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Miami Swim Week: Baes and Bikinis Recap

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Baes and Bikinis designer, Stephanie Princi 

Swim Week is a time of  year anyone warm-blooded is in full support of and no other city is truly qualified to be the stomping grounds for endless bombshell models and fiercely original, glass ceiling shattering swimwear design besides Miami. The last few seasons have demonstrated one unavoidable fact: to survive in the fast-paced world of trendsetting fashion, innovation is king.

Malibu, California based swimwear brand, Baes and Bikinis, showcased their 2019 collection at the Paraiso Tent during Miami Swim Week on Thursday, July 12th 2018. Each piece is uniquely designed by  22-year-old designer, Stephanie Princi.

Inspired by her mother’s line of high-end crocheted bikinis, Princi set out to create a more attainable line of bikinis that encompasses a  youthful and sexy undertone.

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Baes and Bikinis 2018 Lineup

Behind-the-scenes, a whirlwind of hairstylists and makeup artists work tirelessly through clouds of hairspray to tame flyaways and make the stunning lineup of models picture perfect.

The first faces to hit the runway are described by Princi to be beautiful, sexy, and confident; exactly the same sentiments she wishes to evoke from her clients. Baes and Bikinis combines a dose of Malibu sugar to sweeten its popular cheeky bottoms and flirty tops that make women feel comfortable and confident in their own skin.

While Princi aspires to make other women feel confident in her designs, she has had to overcome personal fears before starting her own swim fashion line.

“My biggest fear is people trying to put me down because I’m so young. Sometimes they don’t take you seriously. I used to be very shy, but over the years I grew out it and I learn from every experience.”

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Candid photo of the models preparing backstage

There’s so much pressure for designers to come out with their greatest collection season after season. Pure grit and devotion to the craft has contributed to Princi’s success.

“Never give up!” she advises other young designers.

“I don’t know how many times I’ve thought about it! It’s very difficult but you know what?You have to put a lot of work into what you want and don’t put anyone before it besides you and this, because if that’s what you want, you have to go for it!”

 

 

 

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Kaori by Walter Martino

26169707_10103651129933398_5645841653805045006_n.jpgNo es una exageración decir que ahora es un momento súper auspicioso. Hoy, Kaori por Walter Martino anunció planes para el cierre de su ubicación actual con la meta de expandirse como resultado de la recepción positiva del establecimiento dinámico e íntimo que una vez inundó la calle con música palpitante y atrajo la curiosidad de los peatones con una visión hipnótica de las proyecciones imaginativas siempre cambiantes que decoraban las paredes. El restaurante exclusivo presentaba una fusión de cocina japonesa e italiana. Sushi y tempora surgieron de una variedad de piezas cerámicas caprichosas desde zapatos de tacónes altos hasta árboles de bonsai.
th (1).jpg“Nos mudamos en un lugar mejor de ubicación y cuatro veces más grande. Hay que evolucionarse “. Conducir el sueño de Kaori es el famoso chef, Walter Martino. Considerado como un hombre de Cenicienta, la fama de Martino radica en su camino de vida desde sus humildes comienzos a la recepción de una propina de millón dólares después de servir al Príncipe de Dubai una creación única sobre una bandeja de oro sólido que solo un virtuoso podría idear. “Mucha gente dice que mamas son las maestras de la cocina. Pero la mía no sabia como cocinar para nada. No aprendió de ella. ” thLos dueños de Kaori, Hestia Foods, ahora están programados para trasladar a Kaori de un establecimiento de 24 asientos a 80-100. Esta ambiciosa nueva empresa se mantendrá en el Downtown / Brickell District de Miami, con un menú que combina una variedad de platos exóticos en un menú de fusión global único. “Estoy en una mezcla de sentimiento entre la tristeza por lo que se muere y la felicidad por lo que viene”. Es cierto que solo son dolores de crecimiento. Durante los próximos meses, Kaori seguirá en contacto con todos sus clientes actuales a través de los canales de redes sociales.

Sex and Ice Cream: Does Dairy Consumption Boost Fertility?

cravingsofalunatic-pink-lemonade-ice-cream-4For some career-oriented women, settling down and starting a family may seem to be a nonviable option when other goals must come first. Defined as failure to conceive after 1 year of regular unprotected sexual intercourse, infertility is rare in women in their early 20s but as time flies to 40, you’ll find that more than half of women are infertile. Beyond age 43, pregnancy is rare and associated with higher incidences of down syndrome. Causes of infertility include anovulatory cycles or ovarian dysfunction as well as acquired disorders like polycystic ovarian syndrome (PCOS).

Time is of the essence and the pervasive biological clock ticks along relentlessly, but fortunately, the decades-old cryoprotective therapy option, or “freezing your eggs,” can offer hope to women struggling to find the right partner and in-vitro fertilization can aid those who are struggling to conceive.

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Sugar and spice and everything nice…At the Museum of Ice Cream, Miami

While fertility clinics across the United States can charge on average $15,000 and only a handful of states cover some procedure costs through insurance, I had a the serendipitous chance to catch up with the top reproductive specialist of St. Louis, Missouri who renders services for only $7,000 out of the expanding Fertility Partnership clinic while working an event. Despite skepticism that lower costs equate to lower quality services, Alan Simckes, MD insists that the higher price tag for IVF is a simply a result of supply and demand and scorns physicians who charge exorbitant medical costs to desperate couples with dreams to conceive a child. Dr. Simckes 62% live birth rate and low costs have couples flying in from as far as Nigeria for fertility treatment and has challenged other reproductive specialists in his area to lower their cost of treatment. His eccentric demeanor, good humor, and blunt no BS attitude has inspired confidence in many couples.

Besides nutritional supplements of folic acid  to decrease probability of birth defects like neural tube defect, it is rumored that consuming ice cream can increase a woman’s chance to conceive. The pressing question is: Is dairy food consumption associated with live birth among women undergoing infertility treatment?

28471293_10103765530398948_3250817957945141981_nIntake of high-fat dairy foods was associated with a lower risk of ovulatory infertility, and intake of low-fat dairy foods was associated with a higher risk of ovulatory infertility (Chavarro et al., 2007). More simply stated: women who eat low-fat dairy foods may have a higher risk of infertility than those who treat themselves to full-fat ice cream or cheese. It is possible that dairy foods may have different relations with infertility risk and with infertility treatment outcomes and Dr. Simckes is an advocate of eating ice cream before starting treatment.

 

While the exact mechanism is unknown, benefits of eating high fat dairy are highest in women who are older than 35 years old. Overall, high fat dairy intake does not appear to harm IVF outcomes and, if anything, is associated with higher chances of live birth, especially in older females so eat up if you’re looking to conceive or are getting ready to donate or freeze your eggs! You are what you eat and they say that little girls are made up of sugar and spice and everything nice. Interestingly enough, if you become pregnant with a girl, you also happen to be carrying your potential future grandchildren since females are born with all of their eggs–imagine them to be as sweet as ice cream you eat!

 

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Skoch, I. R. (2010, July 22). Why Is IVF So Expensive in the United States? Retrieved March 04, 2018, from http://www.newsweek.com/why-ivf-so-expensive-united-states-74385

Dairy intake in relation to in vitro fertilization outcomes among women from a fertility clinic

M.C. Afeiche, Y.-H. Chiu, A.J. Gaskins, P.L. Williams, I. Souter, D.L. Wright, R. Hauser, J.E. Chavarro

Hum Reprod. 2016 Mar; 31(3): 563–571. Published online 2016 Jan 18. doi: 10.1093/humrep/dev344

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The first 5 pressers to subscribe to Bienestar Miami will receive a FREE Dairy Squishy!

 

Smoke & Mirrors: Nicotine Addiction Goes Beyond Aesthetics

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Wigged out at Wigwood Miami 2018 Platinum blonde wig courtesy of Ilona Hair

The queens and in-betweens were lined up two-deep at the mirror in the girl’s bathroom touching up hair and makeup for the second annual Wigwood event held at Gramps, Wynwood. I squeezed in for a quick sexy check and to make sure my new wig was on straight. Modern pin-up art of Miss Toto, a triple threat drag performer, body builder, and marine researcher recently named one of Miami’s Most Interesting People of 2017, is plastered dead center.

Miss Toto, also known as Queen, also known as Rock Evans, also known as my boss for the nation-wide tobacco-free lifestyle campaign, This Free Life, is venerated by her countless admirers in the community and is living proof that we are multifaceted as human beings; there are absolutely no limits to who and what we can identify as. If you wish to opine in any other way, the self-proclaimed “Selena Williams of drag” has biceps, quads, and a personality big enough to crush your closed mind into glitter dust–

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They say the future is female.  Modern pin-up art of drag performer and visual artist, Miss Toto, featured at Gramps, Wynwood Art District

–besides, don’t some of our very forefathers also happen to be posing in glamour portraits wearing elaborate wigs whilst gracing our US currency?  Miss Toto is the epitome of good health and uses her queen status as a platform to educate people in her community to use PrEP, a pill that helps inoculate against the spread of HIV and also loans her likeness to the This Free Life tobacco-free campaign. In this day and age, we can all roll our eyes at the widely accepted fact that smoking is detrimental to our health but yet and still the pressing issue is that the United States of America, a capitalist country historically funded by tobacco exports, is a place where tens of thousands of LGBT people die every year from tobacco use. That contributes to the 480,000 total people in the U.S. who are killed by smoking-related disease annually. In fact, smoking kills more people in the U.S. than AIDS, alcohol, car accidents, homicide, suicide, illegal drugs, and fires combined. This vital information is revealed in night clubs and lounges where smoking is still pervasive through in-person engagements that offer colorful swag giveaways and sometimes free event admission in return for a few minutes of event patron’s valuable time and attention.

Harebrained fill-in-the-blank questions like: 27746740_10103709930581428_1236833356_o

reinforce awareness to the smoking issue  which truly is as dramatic as the queens that support the cause make it out to be. While cigarette smoke can cause signs of aging, busted teeth, and ashtray aroma breath, there is much more internal damage than what meets the eye.

Cigarrete smoke has carcinogens, substances that cause cancer, like:
-Ammonia
-Formaldehyde
-Carbon monoxide

Not only does cigarette smoke cause squamous cell carcinoma of the lung, it is commonly associated as a risk factor for cancers like:
-Bladder cancer
-Pancreatic cancer
-Uterine cancer
-Cervical cancer

 

Don’t take any drags, just be a queen!
Nicotine is a fat soluble molecule that is self-titrated by the smoker, depending on the amount inhaled. It is absorbed into the bloodstream and binds to a nicotinic receptor in the central nervous system. When nicotine binds to the receptor, neurotransmitters like dopamine are released. Increased dopamine in certain parts of the brain like the ventral tegmental area can cause increased sensation of pleasure, reward, and attention.

When nicotine binds to receptors in the the peripheral nervous system, its stimulant properties increases:
-Blood pressure
-Heart rate
-Cardiac contractility
-Gastrointestinal contractility

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Class Notes: The effect of nicotine on the peripheral nervous system and central nervous system

While smoking has evolved and “vaping” e-cigarettes was recently born from newer technology which is thought to be safer than traditional cigarettes, the same addictive properties of nicotine remain an issue. Vape products still contain cancer causing chemicals like formaldehyde and diacetyl and the systemic effects of using the vape products over time are unknown.

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Class Notes: the chemical irritants of  cigarette smoke over time causes structural changes in cells that produce mucus. Smokers who have developed chronic bronchitis have a characteristic cough they rely on to remove mucus plugs. YIKES!

Fast forward to those who smoked over the years and are now in their 50s, smoking over time is a risk factor leading to chronic obstructive pulmonary disease or COPD, an umbrella term that includes chronic bronchitis and emphysema. Chronic bronchitis is characterized by a productive cough. Smoking and irritants from chemicals cause a change in the cells that make up mucus glands and goblet cells. The changes are known as hypertrophy and hyperplasia, meaning they get larger in size and multiply. Since there is a structural change, people that suffer from chronic bronchitis are frequently relying on coughing to remove mucus plugs from their lungs and are also prone to microbial infections since bacteria enjoy living in the conditions the mucus produces. More on COPD, cor pulminale, and asthma soon! Are you bored yet? I don’t care. I’m studying for my EOR with or without you here 🙂

This Free Life is not just a cause, it is an expression of freedom! Why smoke when you can slay all day? To find out more about events in your city and how to be tobacco free, click here!

 

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 Sources:
Agaku et al. Tobacco Product Use Among Adults – United States, 2012-2013. Morbidity and Mortality Weekly Report (MMWR). 2014; 63(25):542-547
Hecht SS. Research opportunities related to establishing standards for tobacco products under the Family Smoking Prevention and Tobacco Control Act. Nicotine & Tobacco Research. 2012; 14(1):18-28.
U.S. Department of Health and Human Services (USDHHS). A Report of the Surgeon General: Preventing Tobacco Use among Youth and Young Adults. We Can Make the Next Generation Tobacco-Free (Consumer Booklet). Atlanta, GA: U.S. Department of Health and Human
Services, Centers for Disease Control and Prevention, National Center for Chronic Disease Prevention and Health Promotion, Office on Smoking and Health; 2012.

 

 

Reggaeton and Rocephin: What to do When Your “Amante de Una Noche” Goes Wrong

natti-natasha-ft-bad-bunny-amant-400x240.jpgJust ten days shy of its release to YouTube, an impressive 50 million hits from fans worldwide was achieved by Amantes de una Noche, which translates to “lovers for one night” or “one night stand”, a collaboration between Pina Record’s Natti Natasha and Bad Bunny. Regarded as the most awarded up-and-coming female artist of the Latin Urban music scene, the voluptuous Dominican beauty bared most of her assets on a vibrant, neon-infused house party set where Venezuelan director, Nuno Gomes’, imagination came to life in a sizable mansion located on the outskirts of Miami. The 31-year-old sensation started heating up her career by piggy-backing off of Ozuna’s success after the duo released the hit single, Criminal. In a male-dominated industry, Natti Natasha proves she can take control. In a behind-the-scenes Instagram post where she rides the mechanical bull from the set of her sophomore single, she captioned, “Si domino a un toro imaginate a un conejo” (If I can dominate a bull, imagine a bunny).

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Si domino un toro, imaginate a un conejo

Natti Natasha wasn’t the only female on set dominating. Casted party guests from the video include Miami’s very own Millenium Dance Complex’s owner and artistic director, Vanessa Sanquiz, who choreographed the video and performed alongside her talented faculty of dancers who transformed into letter jacket-wearing cheerleaders that  brought the music to life.  A slew of party reveling characters, myself included, created by stylist Mileidy Carmago made an appearance on set, vibing with the colorful hues around them. Skilled makeup artists put the finishing touches on everyone. The filming begins and   El conejo malo trails Natti around the mansion, the two trade anguished flirty looks before agreeing to a one-night stand — only.

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Criticized by some for its hypersexuality, glorification of women, and salacious lyrics, the reggaetón genre of music has been threatened for ban in the past by countries like Cuba, one which is notorious for restriction. The reality is: the music is hard to resist–even the spoilsport policemen that busted the party at the end of the video decided to join the fun! Sex sells and the concept of lovers for one night has gone viral. From the set to the smart phone, the clubs and down to the very act of wham-bam-thank-you-ma’am, the infectious beats of Amantes de una Noche that millions enjoy so much are contagious enough that if you add a few too many cocktails and go along with the song title, you might end up being a part of Miami’s syphilis explosion among other STD epidemics. So how can we save Miami from itself? Choosing to keep your clothes on, prevention with condom barriers, and treatment. Spare yourself a costly and unnecessary trip to the emergency room because below is information about two common diseases and some resources for public facilities that provide Miami residents with free or low-cost STD tests including chlamydia, gonorrhea, hepatitis B, hepatitis C, Herpes, HIV, and syphilis.

gonorrhea
Neisseria gonorrhea, a gram-negative diplococcus bacteria

Neisseria gonorrhoeae is a gram-negative diplococcus bacteria that is closely related to other human Neisseria species. Classic presentation is a man with a urethral discharge; women are often asymptomatic, but may have vaginal discharge. Higher risk is attributed to those with multiple partners in recent months, known partner with gonorrhea, drug use, prior STD, and men who have sex with men. If left untreated N gonorrhoeae can disseminate to areas of the body to cause skin and synovial infections; rarer complications include meningitis, endocarditis, and perihepatic abscesses. The main treatment for uncomplicated gonorrhea is dual therapy with single-dose intramuscular ceftriaxone, or Rocephin by trade name,  plus single-dose oral azithromycin. The treatment of N gonorrhoeae is important in the prevention of infertility, chronic pelvic pain, and ectopic pregnancy in women. If acquired congenitally from an infected mother, the neonate can present with ophthalmia neonatorum, which left untreated can cause blindness.

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Chlamydia Trachomatis is a gram negative obligate anaerobic bacteria

Chlamydial genital infection is the most frequently reported notifiable disease in the US. Many infected individuals are asymptomatic. In women, there may be cervical inflammation or yellow, cloudy discharge from the cervix. In men, there may be a discharge from the penis. Untreated or inadequately treated patients risk possible ascending infection and further complications. Patients also risk spreading the infection to sexual partners. It is treated with azithromycin and doxycycline. Sometimes medical professionals will treat both gonorrhea and chlamydia empirically if either infection is suspected. 

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Class notes: Azithromycin is a macrolide antibiotic that slows bacterial growth by targeting the 50 S subunit responsible for bacterial protein synthesis.

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Behind the scenes with Bad Bunny. Did you know Bad Bunny bagged groceries at a supermarket before he became famous? 

Apenas diez días después de su lanzamiento a YouTube, se registran impresionantes 50 millones de visitas de admiradores de todo el mundo para Amantes de una Noche, una colaboración entre Natti Natasha de Pina Records y Bad Bunny. Considerada como la artista femenina prometedora más premiada de la escena musical latina urbana, la voluptuosa belleza dominicana le mostró la mayor parte de sus activos en una vibrante fiesta que dio la luz a la imaginación del director venezolano, Nuno Gomes, en una mansión ubicada alrededor de Miami. La sensación de 31 años de edad comenzó a calentar su carrera por el éxito de Ozuna para el lanzamiento de su primer sencillo, Criminal. En una industria dominada por hombres, Natti Natasha demuestra que puede tomar el control. En un post de Instagram detrás de la escena donde monta el toro mecánico desde el set de su segundo single, subtitulaba “Si domino a un toro imagina a un conejo.”

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Playing the “raver chick” on the set of Amantes de una Noche. 

Natti Natasha no era la única mujer en el set que dominaba. Los invitados a la fiesta elegidos del video incluyen a la propietaria y directora artística de Miami Millenium Dance Complex, Vanessa Sanquiz, quien coreografió el video y actuó junto a su talentosa facultad de bailarines. Una gran cantidad de personajes deleitables diseñados por la estilista Mileidy Carmago hicieron su aparición en el set, vibrando con los coloridos colores que los rodeaba. Los maquilladores expertos se pusieron los toques finales a todos.

 

Criticado por algunos por su hipersexualidad, glorificación de mujeres y letras salaces, el género de la música reggaetón ha sido amenazado de prohibición en el pasado por países como Cuba, que es notorio por su restricción. La realidad es que la música es difícil de resistir, ¡incluso los policías que destruyeron la mansión al final del video decidieron unirse a la fiesta! El sexo se vende y el concepto de amante por una noche se ha vuelto viral. Desde el set, hasta el smartphone, las discos, y el mismo acto de wham-bam-thank-you-ma’am, los ritmos de Amantes de una Noche que millones disfrutan tanto son tan contagiosos que cuando se agrega un pocos cócteles y coinciden con el título de la canción, es posible que termines siendo parte de la explosión de la sífilis en Miami, entre otras epidemias de ETS. Entonces, ¿cómo podemos salvar a Miami de sí mismo? Ahórrese un viaje a la sala de emergencias porque a continuación encontrará información sobre enfermedades comunes y algunos recursos para instalaciones públicas que brindan a los residentes de Miami pruebas de ETS gratuitas o de bajo costo que incluyen clamidia, gonorrea, hepatitis B, hepatitis C, herpes, VIH y sífilis .
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The following public facilities provide Miami, Florida area residents with free or low-cost STD tests including chlamydia, gonorrhea, hepatitis B, hepatitis C, Herpes, HIV, and Syphilis

Las siguientes instalaciones públicas brindan a los residentes del área de Miami, Florida, pruebas de ETS gratuitas o de bajo costo, que incluyen clamidia, gonorrea, hepatitis B, hepatitis C, herpes, VIH y sífilis:

Out of the Closet – Biscayne
2900 Biscayne Blvd.
Miami, FL 33137
(305) 764-3774
Pharmacy (305) 764-3780
HIV Testing: Mon-Fri 10 am-7pm,
Sat-Sun 10 am-5 pm
https://outofthecloset.org/

Miami Dade County Health Department (Refugee Health Assessment Clinic)
315 NW 27th Ave
Miami, FL 33125
305-643-7300
http://hivtest.cdc.gov/detail.aspx?id=100064

Miami Dade County Health Department (Downtown STD Clinic)
1350 Northwest 14th Street
Miami, FL 33125
305-575-5423
http://hivtest.cdc.gov/detail.aspx?id=110636

Miami Dade County Health Department (Little Haiti Center)
300 NE 80th Terrace
Miami, FL 33138
305-795-2100

Miami Beach Community Health Center (North Health Center)
11645 Biscayne Boulevard Suite 103-104
Miami, FL 33181
305-538-8835

Sources:
Centers for Disease Control and Prevention. Sexually transmitted disease surveillance, 2014. November 2015. http://www.cdc.gov/ (last accessed 9 August 2016).
Workowski KA, Bolan GA; Centers for Disease Control and Prevention. Sexually transmitted diseases treatment guidelines, 2015. MMWR Recomm Rep. 2015;64:1-137

Mind Blown: What is Charles Bonnet Syndrome?

I Blew My Mind

During my clinical rotation for emergency medicine, I noticed a strobing flash of light that morphed into a swirling rainbow in my left upper field of vision–something I recognized to be a scintillating scotoma, a symptom I learned about during  a  neurology and ophthalmology module.

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Depiction of  my left upper visual field loss

The scotoma progressively worsened for more than one day, so I went to the ophthalmology emergency department for further investigation since the symptoms outlasted the amount of time an ocular migraine, an initial hypothesis, would typically last and possibly was caused by a tear in my retina. These days, good vibes only is the quintessential millennial philosophy–and while it is powerful to be positive I certainly don’t want to be one to suffer from persistent Polyanna syndrome. It’s best to take off the rose-tinted glasses from time to time. A possible downfall of the medical field is those in practice must practice negative thinking; the worst-case scenario must always be considered first and ruled out. Talk about extreme neuroticism when negative thinking goes unchecked!

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Depiction of a scintillating scotoma

Of course, it’s not in my nature to have that train of thought since I’m inherently more whimsical, but training insists upon me changing my mind. After undergoing tests that ruled out a retinal tear, I was sent to imaging for an MRI.

“Are you ready for take-off, captain?” The technician joked after he prepared and positioned me for imaging.

“Sit back, relax, and enjoy the ride.”

After spending quite some time in a metal tube listening to banging noises mixed with smooth jazz, I returned to the ophthalmology department. Radiology sent back a report that stated I had a hemorrhagic lesion in the right temporal lobe. I revealed I am a student earlier in the consult so the doctor enthusiastically went through the differentials list as if she was Vanna White revealing all the prizes behind door number four. In descending order of priority, she had down choroid plexus cyst, vascular anomaly, choroid plexus papillae, and metastasis.

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MRI image of a cavernoma

I took it with a smile. I was actually amused. This is the stuff I’m practicing and playing “doctor” with now to perform in the future. But then my eyes started to water and she positioned her smile to neutral.

“It’s a lot to take in. I know. Try not to go home and Google too much,” she advised, and wrote me a doctor’s note excusing me from my rotation. I always knew I had a few screws loose up there, but now my brain is actually bleeding. Though a brain metastasis was a low priority on the list of differentials, the pressing anxiety of not knowing the exact answers sent me on an emotional roller coaster and evoked a few days period of nerve racking self-reflection leading up to the follow-up appointment with a neurosurgeon.


A New Stroke of Insight

When I followed up with a neurosurgeon several days later, it was confirmed that I have a cavernoma, a venous malformation that may have been present since birth which hemorrhaged. Thankfully, this is a benign condition and there is a 1% chance that it will bleed again. Essentially, I had a small stroke and immediately I likened some of my initial symptoms from my hemorrhage to My stroke of insight,  a Ted Talk by Jill Bolte Taylor that my pathophysiology professor once referenced.

I was cleared to go back to my emergency medicine rotation the day after my consult with the neurosurgeon. I continued to have minor visual deficits in the left upper field and a focal area that was sore in the place I had the hemorrhage, but it did not impede with my ability to work.

That evening when I came home and was relaxing while looking at the white wall in my room, I noticed images in the same left upper field of vision that has had deficit. It began with a dancing lightning bolt that transformed into neon logos similar to what you would see in Times Square. The flash of light transformed into a set of glowing brass knuckles that pounded thin air. A flock of black birds flew from my right peripheral vision to the left upper field of vision as if they were escaping me. Red lines were dancing in thin air. An infinite row of Christmas tree cartoons transformed to an infinite row of cacti cartoons in a blinking array! An adorable elephant cartoon grabbed a growing beanstalk with its trunk from thin air!

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Cartoon depiction of my experience with Charles Bonnet Syndrome courtesy of www.medcomic.com

Rows of dozens of yellow race cars were parked with spinning wheels. One by one, different profiles of people from a range of ethnicities began to appear, none of which I could recognize. Each were looking towards the ground with their necks flexed then extended their neck until their profile was parallel with mine. They each turned their head to gaze into my eyes and disappeared.

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Depiction of release phenomena

One person was a  man with a swirl of corn row braids. He performed the same action, but this time he turned to face away from me and the back of his head began twirling, showing off a mesmerizing spinning pinwheel of braids. The flock of birds flew by, escaping me yet again. The Times Square neon billboards began flashing. And then it was the dancing lightning bolt all over again. I was mesmerized. Everything I saw was pleasant, but I was aware that the images were not real because only my left upper field of vision was affected. I could still see my roommate, bed sheets, pillows, lamp and desk–all of the familiar things in my room.

Free Your Mind: Release Phenomena as Mental Catharsis
After suspecting that the visual hallucinations were potentially focal seizures, I made another follow-up appointment with a neurologist. After my office visit, I was educated on release phenomena, or Charles Bonnet Syndrome. It is well known that Charles Bonnet Syndrome (CBS) can be elicited by a lesion to the periphery or anywhere along the visual pathway.  Though I was told that I may be one of the youngest patients that the neurologist has met in person to have experienced this type of phenomena, I found that it can strike at any age. It has been a truly fascinating experience to see first hand what the brain will do to compensate for a loss of visual field and the type of stimuli my brain inserted when there was a void in the field contralateral (on the opposite side) to my hemorrhagic lesion. Interestingly enough, every human is capable of such a release phenomena. The brain seems to not only need visual input but a changing and diverse form of input for normal functioning and seems to crave it. Without it, the brain imposes its own meaning. It seems that variety is not just the spice of life, it is essential to thrive.

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Being a physician assistant student has been an incredible learning adventure thus far. Reality certainly can be stranger than fiction. I’m not sure which specialty I will pursue once I complete my training at school, but fortunately the physician assistant profession offers flexibility and neurology is a field I would love to be involved in. Our brains are incredible artists. Since release phenomena typically include visual hallucinations of cartoon-like images, I thought the topic could be a great medical metanarrative. It is also a wonderful coincidence that my friend, Jorge Muniz, PA-C, could depict my story since he is a medical illustrator. I told him about my experience and he captured it in the cartoon above.  Needless to say, although it was Art Basel week in Miami when this happened, I didn’t feel like I missed out on much by staying in and thanks to the collaboration, some of the art in my mind’s eye has been captured.

Sources:
Why is this patient having visual hallucinations?
Soofi, Tahra MSPAS, PA-C; Mackner, Andrew; Skorin, Leonid Jr. DO, OD, MS
Journal of the American Academy of PAs: January 2018 – Volume 31 – Issue 1 – p 55–56doi: 10.1097/01.JAA.0000527712.46439.63 A Difficult Diagnosis
Merabet LB, Maguire D, Warde A, Alterescu K, Stickgold R, et al. (2004) Visual hallucinations during prolonged blindfolding in sighted subjects. J Neuroophthalmol 24: 109–113.

Experience Well Skin: Erno Laszlo Vitamin C Peel Mask

 

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Enjoying the citrus scent after applying the two-step Vitamin C skin peel by Erno Laszlo

Thanks to Influenster and their partnership with Erno Laszlo, I received a full-sized 1.7 ounce complimentary sample of the Vitamin C Peel mask in the mail. With one week left in my dermatology rotation, I was thrilled to incorporate this new element to my skin care regimen since the stress of looming end-of-rotation exams has caused my face to break out over the last few months. For clear skin, consistency is key, striving for flawless is certainly a daily battle and good  hygiene is a necessity!

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Erno Laszlo’s two step peel retails for $100.00 online and in stores.

The structure of every living cell in your body influences how it functions. When free radicals are left behind on your skin, they harm it by breaking down the proteins and fatty acids that comprise it and disturb the normal pH. These effects are cumulative and can change the nature of the skin. When they harm the sebaceous gland, they can increase the production of sebum and leave the skin open to bacterial infections. Any kind of stress, in my case, stress from exams, can trigger an inflammatory response leading to inflammatory pimples which include papules and pustules. These papules and pustules develop when blocked pores get increasingly irritated. Non-inflammatory pimples, on the other hand, include blackheads and whiteheads, and are generally smaller and easier to treat. They develop when skin pores become plugged with oil, dead skin cells, and bacteria. Common bacteria that thrive on the surface of the skin are Propionibacterium acnes and the staphylococcus species, which is a gram positive bacteria. Gram positive bacteria are protected by

content_image_-_types_of_acne_vulgaris_comedonea thick wall. We all may ponder where we come from, but in the world of biology, the central dogma is always the answer meaning DNA makes RNA and RNA makes proteins. In order to shut down the the machinery bacteria use to make protein, clindamycin, an antibiotic which targets a subunit of the machinery used to prevent the bacteria from making the protein components it needs for growth. Fortunately, during my rotation I was able to treat my acne with a combination of Onexton (clindamycin phosphate and benzoyl peroxide) Gel, 1.2%/3.75%, a prescription topical antibiotic cream, and Aczone (dapsone 7.5%) gel samples provided by my preceptor. A common side effect to treating acne with these topical medications can be skin dryness and after a couple of weeks using the medicated topical treatments, I felt as though my lackluster, dull skin needed a boost.

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I owe 50% of my beauty to my mother and the other 50% to Erno Laszlo,” – AUDREY HEPBURN

To add intrigue to the brand, having perfected the world’s most coveted complexions from Europe to Hollywood, Dr. Erno Laszlo brought his skincare philosophy to New York City in 1927.  There, he introduced celebrity clients like Audrey Hepburn to his signature double cleanse and cultivated the brand’s customized approach to skincare.


Peel and Reveal.
Powered by super-nutrient Vitamin C, the clarifying two-step peel gently polishes skin!  Vitamin C is a potent antioxidant that also can help combat toxin exposure and acne. Products formulated with vitamin C can also help reduce the appearance of an uneven skin tone and reveal bright, radiant skin. Best of all, vitamin C is an appropriate choice for all skin types! To optimize skincare, using the Erno Laszlo scrub in combination with a broad-spectrum SPF 15 or higher liquid foundation or sunscreen creates the ultimate anti-aging power duo and prevents against common skin ailments seen with prolonged sun exposure such as seborrheic keratosis and actinic keratosis, a condition that can develop into the deadly squamous cell carcinoma.

 

Step 1 Massage the blissfully citrus scented peel into your skin to gently exfoliate for up to three minutes. This helps remove the free radicals, dirt, dead skin, and bacteria that has accumulated throughout the day.
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Step 2 Activate brightening and moisturizing—you simply peel away to uncover instant radiance. I felt the two step process working together to reveal refreshed skin! Don’t forget to rinse well and pat dry when you are done! My complexion felt much smoother and more radiant once I was finished!
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Thanks again to Influenster and Erno Laszlo for sharing this skincare experience with me! Check out my other beauty blogs from Influenster and click here to find out how you can receive complimentary samples delivered directly to your door.

Photo credit: http://www.able2film.com

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Class Notes: a diagram of the epidermis and dermis. Did you know that the skin is the largest organ of the human body?

 

 

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