Moms (and Dads) are overworked, stressed, and care so much for others that they forget to do what they need for themselves. Find out what you need to get checked out, and what you can hold off on at scarymommy.com
Yours In Good Health
B
Moms (and Dads) are overworked, stressed, and care so much for others that they forget to do what they need for themselves. Find out what you need to get checked out, and what you can hold off on at scarymommy.com
Yours In Good Health
B
After writing about Lyme Disease and the transmission, I thought that I should also share some alternative tick repellents that you can make at home that are chemical free, as opposed to those that are costly, based off of chemicals, and can be ruin your clothes….and get all over the house (especially with pets!!) Here are a few tick repellents that you can make at home, and these primarily are for ticks and may/may not prevent against fleas and mosquitos, but so worth the few minutes it will take you to make them to ward off nasty ticks! These can be used on their own (a few drops between your dogs shoulder blades and at the base of the tail can ward off ticks for the days adventure, and a few drops around your ankles, inside your wrists, and behind your ears, will not only smell good but can prevent those nasty ticks from hopping onto you and biting your skin) OR mixed and placed in a spray bottle with 2 cups of distilled white vinegar and 1 cup of water and add about 20 drops of these oils:
1. Rose Geranium Oil: a natural tick repellent, do not use on cats, but dogs and humans can have at it!
2. Eucalyptus Oil: relaxing and refreshing, eucalyptus oil can also naturally ward off ticks and fleas.
3. Peppermint and Citrus Oils: When mixed together, it gives off a very clean but intense scent that can ward off ticks.
These oils mixed with the vinegar/water solution can be sprayed on hair, clothes, and skin, of humans (adults and children alike) to repel ticks and can be reapplied liberally. You can also spray on your dogs, I would check with a vet before using any of these on pregnant animals (I am obviously an animal lover but it’s not my area of expertise!) The oil and essential oils cut the vinegar smell for us, but the ticks can still smell it and they will be repelled. You can also add the essential oils just to an oil base (almond or olive oil) but there is a risk that you can ruin clothes, so stick to just spraying your hair and skin (and beware of nut allergies with children- so if you use on your animals, make sure to warn people before letting their children pet your animals!)
Give it a try, it is way better than putting chemicals all over your family, and furry family members too!
Yours in Good Health
B
Lyme disease is a bacteria infection, Borrelia burgdorferi, which commonly spread through bites from tiny ticks, most commonly the deer tick in North America and Europe, as the deer ticks. Living in areas with lots of tall grasses and woods puts you at high risk, even if those areas are by the ocean; many times people feel like ticks cannot live near the ocean…but they can, so you need to be careful even in tall marsh grasses. If caught early enough, lyme disease symptoms can be reversible, but it’s all about knowing the signs and symptoms, prevention, and early treatment that are key.
What are the signs of Lyme Disease?
Just like any other disease, unfortunately, sometimes the initial symptoms are completely silent, meaning many people don’t know they have been infected with the bacteria for a while. Immediately after a tick bite, you can see a red bump where you were bitten, and sometimes, over the next few days, redness spreads to look like a bull’s eye, but the deer tick usually needs to be attacked for 36-48 hours to spread Lyme Disease. When I was 21, I had a tick bite that was the classic bulls eye…and that was the only reason I went in for treatment! A few days after the bite and the infection starts to spread, you may feel some flu-like symptoms (fever, chills, body aches) that can go away.
Later on in the disease, you can get joint pain and swelling, without any other symptoms. Or, you can start to have some neurological symptoms such as numbness or weakness in your arms and/or legs, a temporary paralysis of one side of your face (known as Bell’s palsy- which can be mistaken for a stroke.) You might also notice that you have extreme fatigue, a fast and/or irregular heart rate, redness/inflammation of your eyes, and you may be told that you liver enzymes are elevated from a hepatitis syndrome.
If you live in a heavily wooded area or around high grasses, and have any of these symptoms, even if they come and go, you should be seen by a Healthcare Practitioner (HCP.)
What is the treatment?
The good news is that Lyme disease is very easily treated, IF caught early, and usually a 14-21 day course of antibiotics can kill off the lyme bacteria and reverse all symptoms. Usually doxycycline or amoxicillin are used as the first line antibiotics; they are cheap and tolerated by most people when taken on a full stomach, however the doxycycline can cause pretty severe reactions in the sun, so stay out of the sun as much as possible during treatment! If you do not respond to oral drugs, you may have to go on a course of intravenous (IV) infusion drugs to get higher levels of antibiotics available to kill off the bacteria. IV antibiotics can be much more difficult to tolerate, as the side effects are stronger, and you have to be under the supervision of an HCP during treatment to ensure that your blood levels are stable.
There is alternative IV treatment with a drug called bismacine, however it is not supported by the FDA and can cause bismuth poisoning, as it has high levels of metals present which can cause liver and kidney dysfunction.
How do I prevent tick bites?
1. Wear long sleeves and long pants when in heavily wooded areas: I know, just what you want to do in the summer, but it prevents those ticks from latching onto your skin and biting you!
2. Insect repellent: yes, some people have issues with using chemicals (check out some alternative to chemical repellents!!) however, they can be effective! Repellents with at least 20% DEET should be applied, according to directions, to adults and children alike (avoiding hands, face, and mouth!)
3. Check yourself and your children/animals regularly: When outside a lot, children and animals can play anywhere…and so can ticks, so make sure to check them and remove ticks with tweezers, right behind the head, and firmly pull off the skin, making sure that you have removed the entire tick, and then destroy it. (Sorry, I don’t mean to be harsh, but if it’s a ticks life over mine or my dogs, sorry tick!)
If you are worried you or a family member have been exposed, it is best to go get checked out and while the blood tests for Lyme are not always reliable, it is better to be treated early than to wait until you may have more exaggerated symptoms. Prevention is key when it comes to Lyme so be proactive for you and your family and stop Lyme Disease before to even starts!
Yours in Good Health
B
Heroin, for a long time, has been one of the most addictive street drugs available. With large numbers of users, a high rate of addiction, and a low rate of recovery, it is feared by many, but there is now a new reason to be fearful of the drug: it’s being laced and now has a higher rate of overdose.
What’s the scoop?
Lots of heroin that’s on the streets now is laced with Fentanyl, a drug that is commonly used in hospitals for acute pain control for procedures and post-operatively, but it is making heroin 50 to 100 times stronger, and even the most experienced drug users are overdosing due to the addition of this pain killer. In some areas, the heroin is labelled as having additives, and in other places, it is just being sold as heroin and the people purchasing the drug are not aware of the potentially deadly addition. Granted, one could make the argument that any time you are purchasing heroin to inject directly into your bloodstream you are taking potentially dangerous drug, which is a completely accurate description, but long-term users tend to know how much they can shoot and don’t commonly overdose. Adding in Fentanyl to that dose that long-term users take regularly, can lead to an immediate overdose.
Over a three month period, there were more than 50 deaths spreading over 3 states…and the numbers are rising. In the state of Rhode Island alone, there have been just shy of 100 deaths since the start of 2014 and more than 500 overdoses of this fatal heroin/Fentanyl mix treated by emergency personnel, to the point that now police are carrying Narcan (a quick acting antidote to opioids such as heroin and fentanyl, which can buy time to get a victim to an Emergency Department for further treatment.)
Why is this such a Public Health Crisis?
There are more and more people with prescription pill addictions, who are able to talk HCPs into prescriptions due to pain, or they are purchased over the internet, or off the street, and heroin is essentially a cheaper version of these pain pills. They are all opiates, and work very similarly on the body, but sadly, heroin tends to be cheaper and easier to get than prescription pills. So, the average heroin addict might be the middle class man in a suit next to you at the grocery store….not the homeless person you might assume to be a drug addict. With more and more people turning their prescription pill addiction into a heroin addiction, we have a problem on our hands, and when they start dying before they can even seek help due to a lethal mixture of heroin and Fentanyl that they are taking by accident, we have a huge problem on our hands. The deaths from heroin and other opiates has doubled over homicides in most cities and now that it is being more openly reported, we are all realizing it is a national problem that is hitting small towns as much as it is affecting cities.
If you, or someone you know has a drug addiction, be aware of the risk every time you (or your loved one) buys heroin, know there are places to get help: SAMHSA (substance abuse and Mental Health Services Administration), Recovery.org, and Narcotics Anonymous are some to start with, but you can also go to your HCP for help with addiction or a local emergency department, and for an immediate overdose, you should call your local emergency services (911 in the US).
Keep your eyes open, if you are a parent or if you suspect a friend or a loved one has an addiction. Talk about the risks, get help yourself on how to work with addiction (Nar Anon Group sessions can be a good start), and get on the road to recovery and prevent an untimely death from this toxic mixture of drugs.
Yours in Good Health
B
Distracted Driving is something that occurs with more and more frequency these days, maybe due to our addiction to smart phones (which ironically seem to make us dumber, I cannot remember anyone’s phone numbers and I google things all the time to double-check myself instead of just knowing the answer), or it could be that we lead busier lives so we are trying to multitask at all times, and when’s a better time to get out those emails and catch up on phone calls than when you’re on the road? As it turns out, there are MUCH better times to catch up on those calls (unless you are using a voice operated and hands free device) and to send out those final work emails.
Why should I Decide to Drive and Ditch the Distractions?
I think there are a million reasons why we should all ditch the distractions and decide to drive, but I think some of the statistics from the National Highway Traffic Safety Administration speak for themselves: in 2012 there were 3,328 fatalities and 421,000 injuries all related to distracted driving. That’s almost a half of a MILLION injuries in ONE year that were totally preventable by simply putting down your cell phone and paying attention to the road when you drive. I understand the urge to grab your phone when it alerts as I have stopped myself many times going to reach out and grab my phone to check a text while I’m driving; It’s not worth the risk of my own life or the others on the road near me, and that’s what I remind myself before I reach for my phone. And seriously, would you want to be in a fatal car crash because you couldn’t resist the urge to text “LOL”?
I am sure that you have heard stories, or have seen videos of people doing silly things while driving, and it sometimes is funny, but on the other side, think of the innocent people driving besides them that could be affected by their distracted driving? It could be you, your family member, friends, other loved ones, and that is just not OK. It’s also not OK according to the American Academy of Orthopaedic Surgeons and Auto Alliance: Orthopaedic surgeons are the people who put your broken bones back together after car accidents and other trauma, and along with the Automakers, they have created a “Decide to Drive” campaign to encourage people to actually pay attention while driving.
Also, there is a “Decide to Drive” Campaign Catch Phrase Contest from May 28-June 13, and you can win big $ and have the featured catch phrase for the entire campaign how cool is that?! Join me in promoting health and wellness!
Remember, cars have tons of really cool safety features to prevent accidents and to prevent injuries if accidents occur, but the most advanced safety feature of any vehicle is the driver: eyes on the road and hands on the wheel will help to save lives.
Yours in Good Health,
B
I was selected for this opportunity as a member of Clever Girls Collective and the content and opinions expressed here are all my own.
Oil pulling has been at the forefront of health and wellness news lately, it seems like everyone is talking about it, everyone is doing it, and everyone is claiming all sorts of health benefits from preventing heart disease, to correcting hormone imbalances, to preventing migraines, to curing a hangover. If that’s all true, great, sign me up! But are these claims all true and it is healthy for everyone?
What is Oil Pulling?
Oil pulling is a practice that is around 3,000-5,000 years old, started in India (an Ayurveda traditional medicine practice), that has most recently gained the attention of some celebrities, so to some it seems like a rather new phenomenon. It is based on the idea of a daily health routine that aids in cleansing the body. Oil pulling should be performed after brushing and flossing your teeth, to remove the larger debris and loose plaques, so the oil can be used in a clean oral environment. Most often using sesame oil, as it has antimicrobial properties (meaning: it can kill off some harmful bacteria), you can use one of two two techniques to oil pull:
1. Fill your mouth with oil and just keep it in your mouth for up to 5 minutes then spit it out.
2. Put roughly 30ml of oil in your mouth and swish and gargle (as you would a mouth wash) and spit out.
What does it do?
Since the oil has an antimicrobial properties, by letting it (either actively- swishing- or passively) get between your teeth and into your gums, it helps to decrease the bacteria content in your mouth and saliva (which has been shown in a couple of very small studies), which would lead to less plaque formation and your teeth and gums and prevent bad breath (bacteria is most often the culprit for bad breath). Decreasing bacteria leads to less inflammation in your mouth, and theoretically, this would lead to less cavities, and improve gum health (think less bleeding gums and possibly decrease risk of gingivitis). It can also help with prevention of canker sores, or any other small oral ulceration due to bacteria. Mostly, this occurs because oil is lipid (fat) based, and will leave a slight coating on your teeth and gums which helps prevent bacteria from sticking there, along with the antimicrobial properties.
Does it work?
This obviously has been a part of Eastern Medicine for a long time, and there are some benefits of decreasing bacteria in your mouth such as decreased inflammation and bacteria counts, along with improved breath,which has been shown in small studies of oil pulling. That being said, using a chlorhexidine based mouthwash can also give the same benefits (think GlyOxide).
There have been numerous other claims that it is a full body cleanse and draws all toxins out of your entire body, which various people have claim leads to migraine prevention, hormone imbalance correction, improve kidney function and vision, prevent insomnia…and the list goes on. These things, have not been shown to be due to oil pulling, and the claims are pretty far fetched. However, I am sure that some people really believe this, and the mind is a very powerful thing, so if you oil pull and feel better from whatever ailments you have, great.
There are no negative side effects from oil pulling, besides having to swish with oil (which doesn’t taste great) daily, so if you are interested in giving it a try, go for it! You will most likely improve your oral health, but as for everything else…there is nothing to prove those benefits will occur, so don’t be disappointed if your life doesn’t change completely!
Yours in Good Health
B
Measles outbreaks have been on the rise, after the virus was nearly eradicated in the United States, in 2000. Mostly these infections are on the rise because of people choosing not to give vaccinations to their children, for whatever reason. Measles is a very serious virus, and it is most dangerous to children under the age of 5, and as more and more children have been vaccinated worldwide, the rate of death from measles dropped off, but it is now becoming more of a threat. Regardless of the reason/s that you don’t think that you should get vaccinations, you cannot deny that denying vaccinations not only puts your child at risk, but others as well, and measles outbreaks are becoming more and more frequent.
What are Measles?
The measles are a virus, also known as rubeola, that usually has four stages, over a course of two to three weeks, and with varying symptoms from first exposure (which occur over 7 to 14 days) such as: fever, cough, runny nose, sore throat, pink eye (inflamed eyes), tiny white spots with bluish centers in the corners of the inside of the cheeks (AKA Koplik spots), and a large blotchy skin rash.
The three stages:
1. Incubation Period: from 7 to 14 days after first exposure, you may have no symptoms at all, as you have been exposed and the virus is just starting to take shape.
2. Early Symptomatic Phase: You start to develop some generalized symptoms like fever, cough, runny nose. You might think that you have a regular cold at this point, unless you happen to notice Koplik spots.
3. Acute infection: after 3 days of the generalized symptoms, a red bumpy and blotchy rash will start on the face and around the ears to the hairline, which will spread down to the neck, chest abdomen, then to arms and legs. At the same time as the rash is spreading, an intense fever to 104F-105F will also occur. This phase can last for about a week.
4. Infectious State: you may not feel sick or that you have the measles 4 days before you see a rash, but that is when you are able to spread the virus to others, and you remain infectious to others for up to 4 to 7 days AFTER the rash has completely gone away. It is easily spread from person to person through coughing, touching mucus in any form (sneeze droplets, etc.), and from inhaling the exhalation from an infected person. The virus can stay alive on a surface for several hours and can infect a person through rubbing eyes, nose and/or mouth.
Why is it so serious?
There are some complications that can occur, which can lead to long-term health issues or lead to death: bacterial ear infections, swelling of the brain (encephalitis), bronchitis, pneumonia, and can lead to serious complications in pregnant women. Some of these can be very hard to treat due to the concurrent infection, but encephalitis can be very serious leading to death if the brain swelling is uncontrolled, and the complications with pregnancy can be very severe for the fetus.
The up-side:
If you have not been vaccinated, and find out that you have been exposed, within 3 days of exposure, you can receive the measles vaccine, and if you do get the symptoms of the virus, they are very mild and there is less of a risk of the other complications. Usually when these outbreaks occur, the sources are quickly located and the news and other sources are very good about getting the word out about possible exposures, so if you think you have been exposed, get vaccinated.
You don’t have to get vaccinated, but if you do end up getting infected, the risk of transferring the virus to others is very high, and the exposure to small children and those who may be immune suppressed due to cancer, medical treatments, or older age, can be deadly. As a favor to yourself, and to those around you, no matter what your beliefs are, think about getting the vaccine, and vaccinating your children, it could be the difference between life or death.
Yours in Good Health
B
There are so many different soup “diets” talked about, and people make claims of losing tons of weight and maintaining the weight loss by basically only eating soup. I’ve been asked if this is healthy, and if you truly can live off of a diet like this without missing any key nutrients and vitamins.
The Scoop on Soup:
Honestly? My first thought was, no way can you hit all of your nutritional needs by eating solely soup. But then I actually started reading up on a few of these diets, the soups they suggest for all meals, and many of them suggest different soups for fast weight loss, and then maintenance. The theory is that you are getting nutrients and electrolytes from various vegetables, proteins in the form of meats, tofu, etc., along with fiber from the veggies and grains (that you can add once you get to the maintenance phase). And you are taking in fluids, so part of your daily water intake, while you are getting your nutrition from food; their theory is that soup is “one stop shopping” for nutrition in a bowl, which it can be. But, you need to remember that just like any foods, soups can be healthy because they can be filled with vegetables and lean proteins…but they can also be really high in sodium (salt) content, have heavy fats and creams in them, and be light on vegetables.
The key to a healthy diet is getting varied vitamins and nutrients through your food, and as much as I hate to admit it, humans are creatures of habit, so if we like something (i.e. a certain food) we will tend to eat it more frequently….if you do that with this soup diet, like eating chicken soup morning for every meal, you could be missing some major parts of your diet.
You really need to make you own soups; store-bought tend to be high in sodium and fats (from butter or dairy), and if you make your own from scratch, you can control the ingredients and know exactly how healthy and fresh your ingredients are. For example, I don’t eat pre-prepared soups with meat in them, I have no idea where that meat came from, but I can pretty much guarantee that it is not antibiotic and hormone free, so in making your own soup, you will know the source of all your ingredients, which is a great feeling. We made some amazing ramen from scratch incorporating spinach, mushrooms, corn, bamboo, bean sprouts, garlic, fresh noodles, poached eggs, and non-GMO non-MSG Miso (soy paste); we hit most of our major food groups, so it was a pretty well-rounded meal, low on sodium, and literally 1/10th the fat and calories of the ramen in a package! I could eat that every day, but you need to remember to change-up your diet and the soups so that you are getting varied veggies (for different vitamins and nutrients), proteins, grains, and fruits.
It is tough to get key nutrients like calcium and vitamin D through soups, plus many of the other nutrients in the fruits and veggies can cook off when making the soups. I would get bored with eating soup three times a day (seriously, soup for breakfast too? I think putting my morning smoothie in a bowl could count as breakfast soup, right?); wouldn’t you want to just bite into a sandwich or chew on some roughage at some point? But hey, that’s just me!
If you are able to change-up your diet, learn what your nutritional needs are, meet them, and you don’t get bored, I think that it is a valid diet option for someone who might normally not eat a well-balanced, healthy diet. It is labor intensive (making soups all the time), and I would have a tough time sticking to it, but if you really love soup, and are committed to hitting all of your dietary needs by switching up your soup bases (veggies, proteins, and grains), then have at it!
Yours in Good Health
B
Many people ask me about Quorn™ and whether I think it’s healthy or not. The first time I heard about it, I had no idea what the person was talking about and had to do some research. Once I looked into it, and started asking around, I realized it is much more popular than I had imagined, and it kind of made me feel like I was living under a rock. I was a little shocked at all the controversy here in the US over this mycoprotein meat substitute though.
What is Quorn™?
Quorn™ is a meat substitute that is a mycoprotein (which merely means it’s a protein from a fungus: think mushrooms). These mycoproteins were first cultivated in the 1950’s-60’s for animal and human feeding, in case there was a shortage of protein availability (I have no idea why this was a huge concern, but apparently it was in some circles.) Thus, the process was created, and proteins were derived from fungus, but it is a created biomass, so it isn’t actually grown in nature, it is created in a lab. The fungus that Quorn™ is made form is not actually a mushroom per say, but it is of the same genus, and it is fermented through a patented technique, and Quorn™ is made. Quorn™ is a high protein, low-fat, low-calorie, and high fiber alternative to meat, that supposedly has the same texture, and similar taste to meat (I haven’t eaten it, but all meats taste differently, so I’m not too sure about that claim.) The Quorn™ product was first sold in the UK in the early 1990’s, the rest of the EU in the late 1990’s, and came to the US in the early 2000’s. Currently you can buy Quorn™ in specialty made food items, or just frozen as itself in which you can add it to your own meals in place of meat.
What is the controversy?
There were three main issues that came to pass when Quorn™ hit the market: it was claiming to be “a mushroom based product”, it was also claiming to be vegetarian but used non-free range eggs (AKA battery eggs) in processing, and there were fears it would cause allergic reactions. The mushroom base allegations, were legitimate in that the proteins are created from a fungus that is not a mushroom, technically, but who wants to read “this is a fungus based product” on their food? I wouldn’t reach for that first, I will be honest with you. But, Quorn™ changed it’s labeling to remove that statement altogether, and it is not described anywhere on the Quorn™ website what it is actually created from (which is in no way a negative, just an interesting side note.) The Quorn™ company worked with the Vegetarian Society to start using free-range eggs, and obtain their seal of vegetarian approval, so while it is not vegan (some products also contain milk), it is considered a vegetarian product. The final claim about allergies, was truly unfounded; there was one asthma attack related to the product, but there are many other products on the market with a much higher allergic reaction rate, such as soy, wheat, etc. Besides the Vegetarian Society, the other claims were made by a competitor in the market, so while they may have had some merit, it was more to give negative press to the product.
Final Verdict?
I have never eaten Quorn™, but I do know many people who do, as an alternative to meat and to decrease their fat and calories in meals. Personally, I stick to lean meats and vegetarian meals, I don’t usually even add tofu to meals because I get protein in other ways, but I think that it is a viable alternative for vegetarians looking to add more protein and for those looking to cut calories. I try to eat a clean diet that is minimally processed, and Quorn™ is clearly a lab created processed food, however, this is something that can be very effective to help with calorie reduction in dieting or for adding lean proteins on the go (if you don’t have time to prepare meals, the high protein pre-packaged ones seem pretty easy.) While I don’t consider it an option or me, I think it is a “healthier” alternative for those who eat a high fat, high cholesterol diet and are looking to decrease fat and calorie intake. If you eat Quorn™ as a staple, give some feedback for the rest of the readers!
Yours in Good Health
B
I have a rather hectic schedule, and I work out at times when most of my friends are sleeping (to be honest, when most of the world is sleeping), and my motivation to get out running every day happens to be my dogs. If they don’t want to go out running in the bitter cold at 5am? I basically dig deep with every excuse to get out there, but there are days that I just am dead in the water and I really need some inspiration. For me, and for everyone else who needs that motivation to get out there and either try something new or just have a buddy to workout with, there is actually an app for us: Be Active Together. It’s a dream come true when we are lacking inspiration and motivation!
What is Be Active Together?
It’s an amazing new app, and the goal is to make you healthier by inspiring you and giving you the motivation to work out! Basically you fill out a profile of what activities you like to do, what you level of experience/intensity you work out at, and then you can go ever further and fill out calendar preferences of what days you want to work out, times, and match! The app will match you with someone who works out at a similar intensity with whichever activity you choose to, in your area. Not only does it help you meet people who are interested in the same activities, but it gets you that motivation you need; once you lock in to meet up and work out with someone, you are more likely to do it. There have been many studies showing that people are more apt to stick to health and fitness goals when they have people to meet their goals with, and when they are held accountable. Be Active Together helps you to make yourself accountable: you set a workout “date”, and you then have a reason to be there on time, because if you don’t, you are leaving someone hanging and negatively impacting their workout too, so you better get your butt there! (Just a little friendly pressure to not be a flake and keep the dates you set!) It’s almost like paying for a trainer to hold yourself accountable, except people are choosing to meet up for free!
For me, who is a runner that knows people run when I do, but I just don’t know them personally, it’s a great app: we can meet when the rest of the world is snoozing, it makes me get out of my warm cozy bed, meet up with another non-gym going runner, and we get it done together! And, you can even meet with people who go to your gym; if you are new to a city, or not but looking for some people with similar healthy interests, this is perfect!
It takes commitment to get out there and get in shape, and with Be Active Together, you might just make some new friends in the process of getting fitter AND it just so happens to be one of my favorite things: free! So download, the app, tell me what you think, and let’s all hit those healthy New Years Resolutions!
Yours in Good Health
B