Sia Reveals She Has a Neurological Disease and 'Chronic Pain' - PopCulture.com

Sia Reveals She Has a Neurological Disease and 'Chronic Pain' - PopCulture.com


Sia Reveals She Has a Neurological Disease and 'Chronic Pain' - PopCulture.com

Posted: 07 Oct 2019 07:52 PM PDT

Singer-songwriter Sia revealed she is suffering from a neurological disease and ehlers danlos, which has left her fighting chronic pain. She used the moment to raise awareness for the condition, letting her fans know they are not alone if they are going through pain as well. Sia later offered more information on her condition Sunday.

"Hey, I'm suffering with chronic pain, a neurological disease, ehlers danlos and I just wanted to say to those of you suffering from pain, whether physical or emotional, I love you, keep going. Life is f– har," the "Chandelier" singer wrote on Oct. 4. "Pain is demoralizing, and you're not alone."

After hearing from fans over the weekend, Sia returned to Twitter to clarify some details of her condition. She first apologized for any confusion, since ehlers danlos is not a neurological disease.

"If you'd like more information it's neuralgia caused by a routine surgery three years ago," Sia, 43, explained. "My TSH is also 29, it's supposed to be below 4, so I'm severely hypothyroid. I'm also taking time off to do intensive therapy on Complex PTSD. Turns out my bipolar 2 diagnosis was wrong."

She continued, "Oh yeah, herniated c6-7 c4-5 and cubitle tunnel syndrome. No STDs, which frankly, is miraculous given my twenties. so... Plenty of people suffering more than me. At least I have resources. I really feel for those struggling w/the healthcare system. KEEP GOING!"

In a final tweet, Sia thanked her fans for "being so lovely."

According to The Ehlers-Danlos Society, the ehlers danlos syndromes (EDS) are "a group of connective tissue disorders that can be inherited and are varied both in how they affect the body and in their genetic causes. They are generally characterized by joint hypermobility (joints that stretch further than normal), skin hyperextensibility (skin that can be stretched further than normal), and tissue fragility."

Most of the common symptoms of the syndromes are rlated to joints and the skin. This includes joint hympermobility; loose and unstable joints that could frequently lead to dislocations; soft, velvety skin; skin hyper-extensibility; fragile skin that bruises or tears easily; scarring; and slow wound healing. There are some less common symptoms, includng musculoskeletal pain, scoliosis at birth or scleral fragility.

Sia's initial tweet earned more than 4,000 comments, from fans who offered their own stories of dealing with pain.

"Hi! I've had CRPS2 (complex regional pain synthrome) for 21 years in my right leg because of unprofessional surgeon," one fan wrote. "For 5 years I have had neurostimulator but it works only now and then... Music is one of my most effective painkiller."

"Thank you so much for speaking out about this. Awareness around #EDS is pretty poor and the more we get the information out there the better the supports and services will be! From a fellow #Zebra thank you for the positive message!" another added.

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"I have EDS as well as Fibromyalgia so I'm sorry you have to go through that. Hopefully more people will hear about it from you spreading the word," another fan wrote.

Photo credit: Stuart C. Wilson/Getty Images

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Pubic Grooming Doesn't Raise STD Risk - WebMD

Posted: 04 Sep 2019 12:00 AM PDT

By Robert Preidt
HealthDay Reporter

WEDNESDAY, Sept. 4, 2019 (HealthDay News) -- Women who shave or wax their pubic hair aren't more likely to get chlamydia or gonorrhea, according to new research that challenges studies suggesting that so-called extreme grooming increases the risk of sexually transmitted diseases (STDs).

The study included 214 women who visited an on-campus location at Ohio State University (OSU) for STD testing.

The women completed a questionnaire about their sexual and grooming behaviors. Nearly all (98%) said they had done some grooming, and between 18% and 54% were extreme groomers, meaning they removed all pubic hair at least weekly during the past year, or at least six times in the past month.

About 10% tested positive for an STD, but there was no association between extreme grooming and the risk of chlamydia or gonorrhea, according to the study published Sept. 4 in the journal PLOS One.

Unlike other studies, this one relied on laboratory-confirmed STD diagnoses, the OSU researchers noted.

"Previous research asked participants if they'd ever had a sexually transmitted infection, but didn't measure whether they had one at the time of survey. That makes connecting any current grooming habits to STDs difficult," lead author Jamie Luster said in a university news release. Luster is a former graduate student in public health at Ohio State.

This research also accounted for other factors associated with STD risk, including sexual frequency, income, race and age, noted Maria Gallo, associate professor of epidemiology and Luster's adviser on the study.

"Particularly concerning is that previous work didn't adjust for sexual frequency. It could be that women who were having more sex with more people -- and were therefore more likely to contract infections -- were more likely to be grooming," Gallo said in the news release.

The study finding wasn't a surprise because there's no obvious biological reason to believe that shaving or waxing pubic hair would increase the risk of chlamydia or gonorrhea, said Luster, who is now a researcher at the University of Michigan in Ann Arbor.

About 2.86 million new cases of chlamydia and 820,000 of gonorrhea occur in the United States each year, many in teens and young adults, according to the U.S. Centers for Disease Control and Prevention (CDC).

To protect against STDs, the CDC recommends sexually active people stay in a long-term mutually monogamous relationship with an STD-free partner and use latex condoms consistently and properly.

WebMD News from HealthDay

Sources

SOURCE: Ohio State University, news release, Sept. 4, 2019

Copyright © 2013-2018 HealthDay. All rights reserved.

Electric vs Gas Heat: Which wins? | A New Shade of Green | Sherry Listgarten | Mountain View Online | - Mountain View Voice

Posted: 06 Oct 2019 05:50 AM PDT

With colder weather coming, it's a good time to think about our heating emissions. They represent a sizable chunk of California's overall emissions, though somewhat less in our temperate area. About 10% of California's emissions come from fossil fuels used for space and water heating in our buildings. (1) In Palo Alto, almost half of the heating emissions are from residential use, so residents can make an impact by lowering our heating emissions. (2) The question is, how best to do that? The answer we typically get is "heat pumps", but as one commenter asked on an earlier post: "Can you show that electrically powering a heat pump by burning gas and dealing with generation losses (modern combined cycle plants are 60% efficient), transmission losses, distribution losses, etc, is actually better than just burning the gas (modern furnaces are easily >90% efficient) for heat (and some newer designs are >95%)?"

This blog attempts to tackle the question of gas heat vs electric heat. There are two parts to that. The first is, what emissions are produced in order to get gas and electricity delivered to the home? And the second is, for each unit of electric or gas energy, how much heat can it produce? (That is, how efficient is the heater?) There is a lot to this, and I don't have a perfect answer, but I'll relay here what I know. This is largely based on a few presentations by Martha Brook, a policy advisor to the California Energy Commission (CEC). (3)

If you want the short summary for homes in our mid-peninsula area, I would say it is:
- A heat pump water heater is a clear win.
- A heat pump space heater is a clear win for new construction and for renovated homes that have minimal heat loss. Other homes should do more insulating first.

The analysis below has some gaps and work on this is on-going.

Gas Emissions vs Electricity Emissions

The chart below compares electricity emissions to gas emissions, as delivered to a home. (4) No appliance is using the energy yet; the chart reflects emissions just from generating and delivering the energy to the home. The chart has one square for each hour of the year. Months go across the x-axis (from January on the left to December on the right), and hours go along the y-axis (from early morning at the top to late night at the bottom). A green square indicates that electricity has lower emissions intensity than gas, measured in emissions per unit of energy, while red means electricity has higher emissions. 40% of the squares here are green and 60% are red. On average, gas emissions are lower than electricity emissions. (Yes, you read that right.) And in particular you can see that the comparison is poor for electricity during times when you might be likely to be heating a home (e.g., fall and winter mornings and evenings).


Source: June 2018 presentation at a CEC workshop

If you look to 2030, when we will have more renewables (60% compared with 31% last year), the picture is better, with 70% of the squares favorable for electricity, though it has a similar overall pattern.


Source: June 2018 presentation at a CEC workshop

It is important to note that fugitive emissions (methane leaks from transmission and distribution) are not included in the calculations behind this diagram, while the corresponding adjustments for electricity (transmission and distribution losses to the home) are included. Methane leaks can be significant (see this earlier blog post), so that is likely to make these pictures greener, at least in the near-term while those leaks are being addressed.

Heater Efficiency

Given the above, we know that heater efficiency is critical if we want to reduce emissions by switching from gas to electric. An electric heater that is "just" 95% efficient, like the best modern gas furnace, is not going to cut it. And that is the magic of heat pumps. A typical heat pump water heater produces about three times as much energy (heat) as it consumes. Instead of creating heat, it extracts heat from the outside air, using a refrigerant, and moves it into the building. This is more or less how a refrigerator operates, but in reverse. (5) A measure called UEF, or Uniform Energy Factor, is used to compare heat pump water heaters. It is a ratio of the energy output to input, but with some nuances. Per a spokesperson at the CEC, the metric is pretty reliable for our area: "UEF includes standby tank losses during the test procedure, as well as measuring the performance of the heat pump over the whole test procedure. In general we find that the UEF gets you in the ballpark of actual performance in mild climates, but for colder climates or larger households there is more backup electric resistance use and therefore the performance would be lower."

You can see from this chart that replacement electric water heaters are required to have a UEF of nearly 3. Palo Alto and Mountain View are in climate zone 4, while Menlo Park and other San Mateo County cities are in climate zone 3. By contrast, the Tahoe area is climate zone 16.


Source: CEC Title 24 standards

Because of this high efficiency, heat pump water heaters are a clear emissions win. The chart below shows how a heat pump water heater with about 3x efficiency compares with a tankless gas water heater. This is similar to the chart above, but taking into account the water heater as well. (6)


Source: Presentation to Redwood Energy, February 2019

Space heat pumps, however, are not such a clear win. These heat pumps will run nearly constantly in the cool and relatively dirty night hours, while a gas furnace will run infrequently. That means the gas furnace has much lower emissions at nighttime, even in a well-insulated house as shown below. (7)


Source: Presentation to Redwood Energy, February 2019

When you look across the whole day, there is still a sizable benefit to using a heat pump for space heating. (Space heaters that exceed the minimum of 8.2 HSPF will do somewhat better than shown here.)


Source: Presentation to Redwood Energy, February 2019

If your house is not well insulated, though, the story is different. If you live in a home with less insulation and thinner windows, a heat pump for space heating will not reduce emissions, even assuming a cleaner 2030 grid, as shown below. Instead, the best thing is to improve insulation first.


Source: Presentation to Redwood Energy, February 2019

To summarize, if you aim to reduce your heating emissions, a heat pump water heater is a clear win, as is a heat pump for space heating if your home is built to modern codes (i.e., is well insulated). Older homes need a better "building envelope" before switching to an electric heat pump for space heating will reduce emissions. Reducing a home's heat loss is a good idea not only for reducing emissions but also for better resilience to energy outages.

There are a number of factors besides emissions that come into play when deciding on electric vs gas heat. They include cost, resilience to outages, home impact (e.g., air quality, noise), heater placement, and safety. See the videos linked to in this earlier blog post if you want to see real-life methane leaks from gas water heaters.

Even when considering only emissions, this post neglects not only the fugitive emissions of gas to the home but also the impact of any leaking refrigerant from the heat pump. (8) So this is not a complete picture. But I hope it provides more information about how heaters are evaluated and what might make sense for your home.

Two of our local utilities are offering significant incentives for heat pump water heaters. Silicon Valley Clean Energy (SVCE) information can be found here: https://www.svcleanenergy.org/water-heating, including a link to an informative buyers guide. Palo Alto Utilities has information here: http://cityofpaloalto.org/hpwh. PCE does not currently have an incentive for heat pump water heaters. (They are running a trial, which is fully enrolled.) However, they do have terrific incentives for EVs. Check it out here: https://www.peninsulacleanenergy.com/about-evs.

If you are interested in learning more about electrifying your home, on Thursday October 10, from 2-7pm, the City of Palo Alto Utilities is hosting the Bay Area Electrification Expo in coordination with local partners to provide hands-on education and resources for building professionals and area residents wanting to further reduce their carbon footprint. Stop by to learn more about the benefits and "how to's" of electrifying space and water heating, transportation, and cooking.

Thank you to Martha Brook and to representatives from the local utilities for reviewing and giving feedback on this post.

Notes and References

1. This data point comes from slide 4 of this presentation by Martha Brook at the CEC.

2. That is not the case for electricity. Because Palo Alto has so much commercial space, over 80% of our electric load is from commercial use(!)

3. The June 2018 presentation at the CEC (part of a larger workshop) is here, about 26 minutes in. The February 2019 presentation at Redwood Energy is here. All information for the June 2018 CEC workshop can be found here.

4. This chart and others in this post reflect the actual grid mix rather than our portfolio mix, which is much cleaner. If we were to adopt a model where we use a cleaner portion of the grid, then others would have to use a dirtier portion of the grid. And (a) they aren't doing that, and (b) we don't want them to do that because (c) it doesn't match reality. We want electrification to be happening all over the state, regardless of the electric portfolio the various utilities maintain. Our own utilities' zero-carbon contributions are to the grid as a whole, making it greener for everyone (thank you!). So I make the emission calculations in this post based on the grid mix, just as I hope others are doing in places with a less green electricity portfolio.

I should also note that this chart reflects average emissions and not marginal emissions.

5. Some videos that explain how heat pumps work can be found here and here.

6. This is for climate zone 3 ("CZ 3") in a home built to the latest code ("2019 Std"), and it uses the 2019 emission intensity numbers shown in the earlier chart ("2019 GHG"). The "COP" or "Coefficient of Performance" of 3 is the ratio of heat energy output to electrical energy input (a somewhat less robust version of UEF).

7. That is true even when using the cleaner power of 2030, as shown below. The heater used in this case meets but does not exceed minimum federal standards, as required for this testing. ("HSPF" or "Heating Seasonal Performance Factor" is a seasonally averaged COP.) A more efficient heater would do better, but note that the red areas will stay red, given the multipliers in those squares.


Source: Presentation to Redwood Energy, February 2019

8. This slide (the right-hand side) shows how big an impact leaked refrigerant has on emissions when a home is electrified. The color-coding for these charts is: lightest blue: refrigerant leakage, green: plugs, dark blue: appliances, yellow: lights, tan: water heating, orange: cooling, medium blue: space heating. Our climate is probably somewhere between Sacramento and Los Angeles.


Source: June 2018 presentation at a CEC workshop

9. Some of you may be wondering why we don't use gas-powered heat pumps. I should follow up on that. One thing to keep in mind is that heat pumps can air-condition as well, and I expect that when they are used for cooling, it makes the case for electric stronger. In addition, for new construction, there are some advantages to omitting the gas line entirely.

Current Climate Data (August 2019)

Global impacts, US impacts, CO2 metric, Climate dashboard (2018)

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