Diana Ramirez, Daniel Alvarado’s sister, has been training alongside her brother to gain strength, conditioning, and fitness. As a physical therapist, Diana knows how important it is for her to be physically and mentally strong in order to perform well in her in any given situation. For Diana Ramirez, Push-as-Rx �� has given her the opportunity to become the best person she can be, both in body and mind.
PUSH-as-Rx ���is leading the field with laser focus supporting our youth sport programs.� The�PUSH-as-Rx ���System is a sport specific athletic program designed by a strength-agility coach and physiology doctor with a combined 40 years of experience working with extreme athletes. At its core, the program is the multidisciplinary study of reactive agility, body mechanics and extreme motion dynamics. Through continuous and detailed assessments of the athletes in motion and while under direct supervised stress loads, a clear quantitative picture of body dynamics emerges. Exposure to the biomechanical vulnerabilities are presented to our team. �Immediately,�we adjust our methods for our athletes in order to optimize performance.� This highly adaptive system with continual�dynamic adjustments has helped many of our athletes come back faster, stronger, and ready post injury while safely minimizing recovery times. Results demonstrate clear improved agility, speed, decreased reaction time with greatly improved postural-torque mechanics.��PUSH-as-Rx ���offers specialized extreme performance enhancements to our athletes no matter the age.
Please Recommend Us: If you have enjoyed this video and/or we have helped you in any way please feel free to recommend us. Thank You.
Say “whiplash” and most of us immediately think about car accident. You are rear ended as you sit at a stop sign, and your head flies forwards, then backwards. It certainly does whip back and forth, so even though “whiplash” isn’t technically a medical term, it is a quite precise description of what occurs�and what can cause so much pain.
Doctors call whiplash a neck sprain or strain. Other technical medical terms related to whiplash are hyperflexion and hyperextension. When your neck whips back hyperextension is; hyperflexion is when it goes forwards.
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What is Whiplash?
Every year, almost 2 million Americans are injured and suffer from whiplash. Plenty of those injuries do come from automobile accidents, but you will find different methods for getting whiplash. You can get whiplash from:
A sports injury
A fall
Being hit or shaken
Whiplash can take days, weeks, and even months to develop. You may think that you simply are all right after having fall, a car accident, or alternative first injury. Nevertheless, slowly, the typical symptoms (neck pain and stiffness, tightness in the shoulders, etc�you will find out more about the symptoms in this article) may grow.
Thus�even should you not have pain immediately following a neck injury, you should make an appointment to see your doctor. Whiplash may have long term effects on your spinal health, and in the long term, it could be associated with other spinal conditions like osteoarthritis (bone and joint pain) and premature disk degeneration (faster aging of the back).
Your neck is one of your most vulnerable places, when your body is involved in trauma. Whiplash, the hard and fast forward-backward motion of the neck, can cause pain that could last well after other injuries have healed. It helps you to be aware of the anatomy included to understand your neck is so sore.
Anatomy of the Cervical Spine
As the physician attempts to figure out just which portions of the spinal column have been affected, whiplash could be a complex investigation. And there are a lot of complex parts to your own cervical back�the specialized name for the neck. The cervical spine begins in the base of the skull. It contains seven small vertebrae (bones), which doctors tag C1 to C7 (the ‘C’ means cervical). The numbers 1 to 7 suggest the amount of the vertebrae. C1 is closest to the skull, while C7 is closest to the torso.
In between each vertebra are rough fibrous shock-absorbing pads called the intervertebral discs. Each disc is composed of a tire-like a gel and outer band -like interior substance. The outer band is called the annulus fibrosus; the interior part is known as the nucleus pulposus.
In addition to bones and disks, your cervical spine additionally contains the upper region of the spinal cord, eight nerve roots, an elaborate system of veins and arteries, 32 muscles for strength, and numerous ligaments. For this kind of tiny area, there is certainly a whole lot to your own neck. Meaning that there are a lot of parts that can be injured when you have whiplash.
Strength, Flexibiity and Mobility of the Neck
Remarkably, the cervical spine supports the entire weight of your head, which will be generally about 8 pounds� yet no other area of the spinal column has such freedom of movement. The cervical spine can move 180� of side to side movement: 90� of forward motion, 90� of backward movement, your face in virtually every direction, and virtually 120� of tilt to either shoulder.
Unfortunately, this flexibility makes the neck very prone to injury and pain, including whiplash. Those 15 pounds are drastically chucked frontwards afterward back� that’s one important reason to wear seatbelts correctly and use airbags whenever feasible.
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
By Dr. Alex Jimenez
Additional Topics: Neck Pain and Auto Injury
After being involved in an automobile accident, the sheer force of the impact can often cause whiplash, a common type of neck injury resulting from the sudden, back-and-forth motion of the head against the body due to a car wreck, or other incident. Because of this, many of the complex structures found within the neck, including the spine, ligaments and muscles, can be stretched beyond their normal range, causing injury and painful symptoms.
When was the last time you jump roped? If it was as a kid during class recess, now�s a good time to get back into the rhythm of things. The jump rope is not only a fun workout to turn up the sweat, it�s also a key conditioning tool for athletes and boxers, like�Laila Ali, to build endurance, coordination and agility.
And now, it�s the basis for the new interval-based total-body workout, The Rope, from celeb trainer�Amanda Kloots. �The jump rope is one of the most underrated pieces of�fitness equipment. When you�re jump roping, you�re engaging all the muscles in your body, including your heart,� Kloots says. �Each jump involves tightening your�core, toning your arms and powering your legs.�
Whether you�re crunched for time or traveling (it packs light, too), just a few minutes of jump roping can leave you breathless. Kloots�s signature jump rope workout is divided into four sections: warm-up, coordination, stamina and sprints. But before you jump in, it�s important to have the right length rope. Check by standing on top of the jump rope hip-distance apart with both hands holding each end. Bring the jump rope handles toward your shoulders. If the rope goes beyond your shoulders, it�s too long, Kloots says. Now grab your rope and hop to it!
Contents
The 30-Minute HIIT Jump Rope Workout to Build Endurance
THE WARM-UP
First, it�s time to re-familiarize yourself with the basic jump. According to Kloots, proper jump rope technique starts with the feet together, shoulders pulled back and arms down by your sides with your hands the same distance away from your body. You�ll want to jump and land on the balls or midsoles of your feet (heels not touching the ground), catching at least one inch of hang time on each jump. Be sure to use your wrists to power the rope and not your elbows or shoulders. If you get tired, �Keep your shoulders over your hips, hips over your knees, and knees over your toes,� Kloots says.
Next, we layer on some footwork. The goal: improving agility and drawing a stronger connection between your body and brain. To keep you from getting tripped up, �I like to remind people of different ways to think of jumps to take the pressure off the fancy footwork. For instance, when you take your legs in and out of the jump rope, I�ll say outer�thighs�and inner thighs. It helps people focus on the muscle groups,� Kloots says. Cue up a three-minute song and you�ll hit approximately 360 jumps ��with a whole bunch of strength and core work mixed in (sequence below). Do eight reps on each side and repeat for three rounds.
How to:�Stand with your feet shoulder-distance apart. Fold the jump rope in half twice so it�s shoulder-distance apart when you hold each end and lift it up overhead. Pull each end of the rope to create resistance in your arms�(a). Engaging your core, crunch to your left side, while dynamically pressing the rope up overhead�(b).
2.�Single-Leg Forward Hinge
How to:�Stand with your feet together. Lift your left leg up so your left knee is bent. Fold your jump rope in half and hold each end of the rope with your hands, pulling it tightly�(a). Balancing your weight on your right leg, hinge your torso forward and bring the jump rope over your left knee to touch your shin�(b). Bring the jump rope back overhead�(c).
�How to:�Stand over the jump rope with your feet a little wider than hip-distance apart�(a). When you take your next jump, land with your feet together�(b). Take another jump and bring your feet back out so they�re a little wider than hip distance�(c). This is one rep. Repeat for seven more reps�(d).
Daniel Alvarado, owner of Push-as-Rx � and trainer, expresses the importance of overcoming your own doubts. He portrays that many times we can be our own worst critics but we have to keep in mind that it’s not all about us, it’s about how many people will have an impact with what we do. Daniel tells us to overcome our doubts and stop judging ourselves because what’s important is that you are doing what others aren’t. Daniel Alvarado believes people shouldn’t focus on the negative, instead, we should focus on being successful.
PUSH-as-Rx � is leading the field with laser focus supporting our youth sport programs.� The�PUSH-as-Rx � System is a sport specific athletic program designed by a strength-agility coach and physiology doctor with a combined 40 years of experience working with extreme athletes. At its core, the program is the multidisciplinary study of reactive agility, body mechanics and extreme motion dynamics. Through continuous and detailed assessments of the athletes in motion and while under direct supervised stress loads, a clear quantitative picture of body dynamics emerges. Exposure to the biomechanical vulnerabilities are presented to our team. �Immediately,�we adjust our methods for our athletes in order to optimize performance.� This highly adaptive system with continual�dynamic adjustments has helped many of our athletes come back faster, stronger, and ready post injury while safely minimizing recovery times. Results demonstrate clear improved agility, speed, decreased reaction time with greatly improved postural-torque mechanics.��PUSH-as-Rx � offers specialized extreme performance enhancements to our athletes no matter the age.
Please Recommend Us: If you have enjoyed this video and/or we have helped you in any way please feel free to recommend us. Thank You.
Losing sleep increases the risk of becoming obese, according to a Swedish study. Researchers from Uppsala University say a lack of sleep affects energy metabolism by disrupting sleep patterns and affecting the body’s response to food and exercise.
Although several studies have found a connection between sleep deprivation and weight gain, the cause has been unclear.
Dr. Christian Benedict and his colleagues have conducted a number of human studies to investigate how sleep loss may affect energy metabolism. These studies have measured and imaged behavioral, physiological, and biochemical responses to food following acute sleep deprivation.
The behavioral data reveal that metabolically healthy, sleep-deprived human subjects prefer larger portions of food, seek more calories, show signs of increased impulsivity related to food, and expend less energy.
The group’s physiological studies indicate that sleep loss shifts the hormonal balance from hormones that promote fullness (satiety), such as GLP-1, to those that promote hunger, such as ghrelin. Sleep restriction also increased levels of endocannabinoids, which are known to stimulate appetite.
In addition, their research showed that acute sleep loss alters the balance of gut bacteria, which has been widely implicated as key for maintaining a healthy metabolism. The same study also found reduced sensitivity to insulin after sleep loss.
“Since perturbed sleep is such a common feature of modern life, these studies show it is no surprise that metabolic disorders, such as obesity are also on the rise,” said Benedict.
“My studies suggest that sleep loss favors weight gain in humans,” he said. “It may also be concluded that improving sleep could be a promising lifestyle intervention to reduce the risk of future weight gain.”
Not only is a lack of sleep adding pounds, other research has discovered that too much light while you sleep can also increase your risk for obesity. A British study of 113,000 women found that the more light they were exposed to during sleeping hours, the greater their risk of being fat. Light disrupts the body’s circadian rhythm, which affects sleep and wake patterns, and also affects metabolism.
But getting exposure to light in the early waking hours might help keep weight in check. A study from Northwestern University found that people who got most of their exposure to sunlight, even if it’s overcast, early in the day had a lower body mass index (BMI) than those who got their sun exposure later in the day, regardless of physical activity, caloric intake, or age.
The herb ashwagandha is one of the most important herbs in Ayurveda, a form of natural Indian folk medicine. It has been used for more than 3,000 years to boost energy and ease stress. And modern research is discovering that this ancient herb can treat a host of modern illnesses.
Ashwagandha’s Latin name, somnifera, means sleep-inducing, and a new Japanese study found that the herb truly does improve sleep.
Researchers at the University of Tsukumba used a neurological test (EEG) to record activity in the brains of mice that were given ashwagandha. They found that an extract of ashwagandha leaf, which was rich in the component triethylene glycol (TEG), significantly increased non-rapid eye movement (NREM) sleep.
The sleep induced by TEG was similar to normal sleep, and researchers believe that ashwagandha could revolutionize the natural plant-based therapies for insomnia and sleep-related disorders, producing natural sleep without side effects.
An earlier study published in Alternative Medicine Review found that volunteers reported an improvement of 66.9 percent in sleep quality. Participants also reported a 42 percent improvement in emotional health and a 45.8 percent improvement in their social life and activities.
In addition to inducing sleep, ashwagandha also provides the following health benefits:
Inhibits Alzheimer’s. Herbal doctors have been using ashwagandha for centuries as a remedy for memory loss, and scientists at the U.K.’s Newcastle University may have discovered why it is effective. They found that ashwagandha inhibits the formation of the beta-amyloid plaques that accumulate in the brains of Alzheimer’s victims.
The study, which was published in Phytotherapy Research examined the effects of water-based ashwagandha extracts on beta-amyloid peptides in test tubes, and found that the herb prevented them from forming clumps, a main characteristic of Alzheimer’s.
In a study conducted at India’s National Brain Research Center on mice with Alzheimer’s, their brain function returned to normal after 30 days of treatment, and the amyloid plaques in their brains decreased.
Another study published in the Chemical Pharmacy Bulletin found that ashwagandha inhibits acetylcholinesterase, the enzyme that breaks down the neurotransmitter acetylcholine. (Neurotransmitters are chemicals made by nerve cells that send signals to other cells.) Current drugs prescribed to treat Alzheimer’s disease target this mechanism.
Reduces stress. A 2012 Indian study of people with chronic stress found that taking ashwagandha supplements for two months lowered stress by 44 percent and eased depression and anxiety by 72 percent. Tests showed that blood levels of cortisol — the stress hormone — were reduced substantially.
The study, which was published in the Indian Journal of Psychological Medicine concluded that the herb was safe and “effectively improves an individual’s resistance towards stress and thereby improves self-assessed quality of life.”
Aids weight loss. A 2016 double-blind, randomized, placebo-controlled study of stressed volunteers found that ashwagandha reduced stress and food cravings and also helped subjects lose weight. The eight-week study was published in the Journal of Evidence-Based Complementary & Alternative Medicine.
Fights cancer. Studies show that ashwagandha slows the growth of many types of cancer cells. It works in multiple ways to prevent or slow cancer. In a study published in PLoS One, mice with ovarian cancer that were treated with ashwagandha either alone or with an anti-cancer pharmaceutical reduced tumor growth by 70 to 80 percent and also prevented the cancer from spreading to other parts of the body.
A 2011 study published in Biochemical Pharmacology found that ashwagandha was effective against four types of cancer — lung, colon, breast, and central nervous system (CNS) lymphoma — and a steroidal component of the herb called withaferin A showed a stronger effect on breast and colon cancer cell lines than the chemotherapy drug Adriamycin.
Other studies have found that ashwagandha also protects normal cells against cancer, shelters normal cells from being harmed by chemotherapy, and stops the growth of new blood vessels that help cancer grow and spread.
Daniel Alvarado runs the gym, Push-as-Rx �, where he’s seen many people and athletes who pursue losing weight or gaining muscle. He’s seen the determination in every person that steps into his gym and he understands the importance of them believing in themselves. Daniel Alvarado believes in turning his gym into the most positive part of a person’s day and helping people stay motivated by expressing his belief in them and pushing them to become the best is part of the process to help them achieve their goals in fitness.
PUSH-as-Rx � is leading the field with laser focus supporting our youth sport programs.� The�PUSH-as-Rx � System is a sport specific athletic program designed by a strength-agility coach and physiology doctor with a combined 40 years of experience working with extreme athletes. At its core, the program is the multidisciplinary study of reactive agility, body mechanics and extreme motion dynamics. Through continuous and detailed assessments of the athletes in motion and while under direct supervised stress loads, a clear quantitative picture of body dynamics emerges. Exposure to the biomechanical vulnerabilities are presented to our team. �Immediately,�we adjust our methods for our athletes in order to optimize performance.� This highly adaptive system with continual�dynamic adjustments has helped many of our athletes come back faster, stronger, and ready post injury while safely minimizing recovery times. Results demonstrate clear improved agility, speed, decreased reaction time with greatly improved postural-torque mechanics.��PUSH-as-Rx � offers specialized extreme performance enhancements to our athletes no matter the age.
Please Recommend Us: If you have enjoyed this video and/or we have helped you in any way please feel free to recommend us. Thank You.
Whiplash is a common injury, affecting about 2 million individuals in the United States annually. Ordinarily a consequence of an automobile accident, whiplash may also result from falling, participating in sports, or from other causes, including being shaken or hit.
Whiplash is the common term for a neck sprain or strain resulting from hyperextension (see picture below) and hyperflexion (see image below). It often doesn’t cause symptoms that are immediate: in fact, it could grow over time. Since whiplash may cause long lasting effects on the spinal column, it is essential to determine your doctor for those who have been injured, even in the event you don�t have pain immediately later.
The cervical spine (neck) is a complex structure composed of vertebrae (spinal bones), intervertebral discs (act as shock absorbers), muscles, ligaments, and nerves. The neck is is flexible and may transfer it different ways (nod, rotate) while supporting the entire weight of the head. However, that flexibility can make the neck exposed to injury. Within a whiplash event, your neck goes quickly and powerfully forward and backward. Pain can continue even following the injury itself has recovered.
Whiplash can lead to possibly high medical expenses, reduced productivity, and temporary impairment.
Contents
Symptoms of Whiplash
The primary complaint of a person who has whiplash is neck and upper back pain. Other symptoms may include:
Tenderness
Stiffness
Pain in the arm and shoulder that may radiate down into the hand(s).
Paresthesias (like numbness or tingling) and weakness that will extend into the hand(s).
Headache
You might even experience dizziness, nausea, ringing in the ears, fatigue, jaw pain, or blurred vision.
Causes of Whiplash
The most common reason for whiplash is an automobile accident when the man�s vehicle (typically stopped) is rear-ended by another car or truck. As a consequence of the impact, the cervical back�s lower vertebrae of the neck are forced into a position that is hyperextended, while the upper vertebrae are bend, resulting in an unusual S shaped curve. This chain of events often damages the soft tissues (ligaments, tendons, muscles) of the neck.
Understanding Whiplash
Your doctor carefully reviews your medical history and performs a physical and neurological examination. Since xrays don�t reveal injuries to soft tissues, a CT (computerized tomography) scan or MRI (magnetic resonance imaging) may be performed.
What are the Treatments for Whiplash?
Treatment depends upon degree and the severity of the whiplash, and thought is provided to general health and your age. Initial treatment may include:
Short-term rest (a day or two)
Ice, for two* or the very first day; then alternative heat and ice
Gentle range-of-motion exercises
Anti inflammatory medications (over the counter or prescription)
Muscle relaxants
*When using ice, make sure that the cold source is wrapped in a towel to protect the skin place. Don’t apply ice.
If your pain does not go away within a fair period of time, or when it is serious, your physician may recommend trigger point injections, physical therapy, chiropractic, massage, acupuncture, and/or use of a transcutaneous electrical nerve stimulation (TENS) device.
Soft collars, although once widely used for whiplash, are not used so frequently since the muscles can be weakened by immobilizing the neck to get a long time and delay healing.
Operation is seldom warranted by whiplash. If your pain persists even once you have gotten nonsurgical treatment, surgery may be recommended by your healthcare provider, depending on how severe the harm is and what constructions have been injured. It’s important to understand that risks are consistently carried by surgery. Therefore, you need to truly have a comprehensive talk with your doctor.
The scope of our information is limited to chiropractic and spinal injuries and conditions. To discuss options on the subject matter, please feel free to ask Dr. Jimenez or contact us at 915-850-0900 .
By Dr. Alex Jimenez
Additional Topics: Neck Pain and Auto Injury
After being involved in an automobile accident, the sheer force of the impact can often cause whiplash, a common type of neck injury resulting from the sudden, back-and-forth motion of the head against the body due to a car wreck, or other incident. Because of this, many of the complex structures found within the neck, including the spine, ligaments and muscles, can be stretched beyond their normal range, causing injury and painful symptoms.
New US research has found evidence that including omega-3 and omega-6 fatty acids in the diet can help to promote healthy brain aging.
Led by Marta Zamroziewicz from the University of Illinois, the research team carried out two studies which looked at omega-3 and omega-6 polyunsaturated fatty acids in the blood of adults ages 65 to 75, and a possible relationship between these fatty acids and the participants’ brain structure and cognitive performance.
As the brain is made up of interconnected parts which age at their own pace, some brain structures and their function deteriorate earlier than others.
The first study, published in the journal Nutritional Neuroscience, focused on the frontoparietal network. This part of the brain plays an important role in fluid intelligence, which is the ability to solve new problems that have not been encountered before.
The team looked for a link between the size of this network, performance on tests of fluid intelligence, and the levels of several omega-3 fatty acids in the blood.
The results showed those with higher blood levels of three omega-3 fatty acids — ALA, stearidonic acid and ecosatrienoic acid — also tended to have a larger frontoparietal cortex, which predicted the subjects’ performance on tests of fluid intelligence.
The second study, published in the journal Aging & Disease, looked at the white matter structure of the fornix, which is found at the center of the brain and is important for memory. Previous research has also found that the fornix is one of the first brain regions to be affected in Alzheimer’s disease.
In the new research the team also found that the size of the fornix was associated with a balanced level of omega-3 and omega-6 fatty acids in the blood, and that a larger fornix was linked with better memory in older adults.
Although the team noted that further research is needed to test their hypothesis, Zamroziewicz added that “These findings have important implications for the Western diet, which tends to be misbalanced with high amounts of omega-6 fatty acids and low amounts of omega-3 fatty acids.”
“A lot of research tells us that people need to be eating fish and fish oil to get neuroprotective effects from these particular fats, but this new finding suggests that even the fats that we get from nuts, seeds and oils can also make a difference in the brain,” she added.
For men experiencing emotional distress like depression, anxiety or thoughts of suicide, having high cardiorespiratory fitness may cut the risk of death in half compared to those in poor condition, researchers say.
“The prevalence of mental health issues is growing in the U.S. and globally,” said lead study author Mei Sui of the University of South Carolina in Columbia. “People are facing many stressors in their daily lives linked to depression, anxiety and other mental disorders.
“Medication to treat these mental problems is not only expensive but also comes with significant side effects such as weight gain,” she told Reuters Health. “Identifying modifiable factors that are beneficial to those with emotional distress has important clinical and public health applications.”
Mental health conditions cost the U.S. about $2.5 trillion in 2010 and are projected to cost the country $6 trillion by 2030, the authors write in Mayo Clinic Proceedings.
To see how cardiovascular fitness might affect healthcare costs and outcomes for people with mental health disorders, Sui and colleagues analyzed data from the Aerobics Center Longitudinal Study at the Cooper Clinic in Dallas, Texas, which conducted preventive health exams on more than 43,000 men between 1987 and 2002.
The researchers focused on 5,240 participants who reported a history of emotional distress, including 2,229 who reported more than one emotional distress condition. To measure cardiorespiratory fitness, participants ran on a treadmill until they were exhausted.
Among men who experienced emotional distress, 46 percent reported depression, 58 percent had anxiety, 51 percent had a history of mental counseling, and 8 percent reported ever having thoughts of suicide.
By the end of the follow up period, there were 128 deaths from any cause.
The researchers found that men with the lowest cardiovascular fitness tended to have higher weight, blood pressure, cholesterol and blood sugar levels and were more likely to smoke and to be sedentary.
In addition, men who reported more than one type of emotional distress were more common in the low-fitness group.
Compared to the lowest-fitness group, men with moderate cardiovascular fitness were 46 percent less likely to die of any cause during the study, and those in the high fitness group were 53 percent less likely to die.
“This significant strong inverse association between high levels of fitness and longevity in men with emotional distress is particularly interesting,” Sui said. “Clearly lifestyle behavior interventions to increase fitness levels could help those with emotional distress.”
Even moderate levels of fitness were associated with a 46 percent lower risk of dying, she noted. This moderate level of fitness means 30 minutes per day of activity such as swimming, jogging or biking, and is the current level recommended under American sports medicine guidelines.
The study mostly included non-Hispanic whites, and Sui would like to see more research about fitness in women and minority groups.
“This was the missing piece of the puzzle. We know now that assessing fitness and treating it should be at the center of mental health care,” said Davy Vancampfort of the University of Leuven Psychiatric Center in Belgium. He wasn’t involved in the current study but recently published an analysis that found people with severe mental illness are at heightened risk for heart disease
“This adds to our call to include assessment of physical activity and treatment to the standard mental health care package,” he told Reuters Health by email. “Mental health care settings and primary care settings should work closely together on this.”
Future research could also look at older populations, follow people for a longer period of time and account for medication such as psychotropic prescriptions in particular, said Brandon Stubbs of King’s College London in the UK.
“One in four of us will at some point experience a common mental illness in our lives,” Stubbs, who wasn’t involved in the study, told Reuters Health by email. “We can no longer view mental health and physical health separately given that they are so inextricably linked.”
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