Healthy Lifestyle Steps

Ultrasound treatment might relieve Parkinson's tremors

Ultrasound may provide lasting relief from the involuntary muscle movements that are so debilitating to people with Parkinson's disease and another condition called "essential tremor," a small study concludes. The treatment is still scarce. but it appears to deliver significant and lasting tremor relief, Italian researchers report.

It's called "focused ultrasound." Though characterized as surgery, it's actually a noninvasive procedure that involves no Incisions.

For patients with uncontrolled muscle movements, clinicians use it to target beams of sound energy toward a small tremor-control center in the brain called the thalamus. The beams heat up the thalamus and destroy part of it. "The clinical application of this technique for neurological diseases is an absolute novelty." study author Dr. Federico Bruno, a radiologist at the University of L'Aquila in Italy, said in a statement. "Few patients know of this treatment option so far, and there are not many specialized centers equipped with the required technology."

He pointed out that focused ultrasound received U.S. Food and Drug Administration approval less than three years ago as a tremor-control treatment. Before then, patients had to rely on other interventions,according to Dr. Rachel Dolhun, vice president of medical communications for the Michael J. Fox Foundation in New York City. "Exercise, medication and surgical therapies such as deep brain stimulation are all possibilities for consideration," she noted.

But exercise and medication don't always work. And while deep brain stimulation (DBS) targets the same brain area as noninvasive ultrasound, it is highly invasive.

Ultrasound treatment might relieve Parkinson's tremors

Surgeons must enter the skull and chest to Insert wires, electrodes and a pacemaker-like pulse generator. It can also be tricky after surgery to calibrate the device to maximize tremor reduction and minimize unwanted side effects. Plus, Patients with heart and bleeding problems may be ineligible for the procedure. Dolhun and her team said, as are those with memory and thinking issues. The DBS equipment also requires vigilant maintenance, in the form of regular battery replacement.

By comparison, focused ultrasound, though irreversible. "requires shorter hospitalization and is a fairly well-tolerated procedure even by more fragile patients," Bruno said.

But does it work?

Bruno and his team tracked 39 patients (average age, 65) for just over a year after focused ultrasound treatment. Just over half (21) had Parkinson's. The rest had essential tremor (ET), a common type of tremor that may affect the hands, arms, legs, head, trunk and even tongue.

On average, participants had had tremors for more than a decade. None had responded to standard treatments.

All underwent focused ultrasound, which is performed without general anesthesia on one side of the thalamus. (Doing ultra- sound on both sides could trigger speech, swallowing and thinking problems, so it is approved only for one side.)

The result? Thirty-seven of the 39 patients experienced immediate and significant tremor relief, and that relief held up over the next year. Both Parkinson's and ET patients reported marked improvements in their quality of life.

For now, however, focused ultrasound is only available at a few specialized facilities worldwide. But both Bruno and Dolhun suggest that this may change.

Ultrasound treatment might relieve Parkinson's tremors

"There are a number of clinical trials testing focused ultrasound as a noninvasive procedure for other Parkinson's symptoms." Dolhun said. Those symptoms include duskiness, uncontrollable muscle movements that result in fidgeting, swaying, writhing, wriggling or head bobbing.

Bruno said other studies are investigating its potential for treating neuropathic pain, epilepsy and obsessive-compulsive disorders, as well as brain tumors. And as neuroimaging techniques improve, he predicts ultrasound's potential and availability will expand.

Bruno and his team are to present their findings next Wednesday at the Radio logical Society of North America annual meeting in Chicago. Research presented at meetings is typically considered preliminary until published in a peer-reviewed journal.

Experts in the diagnosis and treatment of Parkinson's disease suggest they are on the verge of developing new ways of identlfying the condition earlier - and better managing its debilitating symptoms. In a presentation Tuesday at the XXIV World Congress of Neurology in Dubai, researchers from the Center for Neurodegenerative Science at Van Andel Institute in Grand Rapids, Mich, told more than 4,000 neurologists from around the world in attendance that recent studies suggest that other health conditions -- like rapid eye movement sleep behavior disorder, constipation, depression, hyposmia, anxiety and excessive daytime sleepiness may be predictors of the onset of the movement disorder.

The Mayo Clinic describes rapid eye movement, or REM, sleep behavior disorder as a sleep disorder in which you physically act out vivid, often unpleasant dreams with vocal sounds and sudden, often violent arm and leg movements.

Ultrasound treatment might relieve Parkinson's tremors

Stress in emergency room affect patient care

The COVID-19 pandemic has added to already high stress levels in emergency- rooms, a social psychologist says.

"ER providers are on the front line of this pandemic, and stress, anxiety and anger - are increasing," said Linda Isbell, a professor of psychology at University of Massachusetts Amherst.

"As we all face anxiety about the fallout of this pandemic, anger about a healthcare system that was already stretched thin and under-resourced is likely to grow," she explained in a university news release.

Isbell's team interviewed 45 doctors and 41 nurses who offered mixed feelings about life in the ER. Persistent issues such as understaffing, overcrowding and limited resources for homeless and mentally ill patients elicited overwhelmingly negative feelings.

"These physicians care deeply about their patients. They're working in a healthcare system that makes it really hard for them to practice the way they envisioned," Isbell said. "They are asked to handle and solve problems that are incredibly trivial or incredibly serious, and some aren't even medical problems. There is awareness that emotions could influence what they do with the patients."

One ER specialist said: "Emotions subconsciously play a role in every single patient and how you work them up, and how you diagnose them, and what you do for them."

Doctors and nurses said that they may spend less time with angry, dimcult or unreasonable patients.

One doctor said: "I do think it is likely that when you have significantly contentious relationships with patients that ....you don't gain as much data and to an) extent that could lead to diagnostic error."

Doctors and nurses said they use various coping strategies. These include suppressing or ignoring their emotions when on duty in the emergency department.

Stress in emergency room affect patient care

"But we know from the emotion literature that's not a good strategy." Isbell said. "It tends to rebound. You may take it out later on your kids or your spouse or dog. It's bad for your body physically and for

your mental health."

It may also be bad for patients. The study suggests that more research is needed to learn whether ER providers' efforts to regulate their emotions help reduce the risk to patient safety.

The report was recently published online in the journal BMJ Quality and Safety.

Limited supplies of the anti-malarials chloroquine and hydroxychloroquine could hinder plans to use them to treat COVID-19, experts warned Thursday.

Physicians in Italy, where more than 115.000 people have acquired the virus and nearly 14,000 have died, questioned whether there is enough supply" of the two drugs if they are accepted globally as an

option for coronavirus treatment, according to a letter published in the Annals of Rheumatic Diseases.

The medications are typically used to treat people with malaria, which sickens more than 200 million people per year, according to the World Health Organization.

"If mass prophylaxis was accepted as an option worldwide, this would raise the question of whether there is enough supply of [chloroquine) and (hydroxychloroquine) to support this approach, they write.

As of Thursday, there have been more than 1 million confirmed cases of COVID-19 worldwide. The outbreak started in Wuhan, China, and has since spread rapidly.

Those with severe cases of the virus typically develop pneumonia and require breathing support with a ventilator. Hospitals in the United States have already expressed concerns about shortages of ventilators, as confirmed cases approach 250,000.

Chloroquine and hydroxychloroquine have been used to treat auto-immune diseases like lupus since the 1940s. Over the decades, dozens of studies have shown them to be safe and well tolerated in most cases, the Italian authors noted.

Stress in emergency room affect patient care

Treatment at the earliest possible opportunity gives the best chance of recovery from Bulimia

Bulimia (or bulimia nervosa) is a serious mental illness. It can affect anyone of any age, gender, or background. People with bulimia are caught in a cycle of eating large quantities of food (called bingeing), and then trying to compensate for that overeating by vomiting, taking laxatives or diuretics, fasting, or exercising exces sively (called purging).

Treatment at the earliest possible opportunity gives the best chance for a rapid and sustained recovery from bulimia.

It's normal for people who aren't suffering from an eating disorder to choose to eat a bit more or " overindulge" sometimes. This shouldn't be confused with a binge. During a binge, people with bulimia don't feel in control of how much or how quickly they're eating. Some people also say that they feel as though they're disconnected from what they're doing.

The food eaten during a binge may include things the person would usually avoid. Episodes of bingeing are often very distressing. People with bulimia place strong emphasis on their weight and shape, and may see themselves as much larger than they are.

The binge/ purge cycles associated with bulimia can dominate daily life and lead to difficulties in relationships and social situations.

Treatment at the earliest possible opportunity gives the best chance of recovery from Bulimia

Bulimia can cause serious physical com plications as well-frequent vomiting can cause problems with the teeth, and people may go to lengths to make themselves sick that could cause them harm.

Laxative misuse can seriously affect the heart and digestive system. People with bulimia may also experience symptoms such as tiredness, feeling bloated, constipation, abdominal pain, irregular periods, or occasional swelling of the hands and feet.

However, as sufferers often maintain a " normal" weight and often hide their illness from others, it can be very difficult to spot from the outside. Moreover, people with bulimia are often reluctant to seek help. As with other eating disorders, people around a person with bulimia will probably notice changes to their mood and feelings before seeing any physical change.

They may also be preoccupled with and secretive around food, and feel self-conscious about eating around others. Low self-esteem, irritability and mood swings, and feelings of guilt, shame, and anxiety, especially after a binge, are also common.

If someone's symptoms don't exactly match all the criteria used to diagnose bulimia-for example, if the binge/ purge cycles don't occur as frequently as may be expected-they might be diagnosed with OSFED (other specified feeding or eating disorder). OSFED is as serious as any other eating disorder and it's just as important that people suffering with it get treatment as quickly as possible. There are many different reasons that someone might develop bulimia, and many things that can be contributing factors.

It's important to remember that eating disorders are often not about food itself, and treatment should address the underlying thoughts and feelings that cause the behaviour. Bulimia can affect anyone of any age, though it typically develops during adolescence or early adulthood.

Treatment at the earliest possible opportunity gives the best chance of recovery from Bulimia

It is also possible for someone to move between diagnoses if their symptoms change there is often a lot of overlap between different eating disorders. As such, bulimia may develop from another eating disorder, or a person's symptoms may change to better resemble those of another eating disorder.

If you're worried about yourself or someone you know, even if only some of the signs are present, you should still seek help immediately. The first step is usually to make an appointment with the GP.

Treatment for Bulimia

Bulimia (or bulimia nervosa) is a serious mental illness. It can affect anyone of any age, gender, or background. People with bulimia experience cycles of eating large quantities of food (called bingeing), and then trying to compensate for the binge by vomiting, taking laxatives or diuretics, fasting, or exercising excessively (called purging). You can read more about bulimia here.

Most treatment for bulimia will take place in outpatient services. Inpatient treatment is usually only necessary when someone is at risk of suicide or severe selfharm.

Therapy

Therapy can be recommended as part of the treatment for bulimia in order to tackle the underlying thoughts and feelings that cause the illness and encourage healthier ways of coping.

Therapies recommended to help treat bullmia might Include:

Evidence-based self-help, which will involve some of the same techniques you would learn in face-to-face therapy. Ideally this will be with support and encouragement from your healthcare team.

Cognitive behavioural therapy-Bulimla Nervosa (CBT-BN), CBT that has been adapted to suit the needs of people with bulimia.

Other therapies, such as interpersonal psychotherapy (IPT), as an alternative to CBT.

CBT is likely to be recommended as part of your treatment, and may have positive results over a shorter course of treatment than other forms of therapy. However, if CBT isn't right for you, you can get good results through other therapies too.

Treatment at the earliest possible opportunity gives the best chance of recovery from Bulimia

People with asthma 'shouldn't wear face Masks', experts warn

People with asthma or other respiratory conditions should not wear face coverings, the government and various health experts have warned. New government advice recommends the public wear face coverings on public transport and in crowded places indoors in order to reduce the spread of coronavirus. However, the situation has been named a 'catch 22 for those with lung conditions, as using a face mask could make it harder to breathe and risk their health.

In official guidance, the Cabinet omce states: 'If you can, wear a face covering in an enclosed space where social distancing Isn't possible and where you will come into contact with people you do not normally meet. This is most relevant for short periods in doors in crowded areas, for example, on public transport or in some shops.

*Face coverings should not be used by children under the age of 2 or those who may find it difficult to manage them correctly. For example, primary age children unassisted, or those with respiratory conditions.

This advice has been supported by Asthma UK which agrees that face coverings could make it more difficult to draw air into the lungs.

People with asthma 'shouldn't wear face Masks', experts warn

The charity's advice states: "For some people with asthma, wearing a face covering might not be easy. It could make it feel harder to breathe. "The government has advised that people with respiratory conditions don't need to wear face coverings, so If you are finding it hard, then don't wear one.'

Dr Purvi Parikh, an Immunology and infectious disease specialist at New York University, has also revealed that the hot summer weather could hinder people with lung conditions, those with skin abnormalities on their face or neck, or children or people with dementia.

She said: 'We're approaching summer-time so It's hot outside, and when you're consistently breathing hot air on top of your own breath that can be quite uncomfortable. 'it's uncomfortable to breathe hot air because we're used to being in a temperate environment. For some asthmatics warm air is a trigger and can cause asthma attacks, so for them It's unfortunately a perfect storm.'

Government advice states 'cloth face covering should cover your mouth and nose while allowing you to breathe comfortably. It recommends people wash their hands before putting it on and after taking it off and after use, as well as avoid touching their eyes, nose, or mouth.

It comes as a group of charities call on the public to wear transparent face masks to prevent 'months of misery' for deaf people. Nine million people in England are deaf or live with some kind of hearing loss, with the majority using lip-reading and facial expressions to help them communicate. Nine organisations, led by the National Deaf Children's Society, say this will be impossible if the public start to regularly wear standard face masks or other opaque coverings.

People with asthma 'shouldn't wear face Masks', experts warn

The exact cause of IBS is unknown

Between 3 percent and 20 percent of Americans experience irritable bowel syndrome (KIBS) symptoms. The condition affects more women than men. Some people with IBS have minor symptoms. However, for others the symptoms are significant and disrupt daily life.

What is IBS?

IBS is also known as spastic colon, Irritable colon, mucous colitis, and spastic colitis. It is a separate condition from inflammatory bowel disease and Isn't related to other bowel conditions. IBS is a group of intestinal symptoms that typically occur together. The symptoms vary in severity and duration from person to person. However, they last at least three months for at least three days per month.

IBS can cause intestinal damage in some cases. However, that is not common. IBS doesn't increase your risk of gastrointestinal cancers, but it can still have a significant effect on your life.

The exact cause of IBS is unknown

IBS symptoms

The symptoms of IBS typically include:

cramping
abdominal pain
bloating and gas
constipation
diarrhea

It's not uncommon for people with IBS to have episodes of both constipation and diarrhea. Symptoms such as bloating and gas typically go away after you have a bowel movement.

Symptoms of IBS aren't always persistent. They can resolve, only to come back. However, some people do have continuous symptoms. Learn more about the symptoms of IBS. Symptoms of IBS in women. Women may tend to have symptoms around the time of menstruation, or they may have more symptoms during this time. Menopausal women have fewer symptoms than women who are still men struating. Some women have also reported that certain symptoms increase during pregnancy. Learn more about the nature of IBS symptoms in women.

Symptoms of IBS in men

Symptoms of IBS In men are the same as the symptoms in women. However, a lot fewer men report their symptoms and seek treatment. Learn more about how the symptoms of IBS can affect men.

The exact cause of IBS is unknown

IBS pain

IBS pain may feel like cramping. With this cramping, you will also have at least two of the following experiences:

some relief of pain after a bowel movement a change in how often you have a bowel movement.

changes in the way your stools look IBS diagnosis.

Your doctor may be able to diagnose IBS based on your symptoms. They may also take one or more of the following steps to rule out other possible causes of your symptoms:

Have you adopt a certain diet or cut out specific food groups for a period to rule out any food allergies.
Have a stool sample examined to rule out infection.

Have blood tests done to check for anemia and rule outceliac disease.
Perform a colonoscopy

A colonoscopy is typically only done if your doctor suspects that your symptoms are being caused by colitis, in ammatory bowel disease (Crohn's disease), or cancer. Learn more about the process of diagnosing IBS

IBS diet

For some people, dietary changes can go a long way in helping ease symptoms. Because the symptoms of IBS vary among people with the condition, approaches to dietary changes need to vary. This Health line article helps to outline some of these different dietary approaches.

Treating IBS

There is no cure for IBS, Treatment is aimed at symptom relief. Initially, your doctor may have you make certain life. style changes. These "home remedies" are typically suggested before the use of medication. Learn more about the different types of IBS treatment.

Home remedies for IBS

Certain home remedies or lifestyle changes may help to relieve your IBS symptoms without the use of medication. Examples of these lifestyle changes include:

participating in regular physical exercise cutting back on caffeinated beverages that stimulate the intestines.
Eating smaller meals.

Minimizing stress (talk therapy may help) taking probiotics ("good" bacteria normally found in the intestines) to help relieve gas and bloating.

Avoiding deep-fried or spicy foods Foods to avoid with IBS.

Managing your diet when you have IBS may take a little extra time but is often worth the effort. Modifying amounts or eliminating certain foods such as dairy, fried foods, indigestible sugars, and beans may help to reduce different symptoms.

For some people, adding spices and herbs such as ginger, peppermint, and chamomile has helped to reduce some IBS symptoms. Learn more about how certain foods interact with IBS symptoms.

The exact cause of IBS is unknown

IBS medication

If your symptoms do not improve through home remedies, such as lifestyle or dietary changes, your doctor may suggest the use of medications. Different people can respond.

differently to the same medication, so you may need to work with your doctor to find the right medication for you.

As with all medication, when considering new medication, it's important to tell your doctor what you are already taking, including herbal remedies and over-the-counter medications. This will help your doctor avoid any medication that could interact with what you are already taking. Some drugs are used to treat all symptoms of IBS, while other drugs are focused on specific symptoms.

Drugs that are used include medications to control muscle spasms, anticonstipation drugs, tricyclic antidepressants to ease pain, and antibiotics. If your main IBS symptom is constipation, linaclotide and lubiprostone are two drugs that are recommended by the American College of Gastroenterology (ACG).

What causes IBS?

Although there are many ways to treat IBS, the exact cause of IBS is unknown. Possible causes include an overly sensitive colon or immune system. Postinfectious IBS is caused by a previous bacterial infection in the gastrointestinal tract. The varied possible causes make IBS difficult to prevent.

The physical processes involved in IBS can also vary, but may consist of: slowed or spastic movements of the colon, causing painful cramping.

abnormal serotonin levels in the colon, affecting motility and bowel movements mild celiac disease that damages the intestines, causing IBS symptoms IBS triggers. For many people, the key to managing IBS symptoms is to avoid triggers. Certain foods as well as stress and anxiety can be triggers for IBS symptoms for many people.

Certain foods are common triggers for many people with IBS. However, some of these foods may have a greater effect on you than others. It may help to keep a food diary for a period to learn which foods are triggers for you.

Recognizing in advance situations that may increase your levels of stress and anxiety can help.

This can give you time to either plan to avoid these situations when possible or develop strategies to limit the stress and anxiety.

The exact cause of IBS is unknown

Herbal Blend May Ease Hangover

For as long as humans have been drinking alcohol, they have sought a cure for hangovers. Now, a small study suggests that a mix of plant extracts might help ease the misery. Researchers found that the herbal blend of Barbados cherry, prickly pear, ginkgo blloba, willow and ginger root extracts seemed to lessen certain hangover symptoms.

The supplement also contained various vitamins and minerals. But study participants given those nutrients alone saw no hangover relief.

It all suggests, the researchers said, that something about the plant compounds might explain the benefit.. though It's not clear precisely what.

"Our study does not allow us to Identify which plant Ingredients, exactly are responsible." said researcher Patrick Sch-mitt, of Johannes Gutenberg University, In Mainz, Germany.

So a next step, he said, would be to separate the plant compounds to see how effective each might be.

The ultimate goal, Sch-mitt explained, is to isolate any beneficial compounds and try to boost their bio availability, or absorption in the body. From there, the researchers hope to create an "anti hangover additive" for use in alcoholic beverages.

However,. a researcher who was not involved In the study was unimpressed by the supplement's performance.

There were no significant differences between the treatments," said Joris Verster, an associate professor at Utrecht University, in the Netherlands.

Verster, who founded the Alcohol Hangover Research Group, has conducted many studies on the science of hangovers. And he broke the news like this:There are currently no marketed hangover treatments that are backed up by published, peer-reviewed scientific data demonstrating their efficacy."

According to Verster "The best way to reduce or prevent hangovers is to moderate your alcohol consumption."

Herbal Blend May Ease Hangover

The new study, published online Aprll 30 in BMJ Nutrition, Prevention & Health, involved 214 healthy adults who were randomly assigned Into three groups. One was given a supplement containing vitamins and minerals such as B vitamins, zinc and the electrolytes magnesium, potassium and sodium another was given those nutrients plus the plant extracts a third received a placebo supplement containing only sugar.

All participants took the supplements 45 minutes before, and Immediately after, drinking alcohol. They chose from beer or wine,and were allowed to drink as much as they wanted.

The next day, once their blood alcohol levels were 0 percent, they were asked to rate any hangover symptoms they were suffering..47 in all.

It might sound surprising that so many hangover symptoms exist. But according to Verster, they can run the gamut from physical to mental ranging from headache, nausea and fatigue to dizziness, memory problems and dulled emotions.

On the overall hangover scale, all three study groups scored similarly.

But when It came to a few individual symptoms, the plant-extract group looked a little better. Those symptoms included headache, nausea, indifference and restlessness.

The problem, Verster said, Is that those differences in select symptoms could have been due to chance. Plus, the few apparent Improvements were "not Impressive. he said.

For example, In the placebo group, the average headache severity was Just under a 3, on a scale of 0 to 10. That compared with a 2 In the plant-extract group.

Of course, people vary in how they respond to alcohol, and in hangover symptoms, Schmidt said. The response even difers day today In the same person," he noted.

So responses to any hangover remedy could vary. too

It's a common belief that dehydration, and a resulting loss of electrolytes,drives hangover symptoms. That has led many a sufferer to down water or sports drinks as a cure.

But in the current study, there was no evidence that dehydration played a role. Nor did people benefit from the supplement containing electrolytes but no plant compounds.

That's in line with what other research shows, according to Verster.

Although it's sometimes suggested that hangovers are caused by dehydration," he said, "there is no scientific. evidence that supports that claim."

The herb/vitamin/mineral blend used In this study is already sold in Germany as a food supplement, Schmitt said. The manufacturer provided the product to the researchers.

Herbal Blend May Ease Hangover

How To Stay Positive During Corona Virus: Four Habits To Transform Your Happiness

Four habits that take up just 21 minutes each day can be the key to more happiness in life, according to Shawn Achor, author of "The Happiness Advantage." One of the habits, spending two minutes a day thinking of what you're grateful for, can have dramatic results on your health and happiness, Achor's research shows. Expressing gratitude to someone else once over the course of the day can do the same.

"Not only do we train our brain to become more optimistic and positive, but if we keep the pattern going, it actually allows us to make the choice of happiness an easier choice," Achor told "Good Morning America."

The benefits of gratitude range from boosting energy and reducing depression to increasing both optimism and social connections, which are two of the greatest predictors of long-term happiness, according to Achor. Achor, also the author of "Big Potential" is the architect behind a push for gratitude at Schaumburg District 54, a school district in Schaumburg, Illinois.

With Achor's help, the school district Implemented a year-round happiness curriculum. A key component of the curriculum is gratitude, where students learn to be thankful for not what they may want, but what makes them happy right now.

The students learn gratitude through exercises like writing a letter to someone for whom they are grateful. "We know that, when the brain is grateful and positive, every single educational outcome -- every single business outcome [that] we know how to test for - rises significantly and many of our health outcomes, as well," Achor said.

The four happiness hygiene habits that, together, take up just 21 minutes of the day will help you make gratitude a part of your daily life, and reap its benefits, according to Achor.

Here are Achor's descriptions of the habits, in his own words.

How To Stay Positive During Corona Virus: Four Habits To Transform Your Happiness

Write a two-minute maximum email each day praising or thanking a different person in your life." "Not only do you often receive positive emails back, but this habit significantly increases your social connection. Social connection (the breadth, depth and meaning in your social relationships) is the greatest predictor of long-term happiness. Social connection is also as predictive of how long you will live as obesity, high blood pressure or smoking."

"Fifteen minutes of cardio each day can be the equivalent of taking an antidepressant, and acts as a gateway drug because people who do this one start adding on entire constellations of positive habits." Two minutes of meditation

-- simply watching your breath go in and out improves accuracy on tasks by 10 percent, significantly reduces stress, improves sleep and raises engagement scores." Two minutes of journaling about a positive, meaningful experience each day can significantly decrease pain symptoms, decrease stress and increase the amount of meaning you feel in your life."

"Simply think of one meaningful event that happened over the past 24 hours and then on a sheet of paper, bullet point three details you can remember (Where you were, what you were wearing, what you said, etc.). We call this the "Doubler" because your brain struggles to tell the difference between visualization and actual experience, so you are doubling a meaningful event each day."

How To Stay Positive During Corona Virus: Four Habits To Transform Your Happiness