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Everything You Ever Wanted to Know About …

by Daniel Vaillancourt

Everything You Ever Wanted to Know About DoxyPEP

Words by Daniel Hirsch

 

A hefty dose of antibiotics. A big syringe in the derrière. Getting treated for an STI is not fun — to say nothing of the symptoms and risks involved with contracting one like syphilis, gonorrhea, or chlamydia. With the CDC reporting rising numbers — gonorrhea is up 11% over the last five years, syphilis is up 79% — risk of infection is on the rise.

 

However, clinicians around the country, spurred by recently released guidance from the CDC, are recommending the antibiotic doxycycline as a means of post-exposure prophylaxis (DoxyPEP for short) to prevent the spread of STIs. I spoke with DAP Health Chief of Community Health C.J. Tobe about this prevention strategy.

 

Let’s start with the basics. What is DoxyPEP?

DoxyPEP, or doxycycline, is a 200 milligram pill that can be taken within 24 to 72 hours after sex. It reduces a person’s chance of contracting either chlamydia, gonorrhea, or syphilis by up to 70%. Doxycycline has been around for quite some time and is used to treat STIs and acne.

 

How sexually active do you need to be to justify a prescription?

It’s going to look different depending on a person’s lifestyle and the conversation with their provider. For example, if you have sex Friday, Saturday, and Sunday, you can take DoxyPEP that Monday morning and you’re good. Let’s say you’re having sex five times a week, then you should probably talk to your doctor about switching to DoxyPrEP.

 

And what’s DoxyPrEP?

DoxyPrEP would be taking 100 milligrams of doxycycline daily as a preventative measure. That’s typically for people who either want to make sure they’re protected, or they’re having frequent sex, or they may be a sex worker.

 

Are there side effects? Isn’t doxy tough on the GI tract?

A lot of the side effects that get reported are GI issues. So we recommend people take the medication with food or a carbonated drink. When people take a higher dose of doxycycline, like 200 milligrams twice a day, the side effects increase. If you go on DoxyPrEP, that’s just 100 milligrams once a day. And I can tell you it’s such a low dose that the majority of folks don’t have side effects.

 

One of my worst nightmares, and it’s one shared by the World Health Organization, is that an STI becomes resistant to antibiotics. Is that a concern with people regularly taking doxy?

Part of the medical community is hesitant to embrace this strategy because they don’t know what could happen in terms of drug resistance. The other half are saying, “We need to get people on it right now because it’s an important preventative tool.” There’s always going to be a risk of drug resistance when people don’t follow the dosing recommendation of a doctor. As a public health person seeing the rise in STIs, I think a patient who is having sex should have that conversation with their doctor and see if DoxyPEP is right for them. Personally, I’ve been on doxy since 2020 and it’s been a lifesaver.

Feeding a Family on a Budget

by Daniel Vaillancourt

Feeding a Family on a Budget

Here are eight tips for smart shopping.

Words by Maggie Downs

 

Feeding a family while on a budget can be challenging. But with strategic planning and smart shopping, it’s possible to provide nutritious meals without breaking the bank, says registered dietician Robert Davis from the Comprehensive Perinatal Services program at DAP Health. Here are his tips to maximize your budget while keeping your family well-fed.

 

Meal Planning

Start by planning your meals for the week ahead. Take stock of what ingredients you already have on hand and build your meals around those. Plan meals that use similar ingredients to minimize waste and save money. “Choose just one day to do your planning and shopping so you know what you have and can shop for just enough to take you through the week,” Davis says.

 

Shop With a List

Make a grocery list before heading to the store — and stick to it. This will help prevent impulse buys and ensure you have everything you need to prepare your planned meals. “Don’t get distracted by sale items,” Davis says. “So many times, the sale items are tricky at getting us in the door at the grocery store, but they tend to be the highly processed foods, like cookies or chips or crackers. Some of these foods won’t provide as much nutrition, and they might even make us more hungry.”

 

Don’t Skip the Frozen Aisle

Frozen produce is nutritious, readily available, and can be even more economical than buying fresh. It can also save time in the kitchen, since the produce doesn’t require trimming and washing.

 

Embrace Meatless Meals

Incorporating vegetarian meals into your weekly menu is an excellent way to save money. Beans, lentils, tofu, and eggs are all affordable sources of protein that can be used in place of more expensive meats and dairy. “Non-animal foods are very nutritious and budget-friendly as well,” Davis says. “Consider two days a week having a family meal that doesn’t involve animal proteins.”

 

Shop Seasonally

Purchase fruits and vegetables that are in season, as they tend to be less expensive and more flavorful. Visit the farmers market for fresh produce that supports local growers.

 

Buy in Bulk

Stocking up on staple items can save you money in the long run. Look for deals on larger quantities, and consider joining a wholesale club to access greater savings. “Some of the shelf-stable grain options can be created faster than going out and getting something from a restaurant,” Davis says. He recommends keeping the pantry packed with brown rice, whole wheat pasta, or quinoa, which are all high in fiber, offer B vitamins, and can be cooked quickly with some veggies and a protein.

 

Utilize Leftovers

Don’t let leftovers go to waste! Get creative and repurpose leftover ingredients into new meals. For example, leftover roasted vegetables can be added to salads or turned into a hearty soup. Davis likes myplate.gov for recipe ideas.

 

Cook From Scratch

Pre-packaged and convenience foods are often more expensive than cooking from scratch. Invest in basic ingredients, and learn to prepare simple meals at home. Not only will this save you money, but the time spent with family can be priceless.

Everything You Ever Wanted to Know About …

by Daniel Vaillancourt

Everything You Ever Wanted to Know About Poppers

Words by Daniel Hirsch

 

Poppers. Not only are they a staple of disco dance floors, sex shops, and — more recently — gay internet memes, but openly queer pop star Troye Sivan recently placed them front and center in the mainstream by openly paying homage to them with his summer 2023 smash hit “Rush,” a song title that not-so-coincidentally is the name of a beloved brand of poppers.

But what exactly are poppers? What risks do they present users? And how can these risks be mitigated? I spoke with DAP Health Chief of Community Health C.J. Tobe and asked all of the tough questions.

 

What are poppers?

C.J. Tobe: Basically, poppers is the casual name for a liquid inhalant. Most people are probably familiar with using poppers on the dance floors in the ’60s, ’70s, and ’80s. Then they transitioned into being extremely useful during sex. There are four different chemicals that can make up poppers [amyl nitrite, isopropyl nitrite, butyl nitrite, and pentyl nitrite].

 

Why do people do poppers?

Because they feel good. They make sex even more enjoyable. It also helps relax people. So people who may have sex anxiety or need “liquid courage” (like we talk about with alcohol) may find poppers helpful.

 

What actually happens to your body when you use poppers?

When you inhale poppers, your blood vessels are going to expand, and it’s then going to increase the blood flow and oxygen level within your veins. So that’s what makes it feel euphoric. It’s like a rush, essentially. But while all that is happening, it’s also gonna decrease your blood pressure. Obviously, people with heart conditions are definitely advised to be very, very cautious.

 

Speaking of being cautious, if one were to do poppers, is there any way to do them more safely?

Probably don’t use them alone, because using them will increase your blood flow, which will then lower your blood pressure. Just in the event that you do pass out, you don’t want to be alone. So … poppers and porn? Not the best idea.

A lot of people who use poppers, especially during sex, are also taking erectile dysfunction medicine. That’s an added risk for decreasing blood pressure, which can eventually cause someone to pass out — potentially even vomit and die as well.

 

Are there any other risks to consider?

Generally, some research shows that using poppers can put you at a higher risk of getting an STI, including HIV. Everyone should regularly be screened for STIs and HIV. We also recommend considering being on PrEP (pre-exposure prophylaxis) or PEP (post-exposure prophylaxis) to prevent HIV, and/or on DoxyPrEP or DoxyPEP to prevent STIs.

Next one’s for the bottoms: Poppers make sex more enjoyable, but they’ll also give you a high, where you become dizzy and you don’t know exactly what’s going on. You could put yourself in a vulnerable position, where someone could take advantage of you. They could tie you up, or do a “booty bump” [insert unwanted drugs into your rectum]. It just makes you less aware of your surroundings, which also could increase the possibility of something negative happening.

 

What about the dreaded, so-called “poppers nose,” (aka chemical burns in one’s nostrils)?

My advice to prevent this would be to inhale through your mouth. Just like a cigarette [without putting your lips on the bottle]. It bypasses actually going up through your nostrils and won’t give you a headache. I learned that from an expert who reps a national poppers brand.

 

Can poppers be addictive?

There’s little research to prove or disprove the addictive effects. However, from a cognitive behavioral perspective, anything can become addictive, especially agents that produce pleasure, promote escapism, or assist in numbing.

Poppers create a sense of euphoria, so someone can very well become accustomed to this experience while having sex, and require it to allow for a full sense of pleasure due to the association. However, ultimately, physiological dependence? No. 

I would add to this: It is very much recognized as a relapse trigger for those in recovery. The erotic experience can create what is referred to as “euphoric recall,” which directly sets off a chain of thought and behavior patterns. So related to addiction, it is definitely high-risk. 

 

How come poppers are sometimes sold with code names like VCR cleaner or tar remover? Why the code names? Are poppers legal?

From my last understanding, it’s illegal to consume nitrite, as well as some of the things that go into poppers for recreational use. So, when you would go into a store, they’re sometimes number coded: “I want number two, I want number eight, I want the yellow or the red.” Legally, we’re not really allowed to state that you were there to get poppers in a sex shop or store. It’s legal to sell it, but it should not be used recreationally.

 

Anything else to add?

I know this is going to sound very corny, but talk to your doctor! I know it’s so basic to people. We can Google all day… But, ultimately, just tell your doctor you want to do poppers. Or let them know you’ve been doing poppers for 10 years. They can look at your medication list for any potential risks and ensure you are receiving sexual wellness support.

I think the more education and knowledge we have around health matters, the better. Even if your doctor may not be culturally competent on poppers, you can start that conversation to make them curious. Get them educated on poppers so they can help guide and educate some of their other patients.

And I just have to add, here at DAP Health, we are very culturally competent. We all know all about poppers. And we provide service without stigma, shame, or judgment. You can always ask your DAP Health provider anything.

 

Image courtesy of Not So Innocent adult entertainment store, 2100 North Palm Canyon Dr, Palm Springs, CA 92262

A Guide to Safely Hooking Up Online

by Daniel Vaillancourt

A Guide to Safely Hooking Up Online

While popular online dating and hookup apps offer a convenient way to meet new people, their relative anonymity can also leave you open to danger. It’s therefore essential that you prioritize your safety. This guide is aimed at those who use these apps and would like to reduce the risk of situations that are uncomfortable at best, and life-threatening at worst.

 

Before

Define Expectations
Discuss intentions and desires openly. Talk in detail about what you’re both looking for, including any kinks/fetishes. If either
of you uses drugs, communicate your preferences and boundaries clearly.

Exchange Face Pics
Insist on receiving recent face pics. If they refuse to share, that’s a red flag. Move on.

Get a Phone Number
Swap phone numbers, then give a call or send a text. If they refuse to share, that’s a red flag. Move on.

Take Screenshots
Capture the person’s profile, face pics, and all your texted conversation, including their phone number. This documentation can be vital if issues arise later.

Tell a Friend
Share details (who, what, where) with a trusted friend. Ask that they check up on you if they don’t hear from you within an agreed-upon time.

Secure Valuables and Beware of Scams
Be cautious and secure your valuables. Be vigilant about scams and fraudulent behavior.

Install a Security Camera
If you have security cameras, such as a security doorbell or surveillance system, use them to observe the person before opening your door. If you don’t have cameras, you can still lessen potential risk by telling the person you do.

Trust Your Instincts
Above all, no matter what, listen to your gut. It rarely lies. If anything feels off at any point, you have the right to end the interaction at any time — even during or after sex. Consent is continuous, and you can withdraw it at any moment.

 

During

Trust Your Instincts

Above all, no matter what, listen to your gut. It rarely lies. If anything feels off at any point, you have the right to end the interaction at any time — even during or after sex. Consent is continuous, and you can withdraw it at any moment.

Note Physical Characteristics
Pay attention to distinctive features such as scars, tattoos, or birthmarks. This may be useful to identify the person later.

Bondage
Be extremely careful when using bondage and restraints with someone you don’t know.

Stay Sober
Don’t play when you’re under the influence of drugs or alcohol, which can lead to poor judgment and leave you very vulnerable.

Engage in Safer Drug Use
If you do choose to use drugs, do so as wisely as possible. And test them beforehand, whether they’re from an unknown source or not. Free fentanyl and xylazine testing strips are widely available — including at DAP Health — and can help prevent accidental overdoses.

 

This Isn’t Fun Anymore!

Drugged and/or Assaulted?
You may suddenly find yourself incapacitated, or unable to consent. Common symptoms of having been drugged include drowsiness, disorientation, dizziness, and/or excessive intoxication despite having consumed a minimal amount of alcohol or drugs.

Collect Evidence
If you can do so safely and discreetly, take photos or videos of your attacker, yourself, relevant objects, and your location. This evidence could help legal action you may choose to pursue.

Leave
If you believe you’ve been drugged, or are in immediate danger, try to leave safely.

Stay, Scream, Fight Back
If leaving isn’t possible, scream to attract attention, and/or use any available object to defend yourself.

Call 911
If you can, call 911. Explain your situation as clearly and calmly as possible, providing your location. If you’re unable to speak, stay on the line to allow emergency services to trace your call.

 

After

Remember It’s Not Your Fault
It’s important to recognize that shame and embarrassment are common responses, but please know you are not to blame. Assaults can happen to individuals of all genders, and you are innocent in this situation.

Seek Medical Attention
This is crucial to ensure your well-being and to collect any potential evidence.

Make a Police Report
If you’ve experienced a crime, reporting it to the authorities can help prevent further harm to others. Also, remember that reporting a crime won’t result in trouble if you’ve been using drugs.

Embrace Support
Recognize you’ve endured emotional and physical trauma, and that seeking help is a courageous step. Whether you reach out to friends, family, or specialized support organizations, countless others have walked similar paths. You’re not alone in this journey. Support is available to uplift and guide you through it.

 

These are simply suggestions, and it’s essential to use what works best for you and your situation.

 

 

A Guide to Hookup App Lingo

This glossary is your dating app decoder.

[+] HIV-positive

+/- Interested in HIV-positive/negative

420-friendly Into marijuana

Admin Short for administer (injecting someone with drugs)

Anon Short for anonymous (a preference for not knowing personal details before connecting)

On Deck Having drugs for sale

BB (AKA Bareback, Raw, Breeding, Taking Loads) Condomless anal sex

DDF Drug- and disease-free

Discreet Closeted or in a relationship but looking

DL On the down low (closeted or in a relationship but looking)

DTF Down to f***

Host Hooking up at their place

Looking Interested in hooking up

NSA No strings attached (sex without emotional fidelity or future expectations)

Party Into drugs

PNP Party and Play (refers to drugs and sex)

T Tina (crystal meth)

Travel Not hooking up at their place

March is Colorectal Cancer Awareness Mon …

by Daniel Vaillancourt

March is Colorectal Cancer Awareness Month

Here’s the 101 so that you can keep yourself and those you love safe.

Words by David Russo

 

“Colon cancer is the battle we can win with early detection and regular screening.”

                                                                                                               — Unknown

DAP Health’s Associate Chief Medical Officer Dr. Silas Gyimah is fond of that inspiring citation of unknown derivation. As the founder of the Palm Springs-based, queer-led nonprofit Cheeky Charity — whose mission is to facilitate colorectal and anal cancer prevention, early detection, and support, with a focus on the young and LGBTQ+ populations — so am I.

“At every visit, we verify records to see if a patient is due for a screening,” Gyimah says. “If they are, we schedule them, focusing on FIT [fecal immunochemical test] and colonoscopies as our primary screening methods. This is a true implementation of the quote above.” 

Let’s delve more deeply into this largely preventable and curable disease.

 

Colorectal Health: Understanding and Prevention

Colorectal cancer (CRC), once predominantly a concern for older adults, is now increasingly affecting younger individuals. This shift necessitates a renewed focus. Understanding the nuances of colorectal health is vital for individuals of all ages.

 

Understanding Colorectal Cancer

CRC originates in the colon or rectum, part of the digestive system. It usually begins as small, noncancerous (benign) clumps of cells called polyps that form on the inside of the colon. Over time, some of these polyps can become colon cancers.

 

Symptoms To Be Aware Of

CRC might not cause symptoms right away, but if they occur, they may include changes in bowel habits, rectal bleeding or blood in the stool, persistent abdominal discomfort, a feeling that the bowel doesn’t empty completely, weakness or fatigue, and unexplained weight loss. It’s important to consult a health care provider if any of these symptoms are experienced.

 

Risk Factors

Certain factors increase the risk of developing CRC. These include older age, a personal or family history of CRC or colorectal polyps, inflammatory intestinal conditions, a low-fiber/high-fat diet, a sedentary lifestyle, diabetes, obesity, smoking, and alcohol use. Genetics also play a role, with some inherited genes increasing the risk.

 

Prevention Strategies

Prevention of CRC starts with lifestyle changes. A diet rich in fruits, vegetables, and whole grains — and low in red and processed meats — can reduce risk. Regular physical activity is crucial. Maintaining a healthy weight, avoiding smoking, and moderating alcohol consumption are also recommended.

 

The Importance of Screening

Screening for CRC is one of the most powerful weapons for preventing the disease. It’s generally recommended to begin screening at age 45. Screening can find precancerous polyps, which can be removed before they turn into cancer. For people at higher risk, such as those with a family history, screening may be recommended earlier.

 

Navigating the Rising Trend in Young Adults

The rising incidence of CRC among young adults is a complex issue that involves a combination of genetic, environmental, and lifestyle factors. It’s important for young adults to:

  • Be aware of their family history.
  • Minimize known risks.
  • Incorporate healthy preventative habits into their lifestyle.
  • Regularly check for symptoms.
  • Discuss screenings with their health care providers if they have risk factors.

 

Conclusion

As our understanding of colorectal health evolves, it becomes clear that CRC is not just a concern for the elderly. The increase in cases among younger adults emphasizes the importance of awareness and proactive health measures across all age groups. Through lifestyle modifications, regular screening, and early detection, the impact of CRC can be significantly reduced.

 

Resources

Colorectal Cancer Alliance, colorectalcancer.org

American Cancer Society, cancer.org/cancer/types/colon-rectal-cancer

Centers for Disease Control and Prevention, cdc.gov/cancer/colorectal

Cheeky Charity, cheekycharity.org

 

In a partnership between DAP Health and Cheeky Charity — and in honor of Colorectal Cancer Awareness Month — 50 eye-catching banners will be flown throughout downtown Palm Springs during March to help raise awareness and reduce stigma.

Where Did All This Peanut Allergy Come F …

by Daniel Vaillancourt

Where Did All This Peanut Allergy Come From?

Words by Ellen Bluestein

 

According to the American College of Allergy, Asthma & Immunology, as of 2017, 2.5% of children in the United States have peanut allergy. While that percentage may seem small, it translates to more than 1.8 million kids with a potentially fatal condition. 

 

“Probably about 20 years ago, it was clear that this was not only a growing problem, but it had already become a public health problem in the United States and around the world,” says Dr. Andrew Liu, a pediatric allergist at the University of Colorado. “I don’t know that we’re sure why or how peanut allergy has become so prevalent. But I think it’s pretty clear that it’s real.”

 

Researchers have been exploring several possible hypotheses. One — the hygiene theory — explores the idea that with the advent of germ-killing cleaning products, our environments no longer provide the exposure to microbes that the immune system recognizes and learns to fight off.

 

“What is a microbe-rich environment? One where we’re living around a lot of animals,” says Dr. Liu. “There have been a lot of studies where it looks like allergies are less common in kids growing up in farming environments or in developing nations where people live very closely to their animals. Some people think … that the immune system doesn’t see enough of those microbial exposures early because we’ve gone and cleaned up our environment.”

 

Early exposure to peanuts — between four and six months of age — may be one way to reduce the allergy. “The original observation was in Israel, where they had this teething cracker called Bamba which has peanut in it,” says Dr. Liu. “And they observed that within communities where this was a common cultural practice, the prevalence of peanut allergy in the kids was really low compared to what they were seeing in other communities.”

 

This led to more research and ultimately a definitive study on prevention. Children were given Bamba or a derivative, and then followed. Those who received the cracker were unlikely to develop peanut allergy compared to those who didn’t get it. “It looked like early exposure … when our bodies are learning about what is safe … is an essential time period,” says Dr. Liu. “If the immune system learns that the peanut is not something to be concerned about, then that stays.”

 

While there is still much to be discovered, Dr. Liu is optimistic that there will be remedies for those who suffer from the life-threatening condition. “There’s work going on to develop treatments to either reduce or prevent the severe reactions to those who are peanut allergic,” he says. “There continues to be investment in a lot of research … to try to get to that place where there are treatments that can be helpful for people and young kids who are allergic.”

The Science of Positivity

by Daniel Vaillancourt

The Science of Positivity

“Never say never because limits, like fears, are often just an illusion.” — Michael Jordan

Words by Kay Kudukis

 

In the 1990s, a recurring skit on SNL called “Daily Affirmations with Stuart Smalley” had Al Franken portraying an insecure, support group-addicted, self-help schlub in a cardigan. He was the antithesis of the popular, flashy, mindset gurus like Tony Robbins. Stuart would frequently look at himself in the mirror and say, “I’m good enough, I’m smart enough and, doggone it, people like me.”

Although Franken was poking fun at the new fad, it wasn’t very new. Over 3,000 years ago, the Greeks were writing meditations and guidelines touting the best ways to live. The idea is actually 5,000 years old, but back then there was no alphabet, which made writing hard.

By the 1800s, poets and renowned authors were onto it, but scientists didn’t take notice until the 1970s, when they asked, “Is there anything to this?” It took a few decades, and a lot of studies, but the answer is — in wildly unscientific terms — it’s definitely a thing. Turns out, there’s true power in the science of positivity!

Yes, science. The University of Chapel Hill conducts a Positive Emotions and Psychophysiology Laboratory studying “how positive emotions affect people’s thinking patterns, social behavior, health, and physiological reactions.” Johns Hopkins and the Mayo Clinic promote positive thinking to lower blood sugar and high blood pressure, and to reduce the risk of heart attacks and strokes by lowering cortisol.

The human brain is the most complex thing in the known universe, and yours is fueled by your thoughts. Ever heard that if you repeat a lie long enough it becomes the truth? If your brain is filled with negative self-chatter, it will come to believe it. If your inner monologue is positive, the brain responds, and your stress levels decrease along with your blood pressure.

There is another tool called “reframing” that makes you more productive. It’s where “I hate doing the dishes” becomes “I can’t wait to get these dishes done and have a nice clean sink.” Such positivity releases dopamine and serotonin into your system, and if you add a smile? Well, a study at the University of Kansas concluded that smiling is such a powerful source of endorphins that your stress levels go down even when you fake a smile. So now you’ve got a buzzy cocktail of dopamine, serotonin, and endorphins in you, and the dishes are done.

If you need a little extra help, DAP Health is here for you. Its medical professionals won’t do your dishes, but they do have some unique Wellness Services, including a Zoom group based on positivity and related to achieving goals.

Michael Jordan didn’t get to be the GOAT by talent alone. In fact, he attributes his success to positive thinking. He never told himself he couldn’t. “I can accept failure,” he famously said. “Everyone fails at something. But I can’t accept not trying.”

So be like Michael. Flip that switch. It’s not going to make you a great basketball player, but you’ll absolutely, positively, win at this game we call life.

Making an IMPACT

by suelowe

Making an Impact

 

Behind The Scenes Of The Behind-The-Scenes Tour Dap Health Offers To Prospective Donors

 

Words by Rory Taylor

 

In 2021, Desert AIDS Project rebranded itself as DAP Health, a broader name to match a broader mission. “We’ve upgraded our services to include primary care and so much more,” says Director of Development James Lindquist. “You can now get mental health care, food, clothing — all these other services. These changes coincided with COVID-19-related interruptions in other fundraising efforts, so a novel approach was needed to connect partners to the expanded mission.”

In June of 2021, the IMPACT Hour — a facility tour for prospective donors that features behind-the-scenes spaces alongside testimonials — was introduced. The visit is intended to inform and to forge connections, rather than to ask for donations.

Entering the Annette Bloch CARE Building, DAP Health’s diversity of care immediately becomes visible in the several clinics within the structure, each named for a color corresponding to chakras: yellow for the solar plexus, green for the heart, blue for the throat, purple for the mind, and orange for the sacral region. Lindquist says this was done to promote privacy and dignity for patients and clients, and to avoid creating shame and stigma. 

“You can go to any primary care physician for your services at any of our clinics,” Lindquist continues. “If you go to the reception desk, you say, ‘I have an appointment in the Green Clinic,’ and they will direct you there. They’re not gonna know you’re here because of ‘X.’”

The tour consists of three primary stops, or “buckets,” focusing on ending epidemics, health equity, and mental health and addiction services. Each bucket features a storyteller — an employee, patient, or client — who helps demystify more of the organization’s operations and reach, following a “myth, fact, gap, need” framework. 

“With ending epidemics, we talk about a myth where people believe they’re not susceptible to infectious disease,” says Lindquist. “The fact of the matter is that everybody can get infected by something. COVID, HIV, mpox. Plus, in the Coachella Valley, 15% of people between the ages of 16 and 94 don’t have insurance, compared to the state average of 10%.”

One IMPACT Hour storyteller is LaWanda Manigo, a patient and client at DAP Health who challenges stereotypes about what is broadly perceived as queer health issues. “DAP Health is not just for what some people would typically believe would be [gay] white males,” says Manigo. “I’m letting everybody know there’s other options.” 

Meeting guests in the Blue Clinic, Manigo shares how living with HIV as a straight, Black woman impacts quality of life, and how a little education goes a long way. “They have educated me about my diseases, about my health, and have just made me, overall, a better person and a more informed patient, so that I can be more proactive and take a firmer stand in my own health care,” she says. “And that’s a benefit that’s gonna last me the rest of my life.”

That education comes not only in patient-practitioner relationships, but also through learning seminars with pharmaceutical representatives, group wellness programs, and social groups covering everything from cutting-edge HIV treatment and diabetes prevention to knitting and dog walking. 

At the core of the clinic cluster is the bullpen — the first tour stop, and one that exemplifies the broader mission DAP Health has taken on. “All the providers you have at DAP Health get together in the morning before your visit to discuss your case in what they call the bullpen,” says Manigo. “Everybody is touching base, so they get an overall view of what you’re dealing with as a complete person.” Lindquist echoes the great value found in holistic care. “I think a lot of times in our health care, you just get parts of people, you get fractions,” he says. “If you’re getting your primary care at one facility, but then you’re getting your dental somewhere else and you’re taking care of your sexual wellness somewhere else, and you’re getting your therapist somewhere else — that’s four places I’ve just named! And how many of those typically will be talking to each other?” 

The IMPACT Hour tours normally happen every second Wednesday from 5:30 to 6:30 p.m. Invitations are made by staff and current donors. 

For more information, please visit: https://www.daphealth.org/support-our-mission/

Staying Health Can Save You Money

by Daniel Vaillancourt
hand flip wooden block WEALTH to HEALTH with coins stack. Investment, Healthcare, Insurance and Work Life Balance concept

Staying Healthy Can Save You Money

Words by Dylan Foster

 

A healthy lifestyle is not only good for your physical health, but can also be healthy for your bank account. With smart planning and preparation, you can save money while living an active, healthy life. Here’s how:

Stay on Top of Your Health

Health care costs can add up quickly if you’re not careful. One of the best ways to save money on health care is to take advantage of preventative care services like annual check-ups or vaccinations. Many health insurance plans cover these services at no additional cost, and they can help detect potential issues before they become more serious — and expensive. Additionally, many states offer free screenings for cancer and other conditions that could save you hundreds or even thousands of dollars in the long run.

Visiting a chiropractor can also be a worthwhile investment. A good chiropractor is often able to quickly identify the source of your pain and make a small adjustment to fix it. They will also tell you what behavior or condition led to that problem so that you can address the issue, instead of letting it compound, which can save you a lot of time and money. Plus, chiropractors are generally covered by health insurance, which makes visiting them more affordable.

Skip the Gym and Exercise at Home

Working out at home is a great way to stay fit without breaking the bank, especially if you consider the cost of gym memberships. With YouTube workouts and exercise apps, you usually won't need gym equipment, and can find free options. Simply power up your favorite device and get going without having to leave the house. Better yet, if you live near a park or beach, you can opt for simple outdoor activities like running or power walking, as these don’t require any investment at all.

Prepare Meals and Eat at Home

Eating out is often more expensive than eating at home, so cooking your meals from scratch is one of the best ways to stick to a budget while eating healthy. Taking some time each week to plan and prep meals will not only save you money in the long run but will also give you control over what ingredients go into your meals and how much food you consume. Meal-prepping also ensures you have something nutritious and tasty ready when hunger strikes.

Reducing your meat consumption is another great way to save money while eating healthier. Plant-based proteins such as lentils and beans are considerably cheaper than meat products and offer just as much protein. Gradually incorporating more plant-based proteins into your diet is an easy way to cut down on your grocery bill without sacrificing nutrition or taste.

Learning to brew your own coffee at home can also be a huge money saver. Instead of doling out $6 for your daily latte, educate yourself about coffee beans, quality, and caffeine. Then, apply your knowledge by preparing your latte or drip coffee at home. You may be surprised to discover you can make more caffeinated and better-tasting coffee in your own kitchen, and you don’t have to wait in line!

Buy Only What You Need

By meal-prepping, you can reduce spending as you can limit your shopping to what you need for the week. Also, buying nonperishable items like canned goods, beans, nuts, and grains in bulk will help reduce your grocery bill significantly over time. Women’s Day explains that these items last longer than their fresh counterparts and can easily be made into delicious meals with minimal effort. Just make sure to check expiration dates before making any purchases.

Keep a Healthy, Clean, and Sustainable Home

Even if you’re mindful of your budget, there are plenty of cost-effective ways to keep a healthy home. One of the simplest things you can do is to create your own cleaning supplies using natural ingredients like vinegar or baking soda — both of which will do an excellent job and provide great results.

To further reduce costs and be more mindful of your environmental impact, swap out disposal items such as paper towels with reusable cloth alternatives. You can also invest in cleaning tools like a vacuum cleaner — you might balk at the cost, but it will actually save you money in the long run. Make sure to read through user reviews of home products to ensure your investment is a worthwhile one.

If you decide you need a change of scenery, you could always move into a place that’s more conducive to wellness! Even if you’re only able to rent because of your budget, there are plenty of options out there, from apartments to houses for rent. In addition to checking prices, search for amenities to encourage your new lifestyle.

Earn Extra Income From Your Lifestyle Changes

For those looking for an extra source of income, monetizing your healthy lifestyle may be easier than you think, thanks to the internet and social media. Countless people visit platforms like Instagram or YouTube every day, looking for advice on fitness routines, meal ideas, etc. You can take advantage of this interest and start your own business by forming an LLC. This way, your business has its own legal identity separate from yours, keeping your finances healthy and protected.

If you’re not ready to be an entrepreneur, you can still use your healthy habits to help you get a new job. Update your resume with the strategies you have implemented, which could include your successful use of social media to promote your ideas. You can find free tools online to ensure your revised resume will turn heads. Most include templates so you don’t have to worry about the design aspects of your revision. Just focus on tailoring your content to the new job you want to pursue. 

Healthy, Happy Living Makes Cents

A healthy lifestyle doesn’t have to break the bank. With a little bit of planning, it’s possible for everyone, including busy entrepreneurs, to enjoy the benefits that come with living a healthy and active life without spending too much money along the way. Find strategies that work best for you, and make them a part of your daily routine. You’ll find that you’re feeling healthier and saving money in no time!

Queerer by the Dozen

by suelowe

Queerer by the Dozen

12 recent LGBTQ+ films to watch during Pride month

Words by Trey Burnette

Last year was record-breaking for queer representation on the big and small screens. Below are 12 movies that were vying for Oscars in 2023, which you can stream and/or rent now.

Aftersun is a quiet and searingly emotional drama from writer/director Charlotte Wells. Through old family vacation videos, adult Sophie revisits her last childhood holiday spent with her father. While she treasures the rare and last time she saw him, she reconciles losing him to his depression and the weight of his world outside their relationship.

Star Attraction: The breathtaking Paul Mescal (the upcoming Gladiator, Stanley Kowalski in London’s recent Streetcar revival) as the young dad.

Bros is a romantic comedy about two gay men with commitment issues. Bobby is a neurotic and caustic podcaster who first spots shirtless Aaron, a well-muscled and emotionally shallow lawyer, on a dance floor. The two seem equally attracted and repulsed by each other, but Bobby stumbles away from his bitterness and into love with a somewhat maturing Aaron.

Star Attraction: Writer-lead Billy Eichner and dreamy holiday movie staple Luke Macfarlane

Everything Everywhere All at Once won the most recent Best Picture Oscar. This surrealist comedy-adventure centers on a Chinese-American immigrant navigating a tax audit for her laundromat. At the same time — in an unraveling multidimensional reality — she rectifies her relationships with her husband, queer daughter, and life choices.

Star Attraction: Six other Oscars, including Best Actress Michelle Yeoh, Best Supporting Actress Jamie Lee Curtis, Best Supporting Actor Ke Huy Quan, and writing-directing duo The Daniels.

Fire Island revolves around a group of gay best friends who gather on Fire Island for their annual week of drinks and twinks. The gaggle gathering turns serious when Noah has a sudden meet-cute. Inspired by Jane Austen’s Pride and Prejudice, this romantic comedy humorously explores the boundaries of chosen family when one friend finds love with an outsider.

Star Attraction: Writer Joel Kim Booster and his queer cronies Bowen Yang and Margaret Cho.

Glass Onion: A Knives Out Mystery is a whodunnit comedy that follows world-famous gay detective Benoit Blanc to a billionaire’s estate on a Greek island. There, he must peel back the layers surrounding the tech billionaire and his eclectic and questionable crew of friends. Everyone is a suspect when more than one dead body surfaces.

Star Attraction: The sparkling cast, led by Bond (Daniel Craig) playing Blanc.

I Wanna Dance With Somebody is a music-heavy bio-drama about Whitney Houston that, refreshingly, doesn’t shy away from her relationship with girlfriend Robyn Crawford. The story tracks her from New Jersey choir girl to international superstar while exploring the complex ramifications of unrequited love, homophobia, racism, and unhealthy relationships.

Star Attraction: Those golden top ten Whitney hits!

My Policeman begins with present-day Tom, Marion, and Patrick still filled with anger and regret about their complicated triangle and the compromises made to survive the dangerous society of their young adulthood. This poignant English drama about forbidden love and betrayal explores not only this trio’s past, but their last chance to free themselves by finding forgiveness for themselves and one another.

Star Attraction: Doubly cast roles, led by undeniably talented pop music god Harry Styles.

Spoiler Alert, based on Michael Ausiello’s memoir “Spoiler Alert: The Hero Dies,” is a heartbreaking yet hilarious love story about his and photographer Kit Cowan's 14-year relationship, which ended after Cowan’s battle with cancer. You’ll laugh through your tears.

Star Attraction: Sally Field as Kit’s Mom, Jim Parsons as Ausiello, and hunky Ben Aldridge as Kit.

Tár is a psychological drama about Lydia Tár, widely considered one of the greatest living composer-conductors — the very first female director of a major German orchestra — and accusations of her sexual misconduct. Lesbian Lydia unravels as the film questions if she’s a monster, victim, or both, becoming a surrealist ghost story about power and cancel culture in the process.

Star Attraction: The inimitable double Oscar winner Cate Blanchett.

The Inspection was inspired by writer/director Elegance Bratton’s real life. The coming-of-age drama focuses on a young Black gay man who struggles with the intersectionality of racism, masculinity, and homophobia. By enlisting in the Marine Corps, he hopes to gain the approval of his misguided mom, but instead experiences further abuse via targeted military hazing. In the end, he finds community and belonging that reshape his identity.

Star Attraction: Rising queer actor Jeremy Pope.

The Whale is an affecting drama about a reclusive English teacher battling an eating disorder as he grieves the death of his boyfriend. His physical health quickly deteriorating, he tries to restore his relationship with his teenage daughter while seeking redemption and peace with the past.

Star Attraction: Best Actor Oscar winner Brendan Fraser.

Women Talking is based on Miriam Toews’s novel by the same name. Both are inspired by actual events, in which the women of an isolated religious commune suffer rape and other atrocities by the men in their community. Convening in a barn while their abusers are away, they debate how to move forward together to build a better world for themselves and their children. Shall they do nothing, stay and fight, or leave?

Star Attraction: Oscar-winning writer-director Sarah Polley, alongside her unforgettable cast.