Our Bodies Ourselves

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I know fair number of transgender women and one thing I can almost universally say about 95% of them is they…

do not sleep … hardly at all

It’s truly baffling to all of us. But now I might have some ideas on what’s making us become such zombies…damn good lookin’ ones but zombies none-the-less (thank GOD for under eye makeup cover).

In an article titled, “Why We Can’t Sleep?“, Gayle Greene, Professor of Literature and Women’s Studies at Scripps College, teases out some interesting points in her Ms. Magazine article:

  • A 2007 poll by the National Sleep Foundation found that 67 percent of women frequently experience sleep problems
  • 29 percent of women use some type of sleep aid at least a few nights a week
  • 75 percent of sleep research has been done on men, and until recently the researchers have been primarily men. The major texts for sleep studies have had, until recently, little to say about women’s sleep
  • There’s a tendency to assume that the problem is psychological. When 501 physicians were interviewed about how they treated insomnia, they revealed that they asked an average of just two and a half questions, mostly about psychological problems. And since doctors believe it’s all in the head, there’s little impetus to research insomnia. In 2005, the National Institutes of Health spent less than $20 million on the condition, although it affects as many as a third of the U.S. adult population. Most of those funds were directed toward treating and managing the problem, while less than $4 million went to investigations of neurophysiological and neuroendocrinal mechanisms — the kind of basic research that might lead to an understanding of cause. (barista note: this whole approach kinda reminds me of how those of us who have GID are treated…we have to be crazy in the head not really being driven by some internal intersex issue none of us can identify but many of us know in our hearts).

The article is very eye opening about how the medical community may be hiding it’s head under the pillow on a cause and help on a real issue in this country. It’s enough to make you stay up late to read! You can read the full article at Ms. Magazine at their link here.

(Photo courtesy of LunaDiRimmel, used under Creative Commons license)

Boston University is using a self-administered questionnaire to understand how facial appearance impacts the quality of life in male-to-female transgender individuals. Your responses are completely confidential and anonymous. Your email address or name is not required. Your participation is entirely voluntary and you can stopthe survey at any time.

WHY
- Your responses will hopefully allow us to better understand the best way to help the transgender community.

WHO
- Dr. Jeffrey Spiegel and Tiffiny Ainsworth from Boston University and Boston Medical Center are researchers studying the quality of life in male-to-female transgender individuals in the hopes of better understanding the best way to help the transgender community medically. Dr. Spiegel is the chief of facial plastic and reconstructive surgery at Boston Medical Center and an associate professor at the Boston University School of Medicine with appointments in the department of otolaryngology, head and neck surgery and the department of plastic and reconstructive surgery. He has significant experience in facial feminization surgery.

HOW
- Go to our website to fill out the online version of our survey at http://bmc.org/survey The Password for the survey is: Boston

WHO CAN PARTICIPATE
- Male-to-female transgender individuals between the ages of 18years and 64years are eligible for participation in the survey.

QUESTIONS?
- Please contact Tiffiny Ainsworth at tiffann@bu.edu

Researchers at Fenway Community Health are exploring possible uses of rapid HIV home testing. The study includes an optional HIV test. Researchers for this study are looking for WOMEN who:

  • Are 18-65 years of age
  • Are fluent in English
  • Are HIV-negative
  • Are sexually active
  • Have sex with men.

If you’re interested in finding out more about this study, please call 617.927.6030 or visit Fenway Health here . They will need to ask you a few questions to see if you qualify to participate in this study. There is no compensation for the screening. Participants in this study will be compensated with $40. Enrollment ends September 24, 2007.

Admit it, at some level you knew it was just plain old healthy to come to Beck’s Cafe and have a steaming cup of java. Well, now we have proof :-)

As reported by the BBC,

Italian researchers looked at the coffee drinking and smoking habits of 166 people with blepharospasm.

Sufferers have uncontrollable twitching of the eyelid which, in extreme cases, stops them being able to see.

One or two cups of coffee a day seemed to reduce the risk of the condition, the team reported in the Journal of Neurology, Neurosurgery and Psychiatry.

To read the full article at the BBC, Coffee ‘could prevent eye tremor’, click to the BBC at this link HERE….and don’t forget to bring a mug of coffee with you ;)

Harvard University’s School of Public Health and the University of Athens Medical School released a startling study that should make us all wake up to the importance of SLEEP…ready?

Midday napping (siestas) reduced coronary mortality by about one third among men and women. The study appears in the February 12, 2007 issue of The Archives of Internal Medicine.

How’s that for a reason to get some well needed Zzz’s? In a nutshell, the researchers looked at 23,681 individuals living in Greece who, at the beginning of the study, had no history of coronary heart disease, stroke or cancer. The researchers then followed these people for 6 years. The researchers found that study participants who took regular naps, which they defined as napping at least three times per week for an average of 30 minutes, had a 37% lower coronary mortality than the participants who did not take naps. The effect was strongest among working men and weaker among retired men. Curiously, among working women there were too few death to be significant (perhaps women have much better work like balance than everyone thinks!). The researchers aren’t sure why napping three times per week for 30 minutes at a time has this effect but it may be related to being a sort of release valve for stressors in the body.

So, next time you want a health boost take a snooze. Being well rested may be this centuries secret miracle potion and it’s most sought after commodity.

(You can check out the press release at the Harvard School for Public Health at their web site HERE. You can see the original study by visiting the Archives of Internal Medecine by clicking HERE).

hiv-drawing.jpg Think AIDs is only an issue if you shoot up? Or maybe if your a gay male cruising three or four times a night for sex? Think again, and read about Regan Hoffman. You might be surprised:

Regan Hofmann grew up in the tony suburbs of Princeton, N.J. When she went to high school in the 80s, she was terrified of AIDS.

“By the mid-90s, I had never heard of a woman — a heterosexual woman who was not an IV-drug user — having HIV,” Hofmann says. “I perceived myself to be literally at no risk for HIV.”

But in 1996, Regan contracted HIV from her first and only boyfriend after her divorce. She was so embarrassed that she kept it a secret. And because she had health care, she could keep it a secret from her friends. For about eight years, she only told her immediate family.

You can - and should - read the rest of her story at the National Public Radio web site. You can reach Ms. Hofmann’s important story by clicking to it at this link at NPR HERE.

(photo courtesy of ElektraCute’s Photos, used under Creative Commons License)

world-aids-day.jpg

Today is World’s Aid Day. The facts on this scourge are pretty telling:

  • 38.6 Million people are living with HIV worldwide
  • At the end of 2003, an estimated 1,039,000 to 1,185,000 persons in the United States were living with HIV/AIDS
  • 2.8 Million people died of AIDs in 2005
  • Over 15 million children have been orphaned by AIDs worldwide
  • Nationwide, AIDS is the leading cause of death for African-American adults aged 25-34
  • The younger women are, the more vulnerable they are to HIV infection. Across the country, among teens (13-19) who are infected with HIV, girls accounted for more than half (57%) of new HIV infections in 2001.

You can help the fight against AIDs right here in the Boston area by making a donation to the Fenway Community Health Center. Since Fenway diagnosed the first HIV cases in New England, they have been at the forefront of the battle to end this epidemic. Make a gift today to help them continue that fight.

In honor of World Aids Day, give today and your gift to Fenway could be worth three times as much!
Through the generosity of a special benefactor, all eligible online gifts made to support World AIDS Day will be matched on a $2 for $1 basis. If you give $100 today, your gift could be worth as much as $300 to help Fenway fight HIV and AIDS. Click over to Fenway to make a donation by clicking this link HERE.

Learn more about aids at these links:

nbc-peacock.jpg   MSNBC is hosting a special report tonight on their nightly news broadcast on menopause and alternatives to using HRT to treat it. The trailer for it looked pretty good. You can see what time MSNBC is on in your area by clicking to their program schedule at this link here. You can check out their health reports on menopause by clicking to the women’s health section of MSNBC as this link here.

(photo courtesty of Looper-312 Photos, used under Creative Commons license)

heart-in-silver.jpg Could a sad heart lead to an unhealthy heart? That seems to be what is suggested from a study published in the Journal of the American Medical Association (JAMA) led by Dr. Mary Whooley, a physician at the University of California, San Francisco (see link to abstract at JAMA here). A recent article published by her discusses how major depression is a risk factor for the development of heart disease in healthy patients and for poor outcomes in patients with known heart disease.

In Dr. Whooley’s study she looked at over 7500 elderly women and tracked them over 7 years. She tracked them on a sort of depression scale to see how many symptoms and signs of depression they had. What she discovered was that 7% of women with no signs of depression passed away over the period of her study while 17% of women with three to five signs of depression passed away. Most alarming of all, 24% of the patients with six or more signs of depression passed away. In short, the more depressed her study subjects were the more likely they were to die of heart disease. Dr. Whooley was able to make the link between heart disease and depression by correlating her data with that of many other studies, most notably:

  • A study in Denmark of 700 men and women that was followed for 27 years showed that those with depression had a substantially greater risk of hear attack and death
  • Another study of 8000 men and women that showed an increase risk of coronary heart disease in depression patients
  • a study of patients who were healthy and free of heart disease but for whom the risk of developing heart disease and dying from it was actually caused by depression.

But what might be the connection between depression and heart disease? Is it simply being blue clogs your heart or is depression a trigger for biological changes that bring on the disease? In an article by Dr. Tedd Mitchell for USA Weekend (July 28-30, 2006 edition) and an in an interview for National Public Radio (NPR) of Dr. Sydney Spiesel, Yale Medical School professor and Slate medical columnist, they both note the following possible biological connection between heart disease and a sad heart:

  • Depressed people have a greater resting heart rate potentially leading to heart stress or abnormal heartbeats
  • Hormones that control blood pressure and heart rate are higher in depressed patients
  • Blood platelets are more activated in depressed patients that could lead to a greater incidence of blood clots and heart attack or stroke
  • Behavioral issues come to play too, depressed patients tend to generally smoke more, exercise less, eat more poorly and are less compliant to taking medications that you’ve been prescribed to help keep heart disease from advancing.

So since being depressed is one cause of heart disease, what to do if your so blue? There are a number of potential weapons at your disposal that will help your mood and your heart too. Anti-depressants are one way to go. Dr. Whooley notes in her study that treatment with anti-depressants with selective serotonin reuptake inhibitors is a generally safe approach to alleviate depression. But some studies have shown that exercise is actually more effective.

In a study done in the British Journal of Sports Medicine (April 2001;35:114-117) found that just 30 minutes of walking daily improved depressed patients symptoms faster than medication. And in another study, published in Psychosomatic Medicine (September/October 2000;62:633-638) the researchers found when comparing treating depression with either 45 minutes of exercise three times per week or Zoloft, a popular anti-depressant that is a selective seratonin reuptake inhibitor, the exercise group were more likely to be partially or fully recovered from depression than those in the medication group.

So a sad heart can indeed be a sick heart too and treating it best may include anti-depressant medication or perhaps plain old exercise to make your heart happy and healthier too. My bet is on the exercise, it’s easy and cheap and has many side benefits in helping you physically and mentally, a combination that is time efficient and can’t be beat.

(silver heart photo from Lonely Angel Photos, used under Creative Commons license)

hpv.jpg I know two people who had cervical cancer. One caught it early enough and lived. The other did not and died just two weeks ago. I can’t answer why one figured it out somehow and the other did not. Maybe one had regular check-ups and pap smears and the other did not. I just don’t know. But what I do know is that it’s caused by a virus of all things. That virus is HPV.

HPV is short for human papillomavirus. It’s present in both men and women. For men, the risks include anal and penile cancers and genital warts. For women, there is also the risk of genital warts as well as cervical cancer. Cervical cancer is the second leading cause of cancer related deaths among women. The American Cancer Society has determined that 38% of all diagnosed cervical cancer cases will end in death in 2006. A large and very sobering number.

So what to do? Well the most important thing to do is get a regular pap smear. As Merck points out at it’s excellent web site on this subject:

A: Most women learn they have HPV as a result of abnormal Pap tests. A Pap test (also known as a Pap smear) is part of a gynecological exam that can help detect abnormal cells in the lining of the cervix before they have the chance to become precancerous or cervical cancer. Many cases of cervical precancer are related to HPV and can be treated successfully if detected early. It’s also important to note that cervical cancer is one of the most preventable cancers. That’s why it’s really important to follow your doctor’s advice regarding how often you should have a Pap test.
Learn about Pap tests and other follow-up tests.

The keys to prevent or limiting your chance to getting HPV? Either abstain from sex or use condoms to protect both the guy and the girl. And guys, this is a SHARED responsibility - you own this too.

To learn more about the serious dangers on HPV and to get tools to tell others click to Merck’s excellent site on the topic at “Tell Someone“. You can also learn about this silent killer at the Centers for Disease Control site at this link HERE.