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Protecting the safety and health of essential can you buy lasix without a prescription workers who support America’s food security—including the meat, poultry, and pork http://cz.keimfarben.de/buy-generic-lasix-online/ processing industries—is a top priority for the Occupational Safety and Health Administration (OSHA). OSHA and the Centers for Disease Control and Prevention issued additional guidance to reduce the risk of exposure to the hypertension and keep workers safe and healthy in the meatpacking and meat processing industries —including those involved in beef, pork, and poultry operations. This new guidance provides specific recommendations can you buy lasix without a prescription for employers to meet their obligations to protect workers in these facilities, where people normally work closely together and share workspaces and equipment. Here are eight ways to help minimize meat processing workers’ exposure to the hypertension. Screen workers before they enter the workplace.

If a worker becomes sick, can you buy lasix without a prescription send them home and disinfect their workstation and any tools they used. Move workstations farther apart. Install partitions between workstations using strip curtains, plexiglass, or similar materials. To limit spread can you buy lasix without a prescription between groups, assign the same workers to the same shifts with the same coworkers. Prevent workers from using other workers’ equipment.

Allow workers to wear face coverings when entering, inside, and exiting the facility. Encourage workers to report any safety and health concerns can you buy lasix without a prescription to their supervisors. OSHA is committed to ensuring that workers and employers in essential industries have clear guidance to keep workers safe and healthy from the hypertension—including guidance for essential workers in construction, manufacturing, package delivery, and retail. Workers and employers who have questions or concerns about workplace safety can contact OSHA online or by phone at 1-800-321-6742 (OSHA). You can find additional resources and learn more about OSHA’s response to can you buy lasix without a prescription the hypertension at www.osha.gov/hypertension.

Loren Sweatt is the Principal Deputy Assistant Secretary for the U.S. Department of Labor’s Occupation Safety and Health Administration Editor’s Note. It is important to note that information and guidance about hypertension medications can you buy lasix without a prescription continually evolve as conditions change. Workers and employers are encouraged to regularly refer to the resources below for updates:This October is the 75th anniversary of National Disability Employment Awareness Month (NDEAM), which happens to fall in the same year as we’re celebrating the 30th anniversary of the Americans with Disabilities Act, or ADA. To celebrate, the U.S.

Department of Labor’s Office of Disability can you buy lasix without a prescription Employment Policy (ODEP) held a virtual event this week focused on increasing access and opportunity through accessible technology.Accessible technology is key to advancing the employment success of people with disabilities and delivering on the promise inherent in the ADA. As our workplaces continue to evolve and advance, we know that new, emerging technologies will play an increasingly central role in how we get to work and how we perform on the job. During the event, we explored some of those exciting innovations with technology can you buy lasix without a prescription thought leaders, disability advocates, and experts in accessibility, transportation, and emerging technologies. Watch the full program. [embedded content] Some key takeaways from the event include.

Having an can you buy lasix without a prescription “accessibility for all” mindset in technology development – known as universal design – is essential and is increasingly starting to take hold. It’s important to have accessibility baked into a product right from the beginning. For example, I used to use an external microphone to power my computer’s voice-to-text capability, but now, that software is built right into my laptop and my smartphone. Artificial intelligence has the potential to increase access to the workplace by eliminating potential can you buy lasix without a prescription bias in traditional job screening tools and methods, which have often been inaccessible for individuals with certain disabilities. Autonomous vehicles will be a game-changer for people with disabilities who cannot drive – but only if they are accessible.

More employers are recognizing the skills of neurodiverse individuals and putting in place proactive hiring practices and electronic tools designed to tap into this talent pool. Through ODEP’s Partnership on Employment and Accessible Technology and related efforts, we help employers understand the importance of implementing workplace technology that can you buy lasix without a prescription works for everyone, and teach companies how to build and buy accessible products. Because viewed in a certain light, all technologies are assistive. We’re at a moment of imagining possibilities to improve workplace inclusion for people with disabilities — for example, to cease designing around the idea of the “average” person to instead focus on usability by all. In this milestone year, the discussion this week was a great reminder of why increasing access and opportunity will be can you buy lasix without a prescription so critical over the next few decades.

Success will take ongoing collaboration between tech industry leaders, entrepreneurs, academics, advocates, government leaders, and others. By working together, we can build a future that works for all Americans. To learn more about ODEP’s accessible can you buy lasix without a prescription technology efforts, please visit https://peatworks.org. Jennifer Sheehy is the Deputy Assistant Secretary of Labor for Disability Employment Policy in the U.S. Department of Labor’s Office of Disability Employment Policy..

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Between September Generic cialis price and January, Dr lasix 200mg. Eyal Kendar worked 12 hour days, seven days a week as one of the members of the hypertension medications response team at the St. Lawrence Health System in Canton, New lasix 200mg York. Now, as the number of hypertension medications cases falls and the number of vaccinated people increases, he said he’s back to his usual 60 hours a week, with only a little trepidation about what’s to come.

€œI have a sense of guarded relief,” he said. €œWe have still had flurries of lasix 200mg activity in our county and I worry, as do many people I know who worked with hypertension medications, that there will be a variant that will evade the treatments if we don’t get more people vaccinated. There’s a sense of relief, but also a sense of fear.” But still, there’s a sense of guarded optimism, and a growing response to the health issues facing his patients in a post-hypertension medications world. From post-hypertension medications symptoms to worsening of prior health issues to mental health issues, Kedar said things are far from back to normal.

St. Lawrence County, with a population of a little over 110,000 people, saw 7,456 cases of hypertension medications. Of those, 96 resulted in death. Currently, there are 99 positive cases in the county, four of which require hospitalization.

On May 26, the county reported only four new cases. Even though many patients have recovered, some are still being affected by the illness. Like this story?. Sign up for our newsletter.

“We’re seeing a lot of hypertension medications-related symptoms in patients,” he said. €œThe lasix is still alive in the post-hypertension medications syndrome.” Other patients he’s seeing were ones with acute conditions prior to the lasix that have worsened. €œWe’re seeing a lot of patients with conditions that were under-managed during the lasix,” he said. €œWe’re having to meet a lot of needs for patients that may have gone unmet during the height of the lasix.

We’re working now to get those conditions back under control.” Now that things are somewhat slower, however, he’s beginning to feel the toll the lasix has taken on him. €œI actually do feel some burnout,” he said. €œIt’s gotten worse since the end of the lasix. It’s more fatigue of working so many months without a day off.

It’s not something you feel until things begin to slow down.” Mental health challenges face all front line workers, he said. While he said he hadn’t checked in with his colleagues to see how they are handling the aftermath of the lasix, he said he expects that health care workers will suffer some mental health effects as a result of the lasix. €œI think you will see a lot of that especially among front-line workers,” he said. €œI don’t see how you can’t have some degree of lasting effect after so much death and lasting illness in such a short-time period.” Still, the spotlight the lasix has put on rural health systems may bring about some change, he said.

€œWe have to use the lasix as a source of impetus to help us build a rural health system,” he said. €œThe Biden administration is showing signs of paying attention to rural. And the White House is starting to pay attention. I would like to see more, but we’re on the right path.” For now, Kedar said, he’s “tired, but inspired,” and looking forward to taking some time off with family this summer for vacation.

Between September can you buy lasix without a prescription and January, Dr https://actio-rae.de/generic-cialis-price/. Eyal Kendar worked 12 hour days, seven days a week as one of the members of the hypertension medications response team at the St. Lawrence Health System in Canton, New York can you buy lasix without a prescription. Now, as the number of hypertension medications cases falls and the number of vaccinated people increases, he said he’s back to his usual 60 hours a week, with only a little trepidation about what’s to come.

€œI have a sense of guarded relief,” he said. €œWe have still had flurries of activity in our county can you buy lasix without a prescription and I worry, as do many people I know who worked with hypertension medications, that there will be a variant that will evade the treatments if we don’t get more people vaccinated. There’s a sense of relief, but also a sense of fear.” But still, there’s a sense of guarded optimism, and a growing response to the health issues facing his patients in a post-hypertension medications world. From post-hypertension medications symptoms to worsening of prior health issues to mental health issues, Kedar said things are far from back to normal.

St. Lawrence County, with a population of a little over 110,000 people, saw 7,456 cases of hypertension medications. Of those, 96 resulted in death. Currently, there are 99 positive cases in the county, four of which require hospitalization.

On May 26, the county reported only four new cases. Even though many patients have recovered, some are still being affected by the illness. Like this story?. Sign up for our newsletter.

“We’re seeing a lot of hypertension medications-related symptoms in patients,” he said. €œThe lasix is still alive in the post-hypertension medications syndrome.” Other patients he’s seeing were ones with acute conditions prior to the lasix that have worsened. €œWe’re seeing a lot of patients with conditions that were under-managed during the lasix,” he said. €œWe’re having to meet a lot of needs for patients that may have gone unmet during the height of the lasix.

We’re working now to get those conditions back under control.” Now that things are somewhat slower, however, he’s beginning to feel the toll the lasix has taken on him. €œI actually do feel some burnout,” he said. €œIt’s gotten worse since the end of the lasix. It’s more fatigue of working so many months without a day off.

It’s not something you feel until things begin to slow down.” Mental health challenges face all front line workers, he said. While he said he hadn’t checked in with his colleagues to see how they are handling the aftermath of the lasix, he said he expects that health care workers will suffer some mental health effects as a result of the lasix. €œI think you will see a lot of that especially among front-line workers,” he said. €œI don’t see how you can’t have some degree of lasting effect after so much death and lasting illness in such a short-time period.” Still, the spotlight the lasix has put on rural health systems may bring about some change, he said.

€œWe have to use the lasix as a source of impetus to help us build a rural health system,” he said. €œThe Biden administration is showing signs of paying attention to rural. And the White House is starting to pay attention. I would like to see more, but we’re on the right path.” For now, Kedar said, he’s “tired, but inspired,” and looking forward to taking some time off with family this summer for vacation.

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As I write this editorial, it is how much potassium with lasix almost 14 months since I first developed hypertension medications symptoms and my journey with Buy diflucan for yeast long hypertension medications continues. In their guideline on long hypertension medications NICE/SIGN define post-hypertension medications how much potassium with lasix syndrome as signs and symptoms that develop during or after a hypertension medications , continuing for more than 12 weeks, and not explained by an alternative diagnosis. More information about long hypertension medications can be found in the blog written by @jakesuett and me in September 2020. Data from the Office for National Statistics in April 2021 estimated that 1.1 million how much potassium with lasix people in the UK reported experiencing some form of long hypertension medications symptoms. Despite this, the UK Government continues to focus on the outcomes of hypertension medications being binary.

Dying or how much potassium with lasix surviving. Box 1 provides details about some useful sources of information on long hypertension medications.Box 1 Useful sources of information about long hypertension medicationsNICE/SIGN rapid guideline published in December 2020.The NIHR review of evidence. Living with hypertension medications—second Review (March 2021).Paper in nature in April 2021 provides a summary of how post acute hypertension medications (long hypertension medications) can affect different organ systems.Paper published in March 2021 describing the range of signs and symptoms experienced by people with long how much potassium with lasix hypertension medications via a social media survey.Everyone’s long hypertension medications journey is different. Recovery is not linear with many relapses along the way. Fourteen months on, I am better than I was but still not fit enough how much potassium with lasix to return to work and need to be careful not to do too much.

My ongoing symptoms include:Breathlessness—e.g. After having a shower or walking short distances.Brain fog—unable to read for more than 15–20 min or concentrate on anything for more than 30 min.Headache.Fatigue.Poor temperature control and hot flushes.Deterioration in how much potassium with lasix my eyesight—potentially due to steroids.Tingling in faceSwollen glands.Nausea.I am one of the lucky ones—I was reviewed at a (virtual) long hypertension medications clinic in February 2021. As suggested by the NICE/SIGN guidelines, I had some tests ordered to rule out any organic causes for my symptoms. The blood how much potassium with lasix tests showed that I had developed type 2 diabetes. A brain MRI indicated I have had a stroke at some point.Nowadays, there is an expectation that most illnesses can be cured.

This makes it more difficult when how much potassium with lasix there are no answers. As a patient group we struggled, and in many cases, are still struggling, to get access to the tests we needed which how much potassium with lasix exacerbated this situation. This is perhaps not surprising in the middle of a lasix. I always felt slightly uncomfortable fighting for access to tests how much potassium with lasix when I knew the NHS was at crisis point but as a registered nurse had some knowledge as to where to turn for help. This was particularly helpful when I was rung with the results of my tests following my long hypertension medications clinic appointment.

Having been told I had developed type 2 diabetes, the advice was to ‘go on a low sugar how much potassium with lasix diet’ and have my bloods tested again in a few months. However, I was able to reach out to friends for advice as well as referring myself to the diabetes nurse at my GP practice. I am how much potassium with lasix now on a low carb diet and have been prescribed metformin that would not have happened if I had just followed the initial advice. Getting advice about my stroke has not been so easy. Over 6 weeks how much potassium with lasix down the line, I am still awaiting my referral to the stroke clinic.On an intellectual level, as someone who has spent much of their nursing career promoting evidence-based practice, it has been interesting having a new disease and observing as information about potential treatments emerge.

People within the long hypertension medications community were willing to try almost anything in an attempt to get better. A scene from the recent TV series It’s a sin struck a chord—someone who thought they had AIDS/HIV in the mid 1980s ringing a hotline and asking whether a list of potential cures, including drinking bleach, would cure him.As a registered nurse and editor of Evidence Based Nursing, I found it challenging when other people with long hypertension medications appeared to me to be ‘grasping at straws’ and trying any treatment that was available despite a lack of evidence to support it how much potassium with lasix. I understand this is a reaction to the lack of available treatments as well as many people being told by the medical profession their symptoms were ‘all in their head’. But, on how much potassium with lasix occasion, it made it difficult being part of these groups. Going forward, we need robust research to identify treatments for long hypertension medications.

An international multistakeholder forum has how much potassium with lasix recently produced a list of research priorities for long hypertension medications. Governments are beginning to allocate money for research into long hypertension medications—for example, in the USA, the NIH has put US$1.15 billion aside. These are definitely steps in the right direction but more needs to be done worldwide to care for those of us with Long hypertension medications.Ethics statementsPatient consent for publicationNot required.Using interpretative phenomenological analysis to explore multiperspectivesInterpretative phenomenological analysis (IPA) was originally developed in 1995 by Johnathan Smith as a method to undertake experiential research in psychology and has gained how much potassium with lasix prominence across health and social sciences as a way to understand and interpret topics that are complex and emotionally laden, such as chronic illness experiences.1 2 IPA aims to uncover what a lived experience means to the individual through a process of in-depth reflective inquiry.3 The IPA draws on phenomenological thinking, with the purpose to return ‘to the things themselves’3 (p168). However, IPA also acknowledges that we are each influenced by the worlds in which we live and the experiences how much potassium with lasix we encounter. Therefore, IPA is an interpretative process between the researcher and researched, influenced predominantly by Heidegger’s interpretive phenomenology, hermeneutics and idiography.

Within IPA, it is typical for researchers to select a small homogenous sample to explore the how much potassium with lasix shared perspectives on a single phenomenon of interest4. Within IPA studies, the focus has been on individual people living within diverse settings and populations such as chronic or long-term illnesses. The focus is on understandings of rich, lived experiences, and, given the small samples, IPA studies have typically not focused on those connected to the person how much potassium with lasix living with diversity or disease. Recently, there has been an interest within IPA to suggest the value of capturing more complex data through multiple perspectives using designs and processes to address this shortcoming in IPA.4 This may involve the use of multiple participants and a range of data collection methods such as the use of dyads or focus groups. The aim of this paper is to explore the utility how much potassium with lasix of IPA approaches using multiperspectives through focusing on a specific case study to illustrate this approach.Case studyThis case study focuses on an IPA study that focused on the lived experiences of adolescents and young adults (AYA) and their family/significant other living with malignant melanoma (MM).

Families and other people important to the experience can provide a logical and insightful perspectives on a shared psychosocial phenomenon. Multiperspective designs how much potassium with lasix are gaining increasing prominence among researchers who recognise that an experience such as living with a long-term disease ‘is not solely located within the accounts of those with the diagnosis’4 (p182). For the purposes of this case study, the family/significant others were seen as integral to the experience for the AYA living with MM and their journey together in supporting one another through this experience.During the 1970s, melanoma in AYA was rare, but over the intervening decades, there has been a marked increase in the reported incidence of MM in AYA around the globe.5–7 There is a significant amount of biomedical empirical research evidence on melanoma but a dearth of qualitative research around the lived experience for AYA and their family/significant other living with this disease.A purposive sample of young participants, 16–26 years, were identified by the Clinical Nurse Specialists that ensured the participants were experiencing the same phenomenon.8–10 Although the intention was to carry out individual interviews with all the participants following the typical IPA approach, most of the AYA lived at home and the young participants expressed the desire for a shared interview, which was accommodated by the first author. The four individuals (n=4) and three-dyad interviews (n=6) allowed for the shared experience and the phenomena to be captured and understood through data analysis and interpretation.4 Although the use of individual and joint interviews had implications for data collection and analysis—such as the parent how much potassium with lasix wishing to have their voice heard over their child—the researcher had to ensure that questions were also directed to the young participant in order to capture both voices. In depth, semistructured interviews were undertaken within the AYAs primary treatment centre on the day of the outpatient appointment and they were often accompanied with someone who was significant in their journey.

Interviews lasted between 90 and 120 min.This study was novel to the experiences of AYA and family/significant other living with MM, which offers how much potassium with lasix a new perspective on the dynamics that are present within the MM experience. Our findings can be valuable for both an AYA, family/significant other and health and social care professionals. Both AYA and the family/significant other seemed to consider the emotional implications of how much potassium with lasix talking about the disease. Throughout this process, participants seemed to strive for a shared understanding of the MM experience, a story that unified rather than divided them.Strengths and challengesA social phenomenological perspective demands an emphasis on understanding the participant’s experience of the world from their situation and then interpreting how that understanding is intersubjectively constructed.4 11 In-depth semistructured interviews, therefore, how much potassium with lasix offered an appropriate and compelling method to generate data that permitted such insights and reflections, allowing participants to reconstruct their understandings of a phenomenon3 through narrative. Qualitative researchers are increasingly using ‘oint interviews’ (dyad) to explore the lived experiences in health and capture the multiperspective.

However, the decision of whether to interview how much potassium with lasix participants separately or together as a dyad is an important consideration because it influences the nature of the data collected and having two different types of data. Each transcript was analysed separately both for the AYA and then the family/significant other, whether as an individual or dyad. This was important as the researcher (first author) was not sure how much potassium with lasix whether the findings for the AYA would be different from that of the family/significant other. There also needs to be time built into the study for the data analysis and IPA founders suggest following the IPA methodology, researchers should follow the key steps.3 Analysing the data individually allowed the narrative to ‘open up’ and reveal the experiences of the participant’s as various ‘individual parts’ and then as a ‘whole’.2 3 Throughout the data analysis, the six key steps supported the rigour, transparency and coherence of the findings.Findings of the case studyThis study was organised hierarchically into themes and following the iterative process of analysis, the 'Life interrupted' meta-narrative was identified from all the participant’s lives. €˜Life interrupted’ speaks to the various ways that participants’ lives were interrupted due to the cancer diagnosis, and the journey this disease took how much potassium with lasix them on as well as the unsettling emotions that were experienced during this journey.

This is woven into the whole journey experience and figure 1 illustrates the core conceptual thread and the interconnection between AYA and the family/significant other. The interconnection between how much potassium with lasix the four super-ordinate and the 12 subthemes is also shown. The ebb and flow of familial relationships can, in some situations, magnify the impact of the physical disease, with the emotional turmoil often rivalling the physical manifestation of the disease.8 11 Conversely, relationships may help the AYA and the family/significant other cope with the disease in a more positive and supportive way. The importance of these unique and changing relationships in how much potassium with lasix living with MM should not be underestimated, and psychosocial research about YPs experiences of cancer would be enhanced through the further use and development of the multiperspective approach underpinned by IPA as used in this study, which is able to capture these dynamic inter-relationships. A visual representation is provided within figure 1 and how the individual voices were captured through the individual and dyad interview.Visual multi-perspective IPA design.

IPA, interpretative phenomenological analysis." data-icon-position how much potassium with lasix data-hide-link-title="0">Figure 1 Visual multi-perspective IPA design. IPA, interpretative phenomenological analysis.ConclusionsThis paper presents experiences of life events and processes that are intersubjective and relational. Meaning is ‘in between’ us but is rarely studied that way in phenomenological inquiry.4 The meanings of events and processes are often contested and can sometimes be understood in a more complex manner when how much potassium with lasix viewed from the multiple perspectives involved in the system that constitutes them. Multiple perspective designs can be a useful way for IPA researchers to address research questions that engage with these phenomena.Ethics statementsPatient consent for publicationNot required..

As I write this editorial, it is almost can you buy lasix without a prescription 14 months since I first developed hypertension medications symptoms and my journey click here to find out more with long hypertension medications continues. In their guideline on long hypertension medications NICE/SIGN define post-hypertension medications syndrome as signs and symptoms that develop during or after a hypertension medications , continuing for more than 12 can you buy lasix without a prescription weeks, and not explained by an alternative diagnosis. More information about long hypertension medications can be found in the blog written by @jakesuett and me in September 2020.

Data from the Office for National Statistics can you buy lasix without a prescription in April 2021 estimated that 1.1 million people in the UK reported experiencing some form of long hypertension medications symptoms. Despite this, the UK Government continues to focus on the outcomes of hypertension medications being binary. Dying or can you buy lasix without a prescription surviving.

Box 1 provides details about some useful sources of information on long hypertension medications.Box 1 Useful sources of information about long hypertension medicationsNICE/SIGN rapid guideline published in December 2020.The NIHR review of evidence. Living with hypertension medications—second Review (March 2021).Paper in nature in April 2021 provides a summary of how post acute hypertension medications (long hypertension medications) can affect different organ systems.Paper published in March 2021 describing the range of signs can you buy lasix without a prescription and symptoms experienced by people with long hypertension medications via a social media survey.Everyone’s long hypertension medications journey is different. Recovery is not linear with many relapses along the way.

Fourteen months on, can you buy lasix without a prescription I am better than I was but still not fit enough to return to work and need to be careful not to do too much. My ongoing symptoms include:Breathlessness—e.g. After having a shower or walking short distances.Brain fog—unable to read for more than 15–20 min or concentrate on anything for more than 30 min.Headache.Fatigue.Poor temperature control and hot flushes.Deterioration in my eyesight—potentially due to steroids.Tingling in faceSwollen glands.Nausea.I am one of the lucky ones—I was reviewed at a (virtual) can you buy lasix without a prescription long hypertension medications clinic in February 2021.

As suggested by the NICE/SIGN guidelines, I had some tests ordered to rule out any organic causes for my symptoms. The blood tests showed that I had developed type 2 diabetes can you buy lasix without a prescription. A brain MRI indicated I have had a stroke at some point.Nowadays, there is an expectation that most illnesses can be cured.

This makes it more difficult when there are no can you buy lasix without a prescription answers. As a can you buy lasix without a prescription patient group we struggled, and in many cases, are still struggling, to get access to the tests we needed which exacerbated this situation. This is perhaps not surprising in the middle of a lasix.

I always felt slightly uncomfortable fighting for access to tests when I knew the NHS was at crisis point but as a registered nurse had some knowledge as to where can you buy lasix without a prescription to turn for help. This was particularly helpful when I was rung with the results of my tests following my long hypertension medications clinic appointment. Having been told can you buy lasix without a prescription I had developed type 2 diabetes, the advice was to ‘go on a low sugar diet’ and have my bloods tested again in a few months.

However, I was able to reach out to friends for advice as well as referring myself to the diabetes nurse at my GP practice. I am now on a low carb diet and have been prescribed metformin that would not have happened can you buy lasix without a prescription if I had just followed the initial advice. Getting advice about my stroke has not been so easy.

Over 6 weeks down the line, I am still awaiting my referral to the stroke clinic.On an intellectual level, as someone who has spent much of their nursing career promoting evidence-based practice, it has been interesting having a new disease and observing as information about potential treatments can you buy lasix without a prescription emerge. People within the long hypertension medications community were willing to try almost anything in an attempt to get better. A scene from the recent TV series can you buy lasix without a prescription It’s a sin struck a chord—someone who thought they had AIDS/HIV in the mid 1980s ringing a hotline and asking whether a list of potential cures, including drinking bleach, would cure him.As a registered nurse and editor of Evidence Based Nursing, I found it challenging when other people with long hypertension medications appeared to me to be ‘grasping at straws’ and trying any treatment that was available despite a lack of evidence to support it.

I understand this is a reaction to the lack of available treatments as well as many people being told by the medical profession their symptoms were ‘all in their head’. But, on occasion, it made can you buy lasix without a prescription it difficult being part of these groups. Going forward, we need robust research to identify treatments for long hypertension medications.

An international multistakeholder forum has recently produced a list of research priorities can you buy lasix without a prescription for long hypertension medications. Governments are beginning to allocate money for research into long hypertension medications—for example, in the USA, the NIH has put US$1.15 billion aside. These are definitely steps in the right direction but more needs to be done worldwide to care for those of us with Long hypertension medications.Ethics statementsPatient consent for publicationNot required.Using interpretative phenomenological analysis to explore multiperspectivesInterpretative phenomenological analysis (IPA) was originally can you buy lasix without a prescription developed in 1995 by Johnathan Smith as a method to undertake experiential research in psychology and has gained prominence across health and social sciences as a way to understand and interpret topics that are complex and emotionally laden, such as chronic illness experiences.1 2 IPA aims to uncover what a lived experience means to the individual through a process of in-depth reflective inquiry.3 The IPA draws on phenomenological thinking, with the purpose to return ‘to the things themselves’3 (p168).

However, IPA also acknowledges that we are each influenced by the worlds in which we live can you buy lasix without a prescription and the experiences we encounter. Therefore, IPA is an interpretative process between the researcher and researched, influenced predominantly by Heidegger’s interpretive phenomenology, hermeneutics and idiography. Within IPA, it is typical for researchers to select a small homogenous sample to explore the shared perspectives can you buy lasix without a prescription on a single phenomenon of interest4.

Within IPA studies, the focus has been on individual people living within diverse settings and populations such as chronic or long-term illnesses. The focus is on understandings of rich, lived experiences, and, given the small samples, IPA studies have typically not focused on those connected to the person can you buy lasix without a prescription living with diversity or disease. Recently, there has been an interest within IPA to suggest the value of capturing more complex data through multiple perspectives using designs and processes to address this shortcoming in IPA.4 This may involve the use of multiple participants and a range of data collection methods such as the use of dyads or focus groups.

The aim of this paper is to explore the utility of IPA approaches using multiperspectives through focusing on a specific case can you buy lasix without a prescription study to illustrate this approach.Case studyThis case study focuses on an IPA study that focused on the lived experiences of adolescents and young adults (AYA) and their family/significant other living with malignant melanoma (MM). Families and other people important to the experience can provide a logical and insightful perspectives on a shared psychosocial phenomenon. Multiperspective designs are gaining increasing prominence among researchers who recognise that an experience such can you buy lasix without a prescription as living with a long-term disease ‘is not solely located within the accounts of those with the diagnosis’4 (p182).

For the purposes of this case study, the family/significant others were seen as integral to the experience for the AYA living with MM and their journey together in supporting one another through this experience.During the 1970s, melanoma in AYA was rare, but over the intervening decades, there has been a marked increase in the reported incidence of MM in AYA around the globe.5–7 There is a significant amount of biomedical empirical research evidence on melanoma but a dearth of qualitative research around the lived experience for AYA and their family/significant other living with this disease.A purposive sample of young participants, 16–26 years, were identified by the Clinical Nurse Specialists that ensured the participants were experiencing the same phenomenon.8–10 Although the intention was to carry out individual interviews with all the participants following the typical IPA approach, most of the AYA lived at home and the young participants expressed the desire for a shared interview, which was accommodated by the first author. The four individuals (n=4) can you buy lasix without a prescription and three-dyad interviews (n=6) allowed for the shared experience and the phenomena to be captured and understood through data analysis and interpretation.4 Although the use of individual and joint interviews had implications for data collection and analysis—such as the parent wishing to have their voice heard over their child—the researcher had to ensure that questions were also directed to the young participant in order to capture both voices. In depth, semistructured interviews were undertaken within the AYAs primary treatment centre on the day of the outpatient appointment and they were often accompanied with someone who was significant in their journey.

Interviews lasted between 90 and 120 min.This study was novel to the experiences of AYA and family/significant can you buy lasix without a prescription other living with MM, which offers a new perspective on the dynamics that are present within the MM experience. Our findings can be valuable for both an AYA, family/significant other and health and social care professionals. Both AYA and the family/significant other seemed to consider can you buy lasix without a prescription the emotional implications of talking about the disease.

Throughout this process, participants seemed to strive for a shared understanding of the MM experience, a story that can you buy lasix without a prescription unified rather than divided them.Strengths and challengesA social phenomenological perspective demands an emphasis on understanding the participant’s experience of the world from their situation and then interpreting how that understanding is intersubjectively constructed.4 11 In-depth semistructured interviews, therefore, offered an appropriate and compelling method to generate data that permitted such insights and reflections, allowing participants to reconstruct their understandings of a phenomenon3 through narrative. Qualitative researchers are increasingly using ‘oint interviews’ (dyad) to explore the lived experiences in health and capture the multiperspective. However, the decision of whether to interview participants separately or together as can you buy lasix without a prescription a dyad is an important consideration because it influences the nature of the data collected and having two different types of data.

Each transcript was analysed separately both for the AYA and then the family/significant other, whether as an individual or dyad. This was important as the researcher (first author) was not sure whether can you buy lasix without a prescription the findings for the AYA would be different from that of the family/significant other. There also needs to be time built into the study for the data analysis and IPA founders suggest following the IPA methodology, researchers should follow the key steps.3 Analysing the data individually allowed the narrative to ‘open up’ and reveal the experiences of the participant’s as various ‘individual parts’ and then as a ‘whole’.2 3 Throughout the data analysis, the six key steps supported the rigour, transparency and coherence of the findings.Findings of the case studyThis study was organised hierarchically into themes and following the iterative process of analysis, the 'Life interrupted' meta-narrative was identified from all the participant’s lives.

€˜Life interrupted’ speaks to the various ways that participants’ lives were interrupted due can you buy lasix without a prescription to the cancer diagnosis, and the journey this disease took them on as well as the unsettling emotions that were experienced during this journey. This is woven into the whole journey experience and figure 1 illustrates the core conceptual thread and the interconnection between AYA and the family/significant other. The interconnection between the four super-ordinate and the 12 subthemes is also shown can you buy lasix without a prescription.

The ebb and flow of familial relationships can, in some situations, magnify the impact of the physical disease, with the emotional turmoil often rivalling the physical manifestation of the disease.8 11 Conversely, relationships may help the AYA and the family/significant other cope with the disease in a more positive and supportive way. The importance of these unique and changing relationships in living with MM should not be underestimated, and psychosocial research can you buy lasix without a prescription about YPs experiences of cancer would be enhanced through the further use and development of the multiperspective approach underpinned by IPA as used in this study, which is able to capture these dynamic inter-relationships. A visual representation is provided within figure 1 and how the individual voices were captured through the individual and dyad interview.Visual multi-perspective IPA design.

IPA, interpretative phenomenological analysis." data-icon-position can you buy lasix without a prescription data-hide-link-title="0">Figure 1 Visual multi-perspective IPA design. IPA, interpretative phenomenological analysis.ConclusionsThis paper presents experiences of life events and processes that are intersubjective and relational. Meaning is ‘in between’ us but is rarely studied that way in phenomenological inquiry.4 The meanings of events and processes are often contested and can sometimes be understood in a more complex manner when viewed from the multiple can you buy lasix without a prescription perspectives involved in the system that constitutes them.

Multiple perspective designs can be a useful way for IPA researchers to address research questions that engage with these phenomena.Ethics statementsPatient consent for publicationNot required..

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In response to the hypertension medications lasix, members of the Rapid Deployment treatment how to get a lasix prescription from your doctor Collaborative (or RaDVaC)—a group composed of scientists and their friends or colleagues—have been self-administering an untested treatment for hypertension (the lasix that causes hypertension medications). The RaDVaC scientists describe their project as aiming “to reduce risk of harm from hypertension, minimally until there is at least one effective commercial treatment widely available.” Although the project’s white paper includes includes terms and conditions designed to shield the authors from liability, RaDVaC’s self-experimentation raises important legal and ethical questions. Self-experimentation has a how to get a lasix prescription from your doctor fascinating history. In the early 1900s, Walter Reed conducted experiments in Cuba deliberately exposing individuals to yellow fever that included members of the study team as participants. These led to significant public health benefits in confirming that yellow fever was transmitted by mosquitoes, but also resulted in the deaths of several participants.

Some Nobel Prize–winning work by scientists was based how to get a lasix prescription from your doctor on self-experimentation that initially was seen as crazy. For instance, in 1984, Barry Marshall swallowed bacteria to prove that they caused gastritis and peptic ulcers. Many cardiac procedures are based on a 1929 experiment by a German doctor who inserted a catheter into his own heart. Perhaps surprisingly, self-experimentation was how to get a lasix prescription from your doctor once considered an ethical safeguard. The Nuremberg Code, established in response to grossly unethical experiments during World War II, permitted higher risk research if investigators also volunteered to participate, as they had in the earlier yellow fever studies.

However, the idea that self-experimentation can justify higher research risks was abandoned in later codes of ethics. Not only is self-experimentation legally and ethically complex, but protections like how to get a lasix prescription from your doctor independent review and informed consent, which are now required by research regulations, may be a better way to protect research participants. Existing regulations for research were not designed to address self-experimentation. Laws governing research typically define research as an activity designed to produce generalizable knowledge, which does not cover experimentation that is badly designed, unlikely to produce useful data, and merely aiming to protect a small group of people. In addition, the how to get a lasix prescription from your doctor U.S.

Common Rule governs federally funded research, and RaDVaC is not using any federal funding. However, Harvard is covered by a “federalwide assurance” under which the institution has agreed that all research it conducts will abide by the regulations (regardless of funding source). If studies of immune responses involving self-experimentation are planned in George Church’s laboratory at Harvard, as has been reported, this undoubtedly requires approval by an Institutional how to get a lasix prescription from your doctor Review Board, which would provide some oversight of this self-experimentation. If results are to be published in a peer-reviewed journal, moreover, most, if not all, journals would require assurance of regulatory review and oversight. The U.S.

Food and Drug Administration has similar power to regulate how to get a lasix prescription from your doctor research, and, perhaps more relevant for our purposes, “drugs” (including human biological materials and biologics)—even if they are not distributed for profit. The RaDVaC project uses biological materials—more specifically, small chains of amino acids from key hypertension proteins—and therefore may fall under the FDA’s jurisdiction. While the FDA has not traditionally exercised this authority to regulate the analogous practice of small scale, do-it-yourself biohacking, it retains the power to do so in the future. Finally, if people were harmed by taking how to get a lasix prescription from your doctor this treatment, they could also sue RaDVaC, but the disclaimers in the white paper are carefully designed to avoid liability. Even if the law doesn’t adequately address this behavior, it may be ethically problematic—including because it could be a waste of scientific expertise and research effort.

If RaDVaC intends to produce generalizable knowledge about this treatment, unsystematic self-experimentation is unlikely to produce useful information. For example, self-experimentation can lead to biased results if researchers overestimate the chance that the treatment works, or fail to how to get a lasix prescription from your doctor report side effects. Randomized controlled trials, by contrast, are typically designed with researchers being blinded to who receives the intervention or the placebo. Beyond self-experimentation, friends, staff members, and family members of the scientists involved are taking this treatment based on these expert’s recommendations, which could lead to two potential misconceptions. First, people taking the treatment might overestimate the likelihood that they how to get a lasix prescription from your doctor are protected from hypertension and change their behavior.

If some individuals falsely believe they are protected, they might engage in riskier behavior that could cause harm to themselves and others. A second misconception is the idea that this is research that could benefit others. The same data analyst seemed to believe this when he added “my continued existence through this lasix will be a useful data set.” Yet the RaDVaC project could not produce useful data in the same way as standard, well-designed treatment trials, for example, because it is unclear whether individuals receiving the treatment are thoroughly evaluated how to get a lasix prescription from your doctor or monitored, and there does not appear to be a control group. Even if everyone involved with this project fully understands what they are getting into, however, there are also questions about expertise and privilege. Senior scientists benefit from many layers how to get a lasix prescription from your doctor of privilege.

Investment in their education, expertise in specialized areas, and access to information or materials. Arguably, these privileges come with a responsibility to use expertise for the benefit of society. If the RaDVaC treatment is potentially beneficial, then it is tragic not to test how to get a lasix prescription from your doctor it in a rigorously designed study. Indeed, uncontrolled self-experimentation is part of a larger problem in the hypertension medications lasix. Panic about the lasix has led to the widespread use of interventions outside of well-designed clinical trials.

Without such trials, we remain in the dark about which interventions offer how to get a lasix prescription from your doctor net benefits or net harms. Insofar as the scientists involved have expertise in treatment research, they should either reform the RaDVaC project or lend their expertise to serious projects. On the other hand, if scientists don’t have relevant expertise, their overconfidence at their ability to work outside of their wheelhouse may be harmful. Earlier this how to get a lasix prescription from your doctor week, Steven Salzberg, a computational biologist, called for experimental hypertension medications treatments to be rolled out before the results of phase III testing. An op-ed denouncing his misinformed view was published the next day, and Salzberg reversed his position immediately.

Similarly, some of the named members of the RaDVaC project have expertise in genetics, neuroscience, and anti-aging research. Their time might be better spent on projects in how to get a lasix prescription from your doctor these fields, which will still be important when this lasix is finally over. Rather than trying everything but the kitchen sink against hypertension medications, it would be wiser to focus our collective efforts on prioritizing the most promising interventions and testing them in rigorous research, as has been done for some treatments for hypertension medications. RaDVaC’s scientists should be encouraged to collaborate on systematic hypertension medications treatment testing if they have relevant expertise, and to do other valuable things with their time if not.Not far from the famously multihued architecture of Bilbao in northern Spain, an underground world boasts its own vibrant display of color. The stalagmites and stalactites of Goikoetxe Cave are not just the usual white how to get a lasix prescription from your doctor.

Many range from honey to deep red. New research shows that these formations, known generally as speleothems, get their red color from organic compounds leached from soil and transported by water. Scientists suggest, in an article published online in April in Quaternary International, that Goikoetxe Cave's speleothems record environmental conditions how to get a lasix prescription from your doctor such as rainfall.The wildfire season is off to a roaring start. The hot summer is worsening drought and drying out vegetation—an unfortunately ideal environment for wildfires to rage. But that’s just one consequence of global warming.

It’s also leading to how to get a lasix prescription from your doctor flooding, torrential rainstorms and heat-related deaths. In fact, the climate crisis has led to a widespread public health crisis. And as an ear, nose and throat physician, I see the effects more and more often. I vividly remember a patient who came in late for how to get a lasix prescription from your doctor her appointment during a July heat wave. When I walked in, she said, “I’m so sorry I’m late, I was up all night walking my grandbaby around the train station.” Without air conditioning at home, the child was sweating through her clothes in the heat of the night, putting her at risk for dehydration.

July 2019 was the hottest July on record. September 2019 how to get a lasix prescription from your doctor was the hottest on record. January 2020 was the hottest on record. May 2020 was the hottest on record. This is not a coincidence how to get a lasix prescription from your doctor.

It is a pattern. Carbon dioxide, an important greenhouse gas contributing to global warming, has increased by 9 percent since 2005 and by 31 percent since 1950. A U.N how to get a lasix prescription from your doctor. Intergovernmental Panel on Climate Change special report pointed out that the world has already warmed about one degree Celsius from pre-industrial levels. It stressed the urgency to act to limit warming to 1.5 degrees, and that a two-degree how to get a lasix prescription from your doctor increase will lead to unprecedented extreme heat, water scarcity and food shortages around the globe.

Heat affects every part of our body. It can lead to heat exhaustion, heat stroke, anxiety, impaired cognitive function and even premature death from heart and lung disease. Across the country, the health concerns of the climate crisis are increasingly being recognized, pushing thousands of medical how to get a lasix prescription from your doctor providers—doctors, nurses, pharmacists, therapists, medical students—to become advocates for change. In my own practice, I explain to patients how the climate crisis affects their health. For example, apart from contributing to global warming, rising carbon dioxide levels increase the amount of pollen that plants produce as a consequence of higher rates of photosynthesis.

This rise how to get a lasix prescription from your doctor in pollen levels can lead to worsening allergy symptoms. Another example is fine particulate matter (known as PM2.5) associated with air pollution, much of it linked to the burning of fossil fuels that help drive the warming. When we breathe in these particles, they travel down the airway and settle in the tiny air sacs called alveoli of the lungs, causing inflammation and potentially worsening asthma symptoms. The explanations are simple, but the health risks are widespread and how to get a lasix prescription from your doctor complex. Ground-level ozone pollution, which is worse in hotter weather, can also harm people with asthma and other respiratory diseases.

And that harm falls disproportionately on the poor. Wealthier people living in North America have a per capita carbon footprint that is 25 percent higher than those of lower-income residents, with some affluent suburbs producing emissions 15 times higher than nearby neighborhoods how to get a lasix prescription from your doctor. These carbon emissions contribute to global warming, and the subsequent health consequences are felt far beyond the neighborhood that produces them. Older adults, children, low-income communities and communities of color are less resilient on average to the health impacts of climate change. The climate crisis is thus leading to how to get a lasix prescription from your doctor a disproportionate public health crisis—and worse, it is a threat multiplier.

At a time when many Americans are economically challenged, continued heat waves and the higher energy bills they trigger threaten access to water and energy security. The economic benefits of a low-carbon economy are clear. Estimates suggest that without climate investments, the United States will face economic damage how to get a lasix prescription from your doctor from climate change equivalent to 1–3 percent of GDP per year by 2100. The majority of Americans think global warming is happening. The climate crisis has unfairly been labeled as political, when in fact, people recognize that something needs to be done about it.

Even for those who are seemingly unaffected, there is increasing global recognition that the safeguards of living in a protected community and affording expert how to get a lasix prescription from your doctor medical care will eventually fail if global warming continues unchecked. Unfortunately, there will be no treatment in six months or a year for the climate crisis. The only treatment is collective climate action in the present. Climate action is required of our elected leaders, and we must mandate it of how to get a lasix prescription from your doctor ourselves. It can be as simple as educating family and friends, while making sustainable shopping and traveling choices.

It includes eating less meat, unplugging electronics and raising a voice against the fossil fuel industry. With a rise in demand how to get a lasix prescription from your doctor for absentee ballots for the election this November, it is crucial to request mail-in ballots right away to make sure our voices are heard. The United States is the second largest emitter of greenhouse gases, and we must vote for green policy. Legislative action and policy change work, as evidenced by the Clean Air Act and its subsequent amendments, which are projected to save 230,000 lives in 2020. The climate crisis is a public health issue, and we must start healing the planet in order to heal each other how to get a lasix prescription from your doctor.

Fighting against the climate crisis is one of the most patriotic things we can do right now. It will protect our health and the health of our neighbors across the country and the globe, and will allow all of us to live on this planet, the only home we have..

In response to the hypertension medications lasix, members of the Rapid Deployment treatment Collaborative (or RaDVaC)—a group composed of scientists and their can you buy lasix without a prescription friends or colleagues—have been self-administering an untested treatment for hypertension (the lasix that causes hypertension medications). The RaDVaC scientists describe their project as aiming “to reduce risk of harm from hypertension, minimally until there is at least one effective commercial treatment widely available.” Although the project’s white paper includes includes terms and conditions designed to shield the authors from liability, RaDVaC’s self-experimentation raises important legal and ethical questions. Self-experimentation has can you buy lasix without a prescription a fascinating history. In the early 1900s, Walter Reed conducted experiments in Cuba deliberately exposing individuals to yellow fever that included members of the study team as participants. These led to significant public health benefits in confirming that yellow fever was transmitted by mosquitoes, but also resulted in the deaths of several participants.

Some Nobel Prize–winning work can you buy lasix without a prescription by scientists was based on self-experimentation that initially was seen as crazy. For instance, in 1984, Barry Marshall swallowed bacteria to prove that they caused gastritis and peptic ulcers. Many cardiac procedures are based on a 1929 experiment by a German doctor who inserted a catheter into his own heart. Perhaps surprisingly, self-experimentation was can you buy lasix without a prescription once considered an ethical safeguard. The Nuremberg Code, established in response to grossly unethical experiments during World War II, permitted higher risk research if investigators also volunteered to participate, as they had in the earlier yellow fever studies.

However, the idea that self-experimentation can justify higher research risks was abandoned in later codes of ethics. Not only is self-experimentation legally can you buy lasix without a prescription and ethically complex, but protections like independent review and informed consent, which are now required by research regulations, may be a better way to protect research participants. Existing regulations for research were not designed to address self-experimentation. Laws governing research typically define research as an activity designed to produce generalizable knowledge, which does not cover experimentation that is badly designed, unlikely to produce useful data, and merely aiming to protect a small group of people. In addition, the can you buy lasix without a prescription U.S.

Common Rule governs federally funded research, and RaDVaC is not using any federal funding. However, Harvard is covered by a “federalwide assurance” under which the institution has agreed that all research it conducts will abide by the regulations (regardless of funding source). If studies of immune responses involving self-experimentation are planned in George Church’s laboratory at Harvard, as has been reported, this undoubtedly requires approval by an Institutional Review Board, which would provide some oversight of this self-experimentation can you buy lasix without a prescription. If results are to be published in a peer-reviewed journal, moreover, most, if not all, journals would require assurance of regulatory review and oversight. The U.S.

Food and Drug Administration has similar power to regulate research, and, perhaps more relevant for our purposes, “drugs” (including human biological materials and biologics)—even if can you buy lasix without a prescription they are not distributed for profit. The RaDVaC project uses biological materials—more specifically, small chains of amino acids from key hypertension proteins—and therefore may fall under the FDA’s jurisdiction. While the FDA has not traditionally exercised this authority to regulate the analogous practice of small scale, do-it-yourself biohacking, it retains the power to do so in the future. Finally, if people were harmed by taking this treatment, they could also sue RaDVaC, but can you buy lasix without a prescription the disclaimers in the white paper are carefully designed to avoid liability. Even if the law doesn’t adequately address this behavior, it may be ethically problematic—including because it could be a waste of scientific expertise and research effort.

If RaDVaC intends to produce generalizable knowledge about this treatment, unsystematic self-experimentation is unlikely to produce useful information. For example, self-experimentation can lead to biased results if researchers overestimate the chance that the treatment can you buy lasix without a prescription works, or fail to report side effects. Randomized controlled trials, by contrast, are typically designed with researchers being blinded to who receives the intervention or the placebo. Beyond self-experimentation, friends, staff members, and family members of the scientists involved are taking this treatment based on these expert’s recommendations, which could lead to two potential misconceptions. First, people taking the treatment might overestimate the likelihood that they are protected can you buy lasix without a prescription from hypertension and change their behavior.

If some individuals falsely believe they are protected, they might engage in riskier behavior that could cause harm to themselves and others. A second misconception is the idea that this is research that could benefit others. The same data analyst seemed to believe this when he added “my continued existence through this lasix will be a useful data set.” Yet the RaDVaC project could not produce useful data in the same way as standard, well-designed treatment trials, for example, because it is unclear whether individuals receiving the treatment are thoroughly evaluated or monitored, and can you buy lasix without a prescription there does not appear to be a control group. Even if everyone involved with this project fully understands what they are getting into, however, there are also questions about expertise and privilege. Senior scientists benefit from can you buy lasix without a prescription many layers of privilege.

Investment in their education, expertise in specialized areas, and access to information or materials. Arguably, these privileges come with a responsibility to use expertise for the benefit of society. If the RaDVaC treatment is potentially beneficial, then it is tragic not to can you buy lasix without a prescription test it in a rigorously designed study. Indeed, uncontrolled self-experimentation is part of a larger problem in the hypertension medications lasix. Panic about the lasix has led to the widespread use of interventions outside of well-designed clinical trials.

Without such trials, we can you buy lasix without a prescription remain in the dark about which interventions offer net benefits or net harms. Insofar as the scientists involved have expertise in treatment research, they should either reform the RaDVaC project or lend their expertise to serious projects. On the other hand, if scientists don’t have relevant expertise, their overconfidence at their ability to work outside of their wheelhouse may be harmful. Earlier this week, Steven Salzberg, a computational biologist, called for experimental hypertension medications treatments to be rolled out before can you buy lasix without a prescription the results of phase III testing. An op-ed denouncing his misinformed view was published the next day, and Salzberg reversed his position immediately.

Similarly, some of the named members of the RaDVaC project have expertise in genetics, neuroscience, and anti-aging research. Their time might be better spent can you buy lasix without a prescription on projects in these fields, which will still be important when this lasix is finally over. Rather than trying everything but the kitchen sink against hypertension medications, it would be wiser to focus our collective efforts on prioritizing the most promising interventions and testing them in rigorous research, as has been done for some treatments for hypertension medications. RaDVaC’s scientists should be encouraged to collaborate on systematic hypertension medications treatment testing if they have relevant expertise, and to do other valuable things with their time if not.Not far from the famously multihued architecture of Bilbao in northern Spain, an underground world boasts its own vibrant display of color. The stalagmites and stalactites of Goikoetxe Cave are not just can you buy lasix without a prescription the usual white.

Many range from honey to deep red. New research shows that these formations, known generally as speleothems, get their red color from organic compounds leached from soil and transported by water. Scientists suggest, in an article published online in April in Quaternary International, that Goikoetxe Cave's speleothems record environmental conditions such as rainfall.The wildfire season is off can you buy lasix without a prescription to a roaring start. The hot summer is worsening drought and drying out vegetation—an unfortunately ideal environment for wildfires to rage. But that’s just one consequence of global warming.

It’s also leading to flooding, torrential rainstorms and heat-related can you buy lasix without a prescription deaths. In fact, the climate crisis has led to a widespread public health crisis. And as an ear, nose and throat physician, I see the effects more and more often. I vividly remember a patient who came in late for her can you buy lasix without a prescription appointment during a July heat wave. When I walked in, she said, “I’m so sorry I’m late, I was up all night walking my grandbaby around the train station.” Without air conditioning at home, the child was sweating through her clothes in the heat of the night, putting her at risk for dehydration.

July 2019 was the hottest July on record. September 2019 was can you buy lasix without a prescription the hottest on record. January 2020 was the hottest on record. May 2020 was the hottest on record. This is can you buy lasix without a prescription not a coincidence.

It is a pattern. Carbon dioxide, an important greenhouse gas contributing to global warming, has increased by 9 percent since 2005 and by 31 percent since 1950. A U.N can you buy lasix without a prescription. Intergovernmental Panel on Climate Change special report pointed out that the world has already warmed about one degree Celsius from pre-industrial levels. It stressed the urgency to can you buy lasix without a prescription act to limit warming to 1.5 degrees, and that a two-degree increase will lead to unprecedented extreme heat, water scarcity and food shortages around the globe.

Heat affects every part of our body. It can lead to heat exhaustion, heat stroke, anxiety, impaired cognitive function and even premature death from heart and lung disease. Across the country, the health concerns of the climate crisis can you buy lasix without a prescription are increasingly being recognized, pushing thousands of medical providers—doctors, nurses, pharmacists, therapists, medical students—to become advocates for change. In my own practice, I explain to patients how the climate crisis affects their health. For example, apart from contributing to global warming, rising carbon dioxide levels increase the amount of pollen that plants produce as a consequence of higher rates of photosynthesis.

This rise in pollen levels can lead can you buy lasix without a prescription to worsening allergy symptoms. Another example is fine particulate matter (known as PM2.5) associated with air pollution, much of it linked to the burning of fossil fuels that help drive the warming. When we breathe in these particles, they travel down the airway and settle in the tiny air sacs called alveoli of the lungs, causing inflammation and potentially worsening asthma symptoms. The explanations are simple, but the health risks are widespread can you buy lasix without a prescription and complex. Ground-level ozone pollution, which is worse in hotter weather, can also harm people with asthma and other respiratory diseases.

And that harm falls disproportionately on the poor. Wealthier people living in North America have a per capita carbon footprint that is 25 percent higher than those of lower-income residents, with some affluent suburbs producing emissions can you buy lasix without a prescription 15 times higher than nearby neighborhoods. These carbon emissions contribute to global warming, and the subsequent health consequences are felt far beyond the neighborhood that produces them. Older adults, children, low-income communities and communities of color are less resilient on average to the health impacts of climate change. The climate crisis is thus leading to a disproportionate public health crisis—and worse, can you buy lasix without a prescription it is a threat multiplier.

At a time when many Americans are economically challenged, continued heat waves and the higher energy bills they trigger threaten access to water and energy security. The economic benefits of a low-carbon economy are clear. Estimates suggest that without climate investments, the United States will face economic damage from climate change equivalent to can you buy lasix without a prescription 1–3 percent of GDP per year by 2100. The majority of Americans think global warming is happening. The climate crisis has unfairly been labeled as political, when in fact, people recognize that something needs to be done about it.

Even for those who are seemingly unaffected, there is increasing global recognition that the safeguards of living in a protected community and affording can you buy lasix without a prescription expert medical care will eventually fail if global warming continues unchecked. Unfortunately, there will be no treatment in six months or a year for the climate crisis. The only treatment is collective climate action in the present. Climate action is required of our elected can you buy lasix without a prescription leaders, and we must mandate it of ourselves. It can be as simple as educating family and friends, while making sustainable shopping and traveling choices.

It includes eating less meat, unplugging electronics and raising a voice against the fossil fuel industry. With a rise in demand for absentee ballots for the election this November, it is crucial to request mail-in ballots right can you buy lasix without a prescription away to make sure our voices are heard. The United States is the second largest emitter of greenhouse gases, and we must vote for green policy. Legislative action and policy change work, as evidenced by the Clean Air Act and its subsequent amendments, which are projected to save 230,000 lives in 2020. The climate crisis is a public health issue, and we must start healing can you buy lasix without a prescription the planet in order to heal each other.

Fighting against the climate crisis is one of the most patriotic things we can do right now. It will protect our health and the health of our neighbors across the country and the globe, and will allow all of us to live on this planet, the only home we have..