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Many Americans have dealt with new, stressful situations during the COVID-19 pandemic. Loss of work, isolation, lack of exercise and routines, and much more. Now, headache and migraine specialists across the country say those new stresses are bringing in more patients to their offices."This has been the perfect storm for people who suffer from migraines. First of all, we know stress and anxiety and depression can increase even the amount of headaches. Certainly, people who aren't even anxious or depressed before are experiencing this," said Dr. Charisse Litchman, a headache specialist and neurologist at Stamford Health in Connecticut. Dr. Litchman also serves as a medical adviser for Nurx, a digital practice for women's health that's just started doing home delivery of migraine medications to help patients during the COVID-19 pandemic. Dr. Litchman says triggers from the pandemic, including a spike in stress on top of irregular sleep and diet, has prompted the increase in patients where she works."I would say we are given a great deal, maybe 20% more [headache] patients reaching out for help who had never reached out before," said Dr. Litchman.Dr. Litchman says she's also seen more headache and migraine patients who were coping well before the pandemic, but suddenly needed help again.Dr. Merle Diamond with Diamond Headache Clinic in Chicago agrees. "I'm actually seeing some people I haven't seen in three to four years. And they were like, 'I was doing fine,' and I'm like 'yes, these are really challenging times,'" explained Dr. Diamond. Diamond Headache has also seen a 20% increase in patients since the start of the COVID-19 pandemic. "I think patients' schedules are being disrupted in this piece. I think the anxiety, everything going on. I also think that we don't have a lot of our other outlets going on. We can't watch sports, there's just a lot of changes and I think that's been really difficult for patients," said Dr. Diamond.Dr. Diamond has some pieces of advice for those experiencing increased headaches or migraines during this time. The first and most important is to get a diagnosis and plan for treatment from a doctor. The second is to get into a regular routine."When you have a migraine, one of the things we know about a migraine brain is it likes things regular. So you've gone from going into the office where your day job is and now you're working from home and managing all those home issues at the same time. So try to keep yourself on as reasonable a schedule as you can," said Dr. Diamond. Also, don't skip meals, keep yourself hydrated and lower caffeine intake. 2627

Message from Ron Paul: "I am doing fine. Thank you for your concern." pic.twitter.com/aALmLn8xIj— Ron Paul (@RonPaul) September 25, 2020 144

LOS ANGLES (AP) — Authorities say former “Glee” star Naya Rivera is missing and being searched for at a Southern California lake.The Ventura County Sheriff’s Department late Wednesday confirmed that 33-year-old Rivera is the person being searched for in the waters of Lake Piru, which is approximately 56 miles northwest of downtown Los Angeles.The search for Nivera was temporarily called when it got dark, but it resumed Thursday morning. 448

MENLO PARK, Calif. (AP) — A school board president in the San Francisco Bay Area has resigned after his wife's racist comments about Vice President-elect Kamala Harris raised an outcry.Jon Venverloh announced Sunday that he was stepping down from his position with the Las Lomitas Elementary School District in Menlo Park.His wife, Mehridith Philips Venverloh, tweeted Sunday in response to comments about Harris's qualifications that all she needed to be qualified was to have Black genitalia and added: "No brain needed!"She later apologized.Venverloh called his wife's remarks "reprehensible" and said he disagreed with them but added that his continuing presence on the board would be a distraction. 711

MEXICO CITY (AP) — An intensive care nurse in Mexico City has become the first person in Latin America to receive an approved coronavirus vaccine.Mexico began administering the first 3,000 doses of the Pfizer-BioNTech vaccine Thursday.In a broadcast ceremony, Maria Irene Ramirez got the first shot, under the watchful eyes of military personnel who escorted the vaccine shipment.Ramirez called it "the best present I could have received in 2020."Assistant Health Secretary Hugo López-Gatell waxed poetic, saying, "Today the stage of the epidemic and its treament changes, to a ray of hope." 599

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