Day: September 6, 2019

CDC says stop vaping as mystery lung condition spreads

Vape lung is spreading and the CDC is warning people not to use vaping products while they are investigating the cause. In a media briefing, the public health agency said that some 450 people are now thought to be affected, and as many as five have died.

The CDC’s incident manager for this issue, Dana Meaney Delman, summed up the situation as follows:

CDC, states, and other partners are actively investigating, but so far, no definitive cause has been established. No specific e-cigarette device or substance has been linked to all cases, and e-cigarette include a variety of chemical and additives; consumers may not know what these products contain.

Based on the clinical and laboratory evidence to date, we believe that a chemical exposure is likely associated with these illnesses. However, and I really want to stress this, more information is needed to determine which specific products or substances are involved

Reports earlier this week suggested that Vitamin E acetate, a byproduct of the vitamin complex formed during the vaporization process, may be to blame. Delman downplayed this, saying that although they are working with the labs that made that connection, nothing has been established as yet.

One trend worth noting, however, is that very few of the cases involve only nicotine products; most of the afflicted users reported using THC exclusively or as well as nicotine. This could be the result of many factors, however, so take it with a grain of salt.

The first death was reported in late August in Indiana, but other suspected cases have turned fatal in Illinois, Minnesota, California and Oregon — as reported by The Washington Post, though the CDC said three are confirmed and one is under investigation. The number of reported cases has skyrocketed, though this is likely a consequence of better information coming from state health authorities and hospitals, rather than a sudden epidemic.

In the meantime, the only advice they have is to avoid e-cigarette and vape device usage, especially modified devices or homebrew material. The fact is no one really knows what chemicals are formed in the conditions created by these devices, and some of them could be toxic.

While the investigation is ongoing, CDC has advised that individuals consider not using e-cigarettes because as of now, this is the primary means of preventing this type of severe lung disease. And of course e-cigarette use is never safe for youth, young adults, or pregnant women.

People who do use e-cigarette products should monitor themselves for symptoms (e.g., cough, shortness of breath, chest pain, nausea, vomiting, or others) and promptly seek medical attention for any health concerns. Regardless of the ongoing investigation, people who use e-cigarette products should not buy these products off the street and should not modify e-cigarette products or add any substances that are not intended by the manufacturer.

The CDC is working with numerous state authorities and the FDA to identify the cause of this malady, and will soon publish a report in The New England Journal of Medicine detailing the first 53 cases identified. This should help doctors and other health workers tell if they are dealing with a case of vape lung or something else.

Daniel Fox from WakeMed Hospitals in North Carolina characterized the condition as they had encountered it, with a preliminary diagnosis of “lipoid pneumonia”:

What we wanted to report and what we have seen has been a cluster of five cases that will be reported later today. Each of these cases featured a pulmonary illness in a relatively young person. Ranging in age from 18-35 from what we saw here in North Carolina. The symptoms that these patients were experiencing were being short of breath, having some GI or gastrointestinal symptoms of nausea and vomiting and fevers.

One of the things that was found in common with all of these cases is that all patients were using vaped substances in e-cigarettes. They all had abnormal chest x-rays and developed a need for a lot of oxygen.

All of our patients underwent evaluation, and after the clinical evaluation we found a certain type of pneumonia that was noninfectious. It’s called lipoid pneumonia. Basically, can be, it can occur when either oils or lipid-containing substances enter the lungs.

That is consistent with the Vitamin E acetate hypothesis, as that substance is oily and could enter the lungs mixed with the vapor and then stay there. But none of the doctors or experts on the call made that connection officially.

Some patients are being misdiagnosed as having bronchitis or a viral infection. If you are or anyone you know is getting sick and uses vaping products a lot, it’s worth mentioning this if you get checked out.

Delman concluded her briefing with an assurance that everything that can be done is being done:

Please know that CDC, FDA, state, and clinical partners are working hard to understand why people are getting sick. We will continue to share what we know and what we don’t know to help health departments, clinicians, and the public respond to this outbreak.

If you are concerned about your health or the health of a loved one who is using an e-cigarette product, contact your healthcare provider, or your local poison control center at 1-800-222-1222.

6 Perils of Moving In With A Partner (and How to Avoid Them)

Moving in with a partner is a big step for any couple. And for some couples, it can actually spell the end of the relationship as each party finds out things about the other that they’d rather not.

Before you move in together, it’s easy to maintain a bit of illusion — you’re not thrown together all the time, you can keep your finances separate, and you don’t have to deal with arguments over whose turn it is to do the dishes. But once you’re living together, little things can take on huge significance.

Here we explore some common problems faced by couples moving in together and how you can get around them.

Fighting over Finances

moving in with partner

This is probably the single biggest danger to be aware of when you move in with a partner. Ideally, you should probably have a conversation about finances before you move in together.

If one of you has been saving for years, pays all the bills on time and has a clear financial plan, while the other lives from paycheck to paycheck and has thousands in credit card debt, it’s a bit of a recipe for a disaster.

This can lead to arguments and even more pervasive problems such as an overall lack of trust.

So, if you’re about to take the plunge and move in together, it’s time to sit down and have a very serious chat about how you’re going to manage your finances. Whether it’s opening a joint bank account, setting up payment plans and direct debits or simply setting up a household budget, make sure you’re on the same page.

And if you’ve already moved in together and find yourselves fighting over finances, don’t despair. You can still have that conversation and put plans in place to make sure you get things straight. The important thing is to find an arrangement you’re both comfortable with and that is manageable for both of you.

Not Aligning Life Goals

Another big issue that cohabiting couples can face is finding out that they aren’t on the same page when it comes to long-term life plans. One of you wants marriage and kids, the other’s not sure. One of you would like to work abroad, the other can’t bear to be away from family.

The thing is that moving in together is often seen as a step towards marriage and kids. So, even if those things aren’t on the table yet, if you’re thinking about making the commitment, you need to be sure that you both want the same long-term goals.

Losing Your Own Identities

You’ve moved in together because you love each other and want to spend more time together. But let’s face it, even the closest of couples can get frustrated if they’re together all the time. And going from seeing each other maybe a few times a week to seeing each other every single day can be a bit… well, much.

That’s why it’s vital to still have a bit of alone time now and again. If you’ve lived independently for any length of time, you’ll still have your own friends, so keep up with these as much as you can. Make sure you still both do things for yourselves as well as a couple.

You should also recognize when the other needs a bit of space and respect that. You’ll likely find that you naturally end up spending more and more time together.

However, keeping separate lives to a certain extent will allow you to build your own new routine without forcing things. You should also make time together to go on dates and spend time doing things you both love. Don’t lose your identities as individuals or as a couple!

Always Merging Your Interests

Just because one of you loves nothing more than a ten-mile run on a Saturday morning, it doesn’t mean you both need to get those sneakers on. Likewise, if you enjoy a good Peaky Blinders binge session but your partner’s more of a Game of Thrones fan, you don’t have to suddenly know everything there is to know about the politics of Westeros.

If you had a particular set of interests before you moved in, you should try and maintain at least some of these. On the other hand, you may find new hobbies and interests to pursue as a couple through living together! Tuscan cookery class for two, anyone?

See Also: 6 Hobbies For Couples That Can Strengthen Your Relationship

Not Accentuating the Positive

When you’re suddenly thrown together all the time, those little quirks that you once found endearing in your partner can suddenly become infuriating. Maybe they never put their socks in the laundry basket. Maybe they insist on loudly singing show tunes when they’re doing housework. Or maybe they’re just so incredibly stubborn that they’ll happily argue chalk is cheese until the end of time.

Whatever annoys you about your other half, you can guarantee they’ll have a list just as long about you. So, pick your battles. Figure out what you can live with and what really drives you both nuts.

Then, talk about it to find a way that you can manage each other’s little foibles. Also, try and focus more on the things you love about each other. It could be how your partner always leaves little notes for you or how he or she will give you a back rub after a tough day without being asked. You’ll find that this makes the annoyances a little bit easier to cope with.

Arguing Over Chores

moving in

If there’s one thing my husband and I argue about more than any other, it’s housework. It’s not the most fun thing in the world, but it needs to be done. And if you’re cohabiting, then you both need to accept your fair share of the burden.

Talk to your partner about what you each expect and what each of you really loathes doing. Maybe you hate doing the dishes but your partner is fine with it. In which case, you can do the cooking or the vacuuming. Alternatively, take turns in doing different chores.

A major cause of arguments can be if one partner is tidier than the other. If that’s the case, you need to come to some sort of arrangement where the tidy partner is not constantly picking up after the untidy one. Try and do a bit of tidying every day to keep things at a manageable level or have a blitz every weekend. Do whatever works for you. Alternatively, if all else fails and you’ve got the budget for it, hire a cleaner!

Final Thoughts

The underlying theme behind all of these issues is communication. It’s vital to communicate with your other half to make sure that you’re both happy with any arrangements, bank accounts, chore rotas or long-term relationship goals.

Remember to keep talking. Make time for each other and always remember why you love each other in the first place. Happy cohabiting!

The post 6 Perils of Moving In With A Partner (and How to Avoid Them) appeared first on Dumb Little Man.

Seth Meyers explains why Trump can’t stop lying about that Alabama hurricane tweet

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We’re now several days into the Hurricane Dorian crisis threatening to engulf the nation — no, not the actual huge and destructive storm that made landfall in North Carolina on Thursday night. The president’s made clear that the much more pressing concern is that everyone knows his tweet claiming Dorian would impact Alabama was actually totally correct and not, in fact, extremely wrong.

Seth Meyers took a Closer Look at Trump’s pattern of aggressive, nonsensical lying and corncobbing whenever he’s clearly made a mistake but won’t admit it — from the “Tim Apple” incident to #Sharpiegate and his hilariously transparent denial of any knowledge about the doctored map. Read more…

More about Donald Trump, Seth Meyers, Late Night With Seth Meyers, Alabama, and Hurricane Dorian

Alibaba acquires NetEase Kaola in deal worth $2 billion

Alibaba Group has acquired NetEase Kaola for $2 billion, the two companies said today, and will integrate it into Tmall, creating the largest cross-border e-commerce platform in China. The announcement follows weeks of media reports about a potential deal, which was said to have stalled in the middle of August after the companies reportedly disagreed on transaction details.

Tmall Import and Export general manager Alvin Liu has been named as Kaola’s new CEO, replacing Zhang Lei, but Kaola will continue to operate independently under its own brand.

Tmall Global and Kaola are China’s largest and second-largest cross-border e-commerce platforms, respectively, holding 31.7% and 24.5% of the market, and their union means they will create a business that will far outstrip in size rivals like JD Worldwide, VIP International and Amazon China. (Earlier this year, NetEase was reportedly in talks to merge Kaola with Amazon China).

Alibaba and Yunfeng, the investment firm launched by Alibaba founder Jack Ma, also agreed to invest $700 million into NetEase Cloud Music’s latest funding round. This will give Alibaba a minority stake in the streaming music service, with NetEase remaining its controlling shareholder.

In a press release, NetEase CEO William Ding said “We are pleased to have found a strategic fit for Kaola within Alibaba’s extensive ecosystem, where Kaola will continue to provide Chinese consumers with high-quality import products and services. At the same time, the completion of this strategic transaction will allow NetEase to focus on its growth strategy, investing in markets that allow us to best leverage our competitive advantages.”

Daniel Zhang, Alibaba Group’s CEO, said “Alibaba is confidence about the future of China’s import e-commerce market, which we believe remains in its infancy with great growth potential.”