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Lower bridge, ferry costs mean less of a barrier for people going off-Island for health care

Lower bridge, ferry costs mean less of a barrier for people going off-Island for health care

Yahoo5 days ago
Living with a rare disease that comes with chronic pain hasn't been easy or cheap for P.E.I. resident Christine MacFadyen.
Just leaving the province to get treatment came with a hefty price tag of $50 to cross the Confederation Bridge — a cost that added up quickly, given that she's been unable to work and has had to make the trip for the past 16 years.
MacFadyen has granulomatosis with polyangiitis, or GPA, which causes swelling in small blood vessels.
The bridge toll, along with the cost of gas and hotels, has meant a major financial strain for her family. She estimates she had to cross the Northumberland Strait to the mainland roughly 25 times a year.
The cost associated with travelling off-Island for health care eventually pushed MacFadyen's family into bankruptcy.
WATCH | Cheaper bridge and ferry trips will help people who have to leave P.E.I. for health care:
"Sometimes we didn't have the money to go across the bridge and that was a barrier to getting the proper health care," she said.
That toll to cross the bridge to New Brunswick will fall to $20 as of this Friday, following an announcement by Prime Minister Mark Carney this week. Fares for passengers, cars and commercial traffic on the ferry service between eastern P.E.I. and Nova Scotia will also go down by 50 per cent.
MacFadyen no longer has to cover the bridge toll herself thanks to Hope Air, an organization that provides financial support to Canadians who need to travel to access medical care.
While she said the toll reduction will make a difference for others like her who have to travel out of province for health care, she thinks the cost should be free for anyone receiving medical treatment that's not available to them in this province.
"If [treatment is] not available on the Island, then we have no other choice," MacFadyen said.
The P.E.I. government does offer some out-of-province travel supports to Islanders, depending on their income, to cover costs like flights, ferry passes, gas cards, bus tickets and meals.
In a statement to CBC News, the province said it gave out 1,420 bridge passes and 44 ferry passes last year to people travelling for health care.
'The number one side effect of cancer is debt'
Grappling with debt from health-care expenses impacts more than just those with rare conditions.
Heather Mulligan, the Canadian Cancer Society's senior manager of advocacy for Atlantic Canada, said the organization often hears from Islanders who say the financial support available to them is not enough.
"The number one side effect of cancer is debt," Mulligan said.
Many people living with cancer on the Island have no choice but to travel out of province to get the care they need. Mulligan said some patients go to off-Island appointments every month.
She said lowering the bridge toll will eliminate some of the barriers patients face when accessing medical care.
"Reducing the bridge fees and reducing the ferry fees not only is an affordability announcement, one that is meant to bolster tourism and interconnectedness, but it eliminates a financial barrier that some Islanders have to face when accessing an essential care like cancer care," Mulligan said.
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Can You Lower Your Risk for Dementia? - Chasing Life with Dr. Sanjay Gupta - Podcast on CNN Podcasts
Can You Lower Your Risk for Dementia? - Chasing Life with Dr. Sanjay Gupta - Podcast on CNN Podcasts

CNN

time38 minutes ago

  • CNN

Can You Lower Your Risk for Dementia? - Chasing Life with Dr. Sanjay Gupta - Podcast on CNN Podcasts

Dr. Sanjay Gupta 00:00:03 Welcome to Paging Dr. Gupta. Thank you so much for joining us. We are really trying to be your source for answers to whatever health questions you've been mulling over. Feel free to send those in to us. This is the show where we take those questions, really dig into the science and hopefully the stories behind them. Kyra's back with us. Who do we have first? Kyra Dahring 00:00:24 Hey Sanjay. So first up today, we've got a question from Alan in Ottawa, Canada, who wrote in asking if having type 2 diabetes accelerates cognitive decline if you're over the age of 70. Dr. Sanjay Gupta 00:00:40 Alan, I am really glad you asked about this, because so many people in both Canada and the United States have type 2 diabetes. In fact, around 11% of the general population lives with diabetes, and the numbers for those over the age of 65 jump up close to 30%. Keep that in mind when we give you the answer right after the break. Dr. Sanjay Gupta 00:01:06 'Alright, so does having type 2 diabetes affect cognitive decline in older adults? Well, the short answer, unfortunately, is yes. Studies find that diabetes can increase the odds of developing cognitive decline up to two times. A 2021 JAMA study following about 10,000 men and women found that those who had diabetes at age 70 had a higher likelihood of developing cognitive decline. So, you know, older adults with diabetes do have higher instances of dementia overall, Alzheimer's disease, and also something known as vascular dementia. And it has also been shown that the risk of cognitive decline in dementia is higher for those who develop diabetes at a younger age. So the earlier the age when you develop diabetes, the more likely you are to have cognitive decline again after age 70. Now, we don't know exactly why this is, but the connection appears to be pretty strong. So much so that some people have started calling Alzheimer's type 3 diabetes. Now that might be a bit hyperbolic, but I think there's no question that we know diabetes raises the risk of heart disease and stroke, which hurt heart and blood vessels, damaged blood vessels in the brain, could contribute to cognitive decline. We also know that the brain is dependent on many different chemicals, which can become imbalanced when insulin is not working as it should. Some of those changes could trigger cognitive decline, high blood sugar all by itself is pro-inflammatory that could damage brain cells and cause dementia to develop. But all this to say that there's clearly a connection between lifestyle and dementia. In fact, if you look at some of the latest studies, probably around 40% of dementia cases are preventable through lifestyle changes -- healthy balanced diet, physical activity, exercising your brain, social activity, and yes, keeping your blood sugar in check. There was another recent study called the Poynter Study, around 2,000 participants from across the United States, people who were between the ages of 60 and 79 and were cognitively healthy, okay, so they did not have problems, but they were leading sedentary lifestyles and had a higher risk of dementia due to health issues like pre-diabetes or borderline high blood pressure. And what they did in these two groups is one was given sort of a structured lifestyle intervention program, and the other was given guidance, but they were told to sort of do it on their own. All of it was geared towards healthy behaviors. Things like 30 minutes of cardio a day plus several days of weight training, a Mediterranean DASH diet, which is basically the Mediterranean diet with even more salt restrictions, certain brain training exercises, social activities, and health monitoring. Both groups that focused on these lifestyle changes did see an improvement in cognitive function. So that was really encouraging. There was other studies that have shown people who had even been given the diagnosis of cognitive impairment or early Alzheimer's disease also saw an improvement. Not only were they able to slow or stall the progression of the disease, in some cases they were able to reverse it with lifestyle changes alone. So there's this connection between high blood sugar, diabetes and cognitive impairment. But I think the evidence is becoming increasingly clear that there's a lot that you can do about it. Hope that helps, Alan. I'll be back to answer another one of your questions right after the break. Dr. Sanjay Gupta 00:04:50 All right, all sorts of pagers going off. Kyra, who's next? Kyra Dahring 00:04:55 Okay, next up we've got Cal. Now, he's wondering, can learning a new language or even picking up a new instrument, can that actually help slow down cognitive decline? Or what kind of impact does that have? Dr. Sanjay Gupta 00:05:11 'So just as keeping your body active is important, and we know it's really important, not just for your physical health, but your brain health as well, we also know that learning a new language or learning to play an instrument can have a really significant beneficial impact on cognitive decline. I love this question. I love the topic. It is true that just moderate brisk activity, physical activity, is probably the most evidence-based way to improve your overall brain health. But when it comes to doing other things, learning new skills, taking on new hobbies, the key word here is new. A lot of people focus on things like crossword puzzles, which can be really helpful for overall brain-health, but mostly what crossword-puzzles do is make you really good at crossword puzzles. What you want to do is something new! Learning a new language is kind of like a form of developing cognitive reserve, like a demanding career of some sort that's going to strengthen and organize your brain circuits, helping to fight off the initial symptoms of dementia until later in life. I really loved this one study when it came to instruments. There was a study of twins where one twin had developed dementia, the other didn't. And what they found after controlling for education and physical activity, that playing a musical instrument was significantly associated with lower likelihood of dementia and cognitive impairment. So, you know, genetically identical individuals, the only big difference was that one played an instrument. Taking that a step further, there was a study that found professional musicians who began training before age seven actually had reliably thicker areas of certain parts of the brain, such as the anterior corpus callosum, which is the very front of the brain that sort of connects the two hemispheres. Even learning an instrument later in life, was associated with improved attention, improved thinking skills, and overall better mental health. Dr. Sanjay Gupta 00:07:18 'So, Shukriya, merci, gracias for your question. Thank you very much. That's all the time we have for today. Thanks to everyone who sent in questions. I'm inspired by your curiosity. I love reading these questions, I love hearing your stories and I love your voices. That is what makes this show so special. So keep the questions coming. If there's something health related you've been wondering about send it to us, we might try and answer it next week! Record a voice memo email it to AskSanjay@ or give us a call, 470-396-0832, and leave a message. Thanks so much for listening. I'll be back next Tuesday.

Cognitive Impact From Dementia Risk Factors Greater in Women
Cognitive Impact From Dementia Risk Factors Greater in Women

Medscape

time3 hours ago

  • Medscape

Cognitive Impact From Dementia Risk Factors Greater in Women

TORONTO — A number of modifiable risk factors are more common in women than in men and have a greater impact on cognition, an early look at new research showed. Six modifiable dementia risk factors were more prevalent in women, whereas only three were more common in men. Investigators also found that the impact on cognition from some of these factors was greater in women than in men, especially hearing loss and diabetes. However, the impact of these and other risk factors varied by age. Megan Fitzhugh, PhD The results suggest personalized health and lifestyle interventions should consider both sex and age, study author Megan Fitzhugh, PhD, assistant professor, Department of Neurosciences, University of California San Diego, told Medscape Medical News. 'Clinicians should familiarize themselves with the 14 identified modifiable risk factors, and if their patients have these risk factors, consider their sex and age, and try to target the behavior changes accordingly to minimize the impact on cognition and dementia risk,' Fitzhugh said. The findings were presented on July 28 at the Alzheimer's Association International Conference (AAIC) 2025. At Greater Risk It's well-known that women are at greater risk for dementia. The lifetime risk for Alzheimer's disease (AD) is 1 in 5 for women compared with 1 in 10 for men. Sex-specific factors such as pregnancy and menopause may contribute to this imbalance. But while many researchers tackle this issue from a biological perspective, Fitzhugh focuses on the effects of modifiable risk factors. She used the 2008 wave of the Health and Retirement study, an ongoing population-based study of a representative sample of American retirees and their spouses who complete questionnaire every 2 years (in 'waves'). After excluding anyone younger than 40 years and those without self-reported risk factor information, the study sample included 17,182 individuals. Fitzhugh concentrated on items included in the Lancet Report on Dementia Prevention. As reported by Medscape Medical News , 45% of dementia risk factors are potentially modifiable. Risk factors identified in the Lancet report include less education in early life (contributing 5% to risk); hearing loss (7%), elevated low density lipoprotein (LDL) cholesterol (7%), depression (3%), traumatic brain injury (3%), physical inactivity (2%), diabetes (2%), smoking (2%), hypertension (2%), obesity (1%), and excessive alcohol (1%) in midlife; and social isolation (5%), air pollution (3%), and vision loss (2%) in late life. Looking at prevalence, investigators found that six of the 14 risk factors were more common in women, including physical inactivity, depression, smoking, poor sleep, less education and poor vision (for example, glaucoma or cataracts). Only three risk factors were more common in men, including hearing loss, diabetes, and alcohol use. There was no difference in prevalence between men and women in high BMI, hypertension, and social isolation. Plotting Cognition The Health and Retirement Study also gathers data on global cognition (immediate recall, delayed recall, numeracy, etc.) using a 27-item scale. Fitzhugh separated mean cognitive scores for men and women and for three age groups (middle age: 40-59 years; middle to older age: 60-79 years; and oldest age: 80 years and over), then plotted risk factors in each group. The graphs she created illustrate the differences in cognitive performance between having and not having a risk factor for each sex. For example, the diabetes plot shows this risk factor has a much bigger impact on cognition in women. 'The line for men is relatively flat, so their cognition is really the same if they have diabetes or not, but for women, if they have diabetes, cognition is much lower compared to women who don't have diabetes', explained Fitzhugh. In addition to diabetes, other risk factors that have a greater cognitive impact on women included poor sleep, BMI, hypertension, poor vision, less education, and hearing loss. Along with high LDL, hearing loss is the largest modifiable risk factor, accounting for 7% of dementia risk, according to the Lancet Commission report. But even though more men have hearing loss across all ages, it appears to be more impactful on women in terms of cognition, said Fitzhugh. 'Maybe we should be targeting women with hearing loss in middle to older age, making sure they get hearing aids,' she said. Elsewhere in her research, Fitzhugh found women with hearing loss have a greater risk for dementia than men with hearing loss. 'There's something about hearing loss in women that is particularly detrimental.' The cognitive impact of risk factors also varies by age, investigators found. Among women, the impact of hearing loss was greatest in middle to older age. Poor sleep only had a significant impact in middle age, which coincides with the menopause transition. And in the oldest age, less education was the only risk factor to have a significant impact on cognition. In men, only smoking had a greater cognitive impact, but interestingly, only in the older age group. 'The way I think about age in this study is it's telling us when, potentially, we should be targeting these risk factors,' said Fitzhugh. She recognizes this is 'just a snapshot' in time and said she'd like to 'map out' how risk factors impact cognition over time. Commenting on the research, Liisa Galea, PhD, Treliving Family Chair in Women's Mental Health, Centre for Addiction and Mental Health, and professor of psychiatry, University of Toronto, Toronto, Ontario, Canada, said that more modifiable factors are associated with cognition in females than males is 'most surprising.' 'Clearly these factors are important for everyone, but we need more targeted messaging to women across the lifespan about the importance of these variables for their brain health,' Galea said.

Surge in Deaths Involving Co-Use of Stimulants Plus Opioids
Surge in Deaths Involving Co-Use of Stimulants Plus Opioids

Medscape

time3 hours ago

  • Medscape

Surge in Deaths Involving Co-Use of Stimulants Plus Opioids

TOPLINE: Drug-related deaths involving co-use of stimulants and opioids has surged in the US and Canada, with a higher annual rise in drug-related mortality than use of opioids or stimulants alone, a new study showed. Researchers said the findings point to a 'silent epidemic' that warrant action by policymakers to increase awareness. METHODOLOGY: US data regarding opioid and stimulant overdose-related trends for unintentional and intentional deaths from 1999 to 2021 were collected from the National Institute on Drug Abuse. Canadian data on opioid (2016-2022) and stimulant (2018-2022) overdose-related trends for unintentional and intentional deaths were obtained from the Public Health Agency of Canada and Alberta Substance Use Surveillance System. Google Trends relative search interest (RSI) was used to measure public interest over time (2004-present) for search terms related to opioids and psychostimulants. Opioid- and stimulant-related death trends and the potential relationship between RSI and drug-related deaths were evaluated. TAKEAWAY: Deaths involving the use of both opioids and stimulants surged in the US, with the annual percent change (APC) increasing from 10.03 for 1999-2006 to 31.99 for 2013-2021. The APC for co-use deaths in Canada for 2018-2022 was 21.38. In the US, deaths related to opioid use alone increased in the US from an APC of 11.07 for 1999-2006 to 26.05 for 2019-2021, while deaths related to stimulant use alone rose from 11.65 for 1999-2006 to 26.24 for 2013-2021. In Canada, the APCs were 17.60 for opioid-related deaths for 2016-2022 and 18.24 for stimulant-related deaths for 2018-2022. Google search trends did not correlate with the APCs as opioids had a higher overall RSI vs stimulants. The highest peak of opioid-related search interest occurred in 2016 in the US and 2015 in Canada, while cocaine-related searches peaked in 2004 and 2005, respectively. IN PRACTICE: 'There is a need for increased awareness and understanding of the evolving nature of the opioid crisis and the deleterious effects of stimulant co-involvement, especially among the general population,' the investigators wrote. 'These findings are a call to action for public health policymakers to develop strategies for addressing both opioid and stimulant use epidemics simultaneously,' they added. SOURCE: The study was led by Yutong Li, University of Alberta, Edmonton, Canada. It was published online on July 16 in PLOS Mental Health. LIMITATIONS: Key limitations included insufficient data from Canada because collection only started in 2016, not accounting for substance use beyond opioid and stimulant co-involvement and potential discrepancies between recorded data and actual substance use, which may have led to underestimation of prevalence and overdose incidents. Regional variations in substance use trends and reporting inconsistency were not fully accounted for in national-level data. Additionally, the continuously evolving landscape of substance use, with new synthetic drugs and contaminants, may not have been adequately captured in surveillance data. DISCLOSURES: The study was funded by the Canadian Institutes of Health Research, Alberta Innovates, Canada Research Chairs program, Institute for Advancements in Mental Health, Mental Health Foundation, Mental Health Research Canada, MITACS Accelerate program, Simon & Martina Sochatsky Fund for Mental Health, Howard Berger Memorial Schizophrenia Research Fund, Abraham & Freda Berger Memorial Endowment Fund, Alberta Synergies in Alzheimer's and Related Disorders program, the University Hospital Foundation, and the University of Alberta. The investigators reported having no relevant conflicts of interest. This article was created using several editorial tools, including AI, as part of the process. Human editors reviewed this content before publication.

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