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Smart Choices for Your Health: Resources for selecting a provider

Navigating nursing home care, finding a new doctor, or arranging home health care can be overwhelming.

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Last Updated on May 21, 2024 by Daily News Staff

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(Family Features) Getting health care for yourself or a loved one is a big responsibility, especially if you’re just getting started with Medicare or have changes in your life, such as a new diagnosis of a condition or disease. It can be overwhelming if you need services like nursing home care, have to find a new doctor or get home health care.  

Using online tools like “Find Care Providers” on Medicare.gov can make it easier to make comparisons and help choose doctors, hospitals, nursing homes and more for you or the person you are helping provide care to. Consider these benefits of using the comparison tools to narrow your options.

A Resource for Research

The website provides a simple search and compare experience that allows you to find providers near you. Simply put in a ZIP code and the type of provider to receive a list of providers, their contact information and a map of locations. The information even includes “star ratings” and services provided. The tool can be used to find all sorts of providers, including doctors, hospitals, home health care agencies, skilled nursing facilities, rehabilitation providers, hospice and dialysis facilities.

For example, two sisters needed to find a nursing home that was right for their father. This proved to be a difficult, emotional decision. They didn’t know what nursing homes were in the area where he lives, so they entered his ZIP code and searched for nursing homes. They then received a list of each one in his area, complete with ratings as well as staffing data and inspection reports.

Using a laptop, desktop, tablet or mobile device, you can see how patients rate their care experiences at the hospitals in your area and find home health agencies that offer the services you might need, like nursing care, physical therapy and occupational therapy.

Contact information for local inpatient rehabilitation facilities or long-term care hospitals is available, as well as hospice quality care ratings and specific care details, such as which dialysis facilities offer home dialysis training.

Finding Health Care Services

Many factors influence who you trust with your health care. In some cases, family, caregivers or friends may offer referrals to a doctor or medical facility based on their own experiences, and that can be a helpful guide.

Whether you have referrals or are starting from scratch, you can compare health care providers near you using the Medicare.gov tool, pinpointing which category of services you need, whether it’s doctors and clinicians, hospitals, hospice and home health agencies, dialysis facilities, inpatient rehabilitation centers or nursing homes.

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In addition to searching by your location using your address or a combination of city, state or ZIP code, you can search by provider type and keyword to generate a list of providers that could fit your needs.

Finding a Doctor Who Fits

When you’re looking for a new doctor and not sure where to start, the tool makes it quick and easy to find and compare doctors in your area. You can find contact information, practice locations, specialty and hospital affiliation as well as hospital ratings. 

Selecting the “compare” button allows you to compare up to three different health care providers at once. When you’re ready to schedule a visit with a new provider, be sure to take time during your scheduling call to verify general information, like the office location, whether the office is accepting new patients with Medicare and whether you need a referral to be treated.

Comparing Nursing Homes

Whether you’re planning ahead or need to make an unexpected decision, there’s a lot to think about when choosing the right nursing home for you or someone else. Many family members and caregivers prioritize location so they’re able to check in and visit frequently, but there are many other important factors you may want to consider, too.

The comparison tool at Medicare.gov provides filtering options that allow you to personalize your results by sifting through the criteria that matter most to you, such as inspection results, number of beds, staffing data and more.

You’ll be able to check out the nursing home’s overall “star ratings.” The information can serve as a guide of a provider’s track record to help assist you with finding a home that best suits the person’s needs.

Visit Medicare.gov/care-compare to access the tool and find health care providers and services in your area that fit your needs.

Paid for by the U.S. Department of Health & Human Services.

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Caregiver Guide

Making decisions as a caregiver can be challenging but taking advantage of available resources can help you feel more confident in your choices.

For example, Medicare.gov allows you to find information about health care providers, hospitals, nursing homes, hospice, home health agencies, dialysis facilities, inpatient rehab and long-term care hospitals near you. The website also provides quality ratings, so you can see the provider or facility’s history of service, among other details that help you make the most informed decision on behalf of the person you’re helping.

Photos courtesy of Getty Images

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SOURCE:
Centers for Medicare & Medicaid Services


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Lifestyle

How Women Experience Heart Disease Differently

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Last Updated on July 17, 2026 by Daily News Staff

Heart Disease

(Family Features) Most people think of heart attacks as debilitating pain in the chest. However, that’s not always the case, especially for women, and missing the signs can be a matter of life and death.

Although heart disease is the leading cause of death among American women, according to the American Heart Association, symptoms are often overlooked or explained away as less worrisome conditions.
“Men and women experience many aspects of life differently, and heart disease is no exception,” said LeAnne Bloedon, MS, RD, vice president of clinical development, Esperion Therapeutics. “Symptoms of a heart attack aren’t as obvious as many women think, and failing to recognize the danger and get help can have catastrophic results.”

One heart disease risk factor, for example, is high LDL cholesterol. Often referred to as a “silent killer,” it doesn’t always present noticeable symptoms. In fact, data suggests women with high LDL cholesterol are not diagnosed or treated as early or aggressively as men, which can put women at an increased risk for cardiovascular events. Understanding how men’s and women’s risk and symptoms differ may help identify and treat a serious heart health problem before it causes lasting damage.

Anatomy Differences
Some differences between men and women are present in the body’s internal systems, including the cardiovascular system. Women generally have smaller hearts and narrower blood vessels.

This can affect heart health in numerous ways, including less efficient stress responses and greater risk of widespread plaque buildup, especially in smaller vessels, called microvasculature, which can pose treatment challenges.

Cholesterol Buildup
Hormones influence aspects of the body’s function, including cholesterol levels. Estrogen, a female sex hormone, raises HDL (good) cholesterol levels. This may be why women tend to have more HDL cholesterol and lower LDL (bad) cholesterol than men, especially before they reach menopause, though inherited high cholesterol can affect women of all ages.

“It’s critical to raise awareness about the importance of measuring LDL cholesterol, diagnosing high cholesterol and treating elevated LDL cholesterol per guidelines and individual patient needs,” Bloedon said.

Risk Factors
While there are shared risk factors for heart disease among men and women (such as obesity, high blood pressure and diabetes), some risk factors disproportionately affect women. For example, uncontrolled cholesterol in women, particularly after menopause, can increase the risk of heart disease and stroke.

Care and Treatment
“While you may not be able to fully prevent heart disease, you can understand the risks and take proactive steps,” Bloedon said. “Commit to a healthy, smoke-free lifestyle. Exercise regularly and eat a well-balanced diet with limits on processed foods, sugar, sodium and alcohol. Take any medications as directed by your health care provider.”

Statins, which reduce the production of cholesterol in the liver and lower cholesterol levels in the bloodstream, are the medications most often prescribed to help manage high LDL cholesterol. While generally well-tolerated, statin intolerance (the inability to take a statin at any dose or the recommended dose) does occur in some patients and is more common in women.

Talk with your doctor about other steps you can take to manage elevated LDL cholesterol levels and learn more about women’s heart health at goredforwomen.org.

Symptoms of Heart Attacks in Women
Women’s experiences with heart disease may be quite different from men.

For example, according to the Heart Disease Foundation, women are likely to be older when they experience a heart attack. They may also attribute symptoms to other conditions, such as diabetes or arthritis.

Further complicating matters, several diseases mimic heart attacks so getting to the root of the problem can be tricky. Women are more apt than men to experience a coronary spasm, coronary dissection or broken heart syndrome.

What to Watch For:

  • Like men, women experiencing a heart attack may notice prolonged or reoccurring chest pain or pressure.
  • In women, that pain may extend to the arms, back, neck, jaw and stomach.
  • Some women experience shortness of breath with no chest pain at all.
  • Other symptoms women are more likely to report can be easily mistaken for other conditions. Some of these signs include unexplained fatigue, disruptions to normal sleep patterns, lightheadedness, nausea and cold sweats.

 

Photo courtesy of Shutterstock

 

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SOURCE:

Esperion

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health and wellness

Heat waves can leave homes dangerously hot – even for young, healthy adults

Heat waves can turn homes into dangerous heat traps—especially during blackouts or in houses without AC—pushing indoor temperatures and humidity into lethal territory even for young, healthy adults, not just the elderly.

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A family sits outside in the shade on a hot day. Heat waves.
When temperature soar inside homes, being outside even on very hot days can feel less uncomfortable than being indoors. Brandon Bell/Getty Images

Heat waves can leave homes dangerously hot – even for young, healthy adults

Zoltan Nagy, Eindhoven University of Technology

Most people know that heat waves can be dangerous, but what they may not realize is that the heat indoors can be much worse than outdoors.

When the power goes out and air conditioning stops, or in homes without cooling, a house starts to function like a greenhouse during a heat wave. Heat enters through windows and walls and has nowhere to go. Air stagnates.

Within hours, indoor temperatures can climb well above what the thermometer shows outside, especially on upper floors and in rooms with south-facing windows. Over longer periods, especially if temperatures don’t cool off overnight, conditions can become lethal.

Most heat-related deaths occur indoors. When a heat dome sent temperatures soaring in the Pacific Northwest in 2021, 98% of the more than 600 deaths in British Columbia happened inside homes. Washington and Oregon also saw high numbers of deaths in homes that lacked air conditioning.

In Europe, where only 1 in 10 households have air conditioning, heat waves killed an estimated 60,000 people in 2022 and 47,000 in 2023, largely inside buildings never designed for these temperatures.

Heat waves can turn homes dangerously hot, leaving not just the elderly at risk, but also younger, healthy adults as well.

People of all ages are at risk in heat waves like these. I spent eight years at the University of Texas at Austin studying how buildings respond to extreme heat. In a recent study, my team assessed the heat risk in every single-family home in Austin.

We found that even younger, healthy adults face far more risk than they realize.

How hot is too hot for a human body?

Your body maintains a core temperature of about 98.6 degrees Fahrenheit (37 degrees Celsius). To cool down, it pushes blood to the skin and sweats. But when air temperature is high, that convective cooling weakens. When humidity is also high, sweat cannot evaporate.

If the body has no way to release heat, core temperature rises. If the core temperature increases past about 104 F (40 C), the body’s thermoregulation starts to fail. Past 109 F (42.8 C), death becomes likely.

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Four charts show heat and humidity risks for different ages and indoors vs outdoors.
Heat risk increases with humidity. This chart translates air temperature and relative humidity into general limits of survivability for six hours of exposure depending on whether a person is indoors or outdoors and their age. The black line is considered the edge of survivability. Zones 3-5 are considered not survivable for extended periods of time due to high humidity that prevents sweat from evaporating to release heat (Zone 3), limits on the body’s ability to sweat (Zone 4), or both (Zone 5). Tw is wet bulb temperature. A temperature of 35 C = 95 F; 50 C = 122 F. Jennifer Vanos, et al., 2023

What makes indoor heat especially dangerous is that it does not let up at night in homes that lack air conditioning. Outdoor temperatures typically drop after sunset, and someone outside can get a few hours of recovery. But a poorly insulated home that has been absorbing heat all day releases that heat slowly, keeping indoor temperatures elevated through the night. A person inside the home never gets a break.

After two or three nights of this, even healthy people start to be at serious risk for heat-related illnesses.

Why homes heat up more than people expect

People tend to underestimate indoor heat for a few reasons.

One is that the thermostat typically sits on one wall in one room. It does not tell what the temperature is in an upstairs bedroom or near a sun-facing window. In older, underinsulated homes, the actual felt temperature can exceed 90 F (32.2 C) even when a thermostat reads 75 F (23.9 C). The hot walls, ceilings and windows can radiate heat directly onto your body.

Another reason is that people assume all homes respond to heat the same way. However, a newer home with double-pane windows and good insulation acts like a thermos, keeping heat out for a longer time. An older home with single-pane windows and cracks in the walls heats up fast.

An illustration of a person sitting with their head in their hand in an older home with the ceiling temperature at 101 F, the windows 122 F and the walls and floor in the 90s F.
An illustration of how an older home in Arizona heats up on a hot day shows how underinsulated homes can feel much hotter inside than the air temperature and thermostat suggest. Jonathan Bean, CC BY-ND

Two houses on the same street, exposed to the same outdoor conditions, can have completely different temperatures inside. And in a blackout, where neither home has cooling, those differences can become a matter of life and death.

What we found in Austin

Our study combined two datasets. From Austin’s tax appraisal records, we pulled basic property information, such as the year the home was built, the size and the number of stories for each of the city’s 213,000 single-family homes. We then matched each home to the most similar energy simulation models in a U.S. Department of Energy database that contains thousands of detailed, physics-based building energy models representing the U.S. residential building stock.

Using those models, we simulated each building’s indoor temperatures over time during a three-day heat wave and power outage with outdoor temperatures above 110 F (43 C).

A map of homes in a neighborhood shows how low and high risk homes are mixed together
The average daily heat risk in a suburban Austin neighborhood, with dark red signifying higher risk and yellow lower risk, shows how risk can vary house to house. Calvin Lin

We found that 85% of homes got hot enough to pose a significant risk of death for an elderly occupant. But what surprised us was the risk to younger people.

Under today’s climate conditions in Austin, about 15% of homes already have the potential to get hot enough without air conditioning to pose serious heat risks to healthy adults. Under future warming scenarios, that number jumps to as high as 65% if average summer highs reach 104 F (40 C). Further, climate projections for Austin show that heat waves will double in frequency by the end of the century.

We found three types of buildings and accompanying risks:

  • Resilient homes, which are newer and well insulated, tended to have temperature and humidity conditions that would be survivable for an elderly occupant throughout the simulated heat wave with blackout.
  • Critical-risk buildings, which are mostly older homes, became dangerous almost immediately.
  • And then there was the middle group – homes where temperatures rose slowly during the simulated blackout, day by day, possibly giving occupants a false sense of security until it was too late.

Texas has already seen conditions like our case study’s – a heat wave paired with a power outage. In 2024, a derecho knocked out power for nearly 900,000 Houston households while the heat index climbed to 100 F (37.8 C). Seven weeks later, Hurricane Beryl cut power to 2.6 million homes, leaving them without power for over three days, with temperatures over 90 F (32.2 C).

What you can do to stay safe

If you can’t get cooling at home, there are steps you can take that can help.

Move to the lowest floor of your home, where it will be coolest. Close the blinds and curtains on sun-facing windows. Drink water constantly to stay hydrated, which is essential for regulating body temperature.

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If you’re facing a blackout, be sure to also check on elderly neighbors, especially those living alone. You can also try to find a public cooling center; many cities now open them during heat emergencies.

Longer term, upgrades such as reflective window film, attic insulation and lighter-colored roofing can reduce how much a home heats up. After the 2021 heat dome, British Columbia’s coroner recommended updating building codes to address heat.

Our own findings point in the same direction: We propose that new homes should be required by building codes to maintain conditions in which at least light physical activity remains possible for all occupants for at least 72 hours during a power outage.

As summers get hotter with climate change and blackouts become more frequent, the risks of people suffering heat illnesses will only continue to rise.

Zoltan Nagy, Professor of Building Services, Eindhoven University of Technology

Heat waves can leave homes dangerously hot – even for young, healthy adults

This article is republished from The Conversation under a Creative Commons license. Read the original article.

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Flush Smart: 7 Tips for Good Bathroom Etiquette

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Flush Smart: 7 Tips for Good Bathroom Etiquette

(Feature Impact) Relationships and plumbing have something in common: they can both benefit from practicing smarter bathroom habits. Whether you’re sharing a household with your family, a partner or roommates, good etiquette in these frequently shared spaces can save everyone’s sanity – just like rethinking your flushing routines can save your pipes.

From simple annoyances like leaving the toilet seat up to potentially costly mistakes like clogging your plumbing by flushing the wrong items, a new survey from the Responsible Flushing Alliance (RFA) illuminated a variety of bad habits that cause the most tension in American homes.

In addition to shedding light on these problems, the alliance outlined solutions you can implement at home to restore peace in your restroom. Plus, you can gamify the habit changes to make them more entertaining.

“Our goal is to revolutionize public education by keeping it highly engaging, memorable and fun,” RFA President Lara Wyss said. “We are challenging the public to rethink their everyday habits.”

Get started with these seven tips:

17989 detail embed2Replace the toilet roll properly

Don’t be the reason someone gets stranded with nothing but a cardboard tube in their moment of need. Keep extra rolls nearby, and when you’re down to the last square of toilet paper, make it a race against the clock to replace it.

Use the (flush) force

An unflushed toilet was listed as the biggest bathroom pet peeve by 37% of survey respondents. To make it fun for the family, introduce a new tradition: before you leave the bathroom, pretend there’s an invisible force field pushing you back to make sure you’ve flushed and are good to go.

Hunt for sink and shower hair

Leaving hair in the drain isn’t just a source of potential plumbing clogs – it’s also an irritant for 35% of respondents. After you shower or style your hair, make it a game to see how many stray strands you can capture and deliver to the trash can.

Clean it and close it

You’ve probably heard jokes about people who leave the toilet seat up, so don’t make yourself the punchline. For a completely un-mockable routine, grab the brush to give the bowl a quick swish after you flush, ensure the seat is down and use an anti-bacterial wipe to leave everything sparkling. You’ll notice cleaning wipes bear the Do Not Flush symbol, which means they go in the trash and never the toilet.

Conquer the counter

Toothpaste and water often splatter all over the place, so to be a polite bathroom roommate, wipe up the mess before it’s even had a chance to dry. Keep cleaning wipes or rags within easy reach and give yourself a 10-second deadline to leave surfaces spotless.

17989 detail embed3Practice good towel etiquette

Wet towels don’t belong on bathroom floors. If they still have a use or two left in them, banish them back to your towel rack. Otherwise, challenge yourself to a game of laundry basketball, aiming for the hamper.

Don’t flush the un-flushable

According to an RFA survey, half of Americans are still flushing things they know they shouldn’t, like paper towels, feminine hygiene products and non-flushable wipes. Since clearing a clog in your home can cost anywhere from $300-$15,000 or more, the only thing you’ll be draining with habits like these is your wallet.

“Always check wet wipes for the Do Not Flushsymbol and disposal instructions, which helps us protect not only the health of our homes and environment but our relationships, too,” Wyss said.

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Visit FlushSmart.org to learn more about good bathroom etiquette, take an interactive quiz and put these tips into practice with a seven-day challenge.

Photo courtesy of Shutterstock (throwing away non-flushable wipe) collect?v=1&tid=UA 482330 7&cid=1955551e 1975 5e52 0cdb 8516071094cd&sc=start&t=pageview&dl=http%3A%2F%2Ftrack.familyfeatures track

  

SOURCE:

Responsible Flushing Alliance

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