天津市龙济医院男科医地址(天津武清区龙济医院路医院) (今日更新中)

What you drive impacts what you breathe.With all kinds of vehicles emitting all kinds of pollutants into our air, many Americans are now suffering from related health problems.“What I feel is tightness all around my chest,” said Karen Jakpor ,M.D., MPH. “Pretend you had to breathe through a straw.”Jakpor lives in California’s Inland Empire, an area east of Los Angeles, that has some of the worst air pollution in the country.After years of breathing in pollutants, Jakpor developed asthma so severe that she lost her clinical career.“That was very devastating to me when that first happened,” she said.Jakpor has since made a career change and is now advocating with the American Lung Association with a goal of getting all internal combustion engines off the road within the next three decades.“There’s so many people who are affected and people dying and yet they don’t even know that air pollution played a role in their medical condition,” Jakpor said.In its new report titled “Road to Clean Air,” the American Lung Association encourages a nationwide shift to electric vehicles by 2050.“Transportation is driving the unhealthy air that affects half of all Americans,” said William Barrett, lead author of this report.He predicts a transition to zero emission technology, for all transportation across America, could save countless lives and billions of dollars.“In the year 2050 alone, we could generate billion worth of public health benefits and approximately 3 billion worth of climate change benefits,” Barrett said.The move to reduce the use of fossil fuels has been an ongoing issue for decades.Now, however, health experts say the need for change is becoming more urgent each day.“Hopefully this report helps move the needle,” said Meredith McCormack, M.D., MHS, associate professor of medicine at John Hopkins University.She says prolonged exposure to car exhaust fumes can cause health issues ranging from heart attacks to lung cancer.To make a national changeover to electric vehicles a reality, McCormack says communities need help from leaders at local, state and federal levels.“For all of us as individuals, we also have our own ability to impact the future,” she said.A future of battery powered cars, however, does come at a cost.For example, a 2020 Toyota Prius Prime plug-in hybrid costs about ,000 more than a 2020 Toyota Corolla with a four-cylinder engine. But a study by the U.S. Department of Energy found that while plug-in vehicles could cost more upfront, they make up for it in savings with lower fuel costs and reduced emissions.That's something Jakpor believes is a small price to pay to improve America’s air quality.“We don’t want to leave the next generation with even worse disasters,” she said. 2753

When he was diagnosed with two autoimmune diseases, Joel Hechler knew he’d be in for a battle. He didn’t realize maybe his toughest one would be with his insurance company.“I think they put the dollars ahead of a patient’s health,” Hechler said. “I don’t think they fully understand the impact the medicine will have on my long-term health and well-being."Hechler suffers from Crohn’s disease and ulcerative colitis, diseases that attack the lining of his digestive tract. Autoimmune conditions like his can’t be cured but, with the right medication, the symptoms can be controlled.  Finding the right medicine can be hard for those suffering from autoimmune diseases. Even if there are scores of drugs on the market, some patients might only respond to one. In Joel’s case, his doctor thought he’d have a better chance trying a drug called Remicade.“I received a letter from my insurance company that denied the Remicade on the basis that I have to try a different drug before I can get to Remicade," Hechler said.Hechler's insurance company, Premera Blue Cross, wouldn’t approve the drug his doctor prescribed because they wanted him to try a cheaper one first.It’s part of a program that health insurers nationwide use called step therapy, requiring that patients try less-costly drugs before “stepping up” to more expensive ones — even if doctors believes the cheaper drug won’t work.Dr. Larry Adler is president of Huron Gastro in Ypsilanti, Michigan and says he spends virtually every day battling insurance companies over step therapy drugs.“They have to fail this medicine first before they get the new drug,” Adler said. “That doesn’t make any sense.”Adler says it's common for patients to get sicker while waiting for step therapy to run its course.In Hechler's case, it took six weeks of fighting with his insurer to convince them that the cheaper drug wouldn’t be effective. As he was waiting, he was getting worse.“It got to the point where I had to be admitted to the hospital,” Hechler said. "I was very, very sick.”Step therapies are used by insurers to try to control skyrocketing prescription medicine costs, says Glen Perry, Director of Pharmacy Contracting and Sales for Blue Cross Blue Shield of Michigan.“These drugs can cost up to 0,000 per year. These are not cheap medications,” Perry said.“It seems like you’re telling patients that, in many cases, your insurer knows what’s best for you, rather than your doctor,” Jones said.“We are trying to provide the most cost effective and safe medication use,” Perry said, adding that when a doctor and insurer disagree over a drug, they can usually resolve the case within a few days without putting a patient at serious risk.“A delay of one or two days I don’t think is really going to make that much of a difference for the medical outcome of the patient," he said.But for many patients, like Phyllis Toole, the delay is longer than a few days.Phyllis suffers from rheumatoid arthritis, a condition where her body attacks her joints. When her doctor wanted to put her on Orencia, her insurance company HAP said she needed to first try a less expensive drug, Humira.But Phyllis’ doctor was worried about possible side effects and thought Humira could be risky.After battling for months, Phyllis says the whole thing made her feel more like a number than a patient. With her doctor and insurer in a standoff, she was forced to rely on samples of the drug she got from her doctor. HAP never approved her prescription.“They’re playing doctor, is what it feels like,” Toole said. “They’re saying this is what you can have for the symptoms you have. It may make you sicker, but this is what you can have.”HAP issued the following statement to Scripps station WXYZ in Detroit: 3800

Who you sit near on an airplane is luck of the draw, but how would you feel if you found out you were going to be neighboring a koala?Last week, an Australian koala boarded a Eurowings flight from Dusseldorf, Germany to Edinburgh, Scotland.Koalas are high-strung animals, so this bear got VIP treatment with a row of seats to himself inside the cabin. 359

Widespread flash flooding along small streams, urban areas, and roadways is expected to begin this afternoon into Thursday from far eastern Texas, across Louisiana and Arkansas. This will also lead to minor to isolated moderate freshwater river flooding. #Laura pic.twitter.com/z71y3icU29— National Hurricane Center (@NHC_Atlantic) August 26, 2020 356

WILMINGTON, Del. (AP) — The Democrats' historic boundary breakers are joining forces at the party’s national convention. Barack Obama, Hillary Clinton and Kamala Harris are all addressing the virtual convention Wednesday night in an effort to rouse the diverse coalition Joe Biden will need to defeat President Donald Trump this fall. Harris made a surprise, brief appearance as proceedings got under way, calling on supporters to make specific plans to vote — and overcome obstacles including the coronavirus and postal delays.Obama, the first Black president, and Clinton, the first woman nominated for president by a major party, were also speaking later, and Harris will be delivering remarks that will serve as her introduction to millions of voters. 763

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