Tag Archives: medical

COL710: LoR: Self-care

In this episode of Cubs Out Loud, it’s time for another Landscape of Relationships. Dr. Edward Angelini-Cooke joins the cubs again to discuss self-care. From taking time for your personal needs to finding your stress levels minimize while out with friends, listen as the guys analyze the ins and outs of self-care. But is providing self-care selfish? Find out as Dr. Ed helps the guys learn more about it.

Show Topic

Landscape of Relationships: Self-care

What is self-care?

The National Institute in Mental Health says that “self-care means taking the time to do things that help you live well and improve both your physical health and mental health. When it comes to your mental health, self-care can help you manage stress, lower your risk of illness, and increase your energy. Even small acts of self-care in your daily life can have a big impact” (NIMH, December, 2022).

Examples of self-care 

  • Exercise 
  • Eating well and hydration 
  • Regular sleep 
  • Relaxing activity 
  • Goal setting (realistic goals, I mean)
  • Gratitude 
  • Practice acceptance and mindfulness 
  • Stay connected 

What isn’t here? 

  • Important question when it comes to self-care.  Am I practicing self-care or am I avoiding something?
  • Short term discomfort for long-term gain

What does it mean to practice self-care in relationships?

Differentiation of Self

  • One of the cornerstones of Bowen family systems theory, which states that families are an emotional system.  A person’s ability to manage the relationship between individualization and togetherness determines someone’s differentiation of self.  
  • Differentiated individuals are able to manage conflict without emotional reactivity, maintain their I-state, reach compromises; whereas, undifferentiated individuals tend to fuse with others or blend their emotional state with others, or their will exhibit emotional cutoff, which is where someone will manage their own emotional process by creating emotional and physical distance with someone.  

Social Self-care 

  • No person is an island and neither are you, ok?
  • Sometimes self-care is connecting with others and working on our relationships with others. 
  • Six Hours to a Better Relationship 

Final thoughts 

  • Reach healthy differentiation of self by identifying your own needs in conjunction with your relationship needs….AND recognize, accept, and validate the individual needs of the members of your relationships.  You will do yourself and everyone else a HUGE favor.  
  • “Self-care ain’t selfish” – Adoom 
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COL702: LoR: Sex After 50

In this episode of Cubs Out Loud, it’s time for another Landscape of Relationships. Dr. Edward Angelini-Cooke is back to broach the topic of sex after 50. As one of the hosts is approaching this milestone, Ed addresses and discusses the potential changes to one’s sex drive as they cross that age. From sexual health to sexual desire, listen as the guys boil down what you need to be aware of as you cross over that hill.

Show Topic

Landscape of Relationships: Sex After 50

Welcome to Your 50s!

Lots of people have healthy and active sexual lives at all stages of life. That being said, here are some aspects of your sexuality that MIGHT change.  

Sexual Health 

  • “The World Health Organization defines sexual health as a state of physical, emotional, mental and social well-being in relation to sexuality; it is not merely the absence of disease, dysfunction or infirmity. Sexual health requires a positive and respectful approach to sexuality and sexual relationships, as well as the possibility of having pleasurable and safe sexual experiences, free of coercion, discrimination and violence.”
  • Regular doctors visits; talk to your doctor about your sexual health; bring a list of questions/comments/concerns helps
  • Colonoscopy and prostate cancer screenings
  • Maintain activity levels 

Sexual Desire

  • We aren’t 16 anymore 
  • Medical conditions, lifestyle, mood, hormone levels, medication
  • Spontaneous vs responsive desire 
  • Possible adapt a sexual willingness mindframe

Erectile Dysfunction 

  • Age doesn’t cause ED, but natural aging and illness can impact sexual response
  • ED is a biopsychosocial phenomenon with biological, physical, psychological, behavioral, emotional, and cognitive factors AS WELL AS identity, relationally (interpersonal and socially),  and intimate factors.  
  • Erections are not required for ejaculations or orgasms
  • Talk to your provider.  Again, talk to your provider. 
  • Medication and treatment options

Communication

  • ”Adult sex is interpersonal” – McCarthy and Metz
  • Maintaining sexual intimacy is key; adapting a flexible sexual relationship 
  • Creating 

So remember, 

  • Your sexual experience MAY change as you gets older 

References

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COL655: Health Alert: Beyond STIs

In this episode of Cubs Out Loud, it’s a sort-of Hostful News Update. For this update, Gary brings the guys up to date on recent alerts that may have a major impact on the LGBTQ+ community. While not traditional STIs, two recent disease outbreaks are affecting men who have sex with men. Listen in as the guys share some knowledge to keep you all informed, safe and protected.

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Health Alert: Beyond STIs

Sexually active people can become infected with more than just the commonly known diseases of Chlamydia, Gonorrhea, Syphilis, Hepatitis B, and Hepatitis C. In 2022, two other diseases are having reported outbreaks of cases among the category known as ‘Men who have Sex with Men’, aka MSM. Today we’ll bring awareness to these two new disease outbreaks.

Meningococcal Disease Outbreak in FL

    • CDC page
    • What MSM Need to Know PDF
    • Serogroups
      • What are they? A group of bacteria containing a common antigen
      • How many exist?
        • At least 13 serogroups for Meningococci have been described: A, B, C, D, E, H, I, K, L, W-135, X, Y, and Z
        • Serogroups B and C have caused most cases of meningococcal meningitis in the United States since the end of World War II; before that, group A was more prevalent. 
        • More than 99% of meningococcal infections are caused by serogroups A, B, C, 29E, or W-135.
  • In response to the serogroup C outbreak in Florida, CDC is encouraging gay, bisexual, and other men who have sex with men (with or without HIV) to:
    • Get a MenACWY vaccine if they live in Florida
    • Talk with their healthcare provider about getting a MenACWY vaccine if they are traveling to Florida
  • CDC routinely recommends MenB vaccine for people 10 years or older who are at increased risk for meningococcal disease during an outbreak involving serogroup B. CDC also recommends a booster shot for those at increased risk due to an outbreak who received the vaccine more than 1 year ago.

Monkeypox Disease Global Outbreak

  • History/Naming: 
    • First discovered in 1958, two outbreaks of a pox-like disease occurred in colonies of monkeys kept for research
    • Source of the disease remains unknown; African rodents and non-human primates may harbor the virus and infect people
    • First human case of monkeypox was recorded in 1970
    • Prior to 2022, nearly all monkeypox cases in people outside of Africa were linked to international travel or through imported animals
  • The 2022 Outbreak
    • World Health Organization info: Most reported cases so far have been identified through sexual health or other health services in primary or secondary health-care facilities and have involved mainly, but not exclusively, men who have sex with men.
    • Actual number of cases is likely to be underestimated, in part due to the lack of early clinical recognition of an infection previously known in only a handful of countries, and limited enhanced surveillance mechanisms in many countries for a disease previously ‘unknown’ to most health systems.
    • CDC Global Case Map – updated frequently
      • As of July 8 ‘22, reported 8,238 cases
        • UK: 1,552
        • Germany: 1,490
        • Spain: 1,256
        • US: 790
    • CDC US Case Map – updated frequently
      • As of July 8 ‘22
        • New York: 153
        • California: 136
        • Illinois: 91
        • Florida: 72
        • District of Columbia: 64
  • CDC Monkeypox FAQs
  • Spread:
    • Respiratory secretions during prolonged, face-to-face contact, or during intimate physical contact. 
    • Pregnant people can spread the virus to their fetus through the placenta.
    • Touching items (such as clothing or linens) that previously touched the infectious rash or body fluids.
    • Not considered a sexually transmitted infection. Monkeypox can be spread during intimate physical contact between people. This contact can happen when you have sex, including:
  • Oral and insertive sex, plus touching the genitals or anus of a person with monkeypox
  • Hugging, massage, kissing or talking closely with a person infected with monkeypox
  • Touching fabrics, shared surfaces, and objects, such as bedding, towels and sex toys, that were used by a person with monkeypox
  • Anyone can get monkeypox if they have close contact with someone who has the virus.
  • Sex is not required for infection, but is a delivery mechanism.
  • Signs / Symptoms:
    • Typically presents clinically with fever, rash and swollen lymph nodes and may lead to a range of medical complications
    • Underlying immune deficiencies may lead to worse outcomes.
    • Usually a self-limited disease with the symptoms lasting from 2 to 4 weeks
    • Incubation period (interval from infection to onset of symptoms) of monkeypox is usually from 6 to 13 days but can range from 5 to 21 days
    • Invasion period (lasts between 0–5 days) characterized by:
      • Fever, intense headache, swelling of the lymph nodes
      • Back pain, muscle aches, and an intense lack of energy 
    • Skin eruption period usually begins within 1–3 days of the appearance of fever. 
      • Rash tends to be more concentrated on the face and extremities rather than on the trunk. 
      • Affects the face (in 95% of cases), and palms of the hands and soles of the feet (in 75% of cases). 
      • Also affected: oral mucous membranes (in 70% of cases), genitalia (30%), and front of the eye and lines the inside of the eyelids (20%), as well as the cornea. 
      • Rash evolves sequentially from lesions with a flat base to papules (slightly raised firm lesions), vesicles (lesions filled with clear fluid), pustules (lesions filled with yellowish fluid), and crusts which dry up and fall off. 
      • Number of lesions varies from a few to several thousand. 
      • In severe cases, lesions can coalesce until large sections of skin slough off.
  • Treatment / Vaccination:
    • There are no treatments specifically for monkeypox virus infections.
    • Although vaccination against smallpox was protective in the past, today persons younger than 40 to 50 years of age (depending on the country) may be more susceptible to monkeypox due to cessation of smallpox vaccination campaigns globally after eradication of the disease.
    • CDC does not recommend widespread vaccination against monkeypox at this time.
    • U.S. government has two stockpiled vaccines—JYNNEOS and ACAM2000—that can prevent monkeypox in people who have been exposed to the virus.
    • Watch for changes on this as vaccine availability changes. There is a presumption that at-risk populations, such as MSM, are encouraged to get prophylactic vaccination.

Takeaways:

  • Knowledge and awareness are the prevention tools of fear. While these diseases can be life changing and could lead to death if not treated, we have the tools to limit infections and community spread.
  • If you are unsure about any symptoms you are experiencing, talk with a healthcare professional, preferably one that is familiar with these diseases. This could be staff at a Federally Qualified Health Center [FQHC], your personal physician, or a reputable LGBTQIA health practitioner.
  • Meningococcal Disease
    • Talk with your healthcare provider about getting a MenACWY vaccine, especially if travel to Florida may be in your plans.
    • Provide them with information/links and be your own health care advocate.
  • Monkeypox Disease
  • Prevention is key in public health to limit the spread of infections.
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COL449: 10 YEARS OLD!?!

In this episode of Cubs Out Loud, the cubs celebrate the tenth anniversary of the podcast. That’s right! In 2008, a group of guys were brought together and COL was born. Since then, the show has had several co-hosts, guests, topics, and a whole lot of fun! As the guys reminiscence on the shows of COL past, learn a little more about the history and what’s in the works for the future. It’s a decade of dubious debauchery.

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Introduction Topics

What’s Going On?

  • Jeff: BAU, Stardew Valley Marathon of Madness
  • Damon: Another Musical Week
  • Chester: Greatest Showman, FT work, Evan’s dick…
  • Gary: I got mauled at MAL

Feedback:

Facebook Likes:

  • Robert Miller
  • David Akindele Akinleye

YouTube Subscribers:

  • Platinum Cub
  • saben avey
  • Giannis Moutzouris
  • DanBear
  • 蕭詠璘 (Xiao Yong)

Twitter Followers:

Tumblr Followers:

Tumblr Comment:

Telegram

Show Topic

COL TURNS 10! WTH DID THE TIME GO?

Pilot show posted back on Thursday 1/17/08. And now we’ve recorded 658 episodes to date! That’s 448 regular episodes, with 16 special/alternate shows, 135 COL Movies episodes, 15 COLTV shows, plus 44 episodes of COL Drag Race ‘T-Time’. PLUS 6 Random Acts of Cubiness… Whew!

Cooldown Topics

I’ll Tumbl For Ya:

Links:

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