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The way doctors treat asthma in both children and adults just got a major update.Speaking to the Journal of the American Medical Association, respiratory experts said the changes in guidelines focus on six key areas, including improving asthma diagnosis, management, and treatment.It’s the first published update in 13 years.“So, one of the goals of our update was to address the issue of who can use intermittent inhaled corticosteroids and when used, are they as effective as daily use,” said Michelle M. Cloutier, MD with UConn Health.One of the biggest changes is that many patients may not need to use an inhaler every day anymore.“Especially those families of young children who don’t necessarily buy into using daily medication when their children are having intermittent symptoms,” said Stephanie Lovinsky-Desir, MD, MS with Columbia University Irving Medical Center.The new recommendations for inhaler use vary by age and severity of asthma, so it’s important to talk to your doctor about the new guidelines.Asthma affects nearly 5% of adults and 10% of children.During the pandemic, because of the higher death rate of asthma patients from COVID-19, more people have been seeking treatment for the condition.The average annual cost of asthma per person is more than ,200. But research has also shown among other things, regular use of medication and flu vaccines can reduce the chances of someone with asthma being hospitalized, driving up those costs. 1472

The Sarasota (Fla.) County School District confirmed they are looking into a racially offensive promposal that was posted to social media.A spokesperson for the district confirmed the Riverview High School senior posted a picture that they worry will be a disruptor to the school and student safety. The post made to Snapchat reads, "If I was Black I'd be picking cotton, but I'm white so I'm picking U 4 Prom?"The district said they have not concluded if the 18-year-old will be banned from prom as it's an ongoing investigation. Sarasota County Schools also said they sent a text alert to parents Monday morning about the situation and that they plan to have more information late Monday. The student, who Scripps station WFTS in Tampa is not identifying, also posted an apology to social media. The following message was sent to parents and students on Monday morning:  930

The rise in telemedicine could lead to more problems for people who need to keep an eye on their heart health.A study published by JAMA showed televisits accounted for 35% of primary care cases from April to June. Office-based visits declined by half.The study found blood pressure tests also declined by 50% and cholesterol checks went down by 37%.A doctor with the American Heart Association says that could be the result of the uncertainty surrounding the start of the pandemic.“They were doing the COVID tests in the same place as normal labs, so people were hesitant to go, and when you think of cholesterol panel, its fasting, which means a lot of lab places were getting top heavy with people in the mornings,” said Dr. Reshmaal Gomes, a volunteer with the American Heart Association.Gomes says labs now separate COVID-19 tests from other lab work. She says home lab testing has become more efficient and many insurance companies now pay for it.She says telehealth has also proved to be important for those recovering from heart attacks and strokes.“They have shown that telehealth rehab after a stroke is working and working for patients who would not have been able to make those three or four visits to the physical therapist,” said Gomes.Gomes says people who had blood pressure and cholesterol checks done in between doctor visits reduced their likelihood of a heart related emergency by 50%. 1412

The Trump administration is at risk of wasting some of the billions of dollars it wants to spend on the US-Mexico border wall, according to a watchdog report released Monday.The Government Accountability Office concluded that the Department of Homeland Security has not conducted a full analysis of the costs of building the wall. Department officials have also not properly documented their plans for building a portion of wall in the San Diego area.Because of the shortfalls, "DHS faces an increased risk that the Border Wall System Program will cost more than projected, take longer than planned, or not fully perform as expected," GAO wrote.The report also said DHS does not consider costs when deciding where to build. That means it "does not have complete information to determine whether it is using its limited resources in the most cost-effective manner." 872

The Tuesday after Thanksgiving may be known as Travel Deal Tuesday, a day offering deals on airfare. But Cyber Monday is the day to book your dream vacation.  If you’re looking to take a family vacation, you may want to look at Universal Studios and Universal Island Treasure in Orlando.On undercovertourist.com, you can get two-day park tickets, plus two extra days free, if you buy today. That’s a total of 3 for four people for four full days. If you want another option for warm weather, you could travel to Miami and take an all-inclusive three-day Royal Caribbean cruise to the Bahamas. If you buy one full-price ticket, you’ll get your second one 60 percent off. The third and fourth ticket will be 30 percent off!The total cost for a family of four will cost 5. The deal can be found on americandiscountcruises.com.Have you always wanted to go to the Grand Canyon? If you take the Grand Canyon train tour, you can save 50 percent on your once in a lifetime trip.Thetrain.com is offering a three-day, two-night stay in Williams, Arizona for 5 for two people. That's a 0 savings.If the west coast is more your style, a family of four can head to LEGO Land for a crazy good deal. LEGO is offering 30 percent off rooms and 50 off two-day LEGO Land tickets on their website. You can get all of that for 1 per person for a two-day stay. 1381

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