.”\u003c/p>\n\u003cp>Stopping the negativity is just the start, Hendrix said. Couples have to say nice things to each other, too.\u003c/p>\n\u003cp>“It’s like a garden,” he said. “You can get the weeds out of the garden, you still don’t get any tomatoes. You have to put stuff in.”\u003c/p>\n\u003cp>A lot of therapists laugh when people say, “you must never fight with your spouse.” Psychologist Stan Tatkin and his wife run a therapy institute near LA called the \u003ca href=\"https://thepactinstitute.com/\" target=\"_blank\" rel=\"noopener\">Psychobiological Approach to Couples Therapy (PACT) Institute\u003c/a>.\u003c/p>\n\u003cp>“My daughter will say, “you’re a so-called relationship expert, do you really want to be doing \u003cem>that\u003c/em>?” said Tatkin, his wife sitting next to him on the panel.\u003c/p>\n\u003cp>“That,” for Tatkin, means acting like a three-year old when he’s angry. Getting irritable over his wife’s driving, or generally, taking her for granted.\u003c/p>\n\u003cp>“The patients that I work with are also inspiring to me. And many times I sit through a session and think, ‘I’m going to go home and apologize,’” he said.\u003c/p>\n\u003cp>He and his wife do have fights, he said, but the key is to resolve them quickly. Don’t let things fester.\u003c/p>\n\u003cp>\u003ca href=\"http://drmarionsolomon.com/\" target=\"_blank\" rel=\"noopener\">Marion Solomon\u003c/a>, a psychologist who sees couples in West Hollywood, said she learned from watching her patients \u003cem>what\u003c/em> to fight about.\u003c/p>\n\u003cp>“They argue about things like what restaurant to go to for dinner,” she said. “And after they’ve finished arguing and they agree on it, they argue about ‘How do we get there? What route do we take?’”\u003c/p>\n\u003cp>She studied attachment theory, and learned that people aren’t really fighting over those little things. They’re stuck in dynamics they had with their mother or father that they’ve recreated with their partner.\u003c/p>\n\u003cp>Solomon learned to control her reactions when the little things didn’t matter. If something was really important to her husband and not a big deal to her, she gave in. He did the same for her.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“If your partner is under stress, that’s the time to get strong and to get my cortex in line and say I can’t be upset when he’s upset,” she said. In other words, “a good marriage is a partnership where only one partner goes crazy at a time.”\u003c/p>\n\n","blocks":[],"excerpt":"A panel of marriage counselors talk about how their relationships affect their work, and how their work affects their relationships. ","status":"publish","parent":0,"modified":1521674799,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":24,"wordCount":800},"headData":{"title":"Couples’ Therapists Dish on Their Own Relationships | KQED","description":"A panel of marriage counselors talk about how their relationships affect their work, and how their work affects their relationships. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"363009 https://ww2.kqed.org/stateofhealth/?p=363009","disqusUrl":"https://ww2.kqed.org/stateofhealth/2018/03/21/couples-therapists-dish-on-their-own-relationships/","disqusTitle":"Couples’ Therapists Dish on Their Own Relationships","audioUrl":"https://www.kqed.org/.stream/anon/radio/RDnews/2018/03/DemboskyCouplesConference.mp3","path":"/stateofhealth/363009/couples-therapists-dish-on-their-own-relationships","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Do you ever wonder what your couples’ therapist's own marriage is like? Do they fight over silly stuff, like the rest of us?\u003c/p>\n\u003cp>Harville Hendrix and Helen Hunt have been married for more than 30 years. They work as a \u003ca href=\"http://harvilleandhelen.com/\" target=\"_blank\" rel=\"noopener\">therapeutic team\u003c/a> and, now that their six kids are grown, they’ve been traveling the country teaching a course called \u003ca href=\"https://relationshipsfirst.org/\" target=\"_blank\" rel=\"noopener\">Safe Conversations\u003c/a>.\u003c/p>\n\u003cp>“Talking is the most dangerous thing people do,” Hendrix said during their presentation at a \u003ca href=\"https://lifespanlearn.org/conferences\" target=\"_blank\" rel=\"noopener\">couples’ counseling conference\u003c/a> in Los Angeles. “Listening is the most infrequent.”\u003c/p>\n\u003cp>Instead of calling their work therapy, they prefer “relationship education.” They teach people to look in each others’ eyes and take three deep breaths before talking. And to say things like, “Is now a good time to give you an appreciation?”\u003c/p>\n\u003cp>When they ask the audience in LA to find a partner and try this, people are \u003cem>into\u003c/em> it. It’s a room full of 500 couples’ therapists after all. But Hunt says they do get pushback when they try it with churches at home in Dallas.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Most people think, ‘Oh well, it’s easy for Harville and Helen to talk about it, but they’re not married to a jerk. I’m married to a jerk,’” Hunt said. “That stuff’s never going to work on my marriage.”\u003c/p>\n\u003cp>But Hunt says, she and Hendrix could be jerks, too. For years, they were on the brink of divorce. They griped at each other all the time.\u003c/p>\n\u003cp>They sat on a panel together at the conference with four other couples, all in the relationship therapy business, talking about how they managed to turn things around.\u003c/p>\n\u003cp>“What we finally decided to do was Go Zero Negative,” said Hendrix, quoting one of the catch-phrases from their presentation.\u003c/p>\n\u003cp>“We ended the offhand comments like ‘What? Where’d you get an idea like that?’ Or the stare – like, ‘how could you possibly?’” he said. “And what we discovered was that put downs are endemic in human conversation. I didn’t know that we were being so – like everybody else.”\u003c/p>\n\u003cp>Stopping the negativity is just the start, Hendrix said. Couples have to say nice things to each other, too.\u003c/p>\n\u003cp>“It’s like a garden,” he said. “You can get the weeds out of the garden, you still don’t get any tomatoes. You have to put stuff in.”\u003c/p>\n\u003cp>A lot of therapists laugh when people say, “you must never fight with your spouse.” Psychologist Stan Tatkin and his wife run a therapy institute near LA called the \u003ca href=\"https://thepactinstitute.com/\" target=\"_blank\" rel=\"noopener\">Psychobiological Approach to Couples Therapy (PACT) Institute\u003c/a>.\u003c/p>\n\u003cp>“My daughter will say, “you’re a so-called relationship expert, do you really want to be doing \u003cem>that\u003c/em>?” said Tatkin, his wife sitting next to him on the panel.\u003c/p>\n\u003cp>“That,” for Tatkin, means acting like a three-year old when he’s angry. Getting irritable over his wife’s driving, or generally, taking her for granted.\u003c/p>\n\u003cp>“The patients that I work with are also inspiring to me. And many times I sit through a session and think, ‘I’m going to go home and apologize,’” he said.\u003c/p>\n\u003cp>He and his wife do have fights, he said, but the key is to resolve them quickly. Don’t let things fester.\u003c/p>\n\u003cp>\u003ca href=\"http://drmarionsolomon.com/\" target=\"_blank\" rel=\"noopener\">Marion Solomon\u003c/a>, a psychologist who sees couples in West Hollywood, said she learned from watching her patients \u003cem>what\u003c/em> to fight about.\u003c/p>\n\u003cp>“They argue about things like what restaurant to go to for dinner,” she said. “And after they’ve finished arguing and they agree on it, they argue about ‘How do we get there? What route do we take?’”\u003c/p>\n\u003cp>She studied attachment theory, and learned that people aren’t really fighting over those little things. They’re stuck in dynamics they had with their mother or father that they’ve recreated with their partner.\u003c/p>\n\u003cp>Solomon learned to control her reactions when the little things didn’t matter. If something was really important to her husband and not a big deal to her, she gave in. He did the same for her.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“If your partner is under stress, that’s the time to get strong and to get my cortex in line and say I can’t be upset when he’s upset,” she said. In other words, “a good marriage is a partnership where only one partner goes crazy at a time.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/363009/couples-therapists-dish-on-their-own-relationships","authors":["3205"],"categories":["stateofhealth_11","stateofhealth_12","stateofhealth_3012","stateofhealth_1"],"tags":["stateofhealth_3234","stateofhealth_3232","stateofhealth_2808","stateofhealth_2519","stateofhealth_3233"],"featImg":"stateofhealth_363013","label":"stateofhealth"},"stateofhealth_362041":{"type":"posts","id":"stateofhealth_362041","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"362041","score":null,"sort":[1511272853000]},"guestAuthors":[],"slug":"wrecked-and-retching-obscure-vomiting-illness-linked-to-long-term-pot-use","title":"Wrecked And Retching: Obscure Vomiting Illness Linked To Long-Term Pot Use","publishDate":1511272853,"format":"standard","headTitle":"California Healthline | State of Health | KQED News","labelTerm":{"term":3036,"site":"stateofhealth"},"content":"\u003cp>For 17 years, Chalfonte LeNee Queen suffered periodic episodes of violent retching and abdominal pain that would knock her off her feet for days, sometimes leaving her writhing on the floor in pain.\u003c/p>\n\u003cp>“I’ve screamed out for death,” said Queen, 48, who lives in San Diego. “I’ve cried out for my mom who’s been dead for 20 years, mentally not realizing she can’t come to me.”\u003c/p>\n\u003cp>Queen lost a modeling job after being mistaken for an alcoholic. She racked up tens of thousands of dollars in medical bills, and her nausea interrupted her sex life. Toward the end of her illness, Queen, who stands 5-foot-9, weighed in at a frail 109 pounds.\u003c/p>\n\u003cp>Throughout the nearly two decades of pain, vomiting and mental fog, she visited the hospital about three times a year, but doctors never got to the bottom of what was ailing her. By 2016, she thought she was dying, that she “must have some sort of cancer or something they can’t detect,” Queen said.\u003c/p>\n\u003cp>But she didn’t have cancer. She had an obscure syndrome called \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3576702/\">cannabinoid hyperemesis syndrome\u003c/a>, a condition only recently acknowledged by the medical community. It affects a small population — namely, a subset of marijuana users who smoke multiple times a day for months, years or even decades.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>There’s no hard data on the prevalence of the illness. But in California and Colorado, which have loosened marijuana laws in recent years, emergency physicians say they’re seeing it more often. One \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4469074/\">study\u003c/a> in Colorado suggests there may be a link.\u003c/p>\n\u003cp>Dr. Aimee Moulin, an emergency room physician at UC-Davis Medical Center in Sacramento, said she has seen a rise in the number of cases since California voters legalized recreational marijuana last November. She expects to see another increase after commercial sales are permitted starting in January.\u003c/p>\n\u003cp>Doctors say it’s difficult to treat the condition. There is no cure other than to quit using marijuana, and many patients are skeptical that cannabis is making them sick, so they keep using it and their vomiting episodes continue.\u003c/p>\n\u003cp>Doctors can do little to relieve the symptoms, since traditional anti-nausea medications often don’t work and there are no pills to prevent the onset of an episode. Patients may need intravenous hydration and hospital stays until the symptoms subside.\u003c/p>\n\u003cp>“That’s really frustrating as an emergency physician,” said Moulin. “I really like to make people feel better.”\u003c/p>\n\u003cp>Diagnosing the syndrome can also be frustrating — and expensive. There is no blood test to link the stomach ailment with marijuana use, so physicians often order pricey CT scans and lab tests to rule out other medical problems.\u003c/p>\n\u003cp>Cannabinoid hyperemesis syndrome was \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1774264/\">first documented in Australia\u003c/a> in 2004. Physicians have historically misdiagnosed it as the more generic \u003ca href=\"https://www.mayoclinic.org/diseases-conditions/cyclic-vomiting-syndrome/symptoms-causes/syc-20352161\">cyclic vomiting syndrome\u003c/a>, which has no identifiable cause or, as in Queen’s case, \u003ca href=\"http://www.porphyriafoundation.com/about-porphyria/types-of-porphyria/AIP\">acute intermittent porphyria (AIP)\u003c/a>.\u003c/p>\n\u003cp>“Five years ago, this wasn’t something that [doctors] had on their radar,” said Dr. Kennon Heard, an emergency physician at the University of Colorado in Aurora, who co-authored the Colorado study showing a possible tie between the liberalization of marijuana and a surge of the vomiting illness. “We’re at least making the diagnosis more now.”\u003c/p>\n\u003cp>One surefire sign of the illness is when patients find relief in hot showers and baths. Queen said she would vomit repeatedly unless she was in a hot shower — so she’d stay in there for hours. Toxicologists say the heat may distract the brain from pain receptors in the abdomen but, like the syndrome itself, that phenomenon is \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3751385/\">not well understood\u003c/a>.\u003c/p>\n\u003cp>The exact cause of the condition is still a mystery. Toxicologists say the chemical compounds in marijuana may throw off the normal function of the body’s \u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed/18426493\">cannabinoid receptors\u003c/a>, which help regulate the nervous system.\u003c/p>\n\u003cp>Some people may be genetically predisposed to the syndrome, or marijuana’s potency or chemical makeup may have changed over time, said Dr. Craig Smollin, medical director of the San Francisco division of the California Poison Control System, who also works as an emergency physician at Zuckerberg San Francisco General Hospital.\u003c/p>\n\u003cp>The vomiting link to cannabis is counterintuitive to many, because of its widely known reputation as an anti-nausea remedy for cancer patients.\u003c/p>\n\u003cp>“A lot of times, people just don’t believe you,” said Dr. John Coburn, an emergency physician at Kaiser Permanente in south Sacramento. Even after being told that quitting may help, some patients will visit the hospital multiple times before they stop smoking marijuana, Coburn said. “I can’t really tell you why. I mean, why do people ride motorcycles without helmets on?”\u003c/p>\n\u003cp>Cameron Nicole Beard, 19, of East Moline, Ill., said she struggled to believe her doctors about the link between pot and severe vomiting.\u003c/p>\n\u003cp>“Who wants to be told you can’t smoke marijuana, when you think marijuana can help?” said Beard, while recovering from a marijuana-related vomiting episode at a University of Iowa hospital in Iowa City, Iowa, last month. She said she had lost 20 pounds in 10 days.\u003c/p>\n\u003cp>Although there’s still no magic cure for a patient’s marijuana-related hyperemesis, Moulin and other doctors say \u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed/28370228\">they’re getting better at treating\u003c/a> the symptoms, using old anti-psychotic medications and cream for muscle aches.\u003c/p>\n\u003cp>Dr. Heard said the cases in Colorado seem to have leveled off. But without hard data, and because the overall numbers are small, it’s hard to say for sure. Heard said he doesn’t believe cases of the pot syndrome increased after recreational use was legalized in 2012, because chronic users probably already had medical marijuana cards.\u003c/p>\n\u003cp>Chalfonte LeNee Queen is still struggling to completely quit marijuana, but her symptoms are down to a dull stomachache. She now smokes a couple of times a day, compared with her near-constant use in the past. She said it’s the only thing that works for her depression and anxiety.\u003c/p>\n\u003cp>Queen is back to a healthy weight and hasn’t been to the hospital in a year. She said she wouldn’t want to discourage anybody from smoking weed; she just wants people to know heavy use can bring them some serious misery.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“Now, if I get sick, as sad as I’ll be and as upset and disappointed with myself as I would be, at least it’s a freaking choice,” she said.\u003c/p>\n\n","blocks":[],"excerpt":"Doctors have only recently begun to acknowledge cannabinoid hyperemesis, an obscure syndrome that can strike heavy pot smokers. ","status":"publish","parent":0,"modified":1511894202,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":27,"wordCount":1127},"headData":{"title":"Wrecked And Retching: Obscure Vomiting Illness Linked To Long-Term Pot Use | KQED","description":"Doctors have only recently begun to acknowledge cannabinoid hyperemesis, an obscure syndrome that can strike heavy pot smokers. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"362041 https://ww2.kqed.org/stateofhealth/?p=362041","disqusUrl":"https://ww2.kqed.org/stateofhealth/2017/11/21/wrecked-and-retching-obscure-vomiting-illness-linked-to-long-term-pot-use/","disqusTitle":"Wrecked And Retching: Obscure Vomiting Illness Linked To Long-Term Pot Use","nprByline":"\u003cstrong>Pauline Bartolone\u003c/strong>, California Healthline","path":"/stateofhealth/362041/wrecked-and-retching-obscure-vomiting-illness-linked-to-long-term-pot-use","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>For 17 years, Chalfonte LeNee Queen suffered periodic episodes of violent retching and abdominal pain that would knock her off her feet for days, sometimes leaving her writhing on the floor in pain.\u003c/p>\n\u003cp>“I’ve screamed out for death,” said Queen, 48, who lives in San Diego. “I’ve cried out for my mom who’s been dead for 20 years, mentally not realizing she can’t come to me.”\u003c/p>\n\u003cp>Queen lost a modeling job after being mistaken for an alcoholic. She racked up tens of thousands of dollars in medical bills, and her nausea interrupted her sex life. Toward the end of her illness, Queen, who stands 5-foot-9, weighed in at a frail 109 pounds.\u003c/p>\n\u003cp>Throughout the nearly two decades of pain, vomiting and mental fog, she visited the hospital about three times a year, but doctors never got to the bottom of what was ailing her. By 2016, she thought she was dying, that she “must have some sort of cancer or something they can’t detect,” Queen said.\u003c/p>\n\u003cp>But she didn’t have cancer. She had an obscure syndrome called \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3576702/\">cannabinoid hyperemesis syndrome\u003c/a>, a condition only recently acknowledged by the medical community. It affects a small population — namely, a subset of marijuana users who smoke multiple times a day for months, years or even decades.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>There’s no hard data on the prevalence of the illness. But in California and Colorado, which have loosened marijuana laws in recent years, emergency physicians say they’re seeing it more often. One \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4469074/\">study\u003c/a> in Colorado suggests there may be a link.\u003c/p>\n\u003cp>Dr. Aimee Moulin, an emergency room physician at UC-Davis Medical Center in Sacramento, said she has seen a rise in the number of cases since California voters legalized recreational marijuana last November. She expects to see another increase after commercial sales are permitted starting in January.\u003c/p>\n\u003cp>Doctors say it’s difficult to treat the condition. There is no cure other than to quit using marijuana, and many patients are skeptical that cannabis is making them sick, so they keep using it and their vomiting episodes continue.\u003c/p>\n\u003cp>Doctors can do little to relieve the symptoms, since traditional anti-nausea medications often don’t work and there are no pills to prevent the onset of an episode. Patients may need intravenous hydration and hospital stays until the symptoms subside.\u003c/p>\n\u003cp>“That’s really frustrating as an emergency physician,” said Moulin. “I really like to make people feel better.”\u003c/p>\n\u003cp>Diagnosing the syndrome can also be frustrating — and expensive. There is no blood test to link the stomach ailment with marijuana use, so physicians often order pricey CT scans and lab tests to rule out other medical problems.\u003c/p>\n\u003cp>Cannabinoid hyperemesis syndrome was \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1774264/\">first documented in Australia\u003c/a> in 2004. Physicians have historically misdiagnosed it as the more generic \u003ca href=\"https://www.mayoclinic.org/diseases-conditions/cyclic-vomiting-syndrome/symptoms-causes/syc-20352161\">cyclic vomiting syndrome\u003c/a>, which has no identifiable cause or, as in Queen’s case, \u003ca href=\"http://www.porphyriafoundation.com/about-porphyria/types-of-porphyria/AIP\">acute intermittent porphyria (AIP)\u003c/a>.\u003c/p>\n\u003cp>“Five years ago, this wasn’t something that [doctors] had on their radar,” said Dr. Kennon Heard, an emergency physician at the University of Colorado in Aurora, who co-authored the Colorado study showing a possible tie between the liberalization of marijuana and a surge of the vomiting illness. “We’re at least making the diagnosis more now.”\u003c/p>\n\u003cp>One surefire sign of the illness is when patients find relief in hot showers and baths. Queen said she would vomit repeatedly unless she was in a hot shower — so she’d stay in there for hours. Toxicologists say the heat may distract the brain from pain receptors in the abdomen but, like the syndrome itself, that phenomenon is \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3751385/\">not well understood\u003c/a>.\u003c/p>\n\u003cp>The exact cause of the condition is still a mystery. Toxicologists say the chemical compounds in marijuana may throw off the normal function of the body’s \u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed/18426493\">cannabinoid receptors\u003c/a>, which help regulate the nervous system.\u003c/p>\n\u003cp>Some people may be genetically predisposed to the syndrome, or marijuana’s potency or chemical makeup may have changed over time, said Dr. Craig Smollin, medical director of the San Francisco division of the California Poison Control System, who also works as an emergency physician at Zuckerberg San Francisco General Hospital.\u003c/p>\n\u003cp>The vomiting link to cannabis is counterintuitive to many, because of its widely known reputation as an anti-nausea remedy for cancer patients.\u003c/p>\n\u003cp>“A lot of times, people just don’t believe you,” said Dr. John Coburn, an emergency physician at Kaiser Permanente in south Sacramento. Even after being told that quitting may help, some patients will visit the hospital multiple times before they stop smoking marijuana, Coburn said. “I can’t really tell you why. I mean, why do people ride motorcycles without helmets on?”\u003c/p>\n\u003cp>Cameron Nicole Beard, 19, of East Moline, Ill., said she struggled to believe her doctors about the link between pot and severe vomiting.\u003c/p>\n\u003cp>“Who wants to be told you can’t smoke marijuana, when you think marijuana can help?” said Beard, while recovering from a marijuana-related vomiting episode at a University of Iowa hospital in Iowa City, Iowa, last month. She said she had lost 20 pounds in 10 days.\u003c/p>\n\u003cp>Although there’s still no magic cure for a patient’s marijuana-related hyperemesis, Moulin and other doctors say \u003ca href=\"https://www.ncbi.nlm.nih.gov/pubmed/28370228\">they’re getting better at treating\u003c/a> the symptoms, using old anti-psychotic medications and cream for muscle aches.\u003c/p>\n\u003cp>Dr. Heard said the cases in Colorado seem to have leveled off. But without hard data, and because the overall numbers are small, it’s hard to say for sure. Heard said he doesn’t believe cases of the pot syndrome increased after recreational use was legalized in 2012, because chronic users probably already had medical marijuana cards.\u003c/p>\n\u003cp>Chalfonte LeNee Queen is still struggling to completely quit marijuana, but her symptoms are down to a dull stomachache. She now smokes a couple of times a day, compared with her near-constant use in the past. She said it’s the only thing that works for her depression and anxiety.\u003c/p>\n\u003cp>Queen is back to a healthy weight and hasn’t been to the hospital in a year. She said she wouldn’t want to discourage anybody from smoking weed; she just wants people to know heavy use can bring them some serious misery.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Now, if I get sick, as sad as I’ll be and as upset and disappointed with myself as I would be, at least it’s a freaking choice,” she said.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/362041/wrecked-and-retching-obscure-vomiting-illness-linked-to-long-term-pot-use","authors":["byline_stateofhealth_362041"],"categories":["stateofhealth_2407","stateofhealth_12","stateofhealth_2746","stateofhealth_1"],"tags":["stateofhealth_3202","stateofhealth_3186","stateofhealth_2808","stateofhealth_2622","stateofhealth_2519","stateofhealth_3185","stateofhealth_3203"],"affiliates":["stateofhealth_3036"],"featImg":"stateofhealth_362042","label":"stateofhealth_3036"},"stateofhealth_361766":{"type":"posts","id":"stateofhealth_361766","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"361766","score":null,"sort":[1509133032000]},"guestAuthors":[],"slug":"recreational-or-procreational-study-links-marijuana-use-with-more-frequent-sex","title":"Recreational or Procreational? Study Links Marijuana Use with More Frequent Sex","publishDate":1509133032,"format":"audio","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>People who smoke marijuana reported having more sexual intercourse than non-users, according to a new study conducted by urologists at the \u003ca href=\"http://med.stanford.edu/\" target=\"_blank\" rel=\"noopener\">Stanford University School of Medicine\u003c/a>.\u003c/p>\n\u003cp>The results were modest but statistically significant: Non-users said they had engaged in sexual intercourse between five and six times in the previous month. Daily pot smokers reported having intercourse around seven times over that same period. The frequency was in-between for people who smoked marijuana less often, on a weekly or monthly basis: they reported having sex more than abstainers, but less than daily users.\u003c/p>\n\u003cp>“I was surprised,” said\u003ca href=\"https://stanfordhealthcare.org/doctors/e/michael-eisenberg.html\" target=\"_blank\" rel=\"noopener\"> Dr. Michael Eisenberg\u003c/a>, the study’s senior author and an assistant professor of urology at Stanford University Medical Center.\u003c/p>\n\u003cp>“The daily users for example, compared to the never users, reported about 20 more sexual encounters a year. So I think that is a significant difference,\" he said.\u003c/p>\n\u003cp>It’s the first study to look at the connection between pot smoking and sex at the population level. To tease out the association, Eisenberg and his co-author Dr. Andrew Sun used survey data drawn from more than 50,000 Americans between the ages of 25 and 45.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The data comes from the National Center for Health Statistics at the CDC. Since that survey does not ask about homosexual encounters, the results only apply to straight men and women.\u003c/p>\n\u003cp>Eisenberg decided to do the study because more of his patients had been asking him if smoking marijuana could be contributing to their sexual difficulties. He had previously told them it might, and to abstain just in case. He was basing his assumptions on research about the negative vascular effects of cigarette smoking. In addition, some past studies and case reports have indicated heavy marijuana use may be associated with erectile dysfunction or depressed sperm count.\u003c/p>\n\u003cp>But now Eisenberg is rethinking his advice, at least for some patients.\u003c/p>\n\u003cp>“If somebody is using marijuana to help them for chronic back pain or something like that, there may be other interventions that we can think about targeting,” he said. “Rather than telling them they have to stop, otherwise their sex life is doomed.”\u003c/p>\n\u003cp>For \u003ca href=\"http://sexandthesoma.com/\" target=\"_blank\" rel=\"noopener\">Dr. Holly Richmond\u003c/a>, a sex therapist, the study results are “pretty remarkable.”\u003c/p>\n\u003cp>In her offices in Los Angeles and Portland, Oregon, Richmond has seen mixed results when her clients use marijuana. Some couples tell her that they have more sex when they use pot, but others have less sex.\u003c/p>\n\u003cp>She said those differences are probably attributable to how much pot someone smokes, instead of how often.\u003c/p>\n\u003cp>“Too much can lead to lethargy and really checking out, which does not facilitate [emotional] connection at all, and definitely doesn't encourage sexual activity.”\u003c/p>\n\u003cp>Eisenberg cautioned against drawing unwarranted conclusions from the study, and cited the old statistical adage “correlation does not equal causation.”\u003c/p>\n\u003cp>“This doesn’t mean that if you want to have more sex you should start smoking marijuana,” he said. “That’s definitely not what this data supports.”\u003c/p>\n\u003cp>The study can’t explain what factors are driving the association between pot use and sex, said Dr. Igor Grant, chair of psychiatry and director of the \u003ca href=\"http://www.cmcr.ucsd.edu/\" target=\"_blank\" rel=\"noopener\">Center for Medicinal Cannabis Research\u003c/a> at the University of California San Diego.\u003c/p>\n\u003cp>He said one explanation is that people who use marijuana —or are willing to admit marijuana use in a survey —are more likely to report their sexual encounters, or remember more of them. Grant said marijuana users are also sensation seekers, and may be more driven to have sex.\u003c/p>\n\u003cp>“Drug use is one type of sensation-seeking behavior, and obviously sex is another,” Grant said.\u003c/p>\n\u003cp>Eisenberg agreed that personality and other behaviors could be a factor, but if that was the case, he would expect to see different results from different demographic groups. For example, young and single respondents might be more willing and able to engage in risky or sensation-seeking behavior, when compared to married people with children. But the results held across all categories, including race and ethnicity, educational level, income level, religious affiliation, and family status.\u003c/p>\n\u003cp>“For every group, the more marijuana use that they reported, the more sex they reported as well. So that was really interesting to me, and also made me think that there could potentially be some biologic explanation here,” Eisenberg said.\u003c/p>\n\u003cp>Richmond, the sex therapist, says she wouldn’t advise any client who doesn’t already smoke to start smoking marijuana as a sexual aid. But she said it could be reassuring to her pot-using clients to learn from the study that smoking pot doesn’t appear to \u003cem>decrease\u003c/em> sexual activity.\u003c/p>\n\u003cp>“Individuals and couples look for additional ways to create novelty in the relationship and have fun, and that's now a legal and accessible way to do it,” she said.\u003c/p>\n\u003cp>Medicinal marijuana is now legal in 29 states, and eight of them allow recreational use as well. (The District of Columbia allows both).\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Dr. Eisenberg said that’s why learning more about the potential side effects of marijuana use is so critical.\u003c/p>\n\n","blocks":[],"excerpt":"A survey shows a positive correlation between pot use and frequency of sex, across all demographic groups. But it's unclear why. ","status":"publish","parent":0,"modified":1509149322,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":26,"wordCount":874},"headData":{"title":"Recreational or Procreational? Study Links Marijuana Use with More Frequent Sex | KQED","description":"A survey shows a positive correlation between pot use and frequency of sex, across all demographic groups. But it's unclear why. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"361766 https://ww2.kqed.org/stateofhealth/?p=361766","disqusUrl":"https://ww2.kqed.org/stateofhealth/2017/10/27/recreational-or-procreational-study-links-marijuana-use-with-more-frequent-sex/","disqusTitle":"Recreational or Procreational? Study Links Marijuana Use with More Frequent Sex","audioUrl":"https://www.kqed.org/.stream/anon/radio/tcr/2017/10/MJSexFeibel171027.mp3","path":"/stateofhealth/361766/recreational-or-procreational-study-links-marijuana-use-with-more-frequent-sex","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>People who smoke marijuana reported having more sexual intercourse than non-users, according to a new study conducted by urologists at the \u003ca href=\"http://med.stanford.edu/\" target=\"_blank\" rel=\"noopener\">Stanford University School of Medicine\u003c/a>.\u003c/p>\n\u003cp>The results were modest but statistically significant: Non-users said they had engaged in sexual intercourse between five and six times in the previous month. Daily pot smokers reported having intercourse around seven times over that same period. The frequency was in-between for people who smoked marijuana less often, on a weekly or monthly basis: they reported having sex more than abstainers, but less than daily users.\u003c/p>\n\u003cp>“I was surprised,” said\u003ca href=\"https://stanfordhealthcare.org/doctors/e/michael-eisenberg.html\" target=\"_blank\" rel=\"noopener\"> Dr. Michael Eisenberg\u003c/a>, the study’s senior author and an assistant professor of urology at Stanford University Medical Center.\u003c/p>\n\u003cp>“The daily users for example, compared to the never users, reported about 20 more sexual encounters a year. So I think that is a significant difference,\" he said.\u003c/p>\n\u003cp>It’s the first study to look at the connection between pot smoking and sex at the population level. To tease out the association, Eisenberg and his co-author Dr. Andrew Sun used survey data drawn from more than 50,000 Americans between the ages of 25 and 45.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The data comes from the National Center for Health Statistics at the CDC. Since that survey does not ask about homosexual encounters, the results only apply to straight men and women.\u003c/p>\n\u003cp>Eisenberg decided to do the study because more of his patients had been asking him if smoking marijuana could be contributing to their sexual difficulties. He had previously told them it might, and to abstain just in case. He was basing his assumptions on research about the negative vascular effects of cigarette smoking. In addition, some past studies and case reports have indicated heavy marijuana use may be associated with erectile dysfunction or depressed sperm count.\u003c/p>\n\u003cp>But now Eisenberg is rethinking his advice, at least for some patients.\u003c/p>\n\u003cp>“If somebody is using marijuana to help them for chronic back pain or something like that, there may be other interventions that we can think about targeting,” he said. “Rather than telling them they have to stop, otherwise their sex life is doomed.”\u003c/p>\n\u003cp>For \u003ca href=\"http://sexandthesoma.com/\" target=\"_blank\" rel=\"noopener\">Dr. Holly Richmond\u003c/a>, a sex therapist, the study results are “pretty remarkable.”\u003c/p>\n\u003cp>In her offices in Los Angeles and Portland, Oregon, Richmond has seen mixed results when her clients use marijuana. Some couples tell her that they have more sex when they use pot, but others have less sex.\u003c/p>\n\u003cp>She said those differences are probably attributable to how much pot someone smokes, instead of how often.\u003c/p>\n\u003cp>“Too much can lead to lethargy and really checking out, which does not facilitate [emotional] connection at all, and definitely doesn't encourage sexual activity.”\u003c/p>\n\u003cp>Eisenberg cautioned against drawing unwarranted conclusions from the study, and cited the old statistical adage “correlation does not equal causation.”\u003c/p>\n\u003cp>“This doesn’t mean that if you want to have more sex you should start smoking marijuana,” he said. “That’s definitely not what this data supports.”\u003c/p>\n\u003cp>The study can’t explain what factors are driving the association between pot use and sex, said Dr. Igor Grant, chair of psychiatry and director of the \u003ca href=\"http://www.cmcr.ucsd.edu/\" target=\"_blank\" rel=\"noopener\">Center for Medicinal Cannabis Research\u003c/a> at the University of California San Diego.\u003c/p>\n\u003cp>He said one explanation is that people who use marijuana —or are willing to admit marijuana use in a survey —are more likely to report their sexual encounters, or remember more of them. Grant said marijuana users are also sensation seekers, and may be more driven to have sex.\u003c/p>\n\u003cp>“Drug use is one type of sensation-seeking behavior, and obviously sex is another,” Grant said.\u003c/p>\n\u003cp>Eisenberg agreed that personality and other behaviors could be a factor, but if that was the case, he would expect to see different results from different demographic groups. For example, young and single respondents might be more willing and able to engage in risky or sensation-seeking behavior, when compared to married people with children. But the results held across all categories, including race and ethnicity, educational level, income level, religious affiliation, and family status.\u003c/p>\n\u003cp>“For every group, the more marijuana use that they reported, the more sex they reported as well. So that was really interesting to me, and also made me think that there could potentially be some biologic explanation here,” Eisenberg said.\u003c/p>\n\u003cp>Richmond, the sex therapist, says she wouldn’t advise any client who doesn’t already smoke to start smoking marijuana as a sexual aid. But she said it could be reassuring to her pot-using clients to learn from the study that smoking pot doesn’t appear to \u003cem>decrease\u003c/em> sexual activity.\u003c/p>\n\u003cp>“Individuals and couples look for additional ways to create novelty in the relationship and have fun, and that's now a legal and accessible way to do it,” she said.\u003c/p>\n\u003cp>Medicinal marijuana is now legal in 29 states, and eight of them allow recreational use as well. (The District of Columbia allows both).\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>Dr. Eisenberg said that’s why learning more about the potential side effects of marijuana use is so critical.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/361766/recreational-or-procreational-study-links-marijuana-use-with-more-frequent-sex","authors":["11314"],"categories":["stateofhealth_12","stateofhealth_3012","stateofhealth_2746","stateofhealth_13"],"tags":["stateofhealth_3186","stateofhealth_2808","stateofhealth_2519","stateofhealth_3185","stateofhealth_3187"],"featImg":"stateofhealth_361769","label":"stateofhealth"},"stateofhealth_361724":{"type":"posts","id":"stateofhealth_361724","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"361724","score":null,"sort":[1508953469000]},"guestAuthors":[],"slug":"hospice-scrambled-during-california-wildfires-to-evacuate-patients-determined-to-die-at-home","title":"Hospice Scrambled During Wildfires to Evacuate Patients Determined to Die at Home","publishDate":1508953469,"format":"standard","headTitle":"State of Health | KQED News","labelTerm":{"site":"stateofhealth"},"content":"\u003cp>Even when the fires threatened her home in downtown Sonoma, the elderly woman inside refused to leave. Smoke was everywhere. Her caretaker begged her to heed the mandatory evacuation order.\u003c/p>\n\u003cp>Another woman on the outskirts of town said all the young people telling her to get out were just “making hay” over nothing.\u003c/p>\n\u003cp>“They didn't want to leave because they wanted to die in their home,” said Karna Dawson, a social worker with \u003ca href=\"http://hospicebythebay.org/\" target=\"_blank\" rel=\"noopener\">Hospice by the Bay\u003c/a>. \"They didn't want to leave because they didn't realize the severity of the problem. They didn't want to leave because they were stubborn.”\u003c/p>\n\u003cp>At critical moments, when the worst wildfires in state history were ravaging Wine Country, Dawson and other members of the hospice team had to intervene in several such standoffs with terminally ill clients.\u003c/p>\n\u003cp>“Some people were feeling like if they were going to die they wanted to die in their house, and [were] not really thinking that through very clearly,” she said. “We're not talking about dying of your cancer. We're talking about dying in a fire. And those are two very different deaths.”\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>When the fires broke out Oct. 8, nurses and staff with Hospice by the Bay were providing home care, pain management, and spiritual counseling to 108 patients in Napa and Sonoma counties. Half of those patients had to be evacuated.\u003c/p>\n\u003cp>Under federal rules, hospice agencies that receive payment from the Medicare program are required to have a disaster plan in place for their patients, including how to get bed-bound patients out of their homes.\u003c/p>\n\u003cp>Dawson was at work, enacting the plan, by 4 a.m. on Oct. 9, as the fires exploded across the area. She sat huddled over her laptop at home in Petaluma, wearing her grey pajamas and tattered pink bathrobe. She was talking on two phones at once, trying to find all their patients and ordering ambulances. In some cases, once the ambulances picked up the patients, they just drove away from the fires, to get to safety. The hospice staff had to figure out where exactly they had gone .\u003c/p>\n\u003cp>“It was just a moving target of where people were going and where they were landing,” said Wendy Ranzau, the hospice’s chief operating officer.\u003c/p>\n\u003cp>For many patients, the first stop was a Red Cross evacuation shelter. This required hospice leaders to adjust their goals, while still trying to fulfill the mission of providing patients an opportunity to die with dignity.\u003c/p>\n\u003cp>“Our priority was to make sure that we did not have a patient die in an evacuation center,” Ranzau said. “So even if they can’t die at home, they’re going to die someplace other than a cot in an auditorium.”\u003c/p>\n\u003cfigure id=\"attachment_361727\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-361727\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/10/Karna-Dawson-800x600.jpg\" alt=\"\" width=\"800\" height=\"600\">\u003cfigcaption class=\"wp-caption-text\">Karna Dawson helped lead the effort to make sure patients getting care from Hospice by the Bay were safely evacuated during the North Bay wildfires. \u003ccite>(April Dembosky)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Within two days, the hospice had safely relocated all of the patients, even ones who had temporarily ended up in shelters. Some patients went to live with relatives all over the state, from Citrus Heights in the north, to Santa Barbara down south. Some were resettled in assisted living or skilled nursing facilities, with Hospice by the Bay dipping into its reserves to pay the fees, something the Medicare program does not require.\u003c/p>\n\u003cp>But there were a couple of hold-outs who found the shelters surprisingly hospitable.\u003c/p>\n\u003cp>“There was one gentleman who didn't want to leave the shelter. He had lived alone and he was loving the attention. He thought it was great,” Dawson said. “It took us 24 hours and the medics saying 'You can't really stay here.'”\u003c/p>\n\u003cp>Many patients were eventually able to return to their homes. But Ranzau predicts some never will. Either their homes burned down, or there’s no power, or because the are too medically fragile tosurvive another move. One patient lost five pounds in the week after the fire started.\u003c/p>\n\u003cp>“When you think about hospice, our median length of stay is about three weeks,” Ranzau said. “A week in the life of a hospice patient, unfortunately, is a third of their time on hospice. So it just doesn't make sense. You know, is a trauma of transferring again, too much for them?”\u003c/p>\n\u003cp>That means some patients will not have the death they planned, making them a tragic piece of the overall hospice trend: 70 percent of Californians say they want to die at home, but only 32 percent do. Now the Sonoma woman with cancer, whose dying wish was to spend her final days in her own house, will die in a nursing home.\u003c/p>\n\u003cp>“She’s okay. She’s okay,” Dawson said uncertainly, when asked about her status a week after the fires began. “She’s adjusting.”\u003c/p>\n\u003cp>For most of their patients, there just isn’t enough time to adapt to all the changes.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“I, or you, can have six months or a year to process this and think it through,” she said. “We can have another fall that's pretty and recover. Where they might not, and likely won’t.”\u003c/p>\n\n","blocks":[],"excerpt":"The fires took away the last wish of scores of terminally ill people: to die peacefully, in their own beds. ","status":"publish","parent":0,"modified":1509068338,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":22,"wordCount":901},"headData":{"title":"Hospice Scrambled During Wildfires to Evacuate Patients Determined to Die at Home | KQED","description":"The fires took away the last wish of scores of terminally ill people: to die peacefully, in their own beds. ","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"361724 https://ww2.kqed.org/stateofhealth/?p=361724","disqusUrl":"https://ww2.kqed.org/stateofhealth/2017/10/25/hospice-scrambled-during-california-wildfires-to-evacuate-patients-determined-to-die-at-home/","disqusTitle":"Hospice Scrambled During Wildfires to Evacuate Patients Determined to Die at Home","audioUrl":"https://www.kqed.org/.stream/anon/radio/tcr/2017/10/HospiceFireDembosky.mp3","path":"/stateofhealth/361724/hospice-scrambled-during-california-wildfires-to-evacuate-patients-determined-to-die-at-home","audioDuration":null,"audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Even when the fires threatened her home in downtown Sonoma, the elderly woman inside refused to leave. Smoke was everywhere. Her caretaker begged her to heed the mandatory evacuation order.\u003c/p>\n\u003cp>Another woman on the outskirts of town said all the young people telling her to get out were just “making hay” over nothing.\u003c/p>\n\u003cp>“They didn't want to leave because they wanted to die in their home,” said Karna Dawson, a social worker with \u003ca href=\"http://hospicebythebay.org/\" target=\"_blank\" rel=\"noopener\">Hospice by the Bay\u003c/a>. \"They didn't want to leave because they didn't realize the severity of the problem. They didn't want to leave because they were stubborn.”\u003c/p>\n\u003cp>At critical moments, when the worst wildfires in state history were ravaging Wine Country, Dawson and other members of the hospice team had to intervene in several such standoffs with terminally ill clients.\u003c/p>\n\u003cp>“Some people were feeling like if they were going to die they wanted to die in their house, and [were] not really thinking that through very clearly,” she said. “We're not talking about dying of your cancer. We're talking about dying in a fire. And those are two very different deaths.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>When the fires broke out Oct. 8, nurses and staff with Hospice by the Bay were providing home care, pain management, and spiritual counseling to 108 patients in Napa and Sonoma counties. Half of those patients had to be evacuated.\u003c/p>\n\u003cp>Under federal rules, hospice agencies that receive payment from the Medicare program are required to have a disaster plan in place for their patients, including how to get bed-bound patients out of their homes.\u003c/p>\n\u003cp>Dawson was at work, enacting the plan, by 4 a.m. on Oct. 9, as the fires exploded across the area. She sat huddled over her laptop at home in Petaluma, wearing her grey pajamas and tattered pink bathrobe. She was talking on two phones at once, trying to find all their patients and ordering ambulances. In some cases, once the ambulances picked up the patients, they just drove away from the fires, to get to safety. The hospice staff had to figure out where exactly they had gone .\u003c/p>\n\u003cp>“It was just a moving target of where people were going and where they were landing,” said Wendy Ranzau, the hospice’s chief operating officer.\u003c/p>\n\u003cp>For many patients, the first stop was a Red Cross evacuation shelter. This required hospice leaders to adjust their goals, while still trying to fulfill the mission of providing patients an opportunity to die with dignity.\u003c/p>\n\u003cp>“Our priority was to make sure that we did not have a patient die in an evacuation center,” Ranzau said. “So even if they can’t die at home, they’re going to die someplace other than a cot in an auditorium.”\u003c/p>\n\u003cfigure id=\"attachment_361727\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-361727\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/10/Karna-Dawson-800x600.jpg\" alt=\"\" width=\"800\" height=\"600\">\u003cfigcaption class=\"wp-caption-text\">Karna Dawson helped lead the effort to make sure patients getting care from Hospice by the Bay were safely evacuated during the North Bay wildfires. \u003ccite>(April Dembosky)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Within two days, the hospice had safely relocated all of the patients, even ones who had temporarily ended up in shelters. Some patients went to live with relatives all over the state, from Citrus Heights in the north, to Santa Barbara down south. Some were resettled in assisted living or skilled nursing facilities, with Hospice by the Bay dipping into its reserves to pay the fees, something the Medicare program does not require.\u003c/p>\n\u003cp>But there were a couple of hold-outs who found the shelters surprisingly hospitable.\u003c/p>\n\u003cp>“There was one gentleman who didn't want to leave the shelter. He had lived alone and he was loving the attention. He thought it was great,” Dawson said. “It took us 24 hours and the medics saying 'You can't really stay here.'”\u003c/p>\n\u003cp>Many patients were eventually able to return to their homes. But Ranzau predicts some never will. Either their homes burned down, or there’s no power, or because the are too medically fragile tosurvive another move. One patient lost five pounds in the week after the fire started.\u003c/p>\n\u003cp>“When you think about hospice, our median length of stay is about three weeks,” Ranzau said. “A week in the life of a hospice patient, unfortunately, is a third of their time on hospice. So it just doesn't make sense. You know, is a trauma of transferring again, too much for them?”\u003c/p>\n\u003cp>That means some patients will not have the death they planned, making them a tragic piece of the overall hospice trend: 70 percent of Californians say they want to die at home, but only 32 percent do. Now the Sonoma woman with cancer, whose dying wish was to spend her final days in her own house, will die in a nursing home.\u003c/p>\n\u003cp>“She’s okay. She’s okay,” Dawson said uncertainly, when asked about her status a week after the fires began. “She’s adjusting.”\u003c/p>\n\u003cp>For most of their patients, there just isn’t enough time to adapt to all the changes.\u003c/p>\n\u003cp>\u003c/p>\n\u003cp>“I, or you, can have six months or a year to process this and think it through,” she said. “We can have another fall that's pretty and recover. Where they might not, and likely won’t.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/361724/hospice-scrambled-during-california-wildfires-to-evacuate-patients-determined-to-die-at-home","authors":["3205"],"categories":["stateofhealth_11","stateofhealth_12","stateofhealth_3012"],"tags":["stateofhealth_3184","stateofhealth_2808","stateofhealth_3023","stateofhealth_2519","stateofhealth_3183"],"featImg":"stateofhealth_361764","label":"stateofhealth"},"stateofhealth_360898":{"type":"posts","id":"stateofhealth_360898","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"360898","score":null,"sort":[1503614265000]},"guestAuthors":[],"slug":"kids-find-breathing-room-at-asthma-camp","title":"Kids Find Breathing Room At Asthma Camp","publishDate":1503614265,"format":"standard","headTitle":"California Healthline | State of Health | KQED News","labelTerm":{"term":3036,"site":"stateofhealth"},"content":"\u003cp>A third of the kids had finished their pancakes when camp counselor Bryan “The Lungs” Wegley hopped up to lead them in “The Penguin Song.” The children flapped their arms and shuffled their feet like snazzy Antarctic seabirds.\u003c/p>\n\u003cp>Later, when the room had grown quiet, another camp staffer showed a Smurf movie for 15 minutes worth of giggles, before everyone dashed off to swim.\u003c/p>\n\u003cp>For the 37 children attending this annual summer camp in Salinas, Calif., days packed with fun helped make doses of asthma education go down as smoothly as sweetened cough syrup. The kids attended the camp to frolic, but also to better understand the chronic lung disease that makes breathing more difficult for them and about \u003ca href=\"http://www.kidsdata.org/topic/238/asthma/table#fmt=97&loc=2,127,1657,331,1656,171,1655,345,357,324,369,362,360,337,364,356,217,328,354,320,339,334,365,343,367,344,355,366,368,265,349,361,4,273,59,370,326,341,338,350,342,359,363,340,335&tf=89&sortColumnId=0&sortType=asc\" target=\"_blank\" rel=\"noopener noreferrer\">1 in 6 California children\u003c/a>.\u003c/p>\n\u003cp>“Dust! Cockroaches! Cigarette smoke! Pets!” the kids yelled out in response to a question about what triggers their wheezing, shortness of breath and tightness in the chest. Some of the children, who ranged in age from 6 to 12, said they’d been to the emergency room multiple times. Asthma, if not properly treated, can be fatal.\u003c/p>\n\u003cp>Most of the children had been diagnosed when they were babies or toddlers and completely dependent on their parents or guardians. As they grow older and become physically less dependent on adults, they need to take more responsibility for managing their disease. \u003ca href=\"http://www.annallergy.org/article/S1081-1206(10)60377-8/fulltext\" target=\"_blank\" rel=\"noopener noreferrer\">Studies show\u003c/a> that asthma camps can instill knowledge and encourage habits that help children better control their conditions.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>For most of the week, parents dropped their kids off in the morning and picked them up at the end of the day. But one of the highlights of the camp is the sleepover, held at a local elementary school. That’s when kids who want to can spend the night at camp without their parents. For those who do, it’s another step in assuming responsibility for their own health.\u003c/p>\n\u003cp>“Our camp song says, ‘Your parents are not in charge of your asthma; you’re in charge of your asthma,’” said Sienna Grant, 9, as she climbed a ladder and prepared to swing rung to rung across a jungle gym. She used to be reluctant to stop playing, even for a puff of her inhaler. But now she’s learning “to take things more seriously,” she said.\u003c/p>\n\u003cp>Asthma camps sprang up in the late 1970s and early 1980s, when there were far fewer medications to treat the condition.\u003c/p>\n\u003cp>“There was no way to control or prevent asthma,” said Dr. Steven Prager, who is the camp’s medical director and a physician with the Salinas Valley Memorial Healthcare System, one of the camp’s co-sponsors.\u003c/p>\n\u003cp>Instead of shooing kids out of the house to play, nervous parents often blocked their path, relegating asthmatic children to a summer on the couch, Prager said.\u003c/p>\n\u003cp>For some children, asthma camp can provide a safe space to play and learn.\u003c/p>\n\u003cp>“I hear from prior campers and their parents all the time that the camp helped the kids take a more active, productive role in the management of their asthma,” Prager said. Parents reported a decrease in school absences and emergency room visits after their kids attended the program, he added.\u003c/p>\n\u003cp>Dr. Michael Welch, a physician at Rady Children’s Hospital-San Diego, studied the effectiveness of asthma camps a decade ago, but he said there is little research on the topic.\u003c/p>\n\u003cp>A \u003ca href=\"http://www.annallergy.org/article/S1081-1206(10)60377-8/fulltext\" target=\"_blank\" rel=\"noopener noreferrer\">2007 study\u003c/a> co-authored by Welch found that a year after attending an asthma camp, kids had “assumed greater responsibility for taking their medication.” The study was based on a survey of nearly 1,800 participants at 24 asthma camps around the United States.\u003c/p>\n\u003cp>Welch noted that numerous camps cater to children with a wide range of chronic illnesses.\u003c/p>\n\u003cp>“Kids learn right away that they’re not the only ones with this chronic disease, so they [feel] a little less abnormal, which is good for their self-esteem,” he said.\u003c/p>\n\u003cp>Despite a profusion of camps dedicated to other conditions, the number of asthma camps is dwindling, Welch said. There are 90 asthma camps across the country — a third fewer than a decade ago — serving about 4,000 children, according to Jill Heins Nesvold, executive director of the \u003ca href=\"http://www.asthmacamps.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Consortium on Children’s Asthma Camps\u003c/a>.\u003c/p>\n\u003cp>There used to be at least five \u003ca href=\"http://www.asthmacamps.org/campdetails.cfm?longst=California&state=CA\" target=\"_blank\" rel=\"noopener noreferrer\">asthma camps in California\u003c/a>, but in the past few years, two of them — one in Los Angeles and another in San Diego — have closed.\u003c/p>\n\u003cp>“Funding has been a problem with keeping asthma camps alive,” said Welch, who was the medical director for more than three decades at the now-shuttered San Diego camp.\u003c/p>\n\u003cp>Part of the problem, he said, is that groups such as the American Lung Association have decided to focus their funding to research and lobbying, diverting it from direct community services like asthma camps.\u003c/p>\n\u003cp>The Salinas camp is funded by the Salinas Valley Memorial Healthcare System, \u003ca href=\"https://childrensmiraclenetworkhospitals.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Children’s Miracle Network\u003c/a> (CMN), a nonprofit that raises money for children’s hospitals nationwide, and individual donors. CMN gets most of its funding from corporate donors across a wide range of industries. The financial contributions help make the camp more affordable for families: Parents pay $55 per child, and scholarships are available.\u003c/p>\n\u003cp>While the Salinas camp has benefited from a solid endowment over the years, “it’s slowly being whittled down,” Prager said. “At the moment, we’re fine, but it’s going to be a challenge in the years to come.”\u003c/p>\n\u003cp>But as long as asthma camps keep their doors open, children will likely attend.\u003c/p>\n\u003cp>In the middle of the week, their confidence growing, about two-thirds of the Salinas campers tackled the overnight.\u003c/p>\n\u003cp>It sounds simple, but “many of these kids have never spent a night away from home,” Prager said. “It’s a big deal … and for the parents sometimes an even bigger deal.”\u003c/p>\n\u003cp>Dario Aldaco, 6, declared he would do the overnight even though his two older brothers — and running buddies — were skipping it.\u003c/p>\n\u003cp>“I want to do this, even if they don’t want to,” he told his mom, Aidee Aldaco.\u003c/p>\n\u003cp>“I was anxiety central,” she said. “I asked him, ‘Are you sure? Without your brothers?’”\u003c/p>\n\u003cp>On the big night, counselors stoked a fire pit near an outside play area and kids gathered around to socialize and munch s’mores. Later, inside the school’s gym, they unrolled sleeping bags and conked out on the floor, with counselors from the local YMCA and Prager nearby.\u003c/p>\n\u003cp>The next day, when the parents saw their kids had survived without them, they breathed a sigh of relief. On the final day, camp administrators asked the parents to vow that they would not curtail their children’s activities out of fear.\u003c/p>\n\u003cp>As they said their goodbyes, campers left with a better understanding of their illness, newfound confidence and backpacks full of gadgets and meds to ease their breathing.\u003c/p>\n\u003cp>Dario came home with the confidence to ask his father not to smoke on the side of the house where the fumes get inside and can trigger his and his brothers’ asthma.\u003c/p>\n\u003cp>Dario’s older brother, Aaron, 8, who also attended the camp and has mild to moderate autism, began to use a new word: “independent.”\u003c/p>\n\u003cp>The asthma camp had made him think twice about his mother’s plan to move closer to her children when they go off to college.\u003c/p>\n\u003cp>“If you move with me,” Aaron asked, “then how am I going to be independent?”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“So,” Aidee Aldaco said with a chuckle, “my husband and I are not going to be able to follow them.”\u003c/p>\n\n","blocks":[],"excerpt":"Camps teach children how to rely less on grownups and more on themselves.","status":"publish","parent":0,"modified":1503614265,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":38,"wordCount":1338},"headData":{"title":"Kids Find Breathing Room At Asthma Camp | KQED","description":"Camps teach children how to rely less on grownups and more on themselves.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"360898 https://ww2.kqed.org/stateofhealth/?p=360898","disqusUrl":"https://ww2.kqed.org/stateofhealth/2017/08/24/kids-find-breathing-room-at-asthma-camp/","disqusTitle":"Kids Find Breathing Room At Asthma Camp","nprByline":"\u003ca href=\"http://californiahealthline.org/news/author/pamela-k-johnson/\">\u003cstrong>Pamela K. Johnson\u003c/strong>\u003c/a> \u003c/span>","path":"/stateofhealth/360898/kids-find-breathing-room-at-asthma-camp","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>A third of the kids had finished their pancakes when camp counselor Bryan “The Lungs” Wegley hopped up to lead them in “The Penguin Song.” The children flapped their arms and shuffled their feet like snazzy Antarctic seabirds.\u003c/p>\n\u003cp>Later, when the room had grown quiet, another camp staffer showed a Smurf movie for 15 minutes worth of giggles, before everyone dashed off to swim.\u003c/p>\n\u003cp>For the 37 children attending this annual summer camp in Salinas, Calif., days packed with fun helped make doses of asthma education go down as smoothly as sweetened cough syrup. The kids attended the camp to frolic, but also to better understand the chronic lung disease that makes breathing more difficult for them and about \u003ca href=\"http://www.kidsdata.org/topic/238/asthma/table#fmt=97&loc=2,127,1657,331,1656,171,1655,345,357,324,369,362,360,337,364,356,217,328,354,320,339,334,365,343,367,344,355,366,368,265,349,361,4,273,59,370,326,341,338,350,342,359,363,340,335&tf=89&sortColumnId=0&sortType=asc\" target=\"_blank\" rel=\"noopener noreferrer\">1 in 6 California children\u003c/a>.\u003c/p>\n\u003cp>“Dust! Cockroaches! Cigarette smoke! Pets!” the kids yelled out in response to a question about what triggers their wheezing, shortness of breath and tightness in the chest. Some of the children, who ranged in age from 6 to 12, said they’d been to the emergency room multiple times. Asthma, if not properly treated, can be fatal.\u003c/p>\n\u003cp>Most of the children had been diagnosed when they were babies or toddlers and completely dependent on their parents or guardians. As they grow older and become physically less dependent on adults, they need to take more responsibility for managing their disease. \u003ca href=\"http://www.annallergy.org/article/S1081-1206(10)60377-8/fulltext\" target=\"_blank\" rel=\"noopener noreferrer\">Studies show\u003c/a> that asthma camps can instill knowledge and encourage habits that help children better control their conditions.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>For most of the week, parents dropped their kids off in the morning and picked them up at the end of the day. But one of the highlights of the camp is the sleepover, held at a local elementary school. That’s when kids who want to can spend the night at camp without their parents. For those who do, it’s another step in assuming responsibility for their own health.\u003c/p>\n\u003cp>“Our camp song says, ‘Your parents are not in charge of your asthma; you’re in charge of your asthma,’” said Sienna Grant, 9, as she climbed a ladder and prepared to swing rung to rung across a jungle gym. She used to be reluctant to stop playing, even for a puff of her inhaler. But now she’s learning “to take things more seriously,” she said.\u003c/p>\n\u003cp>Asthma camps sprang up in the late 1970s and early 1980s, when there were far fewer medications to treat the condition.\u003c/p>\n\u003cp>“There was no way to control or prevent asthma,” said Dr. Steven Prager, who is the camp’s medical director and a physician with the Salinas Valley Memorial Healthcare System, one of the camp’s co-sponsors.\u003c/p>\n\u003cp>Instead of shooing kids out of the house to play, nervous parents often blocked their path, relegating asthmatic children to a summer on the couch, Prager said.\u003c/p>\n\u003cp>For some children, asthma camp can provide a safe space to play and learn.\u003c/p>\n\u003cp>“I hear from prior campers and their parents all the time that the camp helped the kids take a more active, productive role in the management of their asthma,” Prager said. Parents reported a decrease in school absences and emergency room visits after their kids attended the program, he added.\u003c/p>\n\u003cp>Dr. Michael Welch, a physician at Rady Children’s Hospital-San Diego, studied the effectiveness of asthma camps a decade ago, but he said there is little research on the topic.\u003c/p>\n\u003cp>A \u003ca href=\"http://www.annallergy.org/article/S1081-1206(10)60377-8/fulltext\" target=\"_blank\" rel=\"noopener noreferrer\">2007 study\u003c/a> co-authored by Welch found that a year after attending an asthma camp, kids had “assumed greater responsibility for taking their medication.” The study was based on a survey of nearly 1,800 participants at 24 asthma camps around the United States.\u003c/p>\n\u003cp>Welch noted that numerous camps cater to children with a wide range of chronic illnesses.\u003c/p>\n\u003cp>“Kids learn right away that they’re not the only ones with this chronic disease, so they [feel] a little less abnormal, which is good for their self-esteem,” he said.\u003c/p>\n\u003cp>Despite a profusion of camps dedicated to other conditions, the number of asthma camps is dwindling, Welch said. There are 90 asthma camps across the country — a third fewer than a decade ago — serving about 4,000 children, according to Jill Heins Nesvold, executive director of the \u003ca href=\"http://www.asthmacamps.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Consortium on Children’s Asthma Camps\u003c/a>.\u003c/p>\n\u003cp>There used to be at least five \u003ca href=\"http://www.asthmacamps.org/campdetails.cfm?longst=California&state=CA\" target=\"_blank\" rel=\"noopener noreferrer\">asthma camps in California\u003c/a>, but in the past few years, two of them — one in Los Angeles and another in San Diego — have closed.\u003c/p>\n\u003cp>“Funding has been a problem with keeping asthma camps alive,” said Welch, who was the medical director for more than three decades at the now-shuttered San Diego camp.\u003c/p>\n\u003cp>Part of the problem, he said, is that groups such as the American Lung Association have decided to focus their funding to research and lobbying, diverting it from direct community services like asthma camps.\u003c/p>\n\u003cp>The Salinas camp is funded by the Salinas Valley Memorial Healthcare System, \u003ca href=\"https://childrensmiraclenetworkhospitals.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Children’s Miracle Network\u003c/a> (CMN), a nonprofit that raises money for children’s hospitals nationwide, and individual donors. CMN gets most of its funding from corporate donors across a wide range of industries. The financial contributions help make the camp more affordable for families: Parents pay $55 per child, and scholarships are available.\u003c/p>\n\u003cp>While the Salinas camp has benefited from a solid endowment over the years, “it’s slowly being whittled down,” Prager said. “At the moment, we’re fine, but it’s going to be a challenge in the years to come.”\u003c/p>\n\u003cp>But as long as asthma camps keep their doors open, children will likely attend.\u003c/p>\n\u003cp>In the middle of the week, their confidence growing, about two-thirds of the Salinas campers tackled the overnight.\u003c/p>\n\u003cp>It sounds simple, but “many of these kids have never spent a night away from home,” Prager said. “It’s a big deal … and for the parents sometimes an even bigger deal.”\u003c/p>\n\u003cp>Dario Aldaco, 6, declared he would do the overnight even though his two older brothers — and running buddies — were skipping it.\u003c/p>\n\u003cp>“I want to do this, even if they don’t want to,” he told his mom, Aidee Aldaco.\u003c/p>\n\u003cp>“I was anxiety central,” she said. “I asked him, ‘Are you sure? Without your brothers?’”\u003c/p>\n\u003cp>On the big night, counselors stoked a fire pit near an outside play area and kids gathered around to socialize and munch s’mores. Later, inside the school’s gym, they unrolled sleeping bags and conked out on the floor, with counselors from the local YMCA and Prager nearby.\u003c/p>\n\u003cp>The next day, when the parents saw their kids had survived without them, they breathed a sigh of relief. On the final day, camp administrators asked the parents to vow that they would not curtail their children’s activities out of fear.\u003c/p>\n\u003cp>As they said their goodbyes, campers left with a better understanding of their illness, newfound confidence and backpacks full of gadgets and meds to ease their breathing.\u003c/p>\n\u003cp>Dario came home with the confidence to ask his father not to smoke on the side of the house where the fumes get inside and can trigger his and his brothers’ asthma.\u003c/p>\n\u003cp>Dario’s older brother, Aaron, 8, who also attended the camp and has mild to moderate autism, began to use a new word: “independent.”\u003c/p>\n\u003cp>The asthma camp had made him think twice about his mother’s plan to move closer to her children when they go off to college.\u003c/p>\n\u003cp>“If you move with me,” Aaron asked, “then how am I going to be independent?”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“So,” Aidee Aldaco said with a chuckle, “my husband and I are not going to be able to follow them.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/360898/kids-find-breathing-room-at-asthma-camp","authors":["byline_stateofhealth_360898"],"categories":["stateofhealth_11","stateofhealth_12","stateofhealth_1"],"tags":["stateofhealth_23","stateofhealth_3159","stateofhealth_96","stateofhealth_2808","stateofhealth_2519"],"affiliates":["stateofhealth_3036"],"featImg":"stateofhealth_360900","label":"stateofhealth_3036"},"stateofhealth_360759":{"type":"posts","id":"stateofhealth_360759","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"360759","score":null,"sort":[1502391400000]},"guestAuthors":[],"slug":"california-funds-nonprofits-to-serve-food-as-medicine","title":"California Funds Nonprofits to Serve Food as Medicine","publishDate":1502391400,"format":"standard","headTitle":"California Healthline | State of Health | KQED News","labelTerm":{"term":3036,"site":"stateofhealth"},"content":"\u003cp>Federico Guzmán moved from Mexico to San Francisco in 1992, fleeing anti-gay sentiment and searching for AIDS treatment.\u003c/p>\n\u003cp>He couldn’t find a job and sometimes went hungry until friends introduced him to \u003ca href=\"https://www.openhand.org/about-us\" target=\"_blank\" rel=\"noopener noreferrer\">Project Open Hand\u003c/a>, a nonprofit organization that began serving free, nutritious meals to HIV patients in 1985.\u003c/p>\n\u003cp>The people there “were like angels from the sky,” said Guzmán, 50, who went home from his first visit with vegetables, eggs, bread and beans. He continues to receive medically tailored meals from the group.\u003c/p>\n\u003cp>Project Open Hand cooks 2,500 meals and provides 200 bags of groceries to sick patients every day, part of its mission to help them get healthier and stay motivated to battle their diseases. The organization has expanded beyond HIV to feed people with other chronic illnesses, including diabetes and kidney failure, and it also delivers food to adults with disabilities.\u003c/p>\n\u003cfigure id=\"attachment_360761\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-360761\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/08/food-as-medicine9-800x533.jpg\" alt=\"Federico Guzmán, who has AIDS, has been receiving meals and groceries from Project Open Hand for 26 years. \" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2017/08/food-as-medicine9-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/food-as-medicine9-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/food-as-medicine9-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/food-as-medicine9-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/food-as-medicine9-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/food-as-medicine9-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/food-as-medicine9-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/food-as-medicine9-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/food-as-medicine9-520x347.jpg 520w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/food-as-medicine9.jpg 1446w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Federico Guzmán, who has AIDS, has been receiving meals and groceries from Project Open Hand for 26 years. \u003ccite>(Kellen Browning/California Healthline)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The state government recently \u003ca href=\"http://healthtrust.org/2017/06/27/food-is-medicine-gov-jerry-brown-approves-6m-pilot-program-for-chronically-ill/\" target=\"_blank\" rel=\"noopener noreferrer\">awarded\u003c/a> $6 million to Project Open Hand and similar nonprofits to provide these services to sick Californians covered by Medi-Cal, the state’s version of the federal Medicaid program for low-income people.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>The three-year pilot program, which begins in January, was included in the recently adopted 2017-18 state budget. Project Open Hand will lead the effort, which involves five other food nonprofits across California.\u003c/p>\n\u003cp>Through the initiative, nonprofits will be able to identify heavy Medi-Cal users — in particular, chronically ill patients who are readmitted to the hospital for preventable reasons within 30 days of being discharged, said Project Open Hand CEO Mark Ryle.\u003c/p>\n\u003cp>The pilot program will debut at hospitals, doctors’ offices and clinics in San Diego, Los Angeles, San Jose, San Francisco, Oakland and parts of Sonoma and Marin counties. It will target locations with a large number of patients who are hospitalized frequently, said Project Open Hand’s director of communications, Delfin Vigil.\u003c/p>\n\u003cp>The nonprofits will enable doctors to give their patients prepared meals before they return home. One of the nonprofits will follow up later to schedule regular food deliveries, Ryle said.\u003c/p>\n\u003cfigure id=\"attachment_360765\" class=\"wp-caption aligncenter\" style=\"max-width: 770px\">\u003cimg class=\"size-full wp-image-360765\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/08/food-as-medicine3.jpg\" alt=\"Production manager Will Matthews bags Project Open Hand’s meals and groceries for delivery.\" width=\"770\" height=\"513\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2017/08/food-as-medicine3.jpg 770w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/food-as-medicine3-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/food-as-medicine3-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/food-as-medicine3-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/food-as-medicine3-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/food-as-medicine3-520x346.jpg 520w\" sizes=\"(max-width: 770px) 100vw, 770px\">\u003cfigcaption class=\"wp-caption-text\">Production manager Will Matthews bags Project Open Hand’s meals and groceries for delivery. \u003ccite>(Kellen Browning/California Healthline)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The meals will be custom-made for each patient’s medical condition.\u003c/p>\n\u003cp>For example, a patient with diabetes, who requires a diet low in carbohydrates and saturated fats, might receive chicken stew with chickpeas, whole wheat couscous and roasted broccoli.\u003c/p>\n\u003cp>“If you provide the food when [patients] leave the hospital, they have a bridge to health,” Ryle said. “If they get home and there’s no food, they don’t take their meds. If they don’t take their meds, they fall into this crater of bad health and they get readmitted faster than they need to be.”\u003c/p>\n\u003cp>Details of the project, including the specific hospitals and clinics where food will be available, are “still in the planning stages,” said Anthony Cava, a spokesman for the Department of Health Care Services, which administers Medi-Cal.\u003c/p>\n\u003cp>“Over the next three years, we hope that this program will help improve the health and quality of life of Medi-Cal recipients who are chronically ill by providing them with nutritionally rich meals tailored to their condition,” added Carol Sloan, a DHCS spokeswoman.\u003c/p>\n\u003cp>The department will measure the program’s success by analyzing its participants’ hospital readmission rates, stays at long-term care facilities and emergency room use, Cava said.\u003c/p>\n\u003cp>The experiment aims to replicate the findings of a \u003ca href=\"https://link.springer.com/article/10.1007/s11524-016-0129-7\" target=\"_blank\" rel=\"noopener noreferrer\">University of California-San Francisco study\u003c/a> published in the Journal of Urban Health in January.\u003c/p>\n\u003cp>The study, which tracked 52 Project Open Hand clients with HIV and diabetes for six months in 2014 and 2015, found a 63 percent drop in hospitalization, a 58 percent decline in emergency room visits and a 50 percent increase in medication adherence among participants.\u003c/p>\n\u003cp>Because of the small sample size, the results are not statistically significant, but the success of the treatment is promising, said Kartika Palar, one of the UCSF researchers.\u003c/p>\n\u003cp>The cost to feed each participant in the study was $1,184 over six months. By comparison, San Francisco hospitals charged patients an average of $5,761 per day in 2015 for overnight stays, according to the Office of Statewide Health Planning and Development.\u003c/p>\n\u003cp>DHCS doesn’t know how much money this program might save, but Ryle thinks it could be a significant amount, based on \u003ca href=\"http://www.mannapa.org/wp-content/uploads/2014/07/MANNA-Study.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">a study\u003c/a> of a similar effort in Philadelphia. The study showed that the average monthly health care costs for 65 chronically ill participants dropped by 28 percent during the first six months they received healthy food, compared with the prior six months.\u003c/p>\n\u003cp>Organizations like Project Open Hand have known for some time that their work “was making a difference in patients’ lives,” said Dr. Rita Nguyen, a former UCSF professor now with the San Francisco Department of Public Health.\u003c/p>\n\u003cp>“There was a lot of anecdotal evidence that folks were getting stronger, able to take their medication and doing better overall,” she said.\u003c/p>\n\u003cp>On a recent day at Project Open Hand, located in San Francisco’s Tenderloin district, longtime patient and volunteer Mario Galande took a break in the staff lunchroom after stocking the shelves of the group’s free grocery store.\u003c/p>\n\u003cfigure id=\"attachment_360767\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-360767\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/08/food-as-medicine13-800x533.jpg\" alt=\"Galande, who has AIDS and diabetes, has been receiving meals and groceries from the nonprofit for 20 years. \" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2017/08/food-as-medicine13-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/food-as-medicine13-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/food-as-medicine13-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/food-as-medicine13-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/food-as-medicine13-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/food-as-medicine13-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/food-as-medicine13-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/food-as-medicine13-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/food-as-medicine13-520x347.jpg 520w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/food-as-medicine13.jpg 1446w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Galande, who has AIDS and diabetes, has been receiving meals and groceries from the nonprofit for 20 years. \u003ccite>(Kellen Browning/California Healthline)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Galande, 66, has been working at the nonprofit since he regained the weight he lost from wasting syndrome, a symptom of AIDS, 20 years ago.\u003c/p>\n\u003cp>The San Francisco resident lost 45 pounds before his friend “dragged me to Project Open Hand.” Once he started getting hot meals delivered daily, Galande recovered quickly.\u003c/p>\n\u003cp>“It was the food that got me going,” said Galande, who began volunteering there soon after. “I needed to help others.”\u003c/p>\n\u003cp>Nguyen, who teams with Project Open Hand on a separate program that provides healthful meals to heart failure patients after they are discharged from the San Francisco General Hospital, thinks the Medi-Cal partnership is an encouraging step.\u003c/p>\n\u003cp>“I see it as a huge opportunity for health care to stand up, to say that they have a role in food security and in healthy eating … rather than relying on purely medications or expensive procedures to actually keep communities well,” she said.\u003c/p>\n\u003cp>Guzmán, the San Francisco resident who discovered Project Open Hand more than two decades ago, is now managing his AIDS as a chronic disease. He has eaten the group’s nutritious meals for 26 years.\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“Thanks to them, I keep my health better,” Guzmán said. “And I can go on with my life.”\u003c/p>\n\n","blocks":[],"excerpt":"The state is investing $6 million to deliver healthy meals and groceries to chronically ill Medi-Cal patients.","status":"publish","parent":0,"modified":1502403826,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":32,"wordCount":1178},"headData":{"title":"California Funds Nonprofits to Serve Food as Medicine | KQED","description":"The state is investing $6 million to deliver healthy meals and groceries to chronically ill Medi-Cal patients.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"360759 https://ww2.kqed.org/stateofhealth/?p=360759","disqusUrl":"https://ww2.kqed.org/stateofhealth/2017/08/10/california-funds-nonprofits-to-serve-food-as-medicine/","disqusTitle":"California Funds Nonprofits to Serve Food as Medicine","nprByline":"\u003ca href=\"http://californiahealthline.org/news/author/kellen-browning/\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cstrong>Kellen Browning\u003c/strong>\u003c/a> \u003c/span>","path":"/stateofhealth/360759/california-funds-nonprofits-to-serve-food-as-medicine","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Federico Guzmán moved from Mexico to San Francisco in 1992, fleeing anti-gay sentiment and searching for AIDS treatment.\u003c/p>\n\u003cp>He couldn’t find a job and sometimes went hungry until friends introduced him to \u003ca href=\"https://www.openhand.org/about-us\" target=\"_blank\" rel=\"noopener noreferrer\">Project Open Hand\u003c/a>, a nonprofit organization that began serving free, nutritious meals to HIV patients in 1985.\u003c/p>\n\u003cp>The people there “were like angels from the sky,” said Guzmán, 50, who went home from his first visit with vegetables, eggs, bread and beans. He continues to receive medically tailored meals from the group.\u003c/p>\n\u003cp>Project Open Hand cooks 2,500 meals and provides 200 bags of groceries to sick patients every day, part of its mission to help them get healthier and stay motivated to battle their diseases. The organization has expanded beyond HIV to feed people with other chronic illnesses, including diabetes and kidney failure, and it also delivers food to adults with disabilities.\u003c/p>\n\u003cfigure id=\"attachment_360761\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-360761\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/08/food-as-medicine9-800x533.jpg\" alt=\"Federico Guzmán, who has AIDS, has been receiving meals and groceries from Project Open Hand for 26 years. \" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2017/08/food-as-medicine9-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/food-as-medicine9-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/food-as-medicine9-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/food-as-medicine9-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/food-as-medicine9-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/food-as-medicine9-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/food-as-medicine9-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/food-as-medicine9-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/food-as-medicine9-520x347.jpg 520w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/food-as-medicine9.jpg 1446w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Federico Guzmán, who has AIDS, has been receiving meals and groceries from Project Open Hand for 26 years. \u003ccite>(Kellen Browning/California Healthline)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The state government recently \u003ca href=\"http://healthtrust.org/2017/06/27/food-is-medicine-gov-jerry-brown-approves-6m-pilot-program-for-chronically-ill/\" target=\"_blank\" rel=\"noopener noreferrer\">awarded\u003c/a> $6 million to Project Open Hand and similar nonprofits to provide these services to sick Californians covered by Medi-Cal, the state’s version of the federal Medicaid program for low-income people.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>The three-year pilot program, which begins in January, was included in the recently adopted 2017-18 state budget. Project Open Hand will lead the effort, which involves five other food nonprofits across California.\u003c/p>\n\u003cp>Through the initiative, nonprofits will be able to identify heavy Medi-Cal users — in particular, chronically ill patients who are readmitted to the hospital for preventable reasons within 30 days of being discharged, said Project Open Hand CEO Mark Ryle.\u003c/p>\n\u003cp>The pilot program will debut at hospitals, doctors’ offices and clinics in San Diego, Los Angeles, San Jose, San Francisco, Oakland and parts of Sonoma and Marin counties. It will target locations with a large number of patients who are hospitalized frequently, said Project Open Hand’s director of communications, Delfin Vigil.\u003c/p>\n\u003cp>The nonprofits will enable doctors to give their patients prepared meals before they return home. One of the nonprofits will follow up later to schedule regular food deliveries, Ryle said.\u003c/p>\n\u003cfigure id=\"attachment_360765\" class=\"wp-caption aligncenter\" style=\"max-width: 770px\">\u003cimg class=\"size-full wp-image-360765\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/08/food-as-medicine3.jpg\" alt=\"Production manager Will Matthews bags Project Open Hand’s meals and groceries for delivery.\" width=\"770\" height=\"513\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2017/08/food-as-medicine3.jpg 770w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/food-as-medicine3-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/food-as-medicine3-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/food-as-medicine3-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/food-as-medicine3-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/food-as-medicine3-520x346.jpg 520w\" sizes=\"(max-width: 770px) 100vw, 770px\">\u003cfigcaption class=\"wp-caption-text\">Production manager Will Matthews bags Project Open Hand’s meals and groceries for delivery. \u003ccite>(Kellen Browning/California Healthline)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>The meals will be custom-made for each patient’s medical condition.\u003c/p>\n\u003cp>For example, a patient with diabetes, who requires a diet low in carbohydrates and saturated fats, might receive chicken stew with chickpeas, whole wheat couscous and roasted broccoli.\u003c/p>\n\u003cp>“If you provide the food when [patients] leave the hospital, they have a bridge to health,” Ryle said. “If they get home and there’s no food, they don’t take their meds. If they don’t take their meds, they fall into this crater of bad health and they get readmitted faster than they need to be.”\u003c/p>\n\u003cp>Details of the project, including the specific hospitals and clinics where food will be available, are “still in the planning stages,” said Anthony Cava, a spokesman for the Department of Health Care Services, which administers Medi-Cal.\u003c/p>\n\u003cp>“Over the next three years, we hope that this program will help improve the health and quality of life of Medi-Cal recipients who are chronically ill by providing them with nutritionally rich meals tailored to their condition,” added Carol Sloan, a DHCS spokeswoman.\u003c/p>\n\u003cp>The department will measure the program’s success by analyzing its participants’ hospital readmission rates, stays at long-term care facilities and emergency room use, Cava said.\u003c/p>\n\u003cp>The experiment aims to replicate the findings of a \u003ca href=\"https://link.springer.com/article/10.1007/s11524-016-0129-7\" target=\"_blank\" rel=\"noopener noreferrer\">University of California-San Francisco study\u003c/a> published in the Journal of Urban Health in January.\u003c/p>\n\u003cp>The study, which tracked 52 Project Open Hand clients with HIV and diabetes for six months in 2014 and 2015, found a 63 percent drop in hospitalization, a 58 percent decline in emergency room visits and a 50 percent increase in medication adherence among participants.\u003c/p>\n\u003cp>Because of the small sample size, the results are not statistically significant, but the success of the treatment is promising, said Kartika Palar, one of the UCSF researchers.\u003c/p>\n\u003cp>The cost to feed each participant in the study was $1,184 over six months. By comparison, San Francisco hospitals charged patients an average of $5,761 per day in 2015 for overnight stays, according to the Office of Statewide Health Planning and Development.\u003c/p>\n\u003cp>DHCS doesn’t know how much money this program might save, but Ryle thinks it could be a significant amount, based on \u003ca href=\"http://www.mannapa.org/wp-content/uploads/2014/07/MANNA-Study.pdf\" target=\"_blank\" rel=\"noopener noreferrer\">a study\u003c/a> of a similar effort in Philadelphia. The study showed that the average monthly health care costs for 65 chronically ill participants dropped by 28 percent during the first six months they received healthy food, compared with the prior six months.\u003c/p>\n\u003cp>Organizations like Project Open Hand have known for some time that their work “was making a difference in patients’ lives,” said Dr. Rita Nguyen, a former UCSF professor now with the San Francisco Department of Public Health.\u003c/p>\n\u003cp>“There was a lot of anecdotal evidence that folks were getting stronger, able to take their medication and doing better overall,” she said.\u003c/p>\n\u003cp>On a recent day at Project Open Hand, located in San Francisco’s Tenderloin district, longtime patient and volunteer Mario Galande took a break in the staff lunchroom after stocking the shelves of the group’s free grocery store.\u003c/p>\n\u003cfigure id=\"attachment_360767\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-360767\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/08/food-as-medicine13-800x533.jpg\" alt=\"Galande, who has AIDS and diabetes, has been receiving meals and groceries from the nonprofit for 20 years. \" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2017/08/food-as-medicine13-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/food-as-medicine13-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/food-as-medicine13-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/food-as-medicine13-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/food-as-medicine13-1180x787.jpg 1180w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/food-as-medicine13-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/food-as-medicine13-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/food-as-medicine13-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/food-as-medicine13-520x347.jpg 520w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/food-as-medicine13.jpg 1446w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Galande, who has AIDS and diabetes, has been receiving meals and groceries from the nonprofit for 20 years. \u003ccite>(Kellen Browning/California Healthline)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Galande, 66, has been working at the nonprofit since he regained the weight he lost from wasting syndrome, a symptom of AIDS, 20 years ago.\u003c/p>\n\u003cp>The San Francisco resident lost 45 pounds before his friend “dragged me to Project Open Hand.” Once he started getting hot meals delivered daily, Galande recovered quickly.\u003c/p>\n\u003cp>“It was the food that got me going,” said Galande, who began volunteering there soon after. “I needed to help others.”\u003c/p>\n\u003cp>Nguyen, who teams with Project Open Hand on a separate program that provides healthful meals to heart failure patients after they are discharged from the San Francisco General Hospital, thinks the Medi-Cal partnership is an encouraging step.\u003c/p>\n\u003cp>“I see it as a huge opportunity for health care to stand up, to say that they have a role in food security and in healthy eating … rather than relying on purely medications or expensive procedures to actually keep communities well,” she said.\u003c/p>\n\u003cp>Guzmán, the San Francisco resident who discovered Project Open Hand more than two decades ago, is now managing his AIDS as a chronic disease. He has eaten the group’s nutritious meals for 26 years.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“Thanks to them, I keep my health better,” Guzmán said. “And I can go on with my life.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/360759/california-funds-nonprofits-to-serve-food-as-medicine","authors":["byline_stateofhealth_360759"],"categories":["stateofhealth_11","stateofhealth_12","stateofhealth_2746"],"tags":["stateofhealth_3150","stateofhealth_2808","stateofhealth_2519","stateofhealth_3151"],"affiliates":["stateofhealth_3036"],"featImg":"stateofhealth_360760","label":"stateofhealth_3036"},"stateofhealth_360752":{"type":"posts","id":"stateofhealth_360752","meta":{"index":"posts_1591205157","site":"stateofhealth","id":"360752","score":null,"sort":[1502324447000]},"guestAuthors":[],"slug":"lag-in-brain-donation-hampers-understanding-of-dementia-in-blacks","title":"Lag In Brain Donation Hampers Understanding Of Dementia In Blacks","publishDate":1502324447,"format":"standard","headTitle":"Kaiser Health News | State of Health | KQED News","labelTerm":{"term":3007,"site":"stateofhealth"},"content":"\u003cp>OAKLAND, Calif. — The question came as a shock to Dorothy Reeves: Would she be willing to donate her husband’s brain for research?\u003c/p>\n\u003cp>She knew dementia would steadily take Levi Reeves’ memories of their 57-year marriage, his remaining lucidity and, eventually, his life. But to let scientists take his brain after he died? That seemed too much to ask.\u003c/p>\n\u003cp>“I didn’t want to deal with the idea of his death,” said Reeves, 79. “I certainly didn’t want to deal with brain donation.”\u003c/p>\n\u003cp>As an African-American and a former schoolteacher, Reeves is keenly aware of the history of racism in health care, including callous and sometimes deadly experimentation. Reeves said she never personally has had a bad experience with doctors or the medical system. But she’s old enough to remember the infamous Tuskegee Institute syphilis study, during which hundreds of mostly illiterate black sharecroppers were assured they were being treated for “bad blood” even as doctors withheld effective treatment over decades.\u003c/p>\n\u003cp>Top researchers say such wariness, while understandable, is thwarting efforts to understand and treat Alzheimer’s disease and other forms of dementia in black patients today. African-Americans suffer from these cognitive impairments at \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4084964/\" target=\"_blank\" rel=\"noopener noreferrer\">two to three times the rate of non-Hispanic whites\u003c/a>, yet they are less likely to take part in research.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>That has created a vexing challenge for scientists, who are trying to persuade more blacks to participate in studies — both while they are alive and after they die. A critical part of their efforts is asking for brain donations.\u003c/p>\n\u003cp>“There is a lot of terrible history that we have to acknowledge and move past,” said Lisa L. Barnes, a neuropsychologist at the Rush Alzheimer’s Disease Center in Chicago. “A lot of minority communities still feel that research involves being a guinea pig. Nobody wants to be used. Nobody wants to be a guinea pig.”\u003c/p>\n\u003cp>Shirley Fitch, who lives south of Chicago, said no thank you to Rush researchers on behalf of her husband, Clarence. The former university professor died last summer at age 86, seven years after being diagnosed with dementia.\u003c/p>\n\u003cp>“I’m hesitant because of distrust,” said Fitch. “Once my brain is donated for one purpose, who is to say it won’t be used for another purpose? It is out of your control.”\u003c/p>\n\u003cp>Although Shirley Fitch is participating in non-Alzheimer’s research at Rush, she said the historical abuses of black people have been “awful and hard to get over.”\u003c/p>\n\u003cp>Even today, blacks tend to get worse treatment from hospitals, she said. “It all gets stirred in the pot as to feelings about bias.”\u003c/p>\n\u003cp>\u003c!--side-by-side-->\u003c/p>\n\u003cfigure id=\"attachment_360754\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-360754\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/08/brain-donation-2-800x533.jpg\" alt=\"Dorothy Reeves, 79, helps feed her husband, Levi, who has Lewy body dementia. Reeves, a former schoolteacher, initially declined brain donation but later agreed — for both her and her husband.\" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2017/08/brain-donation-2-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/brain-donation-2-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/brain-donation-2-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/brain-donation-2-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/brain-donation-2-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/brain-donation-2-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/brain-donation-2-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/brain-donation-2-520x347.jpg 520w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/brain-donation-2.jpg 1170w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Dorothy Reeves, 79, helps feed her husband, Levi, who has Lewy body dementia. Reeves, a former schoolteacher, initially declined brain donation but later agreed — for both her and her husband. \u003ccite>(Anna Gorman/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>The Knowledge Gap\u003c/strong>\u003c/p>\n\u003cp>The precise explanations for the disparities among blacks and whites are unknown. Until recently, most of our understanding of the pathology of dementia was largely based on studies of white patients.\u003c/p>\n\u003cp>“We have a real knowledge gap in accurately knowing if dementia is different in minorities as compared to whites,” said John Olichney, a neurologist and clinical director of the Alzheimer’s Disease Center at the University of California-Davis.\u003c/p>\n\u003cp>Scientists say blacks’ disproportionate rates of dementia may be related in part to the prevalence of disorders that raise the risk of vascular disease: diabetes and hypertension, for instance. Socioeconomic factors such as higher rates of poverty and lower levels of education also seem to play a significant role, according to \u003ca href=\"http://www.bmj.com/content/347/bmj.f7051\" target=\"_blank\" rel=\"noopener noreferrer\">research\u003c/a> led by the University of California-San Francisco.\u003c/p>\n\u003cp>Despite advances in imaging technology that allows researchers to peer into the brains of live patients, studying the organ after death is crucial to a deeper understanding of the causes and progression of disease and to developing drug treatments, Olichney said.\u003c/p>\n\u003cp>The challenge is getting enough brains from different populations to study. It’s not just a matter of assuring potential donors that Tuskegee and other ethical debacles are in the past. To gain trust, Alzheimer’s research facilities such as UC-Davis and Rush University are also trying to diversify their staffs, collaborate with community leaders and study religious and cultural beliefs on brain donation.\u003c/p>\n\u003cp>For example, some African-Americans don’t want their brain separated from their body when they are buried, said Stephanie Monroe, director of African Americans Against Alzheimer’s, which is engaged in various efforts to educate people about the disease and its effects.\u003c/p>\n\u003cp>“Many people believe in ashes to ashes and dust to dust,” she said.\u003c/p>\n\u003cp>\u003cstrong>A Changing Mindset\u003c/strong>\u003c/p>\n\u003cp>Alzheimer’s researchers at UC-Davis recognized about 15 years ago that they needed a more representative slice of the population, especially in diverse Northern California. At the time, centers around the country were mostly studying well-educated, white people who volunteered, Olichney said.\u003c/p>\n\u003cp>So they started reaching out to both the African-American and Latino communities. “That was a real change in our mindset,” he said.\u003c/p>\n\u003cp>Today, nearly 400 patients, including about 70 African-Americans, are enrolled in its longitudinal study of the progression of dementia, and they come in yearly for memory evaluations and other tests. Of the study participants, about 270 have agreed to donate their brains after death, more than 40 of them African-American.\u003c/p>\n\u003cp>At the Rush Alzheimer’s Disease Center, doctors started following a cohort of African-Americans in 2004 and, some seven years later, began to seek brain donation for the study. Close to 500 African-Americans have signed up to donate after death, and 72 brains already have been donated, Barnes said.\u003c/p>\n\u003cp>Though she is pleased with the high rate of commitment, she noted that more works needs to be done. In another study, about 3,100 white participants agreed to brain donation, with 1,400 already donated. Recruiting African-Americans “takes a lot of effort and a lot of work,” she said. “Every year, we bring it up again and revisit it with those who are reluctant. But if someone is really firm, we don’t push the subject.”\u003c/p>\n\u003cp>Research on the donated brains has led to intriguing findings. One Rush study, published in 2015, found that blacks with Alzheimer’s disease were more likely than whites to have other disorders, such as Lewy body dementia. Twice as many blacks with Alzheimer’s as whites with the disease also had Lewy body dementia, in which protein deposits build up in nerve cells, according to the study. Blacks with dementia also had more severe disease of the arteries, the \u003ca href=\"http://europepmc.org/articles/pmc4540250\">study\u003c/a> found.\u003c/p>\n\u003cp>The number of blacks studied was relatively small — 41 compared with 81 whites — yet its findings were potentially important. That’s because the presence of other diseases in the brain means blacks may not respond as white patients do to drugs aimed specifically at Alzheimer’s.\u003c/p>\n\u003cp>Even for experienced research institutions, getting people to participate in donation remains complicated — in part, because families don’t necessarily agree about it among themselves.\u003c/p>\n\u003cfigure id=\"attachment_360755\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-360755\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/08/brain-donation-4-800x533.jpg\" alt=\"Andrea Gourdine holds a photo of her mother, Gladys Brown, who died in 2012 after being diagnosed with Alzheimer’s. Brown donated her brain to the University of California-Davis, for research.\" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2017/08/brain-donation-4-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/brain-donation-4-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/brain-donation-4-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/brain-donation-4-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/brain-donation-4-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/brain-donation-4-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/brain-donation-4-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/brain-donation-4-520x347.jpg 520w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/brain-donation-4.jpg 1170w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Andrea Gourdine holds a photo of her mother, Gladys Brown, who died in 2012 after being diagnosed with Alzheimer’s. Brown donated her brain to the University of California-Davis, for research. \u003ccite>(Anna Gorman/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Andrea Gourdine remembers clearly when her mother, Gladys Brown, started behaving oddly. Once, the elder woman forgot a stove burner was on and a dish exploded. Then she stopped bathing regularly. “And she was normally fastidious,” Gourdine said. “Something was really, really wrong.”\u003c/p>\n\u003cp>Brown enrolled in the research at UC-Davis, was diagnosed with Alzheimer’s in 2005 and soon after agreed to donate her brain. It won’t help me, Brown told researchers, but it could help others. She died in 2012, at 87.\u003c/p>\n\u003cp>Gourdine also signed up for the UC-Davis study and has consented to donate her brain. She does not have Alzheimer’s, but researchers are seeking brains of those without dementia for comparison.\u003c/p>\n\u003cp>She is aware of the history of medical abuse of African-Americans but says she doesn’t see any point in focusing on the past.\u003c/p>\n\u003cp>Gourdine’s sister, India Collins, disagrees with her sister and objected to her mother’s donation.\u003c/p>\n\u003cp>“I have problems with scientific research and I get very upset with scientific data and outcomes in general,” said Collins. She questions how helpful it is to African-Americans. “Why would you want to participate in their research if it does not benefit you?”\u003c/p>\n\u003cp>\u003cstrong>Expanding The Brain Trust\u003c/strong>\u003c/p>\n\u003cp>Gwen Gates, a recruiter and research coordinator at the UC-Davis center, goes to churches, health fairs and other events to build trust and develop deeper relationships among the university and minority communities. Patients and families want to know what scientists do with the brains. They worry about how relatives will react. They fear donation will interfere with funeral arrangements or their plans for an open casket.\u003c/p>\n\u003cp>She assures them it won’t. She explains that brain donations will help future generations, perhaps even in their own family.\u003c/p>\n\u003cp>Occasionally, families readily agree. Some adamantly refuse. For others, the decision is a process.\u003c/p>\n\u003cp>Dorothy Reeves declined brain donation initially but agreed to sign up herself and Levi, 81, for observational studies. Then she saw what the disease could do. Her husband, who has Lewy body dementia, went under a table one day to get a magazine and couldn’t find his way out. He forgot her name and those of his children.\u003c/p>\n\u003cp>She thought about all the other people like Levi.\u003c/p>\n\u003cp>“It affects people in ways you can’t imagine — regardless of your race,” she said. “It’s almost unbearable.”\u003c/p>\n\u003cp>Soon the researchers had their answer. Yes, she would agree to donation — for both of them.\u003c/p>\n\u003cp>\u003cem>KHN’s coverage in California is funded in part by \u003ca href=\"http://www.blueshieldcafoundation.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Blue Shield of California Foundation\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>\u003ca href=\"http://www.kaiserhealthnews.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Kaiser Health News\u003c/a> (KHN) is a national health policy news service. It is an editorially independent program of the \u003ca href=\"http://www.kff.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Henry J. Kaiser Family Foundation\u003c/a>.\u003c/p>\n\n","blocks":[],"excerpt":"A history of racism and cruel experimentation in health care are among the reasons African-American families oppose donating patients’ brains for study.","status":"publish","parent":0,"modified":1502324447,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":47,"wordCount":1755},"headData":{"title":"Lag In Brain Donation Hampers Understanding Of Dementia In Blacks | KQED","description":"A history of racism and cruel experimentation in health care are among the reasons African-American families oppose donating patients’ brains for study.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"360752 https://ww2.kqed.org/stateofhealth/?p=360752","disqusUrl":"https://ww2.kqed.org/stateofhealth/2017/08/09/lag-in-brain-donation-hampers-understanding-of-dementia-in-blacks/","disqusTitle":"Lag In Brain Donation Hampers Understanding Of Dementia In Blacks","nprByline":"\u003ca href=\"http://khn.org/news/author/anna-gorman/\" target=\"_blank\" rel=\"noopener noreferrer\">\u003cstrong>Anna Gorman\u003c/strong>\u003c/a>","path":"/stateofhealth/360752/lag-in-brain-donation-hampers-understanding-of-dementia-in-blacks","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>OAKLAND, Calif. — The question came as a shock to Dorothy Reeves: Would she be willing to donate her husband’s brain for research?\u003c/p>\n\u003cp>She knew dementia would steadily take Levi Reeves’ memories of their 57-year marriage, his remaining lucidity and, eventually, his life. But to let scientists take his brain after he died? That seemed too much to ask.\u003c/p>\n\u003cp>“I didn’t want to deal with the idea of his death,” said Reeves, 79. “I certainly didn’t want to deal with brain donation.”\u003c/p>\n\u003cp>As an African-American and a former schoolteacher, Reeves is keenly aware of the history of racism in health care, including callous and sometimes deadly experimentation. Reeves said she never personally has had a bad experience with doctors or the medical system. But she’s old enough to remember the infamous Tuskegee Institute syphilis study, during which hundreds of mostly illiterate black sharecroppers were assured they were being treated for “bad blood” even as doctors withheld effective treatment over decades.\u003c/p>\n\u003cp>Top researchers say such wariness, while understandable, is thwarting efforts to understand and treat Alzheimer’s disease and other forms of dementia in black patients today. African-Americans suffer from these cognitive impairments at \u003ca href=\"https://www.ncbi.nlm.nih.gov/pmc/articles/PMC4084964/\" target=\"_blank\" rel=\"noopener noreferrer\">two to three times the rate of non-Hispanic whites\u003c/a>, yet they are less likely to take part in research.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>That has created a vexing challenge for scientists, who are trying to persuade more blacks to participate in studies — both while they are alive and after they die. A critical part of their efforts is asking for brain donations.\u003c/p>\n\u003cp>“There is a lot of terrible history that we have to acknowledge and move past,” said Lisa L. Barnes, a neuropsychologist at the Rush Alzheimer’s Disease Center in Chicago. “A lot of minority communities still feel that research involves being a guinea pig. Nobody wants to be used. Nobody wants to be a guinea pig.”\u003c/p>\n\u003cp>Shirley Fitch, who lives south of Chicago, said no thank you to Rush researchers on behalf of her husband, Clarence. The former university professor died last summer at age 86, seven years after being diagnosed with dementia.\u003c/p>\n\u003cp>“I’m hesitant because of distrust,” said Fitch. “Once my brain is donated for one purpose, who is to say it won’t be used for another purpose? It is out of your control.”\u003c/p>\n\u003cp>Although Shirley Fitch is participating in non-Alzheimer’s research at Rush, she said the historical abuses of black people have been “awful and hard to get over.”\u003c/p>\n\u003cp>Even today, blacks tend to get worse treatment from hospitals, she said. “It all gets stirred in the pot as to feelings about bias.”\u003c/p>\n\u003cp>\u003c!--side-by-side-->\u003c/p>\n\u003cfigure id=\"attachment_360754\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-360754\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/08/brain-donation-2-800x533.jpg\" alt=\"Dorothy Reeves, 79, helps feed her husband, Levi, who has Lewy body dementia. Reeves, a former schoolteacher, initially declined brain donation but later agreed — for both her and her husband.\" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2017/08/brain-donation-2-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/brain-donation-2-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/brain-donation-2-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/brain-donation-2-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/brain-donation-2-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/brain-donation-2-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/brain-donation-2-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/brain-donation-2-520x347.jpg 520w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/brain-donation-2.jpg 1170w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Dorothy Reeves, 79, helps feed her husband, Levi, who has Lewy body dementia. Reeves, a former schoolteacher, initially declined brain donation but later agreed — for both her and her husband. \u003ccite>(Anna Gorman/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>\u003cstrong>The Knowledge Gap\u003c/strong>\u003c/p>\n\u003cp>The precise explanations for the disparities among blacks and whites are unknown. Until recently, most of our understanding of the pathology of dementia was largely based on studies of white patients.\u003c/p>\n\u003cp>“We have a real knowledge gap in accurately knowing if dementia is different in minorities as compared to whites,” said John Olichney, a neurologist and clinical director of the Alzheimer’s Disease Center at the University of California-Davis.\u003c/p>\n\u003cp>Scientists say blacks’ disproportionate rates of dementia may be related in part to the prevalence of disorders that raise the risk of vascular disease: diabetes and hypertension, for instance. Socioeconomic factors such as higher rates of poverty and lower levels of education also seem to play a significant role, according to \u003ca href=\"http://www.bmj.com/content/347/bmj.f7051\" target=\"_blank\" rel=\"noopener noreferrer\">research\u003c/a> led by the University of California-San Francisco.\u003c/p>\n\u003cp>Despite advances in imaging technology that allows researchers to peer into the brains of live patients, studying the organ after death is crucial to a deeper understanding of the causes and progression of disease and to developing drug treatments, Olichney said.\u003c/p>\n\u003cp>The challenge is getting enough brains from different populations to study. It’s not just a matter of assuring potential donors that Tuskegee and other ethical debacles are in the past. To gain trust, Alzheimer’s research facilities such as UC-Davis and Rush University are also trying to diversify their staffs, collaborate with community leaders and study religious and cultural beliefs on brain donation.\u003c/p>\n\u003cp>For example, some African-Americans don’t want their brain separated from their body when they are buried, said Stephanie Monroe, director of African Americans Against Alzheimer’s, which is engaged in various efforts to educate people about the disease and its effects.\u003c/p>\n\u003cp>“Many people believe in ashes to ashes and dust to dust,” she said.\u003c/p>\n\u003cp>\u003cstrong>A Changing Mindset\u003c/strong>\u003c/p>\n\u003cp>Alzheimer’s researchers at UC-Davis recognized about 15 years ago that they needed a more representative slice of the population, especially in diverse Northern California. At the time, centers around the country were mostly studying well-educated, white people who volunteered, Olichney said.\u003c/p>\n\u003cp>So they started reaching out to both the African-American and Latino communities. “That was a real change in our mindset,” he said.\u003c/p>\n\u003cp>Today, nearly 400 patients, including about 70 African-Americans, are enrolled in its longitudinal study of the progression of dementia, and they come in yearly for memory evaluations and other tests. Of the study participants, about 270 have agreed to donate their brains after death, more than 40 of them African-American.\u003c/p>\n\u003cp>At the Rush Alzheimer’s Disease Center, doctors started following a cohort of African-Americans in 2004 and, some seven years later, began to seek brain donation for the study. Close to 500 African-Americans have signed up to donate after death, and 72 brains already have been donated, Barnes said.\u003c/p>\n\u003cp>Though she is pleased with the high rate of commitment, she noted that more works needs to be done. In another study, about 3,100 white participants agreed to brain donation, with 1,400 already donated. Recruiting African-Americans “takes a lot of effort and a lot of work,” she said. “Every year, we bring it up again and revisit it with those who are reluctant. But if someone is really firm, we don’t push the subject.”\u003c/p>\n\u003cp>Research on the donated brains has led to intriguing findings. One Rush study, published in 2015, found that blacks with Alzheimer’s disease were more likely than whites to have other disorders, such as Lewy body dementia. Twice as many blacks with Alzheimer’s as whites with the disease also had Lewy body dementia, in which protein deposits build up in nerve cells, according to the study. Blacks with dementia also had more severe disease of the arteries, the \u003ca href=\"http://europepmc.org/articles/pmc4540250\">study\u003c/a> found.\u003c/p>\n\u003cp>The number of blacks studied was relatively small — 41 compared with 81 whites — yet its findings were potentially important. That’s because the presence of other diseases in the brain means blacks may not respond as white patients do to drugs aimed specifically at Alzheimer’s.\u003c/p>\n\u003cp>Even for experienced research institutions, getting people to participate in donation remains complicated — in part, because families don’t necessarily agree about it among themselves.\u003c/p>\n\u003cfigure id=\"attachment_360755\" class=\"wp-caption aligncenter\" style=\"max-width: 800px\">\u003cimg class=\"size-medium wp-image-360755\" src=\"https://ww2.kqed.org/stateofhealth/wp-content/uploads/sites/27/2017/08/brain-donation-4-800x533.jpg\" alt=\"Andrea Gourdine holds a photo of her mother, Gladys Brown, who died in 2012 after being diagnosed with Alzheimer’s. Brown donated her brain to the University of California-Davis, for research.\" width=\"800\" height=\"533\" srcset=\"https://ww2.kqed.org/app/uploads/sites/27/2017/08/brain-donation-4-800x533.jpg 800w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/brain-donation-4-160x107.jpg 160w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/brain-donation-4-768x512.jpg 768w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/brain-donation-4-1020x680.jpg 1020w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/brain-donation-4-960x640.jpg 960w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/brain-donation-4-240x160.jpg 240w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/brain-donation-4-375x250.jpg 375w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/brain-donation-4-520x347.jpg 520w, https://ww2.kqed.org/app/uploads/sites/27/2017/08/brain-donation-4.jpg 1170w\" sizes=\"(max-width: 800px) 100vw, 800px\">\u003cfigcaption class=\"wp-caption-text\">Andrea Gourdine holds a photo of her mother, Gladys Brown, who died in 2012 after being diagnosed with Alzheimer’s. Brown donated her brain to the University of California-Davis, for research. \u003ccite>(Anna Gorman/KHN)\u003c/cite>\u003c/figcaption>\u003c/figure>\n\u003cp>Andrea Gourdine remembers clearly when her mother, Gladys Brown, started behaving oddly. Once, the elder woman forgot a stove burner was on and a dish exploded. Then she stopped bathing regularly. “And she was normally fastidious,” Gourdine said. “Something was really, really wrong.”\u003c/p>\n\u003cp>Brown enrolled in the research at UC-Davis, was diagnosed with Alzheimer’s in 2005 and soon after agreed to donate her brain. It won’t help me, Brown told researchers, but it could help others. She died in 2012, at 87.\u003c/p>\n\u003cp>Gourdine also signed up for the UC-Davis study and has consented to donate her brain. She does not have Alzheimer’s, but researchers are seeking brains of those without dementia for comparison.\u003c/p>\n\u003cp>She is aware of the history of medical abuse of African-Americans but says she doesn’t see any point in focusing on the past.\u003c/p>\n\u003cp>Gourdine’s sister, India Collins, disagrees with her sister and objected to her mother’s donation.\u003c/p>\n\u003cp>“I have problems with scientific research and I get very upset with scientific data and outcomes in general,” said Collins. She questions how helpful it is to African-Americans. “Why would you want to participate in their research if it does not benefit you?”\u003c/p>\n\u003cp>\u003cstrong>Expanding The Brain Trust\u003c/strong>\u003c/p>\n\u003cp>Gwen Gates, a recruiter and research coordinator at the UC-Davis center, goes to churches, health fairs and other events to build trust and develop deeper relationships among the university and minority communities. Patients and families want to know what scientists do with the brains. They worry about how relatives will react. They fear donation will interfere with funeral arrangements or their plans for an open casket.\u003c/p>\n\u003cp>She assures them it won’t. She explains that brain donations will help future generations, perhaps even in their own family.\u003c/p>\n\u003cp>Occasionally, families readily agree. Some adamantly refuse. For others, the decision is a process.\u003c/p>\n\u003cp>Dorothy Reeves declined brain donation initially but agreed to sign up herself and Levi, 81, for observational studies. Then she saw what the disease could do. Her husband, who has Lewy body dementia, went under a table one day to get a magazine and couldn’t find his way out. He forgot her name and those of his children.\u003c/p>\n\u003cp>She thought about all the other people like Levi.\u003c/p>\n\u003cp>“It affects people in ways you can’t imagine — regardless of your race,” she said. “It’s almost unbearable.”\u003c/p>\n\u003cp>Soon the researchers had their answer. Yes, she would agree to donation — for both of them.\u003c/p>\n\u003cp>\u003cem>KHN’s coverage in California is funded in part by \u003ca href=\"http://www.blueshieldcafoundation.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Blue Shield of California Foundation\u003c/a>.\u003c/em>\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>\u003ca href=\"http://www.kaiserhealthnews.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Kaiser Health News\u003c/a> (KHN) is a national health policy news service. It is an editorially independent program of the \u003ca href=\"http://www.kff.org/\" target=\"_blank\" rel=\"noopener noreferrer\">Henry J. Kaiser Family Foundation\u003c/a>.\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/stateofhealth/360752/lag-in-brain-donation-hampers-understanding-of-dementia-in-blacks","authors":["byline_stateofhealth_360752"],"categories":["stateofhealth_11","stateofhealth_12","stateofhealth_2746"],"tags":["stateofhealth_2902","stateofhealth_2970","stateofhealth_2930","stateofhealth_2808","stateofhealth_2519"],"affiliates":["stateofhealth_3007"],"featImg":"stateofhealth_360753","label":"stateofhealth_3007"},"news_11574201":{"type":"posts","id":"news_11574201","meta":{"index":"posts_1591205157","site":"news","id":"11574201","score":null,"sort":[1500649523000]},"guestAuthors":[],"slug":"the-painful-side-of-positive-health-care-marketing","title":"The Painful Side of Positive Health Care Marketing","publishDate":1500649523,"format":"audio","headTitle":"News Fix | KQED News","labelTerm":{"term":6944,"site":"news"},"content":"\u003cp>Lori Wallace is sitting on a couch with her 11-year-old son and his new pet snake. It’s burrowing under his armpit, as if it were afraid. But Wallace says it’s not.\u003c/p>\n\u003cp>“If he was terrified,” Wallace said, “he would be balled up. See, that is why they are called ball pythons. When they are scared, they turn into a little ball.”\u003c/p>\n\u003cp>Wallace is dying of breast cancer, but a stranger couldn’t tell. She has a pixie haircut and a warm tan. She’s vibrant and chatty and looks you right in the eyes when she talks. Wallace doesn’t shy away from what’s happening to her. She shows me her cracked feet. They bleed from the chemotherapy pills she takes.\u003c/p>\n\u003cp>She says she used to be a hopeful person, someone who believed you could fight through any misfortune. Then, seven years ago, she was diagnosed with breast cancer. Wallace was 39. Her son was 4. She couldn’t believe it.\u003c/p>\n\u003cp>Wallace, who lives in San Jose, says the chemotherapy treatment makes her brain foggy. She is now in her fifth round. Wallace is Stage 4, metastatic. The cancer has spread throughout her body. It’s going to kill her, she tells me.\u003c/p>\n\u003cp>[ad fullwidth]\u003c/p>\n\u003cp>“The median survival of a woman with metastatic breast cancer is 33 months,” Wallace says. “My 33 months would have been Dec. 6 last year. So I am on bonus time right now.”\u003c/p>\n\u003cp>As Wallace’s cancer has progressed, she has become more critical of what she sees as excessive positivity in health care marketing. It’s everywhere: TV ads, radio commercials, \u003ca href=\"https://serpninja.io/\">search engine campaigns\u003c/a>, billboards. The advertisements feature happy, healed patients and tell stories of miraculous recoveries. The messages are optimistic, about people beating steep odds. Wallace says the ads spread false hope, and for a patient like her they are a slap in the face.\u003c/p>\n\u003cp>A couple of decades ago you would not have seen ads like this. Hospitals and clinics did not advertise much to customers. Now, they are spending more and more each year on marketing.\u003c/p>\n\u003cp>Wallace pulls up an ad on her computer from \u003ca href=\"http://possible.ucsfbenioffchildrens.org\">UCSF Benioff Children’s Hospital\u003c/a>. It says “Amid a thousand maybes and a million nos, we believe in the profound and unstoppable power of yes.”\u003c/p>\n\u003cp>There is a similar kind of optimism at the heart of a lot of Bay Area health provider campaigns. Kaiser Permanente ads are constructed around the word “Thrive”; for Sutter Health it’s “Smile Out.” Wallace says the subtext of the ads is that those like her who get sick and will die maybe just aren’t being positive enough.\u003c/p>\n\u003caside class=\"pullquote alignright\">'I have said yes to every possible treatment. And the cancer doesn't care.' \u003ccite>Lori Wallace\u003c/cite>\u003c/aside>\n\u003cp>“I didn’t say yes to cancer,” Wallace says. “I have tried everything I can. I have done clinical trials. I have said yes to every possible treatment. And the cancer doesn't care.”\u003c/p>\n\u003cp>Karuna Jaggar is executive director of Breast Cancer Action. She says health care providers are following in the footsteps of other companies.\u003c/p>\n\u003cp>“It's the basics of marketing,\" Jaggar says. \"In order to sell products or services, you have to sell hope.\"\u003c/p>\n\u003cp>She says health care advertisers are now adopting the kind of optimistic messaging that really began in force with the pink ribbons and rosy depictions of breast cancer.\u003c/p>\n\u003cp>“Thirty years ago, breast cancer was the poster child of positive thinking,” Jaggar says. “Look good, feel better, don't let breast cancer get you down. Fight strong and be cheerful while you do it.”\u003c/p>\n\u003cp>Thirty or 40 years ago health care providers marketed to physicians more than consumers. The ads were drier, more factual, says Guy David, a professor of health care management at the University of Pennsylvania.\u003c/p>\n\u003cp>“When the ads are more consumer-facing as opposed to professional-facing, the content tends to be more passionate,” David says.\u003c/p>\n\u003cp>The ads tug at emotions, just like other advertising that’s trying to win over consumers. With increasing health care costs and choices, patients are shopping around for care. Tim Calkins is a professor of marketing at Northwestern University. He says these days hospitals have to sell themselves.\u003c/p>\n\u003cp>“Right now in health care if you don't have some leverage, if you don't have a brand people care about, if you don't have a reason for people to pick you over competitors, well then you are in a really tough spot,\" Calkins says.\u003c/p>\n\u003cp>Calkins says hospitals are spending more than ever on advertising and, as with other products, it’s filled with lots of promises. He says you don’t see the same promises in the pharmaceutical industry. Their ads are regulated by the FDA, which is why they have to list all those side effects and show scientific backing for their claims.\u003c/p>\n\u003cp>“Hospitals aren't held to any of those standards at all,” Calkins says. “So a hospital can go out and say this is where miracles happen. And here's Joe. Joe was about to die. And now Joe is going to live forever.”\u003c/p>\n\u003cp>Lori Wallace is not going to live forever. Before cancer, she says, she would have been attracted to the messages of hope. Now Wallace says she needs realism, acceptance of both the world’s beauty and its harshness. She wrote an essay about that for the women in her breast cancer support group.\u003c/p>\n\u003cp>The essay is titled “Fuck Silver Linings and Pink Ribbons.” Wallace reads me the whole piece from start to finish. We are sitting at the kitchen table. Her son is nearby with his pet snake.\u003c/p>\n\u003cp>Toward the middle of the essay Wallace writes, “My ovaries are gone and without them my skin is aging at hyperspeed. I have hot flashes and cold flashes. My bones ache. My libido is shot and my vagina is a desert.” The essay is open, funny and unflinching, just like Wallace.\u003c/p>\n\u003cp>Before I leave, she reads me the final paragraph. “I will try to be thankful for every laugh, hug and kiss, and other things, too. That is if my chemo brain allows me to remember.”\u003c/p>\n\u003cp>[ad floatright]\u003c/p>\n\u003cp>“That’s what I wrote,” Wallace says. “That's what I wrote. Brutal honesty.”\u003c/p>\n\n","blocks":[],"excerpt":"Lori Wallace is dying of cancer, and she is tired of health care provider ads that tell stories of miraculous recoveries.","status":"publish","parent":0,"modified":1631134247,"stats":{"hasAudio":false,"hasVideo":false,"hasChartOrMap":false,"iframeSrcs":[],"hasGoogleForm":false,"hasGallery":false,"hasHearkenModule":false,"hasPolis":false,"paragraphCount":28,"wordCount":1103},"headData":{"title":"The Painful Side of Positive Health Care Marketing | KQED","description":"Lori Wallace is dying of cancer, and she is tired of health care provider ads that tell stories of miraculous recoveries.","ogTitle":"","ogDescription":"","ogImgId":"","twTitle":"","twDescription":"","twImgId":""},"disqusIdentifier":"11574201 https://ww2.kqed.org/news/?p=11574201","disqusUrl":"https://ww2.kqed.org/news/2017/07/21/the-painful-side-of-positive-health-care-marketing/","disqusTitle":"The Painful Side of Positive Health Care Marketing","audioUrl":"http://www.kqed.org/.stream/anon/radio/RDnews/2017/07/HealthCareMarketing.mp3","path":"/news/11574201/the-painful-side-of-positive-health-care-marketing","audioTrackLength":null,"parsedContent":[{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003cp>Lori Wallace is sitting on a couch with her 11-year-old son and his new pet snake. It’s burrowing under his armpit, as if it were afraid. But Wallace says it’s not.\u003c/p>\n\u003cp>“If he was terrified,” Wallace said, “he would be balled up. See, that is why they are called ball pythons. When they are scared, they turn into a little ball.”\u003c/p>\n\u003cp>Wallace is dying of breast cancer, but a stranger couldn’t tell. She has a pixie haircut and a warm tan. She’s vibrant and chatty and looks you right in the eyes when she talks. Wallace doesn’t shy away from what’s happening to her. She shows me her cracked feet. They bleed from the chemotherapy pills she takes.\u003c/p>\n\u003cp>She says she used to be a hopeful person, someone who believed you could fight through any misfortune. Then, seven years ago, she was diagnosed with breast cancer. Wallace was 39. Her son was 4. She couldn’t believe it.\u003c/p>\n\u003cp>Wallace, who lives in San Jose, says the chemotherapy treatment makes her brain foggy. She is now in her fifth round. Wallace is Stage 4, metastatic. The cancer has spread throughout her body. It’s going to kill her, she tells me.\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"fullwidth"},"numeric":["fullwidth"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“The median survival of a woman with metastatic breast cancer is 33 months,” Wallace says. “My 33 months would have been Dec. 6 last year. So I am on bonus time right now.”\u003c/p>\n\u003cp>As Wallace’s cancer has progressed, she has become more critical of what she sees as excessive positivity in health care marketing. It’s everywhere: TV ads, radio commercials, \u003ca href=\"https://serpninja.io/\">search engine campaigns\u003c/a>, billboards. The advertisements feature happy, healed patients and tell stories of miraculous recoveries. The messages are optimistic, about people beating steep odds. Wallace says the ads spread false hope, and for a patient like her they are a slap in the face.\u003c/p>\n\u003cp>A couple of decades ago you would not have seen ads like this. Hospitals and clinics did not advertise much to customers. Now, they are spending more and more each year on marketing.\u003c/p>\n\u003cp>Wallace pulls up an ad on her computer from \u003ca href=\"http://possible.ucsfbenioffchildrens.org\">UCSF Benioff Children’s Hospital\u003c/a>. It says “Amid a thousand maybes and a million nos, we believe in the profound and unstoppable power of yes.”\u003c/p>\n\u003cp>There is a similar kind of optimism at the heart of a lot of Bay Area health provider campaigns. Kaiser Permanente ads are constructed around the word “Thrive”; for Sutter Health it’s “Smile Out.” Wallace says the subtext of the ads is that those like her who get sick and will die maybe just aren’t being positive enough.\u003c/p>\n\u003caside class=\"pullquote alignright\">'I have said yes to every possible treatment. And the cancer doesn't care.' \u003ccite>Lori Wallace\u003c/cite>\u003c/aside>\n\u003cp>“I didn’t say yes to cancer,” Wallace says. “I have tried everything I can. I have done clinical trials. I have said yes to every possible treatment. And the cancer doesn't care.”\u003c/p>\n\u003cp>Karuna Jaggar is executive director of Breast Cancer Action. She says health care providers are following in the footsteps of other companies.\u003c/p>\n\u003cp>“It's the basics of marketing,\" Jaggar says. \"In order to sell products or services, you have to sell hope.\"\u003c/p>\n\u003cp>She says health care advertisers are now adopting the kind of optimistic messaging that really began in force with the pink ribbons and rosy depictions of breast cancer.\u003c/p>\n\u003cp>“Thirty years ago, breast cancer was the poster child of positive thinking,” Jaggar says. “Look good, feel better, don't let breast cancer get you down. Fight strong and be cheerful while you do it.”\u003c/p>\n\u003cp>Thirty or 40 years ago health care providers marketed to physicians more than consumers. The ads were drier, more factual, says Guy David, a professor of health care management at the University of Pennsylvania.\u003c/p>\n\u003cp>“When the ads are more consumer-facing as opposed to professional-facing, the content tends to be more passionate,” David says.\u003c/p>\n\u003cp>The ads tug at emotions, just like other advertising that’s trying to win over consumers. With increasing health care costs and choices, patients are shopping around for care. Tim Calkins is a professor of marketing at Northwestern University. He says these days hospitals have to sell themselves.\u003c/p>\n\u003cp>“Right now in health care if you don't have some leverage, if you don't have a brand people care about, if you don't have a reason for people to pick you over competitors, well then you are in a really tough spot,\" Calkins says.\u003c/p>\n\u003cp>Calkins says hospitals are spending more than ever on advertising and, as with other products, it’s filled with lots of promises. He says you don’t see the same promises in the pharmaceutical industry. Their ads are regulated by the FDA, which is why they have to list all those side effects and show scientific backing for their claims.\u003c/p>\n\u003cp>“Hospitals aren't held to any of those standards at all,” Calkins says. “So a hospital can go out and say this is where miracles happen. And here's Joe. Joe was about to die. And now Joe is going to live forever.”\u003c/p>\n\u003cp>Lori Wallace is not going to live forever. Before cancer, she says, she would have been attracted to the messages of hope. Now Wallace says she needs realism, acceptance of both the world’s beauty and its harshness. She wrote an essay about that for the women in her breast cancer support group.\u003c/p>\n\u003cp>The essay is titled “Fuck Silver Linings and Pink Ribbons.” Wallace reads me the whole piece from start to finish. We are sitting at the kitchen table. Her son is nearby with his pet snake.\u003c/p>\n\u003cp>Toward the middle of the essay Wallace writes, “My ovaries are gone and without them my skin is aging at hyperspeed. I have hot flashes and cold flashes. My bones ache. My libido is shot and my vagina is a desert.” The essay is open, funny and unflinching, just like Wallace.\u003c/p>\n\u003cp>Before I leave, she reads me the final paragraph. “I will try to be thankful for every laugh, hug and kiss, and other things, too. That is if my chemo brain allows me to remember.”\u003c/p>\n\u003cp>\u003c/p>\u003c/div>","attributes":{"named":{},"numeric":[]}},{"type":"component","content":"","name":"ad","attributes":{"named":{"label":"floatright"},"numeric":["floatright"]}},{"type":"contentString","content":"\u003cdiv class=\"post-body\">\u003cp>\u003c/p>\n\u003cp>“That’s what I wrote,” Wallace says. “That's what I wrote. Brutal honesty.”\u003c/p>\n\n\u003c/div>\u003c/p>","attributes":{"named":{},"numeric":[]}}],"link":"/news/11574201/the-painful-side-of-positive-health-care-marketing","authors":["253"],"programs":["news_6944"],"categories":["news_457","news_8"],"tags":["news_21267","news_2275"],"featImg":"news_11574202","label":"news_6944"}},"programsReducer":{"possible":{"id":"possible","title":"Possible","info":"Possible is hosted by entrepreneur Reid Hoffman and writer Aria Finger. Together in Possible, Hoffman and Finger lead enlightening discussions about building a brighter collective future. The show features interviews with visionary guests like Trevor Noah, Sam Altman and Janette Sadik-Khan. Possible paints an optimistic portrait of the world we can create through science, policy, business, art and our shared humanity. It asks: What if everything goes right for once? How can we get there? Each episode also includes a short fiction story generated by advanced AI GPT-4, serving as a thought-provoking springboard to speculate how humanity could leverage technology for good.","airtime":"SUN 2pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2023/08/possible-5gxfizEbKOJ-pbF5ASgxrs_.1400x1400.jpg","officialWebsiteLink":"https://www.possible.fm/","meta":{"site":"news","source":"Possible"},"link":"/radio/program/possible","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/possible/id1677184070","spotify":"https://open.spotify.com/show/730YpdUSNlMyPQwNnyjp4k"}},"1a":{"id":"1a","title":"1A","info":"1A is home to the national conversation. 1A brings on great guests and frames the best debate in ways that make you think, share and engage.","airtime":"MON-THU 11pm-12am","imageSrc":"https://ww2.kqed.org/radio/wp-content/uploads/sites/50/2018/04/1a.jpg","officialWebsiteLink":"https://the1a.org/","meta":{"site":"news","source":"npr"},"link":"/radio/program/1a","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?s=143441&mt=2&id=1188724250&at=11l79Y&ct=nprdirectory","tuneIn":"https://tunein.com/radio/1A-p947376/","rss":"https://feeds.npr.org/510316/podcast.xml"}},"all-things-considered":{"id":"all-things-considered","title":"All Things Considered","info":"Every weekday, \u003cem>All Things Considered\u003c/em> hosts Robert Siegel, Audie Cornish, Ari Shapiro, and Kelly McEvers present the program's trademark mix of news, interviews, commentaries, reviews, and offbeat features. Michel Martin hosts on the weekends.","airtime":"MON-FRI 1pm-2pm, 4:30pm-6:30pm\u003cbr />SAT-SUN 5pm-6pm","imageSrc":"https://cdn.kqed.org/wp-content/uploads/2021/10/ATC_1400.jpg","officialWebsiteLink":"https://www.npr.org/programs/all-things-considered/","meta":{"site":"news","source":"npr"},"link":"/radio/program/all-things-considered"},"american-suburb-podcast":{"id":"american-suburb-podcast","title":"American Suburb: The Podcast","tagline":"The flip side of gentrification, told through one town","info":"Gentrification is changing cities across America, forcing people from neighborhoods they have long called home. Call them the displaced. Now those priced out of the Bay Area are looking for a better life in an unlikely place. American Suburb follows this migration to one California town along the Delta, 45 miles from San Francisco. But is this once sleepy suburb ready for them?","imageSrc":"https://ww2.kqed.org/news/wp-content/uploads/sites/10/powerpress/1440_0018_AmericanSuburb_iTunesTile_01.jpg","officialWebsiteLink":"/news/series/american-suburb-podcast","meta":{"site":"news","source":"kqed","order":"13"},"link":"/news/series/american-suburb-podcast/","subscribe":{"npr":"https://rpb3r.app.goo.gl/RBrW","apple":"https://itunes.apple.com/WebObjects/MZStore.woa/wa/viewPodcast?mt=2&id=1287748328","tuneIn":"https://tunein.com/radio/American-Suburb-p1086805/","rss":"https://ww2.kqed.org/news/series/american-suburb-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly9mZWVkcy5tZWdhcGhvbmUuZm0vS1FJTkMzMDExODgxNjA5"}},"baycurious":{"id":"baycurious","title":"Bay Curious","tagline":"Exploring the Bay Area, one question at a time","info":"KQED’s new podcast, Bay Curious, gets to the bottom of the mysteries — both profound and peculiar — that give the Bay Area its unique identity. And we’ll do it with your help! You ask the questions. You decide what Bay Curious investigates. And you join us on the journey to find the answers.","imageSrc":"https://ww2.kqed.org/news/wp-content/uploads/sites/10/powerpress/1440_0017_BayCurious_iTunesTile_01.jpg","imageAlt":"\"KQED Bay Curious","officialWebsiteLink":"/news/series/baycurious","meta":{"site":"news","source":"kqed","order":"4"},"link":"/podcasts/baycurious","subscribe":{"apple":"https://podcasts.apple.com/us/podcast/bay-curious/id1172473406","npr":"https://www.npr.org/podcasts/500557090/bay-curious","rss":"https://ww2.kqed.org/news/category/bay-curious-podcast/feed/podcast","google":"https://podcasts.google.com/feed/aHR0cHM6Ly93dzIua3FlZC5vcmcvbmV3cy9jYXRlZ29yeS9iYXktY3VyaW91cy1wb2RjYXN0L2ZlZWQvcG9kY2FzdA","stitcher":"https://www.stitcher.com/podcast/kqed/bay-curious","spotify":"https://open.spotify.com/show/6O76IdmhixfijmhTZLIJ8k"}},"bbc-world-service":{"id":"bbc-world-service","title":"BBC World Service","info":"The day's top stories from BBC News compiled twice daily in the week, once at weekends.","airtime":"MON-FRI 9pm-10pm, TUE-FRI 1am-2am","imageSrc":"https://ww2.kqed.org/app/uploads/2021/10/BBC_1400.jpg","officialWebsiteLink":"https://www.bbc.co.uk/sounds/play/live:bbc_world_service","meta":{"site":"news","source":"BBC World Service"},"link":"/radio/program/bbc-world-service","subscribe":{"apple":"https://itunes.apple.com/us/podcast/global-news-podcast/id135067274?mt=2","tuneIn":"https://tunein.com/radio/BBC-World-Service-p455581/","rss":"https://podcasts.files.bbci.co.uk/p02nq0gn.rss"}},"code-switch-life-kit":{"id":"code-switch-life-kit","title":"Code Switch / Life Kit","info":"\u003cem>Code Switch\u003c/em>, which listeners will hear in the first part of the hour, has fearless and much-needed conversations about race. Hosted by journalists of color, the show tackles the subject of race head-on, exploring how it impacts every part of society — from politics and pop culture to history, sports and more.\u003cbr />\u003cbr />\u003cem>Life Kit\u003c/em>, which will be in the second part of the hour, guides you through spaces and feelings no one prepares you for — from finances to mental health, from workplace microaggressions to imposter syndrome, from relationships to parenting. The show features experts with real world experience and shares their knowledge. 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We cover topics like how fed-up administrators are developing surprising tactics to deal with classroom disruptions; how listening to podcasts are helping kids develop reading skills; the consequences of overparenting; and why interdisciplinary learning can engage students on all ends of the traditional achievement spectrum. This podcast is part of the MindShift education site, a division of KQED News. KQED is an NPR/PBS member station based in San Francisco. 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