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DENVER, Colo. – Welcome to the world of tattoos. Body art is one of the most popular forms of self-expression and the tattoo industry has evolved throughout the years.The country has become more open to those with tattoos. The Pew Research Center reported nearly four in ten millennials ages 18 to 29 has a tattoo. Half of those have between two and five pieces.The Pew Research Center also reported 40 percent of those between the ages 40 to 54 years old to have a tattoo as well.With how popular tattoos are, there have been a lot of recent articles and news challenging if tattoos are safe, and both sides of the issue want those who are considering a tattoo to be educating before making the decision.“I’ve been tattooing for 12 years,” said Matt Sager, the owner of Think Tank South in Littleton, Colorado. “Tattoos are more mainstreamed now, and you got a lot of really good shops now-a-days. At this shop, we take it pretty serious and have a pretty high-quality standard for how clean it is around here and the overall quality of tattoos that we are doing.”When it comes to safety, Sager says it’s hard to find a tattoo shop that doesn’t put cleanliness in top priority.“We get inspections by the tri-county health department,” Sager said.Sager also said shops like his monitor bad ink recalled from the Federal Drug Administration.“Before we start any tattoo, we log and document what batch they came from, what expiration dates they have, so we can track back everything to the company if there was an issue with the ink.”Some of the risks he’s aware of and thinks customers should be aware of is allergic reactions when getting a tattoo.“Everybody is different, everybody has a different type of allergy and reactions they can come across, and some people don’t have any,” Sager said. “Some of our clients who are more prone to being allergic to stuff that come in, we will do a simple skin test where we’ll take certain colors that we would use on their tattoo. We place it on their skin, wrap it with plastic, and see if it creates any redness or swelling.”According to Haley Snadecki, a dermatologist, red ink is a common allergy when it comes to tattoos.“Cinnabar, which is not so commonly used anymore, is a composed of mercuric sulfide and that can cause an allergy,” Snadecki said. “There’s both red and yellow tattoo compounds that can cause a photo-allergic-reactions. So, when you’re exposed to the sun you can get an allergy and the tattoo can raise off the skin.Snadecki said clients should do some research about their own bodies and skins before making the decision to get a tattoo. She said if someone is prone to scarring, the tattoo could be problematic.“Because a tattoo is an open wound on your skin, it could heal abnormally for those who are prone to scarring. It could form a keloid scar which is basically your body forming a bigger scar.”In rare cases, doctors have discovered black tattoo ink in swollen lymph glands thinking it was cancer.“Because it’s taken by an immune cell, it can travel through the lymph system to your lymph nodes,” Snadeck said. “It can be problematic when it comes to a diagnosis. In the cases I’ve seen, it was confusing for the doctors who took a test of that lymph node and saw black pigment which could be melanin made by melanoma versus ink from a tattoo. That could confuse the picture for a doctor developing a diagnosis.”As for Sager, he said the biggest risk he’s seen is people not taking care of their tattoos after it’s fresh. “Yeah it’s an open wound,” Sager said. “Anything you come into contact with can affect the healing process. We advise people not to go swimming or go to the gym while it’s healing since those places can be dirty.”According to Mayo Clinic, this is what you should do when taking care of your tattoo:Take good care of your tattooHow you care for your new tattoo depends on the type and extent of work done. Typically, however, you'll need to:Keep the tattooed skin clean. Use plain soap and water and a gentle touch. While showering, avoid direct streams of water on the newly tattooed skin. Pat — don't rub — the area dry. Use moisturizer. Apply a mild moisturizer to the tattooed skin several times a day. Avoid sun exposure. Keep the tattooed area out of the sun for at least a few weeks. Avoid swimming. Stay out of pools, hot tubs, rivers, lakes and other bodies of water while your tattoo is healing. Choose clothing carefully. Don't wear anything that might stick to the tattoo. Allow up to 2 weeks for healing. Don't pick at any scabs, which increases the risk of infection and can damage the design and cause scarring.If you think your tattoo might be infected or you're concerned that your tattoo isn't healing properly, contact your doctor. If your tattoo isn't what you expected and you're interested in tattoo removal, ask your dermatologist about laser surgery or other options for tattoo removal.According to Mayo Clinic, this what you should know before getting your tattoo:Know the risksTattoos breach the skin, which means that skin infections and other complications are possible, including:Allergic reactions. Tattoo dyes — especially red, green, yellow and blue dyes — can cause allergic skin reactions, such as an itchy rash at the tattoo site. This can occur even years after you get the tattoo. Skin infections. A skin infection is possible after tattooing. Other skin problems. Sometimes an area of inflammation called a granuloma can form around tattoo ink. Tattooing also can lead to keloids — raised areas caused by an overgrowth of scar tissue. Bloodborne diseases. If the equipment used to create your tattoo is contaminated with infected blood, you can contract various bloodborne diseases — including methicillin-resistant Staphylococcus aureus (MRSA), hepatitis B and hepatitis C. MRI complications. Rarely, tattoos or permanent makeup might cause swelling or burning in the affected areas during magnetic resonance imaging (MRI) exams. In some cases, tattoo pigments can interfere with the quality of the image.Medication or other treatment might be needed if you experience an allergic reaction to the tattoo ink or you develop an infection or other skin problem near a tattoo. 6224

CINCINNATI — It's your right as an American to give people the finger, even if the recipient of your flipped bird is a police officer, a federal appeals court ruled this week.The case centered around Debra Cruise-Gulyas, a Michigan woman who displayed her middle finger to a police officer who had stopped her for speeding and written her a ticket for a lesser violation in 2017.The officer, Matthew Minard, then stopped the woman again less than 100 yards away and amended the ticket to a speeding violation.Cruise-Gulyas later sued Minard, alleging that he violated her constitutional rights by pulling her over the second time.The case eventually made its way to the Sixth Circuit Court of Appeals in Cincinnati, and a panel of judges ruled on Wednesday that stopping Cruise-Gulyas because of the gesture was a violation of her First Amendment rights."Fits of rudeness or lack of gratitude may violate the Golden Rule," Judge Jeffrey S. Sutton wrote. "But that doesn't make them illegal or for that matter punishable or for that matter grounds for a seizure."Cruise-Gulyas hadn't done anything illegal to prompt the second stop, the judges ruled."Minard should have known better here," Sutton wrote. 1214

DETROIT — A flyer distributed around the west side of Detroit is causing concern. Is it racist? Is it real? Is it reversing Detroit's history?The flyer is an advertisement for a community discussion about "White integration into the Russell Woods-Sullivan area." The neighborhood has been majority black for years, but gentrification has recently brought more white people to the area. Rhonda J. Smith organized the meeting and wrote the flyers. She says she chose the wording deliberately to hit some nerves. She's lived in the Russell Woods-Sullivan neighborhood for more than 20 years and is seeing a change with more white people moving into homes."I was tired of hearing the same story about the white gentrifiers and the black victims," Smith said. "I wanted to see if there is another angle I can approach."She's a fellow with the Detour Detroit online newsletter.Smith says some of her black neighbors have complained to her about new white residents walking their dogs and messing up their yards. And another neighbor said they are coming in and taking over, but they didn't exactly say what that means.Race is always a hot issue in Detroit. "White flight" happened for decades in the city. This neighborhood is not far from where the 1967 riots broke out.This story was originally published by Jim Kiertzner on 1333

China has set a date for a new round of talks with the United States aimed at ending a trade war that is spooking global markets and hurting businesses.China's Commerce Ministry said Friday that US deputy trade representative Jeffrey Gerrish would hold negotiations with Chinese officials on January 7-8 in Beijing. The White House is yet to confirm the talks.The office of the United States Trade Representative also released a statement Friday announcing the delegation that would be representing the US.In addition to Gerrish, the official delegation will also include David Malpass, the Treasury Department's undersecretary for international affairs. Also set to travel are USTR's chief agricultural negotiator Gregg Doud; the Department of Agriculture's under secretary for trade and foreign agricultural affairs Ted McKinney; Commerce Department undersecretary for international trade Gilbert Kaplan and the Energy Department's assistant secretary for fossil energy Steven Winberg.When asked whether negotiations would be impacted by the ongoing government shutdown, which touches USTR as well as other departments involved, a spokesperson referred to a December statement in which USTR said trade negotiations would continue under existing funds.The upcoming talks will be the first formal negotiations on trade between the world's two biggest economies since President Donald Trump and his Chinese counterpart, Xi Jinping, agreed to a 1455

COVID-19 is presenting many challenges for the U.S. healthcare system. To combat the problems and fears some might have, healthcare facilities are having to adapt quickly to telemedicine and rely more on technology, just like other industries."All of a sudden, we're in the middle of a pandemic, and I need to figure out how am I going to take care of my wellness patients and sick patients," Dede Chism, a nurse practitioner and executive director of Bella Health + Wellness, said. Chism said the idea of telemedicine came about when she was trying to decide who needed to go in and who didn't. "We launched telemedicine overnight," Chism said.She said within ten days of launching, over 50 percent of their patients were taken care of via telemedicine visits.Bella Health + Wellness is not alone, and health systems have been leaning more heavily on telemedicine and conducting appointments through HIPAA-compliant video chat as the nation deals with the COVID-19 pandemic."The role of telemedicine is several-fold," Dr. Alexander Mason, a neurosurgeon and Medical Director for Specialist Telemed said. "It's allowing specialists to connect with patients both in the hospital but also in clinics and at home."Dr. Mason said Telemed allows the sick people to stay home and not get others sick. "This has been a very, what I would describe as linear progression up until COVID-19," Dr. Mason said. "What we see now is an overnight acceptance of that."Dr. Mason explained that telemedicine had been around for decades. "What's changed there for us in the last five years is increasing availability of good high-quality technology both software and hardware," he said. "We see the ability for telemedicine to shine, not only in the traditional three specialties of neurology, psychiatry, and pulmonary critical care but also in a huge number of other specialties in the inpatient and outpatient space."However, telemedicine isn't for every type of doctor's visit. "Telemedicine can not and should not be used for every patient and in every clinical scenario," he said.The Centers for Disease Control and Prevention said telehealth had grown exponentially since the late 1990s, predicting it will be a billion corner of the healthcare market by 2020."I think patients are going to feel a lot more comfortable reaching out via camera if we're able to do this and proof of concept," Dr. Nick Tsipis, an ER physician at Swedish Medical Center and Chief of ER telemedicine for CarePoint Health, said. He sees firsthand how coronavirus is impacting the emergency room,"It can keep folks in areas that are most safe for them by using telemedicine. That's one of our primary applications for it," Dr. Tsipis said.Which is just how Dede and Bella Health are using telemed -- to help their patients feel comfortable."One of the things that have risen amid this virus is gratitude," Dede said. "So much gratitude that we've instituted telemedicine that they can see us, and they know we are seeing them.""The innovation is what we're seeing is both physician acceptance, patient acceptance, and payer/government acceptance," Dr. Mason said.Dr. Tsipis says he hopes telemed will take on more of role if after the pandemic is over"When this is over, physicians will feel more comfortable in an expanded scope of telemedicine as well as a better understanding of several different platforms," Dr. Tsipis said. 3409

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