Waching daily Jan 26 2018

Welcome to Dr. David Eifrig's Health & Wealth Bulletin.

This is Weekly Update.

Right now, we're in the midst of one of the worst flu seasons on record.

In fact, about 31.5 cases out of every 100,000 hospitalizations are because of the flu.

That's one of the highest numbers that we've seen.

Unfortunately, we still have about 11 to 13 weeks left, meaning that this flu season can

get even worse.

Already, we have 30 children who have died of the flu in the U.S. and the number of adults

is still untold.

We won't really know until the end of flu season.

Now the reason the flu is so dangerous is because of how quickly it mutates.

So the flu virus comes in one of three types.

There's type A, type B, and type C. Type A is the most dangerous – that's the one that's

responsible for so many epidemics like we're seeing right now.

So that's the kind we're going to focus on today.

Now the flu virus gets its name from two proteins on the outer shell of its envelope.

There's the H protein and the N protein.

The H protein, hemagglutinin, comes in 18 different types.

The N protein, neuraminidase, comes in 11 different types.

Now these two proteins are important because they both help determine how infectious the

flu is and how quickly it can spread once it's inside your body.

The combinations of these two are why we get different strains like H1N1 or H3N2, which

is what we're seeing right now.

Now H3N2 is one of the most dangerous types out there because of how quickly it spreads

and how many complications it can bring.

Now this might also be why we're seeing such low effective rates for the vaccine.

Here in the U.S. they're estimating about a 30% effectiveness, but in places like Australia,

it's only about 10% effective.

Now, one thing to keep in mind is: don't let this dissuade you from really getting your

flu shot every year.

In fact, one study out of the Uniformed Services University of the Health Sciences demonstrated

that getting your flu shot actually lessens the severity of your symptoms.

They looked at a group of folks who had the flu, about 72% of whom were vaccinated.

Those who'd been vaccinated had a far lower chance of having a fever, they had fewer upper

respiratory problems, and overall their symptoms were far less severe.

This is very important because we want to make sure we get as much protection as we

can, even if we do get the flu.

Another point to keep in mind here is that about 80 to 85% of all children every year

who die from the flu were unvaccinated, so it's especially critical to get your flu shot

if you're a child, if you're an adult over 65, or if you're someone with a compromised

immune system because you certainly need that help fighting off the flu.

So if you're having symptoms of the flu, it's important to know if you have the flu or simply

another cold.

Remember, the cold is also a virus, so it's very similar in the way it presents.

In fact, both colds and flu give you a cough, sore throat, runny nose, body aches, headaches,

fatigue, sometimes even fever.

But it's important to remember that colds usually come with a stuffy and a runny nose

and they come over a period of time – you can feel yourself getting sick.

With the flu, the key is a very rapid onset of symptoms.

If this is the case for you, you certainly want to go to your doctor and talk to them,

especially if you're in one of these immune compromised groups.

If that's the case, your doctor may recommend antiviral medications.

These are special medicines designed to fight the flu but they're only really effective

if given within the first 48 hours.

That's why keeping an eye on your symptoms and getting help immediately is really important.

That's it for now.

Keep your questions and comments coming to our feedback line.

Don't forget to like, share, and subscribe, and we'll see you next week.

For more infomation >> 2018 Flu Season: Why This Year's Flu Is So Bad - Duration: 3:53.

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Ford Is Having Trouble with This Whole 'Profit' Thing | The Big Story - Duration: 1:16.

Hello Jalopnik readers.

I'm Adam Milt, and this is the Big Story.

Ford Motor Company has reported that despite revenue being up and net income higher,

their 2017 4th quarter pre-tax profits were down 19% from last year's.

Even though that's a big drop, Ford still made $1.9 billion and doesn't seem too bothered

about the decline.

Erik Shilling, news editor for Jalopnik, reports that it's

"mostly because the prices for raw materials have been rising.

Ford opted to make its trucks with aluminum bodies, which made them several hundred pounds

lighter than they would be, but also cost the company more money since aluminum is more

expensive to make and buy than steel."

Ford went aluminum with the F-150 for this generation, and was the first major American

carmaker to switch away from making its super profitable pickup out of simpler, cheaper steel.

Shilling goes on to say that he doesn't "think a company that made $8.4 billion

last year has too many problems with the fitness of its business—though shareholders are ever

hungry, and boards and CEOs ever eager to feed that hunger."

It will be interesting to see if all of this pays off for Ford.

You never know if gas prices may spike again, and Ford will look like a fuel-efficient hero.

Or if they'll stay low and the company's more conservative rivals will rake in more cash.

For Jalopnik, this is your Big Story.

For more infomation >> Ford Is Having Trouble with This Whole 'Profit' Thing | The Big Story - Duration: 1:16.

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THIS Is What Your Birth Date Reveals About You! - Part 2 - Duration: 4:36.

Find out what your birthday means – part 2

The day you were born is very important for you to know yourself, since every day has

a different impact on our personality.

Check out the second part of the article:

Day 16 – The Triumph

This is a day of extremes.

It could either mean misery or riches.

It all depends on the way the person acts.

People that follow the law, have a good heart, and work honestly will be very successful.

If they don't they will suffer greatly.

Day 17 – Insight

People born on this day can be charismatic leaders.

Since they are more sociable, they normally start at the bottom and work their way up

with determination and hard work.

Day 18 – Mental Power

People born on this day are very connected to their spirituality, and that can be good

or bad.

They should be careful with this, because in spite of this, they tend to suffer with

addiction.

Day 19 – Character

These people are good finishers but are normally very impulsive and emotional.

This can lead lead to outbursts of violence.

However, they always mean well.

The people around them notice that and admire them for it.

Day 20 – Sensibility

People born on this day are good at taking care of others and are sensitive and cozy.

Furthermore, they have a broad vision and are very skilled.

They are peaceful and stand beside others.

Day 21 – Idealism

These people are expressive.

They love expressing their ideas and thoughts.

Unfortunately, they rarely finish what they begin.

They're also very good with art.

Day 22 – Practicality

Anyone born on this day is a perfectionist and great at focusing on their goals.

They may have a hard time relaxing.

Since the number 2 is repeated in their day, they will get double of everything, both good

and bad.

They should work as executives, politicians, or college professors.

Day 23 – Persuasion

People born on this day are good with people, patient, persevering, and good at finding

optional routes.

Due to this, they should work as diplomats, psychologists, writers, etc.

Day 24 – Union

These people are great at understanding others.

Since they are so great at giving advice, they're frequently they center of attention.

They should work in the health area.

Day 25 – Progress

Since they're focused on morality and constant knowledge of the world, these people will

do well in philosophy, astrology, or even biology.

The people born on this day are happier when they live close to water.

Day 26 – Justice

Insight is this person's best characteristic.

They're also very organized.

They try to maintain their high intellectual level and sense of responsibility.

Day 27 – Boldness

People born on this day are courageous, independent, and ready to do whatever it takes to get what

they want.

On the other hand, since they know that they are strong enough to get what they want, they

tend to procrastinate.

Day 28 – Will Power

Anyone born on this day is born a leader but lacks perseverance and competitiveness to

achieve their goals.

Due to this, they get frustrated very easily.

They need to discover themselves in order to develop the optimism and perseverance necessary

to reach the top.

Day 29 – Spirituality

This a day of extremes, so these people can go from peaceful to violent in a blink of

an eye.

Because of this, they must exercise their emotional intelligence.

They have great spirituality, but tend to develop fanatic attitudes, both religiously

and ideologically.

Day 30 – Achievement

People born on the 30th are very social and have natural commercial gifts.

However, they have a hard time working under people, and prefer to work independently.

Day 31 – Skill

Anyone born on this day values their achievements greatly and forget to value themselves.

They're hardworking, honest, loyal, love their families, and hold grudges easily.

What did you think about your birthday?

What else fits with you?

Tell us in the comments section.

For more infomation >> THIS Is What Your Birth Date Reveals About You! - Part 2 - Duration: 4:36.

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Why Early Revision of Cosmetic Eyelid Surgery is Done Only When Eye Health is at Risk - Duration: 8:36.

Thank you for your question.

You submitted your question with two photos.

And you stated that you are about a month out after upper and lower eyelid surgery.

And you're concerned because you feel that your creases are too high and that your left

eye has an ectropion.

And you are insisting on revision and you're asking if it's appropriate or feasible at

one month.

Well, I can certainly share with you how I advise patients who come to me from all over

the world for revision eyelid surgery.

A little bit of background, I'm a Board-certified cosmetic surgeon and Fellowship-trained oculofacial

plastic and reconstructive surgeon.

I have been in practice in Manhattan and Long Island for over 20 years.

Helping patients who have had complications with eyelid surgery done elsewhere has been

a very big part of my practice.

Essentially, I can give you some of the guidelines that I tell my patients who consult with me

as early as one month after surgery.

So to begin with, let's start with what is essentially a central idea as to what to

do and when to do something to help with the appearance versus functionality.

So there are times when patients have come to me and they have had severe ectropion where

the eyelid was significantly everted and they needed surgery sooner rather than later because

of potential compromise in eye function.

So essentially, the urgency of revision surgery is dependent a lot on the quality of the integrity

of the eye itself.

You know, the eyelids, besides appearance, it's important to understand that eyelids

that look good function well.

And so if there's an ectropion or retraction, it doesn't mean that it always has to be addressed

immediately.

But if it's more severe where the function is compromised, then surgery is done.

Generally speaking, if it's mild or minimal, you can treat the surface of the eye conservatively.

You can use artificial tears and you can do other things to help just buy some time to

allow some of the healing process to stabilize.

There is always an important variable which is the relative stability of the eye appearance

that is important to me when I do revision eyelid surgery.

When I do any kind of revision, let's use the lower eyelids for example, if someone's

eyelid is only done like let's say a month ago like yours, then there is still opportunity

for healing such that if the eyelids are a little bit low, you can massage.

You can do other more conservative things to help encourage healing and you might get

a millimeter or so or more of vertical height restored.

And after 3-6 months, you might be in a better situation and may or may not need revision

surgery.

And if you do need revision surgery, at least we're not working with what I refer to as

a moving target.

When there's a lot of variability, when there is still swelling, when there is scar

tissue, it sometimes is challenging.

Now a lot of times patients come to me after they have had multiple revision surgeries.

And in those situations, I actually have to help rehabilitate the tissue.

And so I'll do things such as use platelet-rich plasma (PRP), Acellular matrix to help rehabilitate

the tissue before doing surgery.

But specific to your situation, I think first of all, it's very important to not just

abandon your doctor.

If you chose your doctor based on a trust that was developed after consultation and

establishing an understanding and confidence in their experience and ability to do your

surgery, it is still in your best interest to first work with the doctor who performed

the procedure.

That doctor knows your anatomy, understands what was done at the time of the surgery and

may be be able to help you get through this healing process and get you closer to where

you want to be.

A lot of times, it is often the desire for every patient and every doctor is to avoid

any complication in every patient or in every situation.

But the reality of dealing with the human being is that complications do occur.

Infections, scarring, wound healing that wasn't anticipated happens to anyone who performs

or any patient and physician who performs surgery will recognize that these things do

happen.

So I think it's still important that you not just abandon ship but at least work with

your doctor.

As long as your eye health is not compromised, you have some time before you can address

the aesthetic issues and the functional issues.

That being said, if for any reason you feel that your doctor is not attending to your

concerns, there is always an opportunity to get a second opinion from a specialist, from

someone who is an expert at eyelid surgery just to get an opinion.

But I would say that a lot of times, patients have come to me for this type of opinion,

I essentially document with photos and examination of what they look like at that point and then

I follow them and I see them after 3 months, 6 months and beyond and watch how they do

before considering doing any type of revision surgery.

So the principles again are about maintaining and protecting the eye in terms of ocular

health, making sure that lubrication and there is no issue with vision compromise and further

ensuring proper wound healing then stability before undergoing any revision procedure.

So I hope that was helpful, I wish you the best of luck and thank you for your question.

For more infomation >> Why Early Revision of Cosmetic Eyelid Surgery is Done Only When Eye Health is at Risk - Duration: 8:36.

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KFC's Next Colonel Sanders Is Reba McEntire - Duration: 2:46.

KFC's Next Colonel Sanders Is Reba McEntire

The new colonel is a woman.

KFC, the fried-chicken chain run by Yum! Brands Inc.

, has picked country singer Reba McEntire to appear as Colonel Sanders in its latest marketing campaign, the first time a woman is portraying the mascot who honors the restaurant's founder, Harland Sanders.

In recent years, KFC has tapped various male actors, including Ray Liotta and Rob Lowe, for the role.

Now, with a debate about gender diversity touching industries from Wall Street to Hollywood, Yum has shifted course as it rolls out ads touting its new smoky mountain barbecue chicken.

The company said it picked McEntire because she "embodies the brand.

"We've been publicly talking for a while about the fact that anyone who embodies the spirit of the colonel is qualified to play this role," said Andrea Zahumensky, the chain's chief marketing officer.

"Her Southern roots are a perfect fit.".