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It started out as a way to help her brother, and now, it's become so much more than that. Now one sister's efforts have made an impact far more than she could ever imagine.In their household, twins Sarah and Jacob Greichen are both included and involved. But one day after school a few years ago, Greichen realized outside the walls of their home, it was a different story."My brother got in and he was crying," Greichen said. "And he was saying, 'Mom I have no friends why don't I have any friends.'"Jacob has autism, and exclusion took its toll."He actually stopped talking completely," Greichen recalled. "He regressed, he went from probably a fourth, fifth, sixth-grade level to first-grade level and it was a really hard time for my family."Greichen decided to do something. And at 13 years old, she founded the non-profit Score A Friend, which builds clubs for students with and without intellectual disabilities in schools and communities."Every single kid meets friends through school or though activities and sports," Greichen said. "And Score A Friend is creating those opportunities for everyone. So that they can meet friends and then those friendships can go from school to home."Clubs can be focused on sports or electives, and one club even got the whole school involved with score a friend week."They talk about inclusion," Greichen said. "What unified sports are what person first language is what do you say when you walk up to a person with a disability and what is the right way to act."Now, Score A Friend has gone national, spreading to more than a dozen schools across the country, including at least two colleges."I mean now we have commercials and billboards out which is crazy!" Greichen exclaimed. "I mean, I never would have guessed this from the beginning."But for Greichen, her brother is the true measure of success."Jacob finally started talking again," Greichen said. "He started playing sports again he started talking to other students and he actually had people to sit with at lunch."Greichen sees Score A Friend becoming a movement. One inspired by the person closest to her, and impacting the whole world. 2151

Is it an addictive drug, or a way to actually overcome addiction? The FDA is considering regulating an herbal drug called Kratom. But a group of doctors is pushing back, saying it's part of the solution not part of the problem. They may be color coded, but for Catherine Nieves, the liquid she's pouring in her cups are more than trendy new drinks. She says what's inside them, changed her life."I was homeless and a drug addict who lost custody of my oldest child," Nieves says.Nieves owns a store and prepares drinks made with Kratom, a coffee-like herb. After a C-section a few years back, she started taking Kratom for pain, instead of the addictive opioid Percocet her doctor prescribed."It made the pain just as manageable," Nieves says. "But it was healthier for me mentally just to not get back in the habit with pills when it was something that I was already very sensitive to.But the FDA describes Kratom differently, calling it dangerously addictive, and similar to narcotics like opioids with respect to addiction and death."Yes they interact similar with opioid receptors in the body but the effects are very different," says Oliver Grundmann Ph.D. with the University of Florida.Dr. Grundmann is one of several doctors publicly rejecting the FDA's position on Kratom. He says it doesn't impact breathing the way opioids do, so that lessens the chance of an overdose. And he says the FDA is wrong to link it to 44 deaths in the last decade."So we are not saying that Kratom doesn't have potential adverse effects," Dr. Grundmann says. "But is it positively linked to these deaths? We don't think so."Grundmann believes it should be regulated by the FDA but not as a narcotic."What is at the heart of all of this is we want to consumers to be protected and we want them to have quality products," Grundmann."I have children I have a great life that I've made for myself it's just entirely too much to possibly jeopardize," Nieves says.Nieves wants people who are in her situation to see a safer way out.Nieves says, "It seems like a bottomless hole, addiction. But there is so much hope and Kratom gives people hope." 2147

In retrospect, the warning signs were there.Before Devin Patrick Kelley carried out the deadliest mass shooting in Texas history on Sunday, the former airman:? Was charged in military court with assaulting his then-wife and stepson, spent 12 months in a military prison and received a bad-conduct discharge;? Was obsessed with a family dispute and sent threatening text messages to his mother-in-law, investigators said;? Was charged with animal cruelty on suspicion of beating a dog;? Posted pro-gun violence content and a picture of a rifle on his Facebook page, according to former classmates and community members. 626

It's a time of love, celebration and great expense.Saturday's royal wedding between Prince Harry and American actress Meghan Markle could easily cost over ￡1 million (.4 million). Security for the event and a ceremonial escort and procession by the British Armed Forces will raise the bill significantly.So who pays for all this? It's a sensitive issue in the United Kingdom because taxpayers will ultimately bear much of the cost, specifically for securing the wedding. 480

It's a common misconception that you can just "shave off" a bunion. Turns out, it's a deformity that needs to be realigned. Doctors are now able to lower the rate of recurrence with a surgery that's three dimensional.Jennifer Anderson is an avid runner, biker and hiker who doesn't like to be slowed down.“By the fall of last year, it got to the point where it was miserable to put running shoes on, hiking boots on, bike shoes,” said Anderson. “At that point, I was like, ‘I need to get this fixed.’”She noticed a bunion developing in her early 30s, but she didn't realize until much later that it was halting her stride.“When it started causing an issue with the things I like to do athletic-wise, running, I’ve always been a runner, I like to ride my bike inside and outside, hiking, so when it got to a point when I wasn’t enjoying that stuff anymore, I knew it was time to get it fixed,” said Anderson.She started doing some research and got overwhelmed with all the types and kinds of surgeries. There are 200 different types of bunion surgeries that exist, which make it difficult to pick the right kind that works best for each situation.“I was actually discouraged because before looking at the Lapiplasty, that point was huge to me,” she said. “I was like, ‘why would I go through having a surgery if it’s going to probably come back?’”Dr. Bharat Desai walked her through what Lapiplasty does and why it's successful."So, literally we’re fusing a joint that’s unstable back to a joint that’s stable. Once a fusion occurs, it won’t change.”The Denver based Orthopedic foot and ankle surgeon says 50 to 60% of bunions are genetic. They occur over time and they tend to be more common in women.“With current standards on fashion and such people want narrower feet, this is not much different than in Japan and the geishas when they bound feet to make them narrow,” said Desai.He says sometimes it causes pain in other areas.“When you have a bunion, it’s a physical change in the alignment your body has to manage that alignment change so it compensates, it can affect knee, ankle, foot and it can affect the ball of your feet as well,” he said.Desai says Lapiplasty is successful because it lessens the chance of a bunion coming back. It permanently addresses the deformity with a 3D fix for a 3D problem.A word of caution from the doctor though:“A bump could just be a spur. Not all bumps are bunions and not all bunions are bumps and so the best thing I would advise is if you’re having pain on the big toe, see a foot and ankle specialist, because they can help you differentiate what it is. It may not be a bunion.”As for Anderson, her recovery was easier than she thought it would be. She was able to walk shortly after surgery. By six weeks, she was in athletic shoes and by the four-month mark, she was back on her feet, back on the road, and back on the trails.3D surgery seeing huge success rate for those who suffer from bunionsIt's a common misconception that you can just "shave off" a bunion. Turns out, it's a deformity that needs to be realigned. Doctors are now able to lower the rate of recurrence with a surgery that's three dimensional.Jennifer Anderson is an avid runner, biker and hiker who doesn't like to be slowed down.“By the fall of last year, it got to the point where it was miserable to put running shoes on, hiking boots on, bike shoes,” said Anderson. “At that point, I was like, ‘I need to get this fixed.’”She noticed a bunion developing in her early 30s, but she didn't realize until much later that it was halting her stride.“When it started causing an issue with the things I like to do athletic-wise, running, I’ve always been a runner, I like to ride my bike inside and outside, hiking, so when it got to a point when I wasn’t enjoying that stuff anymore, I knew it was time to get it fixed,” said Anderson.She started doing some research and got overwhelmed with all the types and kinds of surgeries. There are 200 different types of bunion surgeries that exist, which make it difficult to pick the right kind that works best for each situation.“I was actually discouraged because before looking at the Lapiplasty, that point was huge to me,” she said. “I was like, ‘why would I go through having a surgery if it’s going to probably come back?’”Dr. Bharat Desai walked her through what Lapiplasty does and why it's successful."So, literally we’re fusing a joint that’s unstable back to a joint that’s stable. Once a fusion occurs, it won’t change.”The Denver based Orthopedic foot and ankle surgeon says 50 to 60% of bunions are genetic. They occur over time and they tend to be more common in women.“With current standards on fashion and such people want narrower feet, this is not much different than in Japan and the geishas when they bound feet to make them narrow,” said Desai.He says sometimes it causes pain in other areas.“When you have a bunion, it’s a physical change in the alignment your body has to manage that alignment change so it compensates, it can affect knee, ankle, foot and it can affect the ball of your feet as well,” he said.Desai says Lapiplasty is successful because it lessens the chance of a bunion coming back. It permanently addresses the deformity with a 3D fix for a 3D problem.A word of caution from the doctor though:“A bump could just be a spur. Not all bumps are bunions and not all bunions are bumps and so the best thing I would advise is if you’re having pain on the big toe, see a foot and ankle specialist, because they can help you differentiate what it is. It may not be a bunion.”As for Anderson, her recovery was easier than she thought it would be. She was able to walk shortly after surgery. By six weeks, she was in athletic shoes and by the four-month mark, she was back on her feet, back on the road, and back on the trails. 5829