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You can expect a "drinking checkup" when you visit the doctor. All adults, including pregnant women, should be screened for unhealthy alcohol use by their primary care physicians, the United States Preventive Services Task Force advises. For those patients who drink above the recommended limits, doctors should provide brief counseling to help them reduce their drinking, according to the new task force statement?published Tuesday in the medical journal JAMA.As far as teens, the independent panel of medical experts came up empty. The task force said it did not find enough evidence to make a recommendation for or against alcohol screening and counseling for those under the age of 18. The panel is calling for more research.Unhealthy alcohol use means drinking beyond the recommended limits. No more than four drinks in a single day and 14 drinks in a week is the line drawn for men age 21 to 64, according to National Institute on Alcohol Abuse and Alcoholism. For women and older men, the institute advises no more than three drinks in one day and no more than seven drinks in a week. There is no safe level of alcohol for pregnant women, according to the institute.The negative consequences of too much alcohol include illness, injury, and death -- unhealthy alcohol use ranks as the third leading preventable cause of death in the US according to the task force. When pregnant women drink, birth defects and developmental problems in their children may follow. 1497

With November being "National COPD Awareness Month,” experts urge patients who suffer from Chronic Obstructive Pulmonary Disease to verify their treatment plans, and to be diligent about COVID-19 precautions.Seventy-one-year-old Janice Cotton is a self-proclaimed "advocate for COPD-ERS." Her advocacy is all over YouTube. She says, “Oh, I think so!.. I think I’m a YouTube star.”Cotton said she likes to tell her story, and while full of personality, her road to advocacy wasn't easy.“In 1997, my mom died from COPD,” Cotton said. “We didn’t know what it was. We had no idea. The last thing she said was, ‘Janice, please stop smoking.’”She said she smoked a pack a day for more than 40 years. Even after being diagnosed with COPD, she says she still smoked.“I didn’t quit smoking when he told me, because when I went into the office to get the test, I was told you’ll be dead in 10 years so I said, ‘What the heck? I may as well keep smoking,’” Cotton said.Eventually, she quit, and now urges others to do the same.Does Cotton still crave tobacco?“Oh no way Jose. Not at all; I don’t crave it,” Cotton said. “I don’t think about it. I tell people who are thinking about smoking, I say, 'Put a straw in your mouth, toothpick, something, anything but a cigarette.'”“This is a treatable disease,” said Dr. Tom Corbridge, pulmonologist, a faculty member at the University of Northwestern near Chicago, and GlaxoSmithKline medical expert. “It is a progressive illness but it's also a treatable illness and the sooner you get in, the sooner you connect with a trusted healthcare provider, the sooner you can get help to restore some of the things you’ve lost.”He says COPD is an umbrella term for chronic lung disease, which include things like emphysema and chronic bronchitis. He says there are 27 million patients with COPD in the U.S. and it's the fourth-leading cause of death.“The main symptom that COPD causes (is) shortness of breath," Corbridge said. It's "hallmark symptom that would be worse with exertion, but also cough, raising of phlegm or mucous and wheezing are really the hallmarks of the disease.”Those symptoms, he said, can be complicated by COVID-19.“The pandemic has impacted my life and my disease management,” Cotton said. “So many of us were scared (of) death and afraid and didn’t want to go anywhere, didn’t want anybody to come see you.”In a recent GlaxoSmithKline study, 83% of people living with COPD agree that COVID-19 has been a wake-up call about the vulnerability of the illness. But, Cotton said she's using her voice to make sure all COPD patients are diligent about things like face masks, hand washing and social distancing. She also recommends having what she calls an "action plan" with your doctor.“I want people to understand and realize that knowledge is power. The more you investigate and research, the better off you’ll be when it comes to managing COPD,” Cotton said.Doctors say the most important aspect is staying in touch with your physicians and staying on top of your symptoms. 3035

as their home burned down.Sunday night, Valerie and Alex Bujack were sleeping when their 14-year-old son Carter burst into their room, alerting them to the growing fire inside their home."I think Carter saved our family last night," Valerie Bujack said. "He woke up, knew something was wrong, smelled something, ran downstairs and got my daughter — his little sister — and they both came running upstairs because at that point smoke had started coming into the house."Kansas City, Missouri, firefighters responded to a call around 10:50 p.m. for what would become a two-alarm fire.While Bujack and her two children escaped out the back door, her husband, Alex, went back upstairs to get the family dog, only to throw him down the stairs before crawling his way out of the fully engulfed home. By then, both cars were exploding."They were just screaming. I mean you can hear my daughter on the Ring doorbell. I mean, she was just screaming, 'Get out, get out,'" Valerie Bujack said. 983

With various areas of the US under an air quality alert due to recent wildfires, dog owners now have a way to protect to their pets from wildfire smoke.The K-9 Mask, which officially launched in 2019, uses four layers of air filtration to block smoke particles from entering dogs’ lungs. It is shaped like a muzzle to fit over the dog’s mouth and nose.The masks come in four sizes and retail for .99 on its website.In Fall 2018, Evan Daugherty and Kirby Holmes began testing prototypes for the mask amid wildfires in California.After a successful test, Daugherty and Holmes used a crowdfunding campaign to fully fund the project. After 175 donors gave the duo more than ,000, they were able to produce and distribute the K-9 mask starting in 2019.Both the EPA and American Veterinary Medical Association say that smoke from wildfires can be harmful for pets.“Animals with cardiovascular or respiratory disease are especially at risk from smoke and should be closely watched during all periods of poor air quality,” the American Veterinary Medical Association says.The American Veterinary Medical Association recommends pet owners look for the following symptoms amid wildfires and times of poor air quality:Coughing or gaggingDifficulty breathing, including open mouth breathing and increased noise when breathingEye irritation and excessive wateringInflammation of throat or mouthNasal dischargeAsthma-like symptomsIncreased breathing rateFatigue or weaknessDisorientation or stumblingReduced appetite and/or thirst 1530

You can make a pet food donation at various locations throughout San Diego County from now until Nov. 15. Click here for more information. 146

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