Nang Mwe San during a photoshoot. Photo: Aung Naing Soe
“Should I remove the cover-up?” Myanmar model Nang Mwe San asked during a recent shoot to advertise a male enhancement capsule promising bigger penises, harder erections, and a better sex life.
The pink sarong was wrapped around her waist. She removed it, walked down to the shallow end of a pool, faced the camera, and smiled while posing for photographs.
“We’ve had other sexy models for ads … but Nang Mwe San’s name trumps all of them,” Moe Kyaw, the distributor of the pills, told VICE World News. “People are more interested in the products when she’s the one endorsing them.”
Little known outside her country, the 30-year-old trained physician is famous in Myanmar, where her story from doctor working in conflict zones to on-camera performer has been met with fascination, anger, and shock in a country where few women would talk so openly about a life in adult entertainment.
It started about two years ago, when she began posting provocative photos of herself on Facebook, where she now has 1.7 million followers. The photos gained an audience and caught the attention of the medical establishment, which took her license away in 2019, arguing that her images were inappropriate and “not in line with Myanmar culture.”
She found herself in a dilemma. Should she fight to get her license back and fulfill her parents’ wishes of being a doctor, or should she follow her other passion and become a full-time model? She soon resigned from her job working as a medical officer for an NGO.
“I enjoyed posting sexy photos on social media. The organization I was working with at that time didn’t like it,” she said.
“Revoking my medical license was a huge push for me to become a full-time model.”
After shrugging off the public censure she doubled down and signed up to OnlyFans. The subscription-based content platform has made cult celebrities out of sex workers and adult performers around the world. But in conservative Myanmar, the career shift did not go over well.
“Many criticized me including relatives, friends, and people on social media, but I didn’t really think about them,” Nang Mwe San said. “I do not even check the negative comments under the social media accounts.”
She is right not to. A quick perusal of her page shows sexually abusive comments and insults to her character.
Since her early days as a doctor, however, Nang Mwe San has always had something of an independent streak, wanting to go to places others might shy away from. She was drawn to medical work in conflict zones, and for a time worked for an NGO in Shan, Kachin, and Rakhine States, including in displaced camps for the Rohingya Muslim minority.
“While other fresh graduates were not willing to serve in the countryside and tried to get postings in cities like Yangon, I wanted to go to such places,” she said, adding that her parents were constantly worried about
Only 10 percent of men with erectile dysfunction seek medical help, with many attempting to treat the condition with pills purchased online, a physician said
By Yang Yuan-ting
and William Hetherington / Staff reporter, with staff writer
A New Taipei City doctor has advised people to avoid purchasing medication on the Internet, citing a patient who had bought counterfeit pills for the treatment of erectile dysfunction.
Taiwanese Association of Andrology director Chen Yu (陳煜) said the patient, a 40-year-old man, had used the pills for three months without knowing they contained mostly starch.
About half of Taiwanese men above 40 have some degree of erectile dysfunction, Chen said.
Erectile dysfunction is categorized by severity, with those mildly afflicted being able to have intercourse, but not becoming fully erect, he said.
Those moderately afflicted might become partially erect, but are unable to engage in intercourse, while those with severe erectile dysfunction are completely unable to become erect, Chen added.
The rate of occurrence of erectile dysfunction in men under 40 is three times what it was five years ago, he said.
Erectile dysfunction worsens over time if not treated, and as many younger men are embarrassed about the problem and put off treatment, many of those under 40 that he treats already have advanced conditions, Chen said, adding that 5 percent of them have severe conditions.
Erectile dysfunction can be a sign of imminent heart disease, since it is often caused by blocked arteries, generally indicating circulatory problems, diabetes or other problems, association secretary-general Wu Chia-chang (吳佳璋) said.
More than 60 percent of men with erectile dysfunction develop heart disease within three years of seeking treatment for the condition, he said, adding that patients complain that many aspects of their lives, including work performance, suffer from the condition.
Citing research statistics, Wu said that only about 10 percent of men with erectile dysfunction seek treatment, with many attempting to treat the condition on their own with pills purchased on the Internet.
“Companies selling fake medicine see it as an opportunity, with many putting fake labels on their products to pass them off as real medicine,” he said.
Chen said he once treated a patient who had an erection that lasted several days after taking counterfeit medicine he bought on the Internet.
The patient was left with some permanent physical damage, he said.
Chen said he and his colleagues had sent a letter to the online retail platform that sold the counterfeit medicine, and had reported the company to the Food and Drug Administration.
However, as many firms making such products are located outside of Taiwan, which makes prosecution difficult, Chen advised people to exercise caution and not purchase medication online, but to seek treatment from a medical professional.
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Dr. Carolyn Borow has delivered more than 3,500 babies in her 41 years as a family doctor. But she hasn’t delivered one since the coronavirus pandemic began.
Instead Borow, like many medical professionals, has gone virtual, doing all those appointments about pregnancy complications, sore throats and COVID fears via computer and FaceTime. In fact, the only time she’s been in a hospital recently was when she herself had surgery.
“I am definitely going through baby withdrawal,” said Borow, who works out of Allina Health in West St. Paul and Eagan. “I’d never planned that at some point I’m not going to be doing this. Only a pandemic would keep me from it.”
At a time when a growing number of veteran doctors are suddenly considering retirement, Borow is finding renewed purpose in her work.
A 2020 survey of 2,300 U.S. physicians by the nonprofit Physicians Foundation reported that 37% of doctors said they would like to retire within a year. Many expressed fear for their personal health, including 28% who had “serious concerns” about catching COVID-19.
Borow, though, sees value in her shifting work experience.
“I thank everybody who is making these appointments,” Borow said. “Because it has allowed me to still feel meaningful. Because I had no intention ever of not continuing to serve people.”
Initially, to cut down on coronavirus exposure, Allina limited the number of its doctors going in and out of United Hospital in St. Paul, where Borow has worked. So, Allina hired doctors to serve full time in the hospital.
Secondly, because of her age and medical risks during the COVID crisis, Borow decided to curtail her in-person contact with patients. She went virtual on the fly.
“It was all new to me,” she said of distance doctoring. “But in my motivation to serve people, I just learned it quickly.”
Borow is as busy as ever. An empty nester with a retired husband, she dons her scrubs every morning — in the clinic, she used to wear streets clothes and a lab coat — and sits at an Allina-issued computer in her son’s old bedroom in their Mendota Heights home. Her two cats sometimes scratch at the door. But Borow is diligent and determined, officially working 9 a.m. to 5 p.m. Monday through Friday (actually, two nights until 6) and on-call every other weekend. Of course, that doesn’t include the two or three hours every night of paperwork and the pre-shift prep for her appointments.
She also spends a half-day per week in the clinic signing forms, wearing a mask and shield over her glasses.
With a different virtual patient scheduled every 20 minutes, the doctor is much more punctual than in her days at the clinic, where an assistant could warn an impatient patient that the physician is running late.
“I have openings every day, people can get right in, which was never the case before,” Borow said. “Although before, we could work someone in with double booking.”
She’s now able to see patients
The supplements aisle contains a dizzying amount of products. (Valerian root? Horny goat weed?) Come Black Friday, you’ll be able to shop plenty of these dietary supplements at a major price cut. To help you sort through what’s worth your dollars—and what simply is not—I consulted Matthew Kohler, MD, and Rajivan Maniam, MD, functional medicine doctors and co-founders of Ospina Medical in New York City.
Despite the countless options on the shelf, Dr. Kohler and Dr. Maniam say the average person really only needs to consider five supplements. As always, you should consult your own doctor before adding new supplements to your diet.
The vitamins and supplements to buy on Black Friday
1. Vitamin D
“Vitamin D, the ‘sunshine vitamin,’ has long been pinned as one of the most common vitamin deficiencies that many of us suffer from,” says Dr. Maniam. “While seemingly benign, deficiency in Vitamin D may in fact be propagating pain. To date, there are several observational studies showing an association between vitamin D deficiency and different pain conditions including low back pain, menstrual cramps, and chronic pain.” Dr. Maniam adds that taking vitamin D supplements has the possibility of offering many positives with no known negative side effects, so hey, it’s worth a shot!
Shop Black Friday sale: Vitamin D, $10 (originally $12)
2. Vitamin B12
Vitamin B12 is like catnip for the brain—and Dr. Kohler recommends it for anyone who wants some extra cognitive sharpness. “Vitamin B12 is essential for many biological functions and offers numerous known benefits including energy production and assisting in more efficient cellular reproduction,” he says. B12 is also credited with improving your mood, supporting fetal development, and improving memory—so yeah, it’s worth adding to your medicine cabinet with your doc’s okay.
Shop Black Friday sale: Vitamin B12, up to 50 percent off $10
3. Vitamin C
Vitamin C may be best known for its immune system-boosting abilities, but Dr. Kohler recommends it for another reason. “Vitamin C is a critical nutrient for patients with pain or recent injuries—not only for its anti-inflammatory, antioxidant, and pain-relieving abilities but also for its role in tissue repair and regeneration,” says Dr. Kohler. “Vitamin C helps accelerate the healing process and protects the body from free radical damage. This becomes especially important in patients who have sports injuries such as tendonitis or ligament sprains.” Athletes, this supplement’s for you.
Shop Black Friday sale: Ancient Nutrients Vitamin C + Probiotics, $14 (originally $19)
4. Vitamin K
“Vitamin K works as an enzyme cofactor that has been implicated in inflammation, cardiovascular disease, and osteoarthritis,” says Dr. Maniam. “Inflammation is recognized as a crucial component of many chronic aging diseases and evidence suggests vitamin K has an anti-inflammatory action.”
Shop Black Friday sale: Swanson K-2, Buy one at $10 and get one free
4. Vitamin E
Dr. Maniam says vitamin C is another one that’s essential for anyone who takes their workout
(WTNH) — The COVID-19 pandemic didn’t come with a set of instructions. As the hospitals began to fill, it was all hands on deck. Hartford Hospital Doctor Michael Hallisey joined his colleagues on the front lines.
What jumped out at him was the toll it was taking on them; dealing with a deadly virus that quite frankly, we didn’t know too much about.
“These are people who are facing the stress of COVID and taking care of patients. They like the distraction of talking about something that’s intriguing and thrilling like a book,” Dr. Hallisey said.
So he started a book club and bought his colleagues a series of books by bestselling author Michael Connelly. When Connelly first found out, he did not understand how his books could help. Then he spoke with Dr. Hallisey, and began to understand.
“The idea that you need a break, you need a relief, that came through. And so it’s very fulfilling to me to be in a position where maybe I can provide a little bit of that with my stories,” Connelly said.
Connelly pens detective novels and other crime fiction. His latest book just released this week is titled The Law of Innocence. It’s dedicated to Dr. Hallisey and his Hartford Hospital Book Club.
“Everyone was just like wow. This is, you know, this is real,” Hallisey said.
Connelly’s main character is Harry Bosch. In the web television series, Bosch, a police detective, is played by New Haven native Titus Welliver. Bosch’s code is, “Everybody counts, or nobody counts.”
Connelly sent Dr. Hallisey t-shirts with that slogan. Hallisey handed out the shirts and books to his colleagues. “In my mind, it’s thousands and thousands of people, but at the forefront is Dr. Hallisey-kinds leading by his example,” Connelly said.
“I told them there is medical literature that shows that crime fiction is very helpful. I call it medicine for the mind.”
Officials of Rapid Action Battalion seen conducting a raid at Crescent Diagnostic and Consultation Center in the capital’s Uttara area on Wednesday, November 4, 2020 Dhaka Tribune
The raid was conducted on Wednesday night
A mobile court of the Rapid Action Battalion (RAB) has fined the laboratory in-charge of Crescent Diagnostic and Consultation Center in Dhaka’s Uttara Tk10 lakh over different violations.
The violations include keeping expired medicines and having surgeries performed without a doctor, according to the elite force.
The raid on Wednesday night was led by Executive Magistrate Palash Kumar Basu. It was ongoing until 11pm.
Over the past few months, mobile courts had raided multiple diagnostic centres in Dhaka and elsewhere and handed out punishments and fines over various violations.
On any subject, presidents can handpick experts from the best and the brightest to give them advice, and many have dipped into America’s deep well of intellectual talent throughout our history. But there was a telling moment during the final presidential election debate, when President Trump was asked about a recent report when he called infectious disease expert Anthony Fauci, MD, and those like him, “idiots”: “If you’re not listening to them, who are you listening to?”
Much public reporting suggests that the most influential medical advisor the president is listening to right now is Scott Atlas, MD. To those without medical training, Atlas might seem like the right choice.
He is on the faculty at Stanford and is a fellow at the well-known Hoover Institution. Such a distinguished resume might presumptively qualify him to advise the president on how to guide the country through the COVID-19 pandemic, the worst public health crisis in over a century, which has already taken more than 225,000 American lives and had a devastating impact on our economy. The public would reasonably expect that the president was getting the best available advice and that the advice was coming from people known to be experts.
But the issue of Atlas’s expertise goes directly to the core value proposition of board certification: it’s about verified expertise, not just self-declared expertise.
An early published history of the American Board of Internal Medicine (of which this author is the CEO) locates the beginning of the “board movement” to the 1865 meeting of the American Medical Association (AMA) where the New York delegation brought forward a complaint that there were local doctors advertising that they had special expertise in heart disease. But, said the New York delegation, they did not have not such expertise; it was, in their words, a “naked attempt to grab patients.”
The remedy requested by the New York delegates? They asked the AMA to declare specialization “unprofessional,” requesting that any doctor who claimed to be a specialist should be kicked out of the AMA.
Doing what organizations do in this situation, the AMA appointed a committee to study it, and the committee came back three years later with the conclusion that specialization was not itself the problem: that could advance scientific knowledge and lead to better patient care. But self-declared expertise was, in their view, a risk to the profession, and it should be looked at very skeptically.
The idea of board certification is rooted in the concept that the public deserves to be served by physician experts whose training, competence, and ability in a field have been independently verified by a body of their peers, not simply self-declared.
At a time when the public is confused about whose advice to follow, how to keep themselves safe, and what steps we should be taking as a country to protect ourselves, verified expertise is critically important. This is especially true at a time when anyone can say anything they want about themselves on the internet or
Dr. William Tse said he was “honored” by the costume.
Many 2-year-old boys want to dress up as Superman or Spiderman for Halloween, but Jonah Bump decided to dress up as a different type of superhero – his doctor.
Jonah was diagnosed with a rare immune deficiency disorder, severe combined immunodeficiency disease, when he was very young. Because of this, Dr. William Tse, the director of pediatric stem cell transplantation at Norton Children’s Cancer Institute in Louisville, Kentucky, performed a stem cell transplant on Jonah when he was just 7 months old.
Because he did not have a functioning immune system, Jonah needed to be isolated in a room at the hospital. His mother, Laurie Bump, says for the most part Tse and hospital staff were the only people they were allowed to see.
“The doctors and nurses became like extended family to us,” Bump said. “Dr. Tse went out of his way to do things for me just out of kindness. Our family has a soft spot for Dr. Tse because of everything he’s done for us and the way he cares about Jonah and our family.”
Dr. Tse says Jonah was one of his very first patients when he started working at the hospital in Louisville two and a half years ago. After Jonah’s surgery, he continues to see the toddler every three to six months to check up on him.
“Every time I see him I’m amazed by well he’s doing,” Tse said. “I feel proud. I feel happy and grateful that together (with his family) we can help Jonah to become a healthy child.”
Bump says she recently bought her son a doctor kit to play with, and when Halloween came around, she thought it’d be the perfect idea to have her son dress up as someone who means so much to their family.
“It seemed like a good fit,” Bump said. “Everyone in our family has been Jonah’s patient and because of what Dr. Tse means to us we decided to combine the two.”
Bump dressed up Jonah exactly like Tse, including a white coat and Tse’s signature blue Oxford shirt he wears underneath the coat. They even replicated Tse’s hospital name tag to say “Tse Jr.”
When the costume was complete, she texted the picture to one of Tse’s transplant nurses and asked her to relay it to him. When Tse saw it, he said he was honored.
“He was like a mini-me,” Tse said. “I was touched. I was so surprised and I didn’t expect it. The costume looked like me down to the very last detail.”
Tse jokes that in 20 years he
An Egyptian NHS doctor who became critically ill after complications from contracting Covid-19, has spoken for the first time about his fears of being removed from the UK by the Home Office while he lay in his hospital bed on a ventilator.
Dr Basem Enany, a locum consultant cardiologist at York teaching hospital, had treated many coronavirus patients. He was placed on a ventilator after developing Guillain-Barré syndrome, a rare complication of Covid-19 and other viruses, which has left him partially paralysed. He can now breathe unaided but believes he has a long rehabilitation journey ahead of him.
“At first I had the usual symptoms of Covid – cough, fever, loss of taste and smell – but then I began to develop a weakness throughout my body. Then I was no longer able to move and couldn’t breathe properly.” he said. “I had never seen this happen in any of the Covid patients I had treated and had to research my symptoms as they were so unusual.”
He has a work visa that is due to expire next month. He and his wife, Marwa Mohamed, believe they and their four young daughters could face removal from the UK as he is unlikely to be well enough by December to renew the visa.
Video: Smokers ‘three times more likely to die prematurely from heart disease’ (Cover Video)
While Enany has regained partial use of his hands, his legs remain paralysed and he is waiting to be moved from Leeds general infirmary to a specialist neuro-rehabilitation facility. “I was not sedated on the ventilator and was lying awake in my hospital bed thinking: ‘Oh my God, my visa is about to finish,’” he said.
Enany thanked the dedicated NHS workers who have been looking after him and the more than 4,000 people who have made donations to a crowdfund that will pay for his legal and medical bills. Any remaining funds will be donated to research into Covid-19 and into Guillain-Barré syndrome.
While the Home Office has said it had no plans to deport the family, Enany does not know what kind of replacement visa he will receive, how long it will be for and whether it will allow work.
While Enany thanked the Home Office for its reassurances, he said: “We still don’t have any solid documents in our hands and my visa will expire soon.”
A Home Office spokesperson said: “We’ve spoken to Dr Enany’s family to reassure them that their immigration status is not in jeopardy and they are not facing enforcement action. They are here entirely legally and have every right to remain the UK. We will continue to work with them to find a way forward. Our thoughts remain with Dr Enany and his family
There’s been a lot of talk about the effectiveness of popular weight-loss plan intermittent fasting. With many studies being done on this time-restricted eating plan, there’s also always new information being presented, but the end result is largely the same: intermittent fasting works for weight loss.
Recently, a study was published in JAMA that looked at time-restricted eating and its weight loss effects in both men and women. As the results were shared, some of the information seemed to get misconstrued, according to a doctor who now wants to clarify.
Monique Tello, M.D., MPH, a practicing physician at Massachusetts General Hospital, director of research and academic affairs for the MGH DGM Healthy Lifestyle Program, and clinical instructor at Harvard Medical School, was not involved in the study. But, she recently published a blog post on Harvard Health’s blog saying she had seen headlines about this study claiming that intermittent fasting doesn’t work and has a significant negative impact on muscle mass. She believes, though, that these research results have largely been misinterpreted. (Related: 5 Science-Backed Benefits of Intermittent Fasting.)
The original study tested 141 overweight patients over a period of 12 weeks. Some were put on a time-restricted eating plan while others followed a traditional eating plan. Dr. Tello points out that there was no true control group in the study because each patient was put on a schedule of some sort. A true control group would have been given no instructions or guidelines.
In the end, both groups lost weight, but the study showed that the intermittent fasting group lost more, including muscle mass that wasn’t identified in those on a traditional eating plan. But as Dr. Tello explains in her post, the study makes no mention about the quality of food both groups were eating.
“By the way, all of these folks may have been eating fried or fast foods, and sugary sodas and candy—we don’t know,” writes Dr. Tello in Harvard Health. “The study doesn’t mention quality of diet or physical activity. This isn’t how IF is supposed to be done! And yet the IF folks still lost between half a pound and 4 pounds.”
Plus, Dr. Tello notes that both groups were given a structured eating plan. Dr. Tello believes having a true control group, in which participants continued to eat as they normally would, could’ve made these research findings more conclusive.
She reiterated that the study did, in fact, show that intermittent fasting works for weight loss, it’s just that some of the results weren’t necessarily presented properly, and the study was, perhaps, a bit flawed in its setup.
“While this one negative study adds to the body of literature on IF, it doesn’t reverse it,” Dr. Tello writes in her post. “We simply need more high-quality studies in order to have a better understanding of how to most effectively incorporate IF into a healthy lifestyle.”
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