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Everything You Ever Wanted to Know About …

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

Desert Care Network Donates $2.5 Million …

DESERT CARE NETWORK DONATES $2.5 MILLION TO DAP HEALTH IN SUPPORT OF AFFORDABLE HOUSING

The generous gift, part of DAP Health’s Vision Forward campus expansion, will go toward programs and services for residents of the organization’s second on-campus housing complex, Vista Sunrise II, enabling residents to access lifesaving care in their own backyard.

 

Desert Care Network (DCN) continues its longstanding support of DAP Health with a significant $2.5 million contribution toward the nonprofit’s Vision Forward campus expansion campaign and soon-to-be-unveiled affordable housing complex, Vista Sunrise II. The generous gift reflects DCN’s dedication to addressing the needs of the diverse communities both organizations serve. This commitment will help provide equitable housing solutions for individuals facing challenges such as homelessness and chronic illnesses.

“At Desert Care Network, we are deeply committed to improving the health and well-being of all residents in the Coachella Valley,” says Desert Regional Medical Center & Desert Care Network CEO Michele Finney. “Our 40-year partnership with DAP Health, and this donation toward its Palm Springs campus expansion, focus on much-needed affordable housing, and align perfectly with our mission to provide comprehensive care to our most vulnerable residents. To support the health of our entire community, we know we are better together.”

“Thank you, Desert Care Network, for understanding — as we do — that housing is health care,” adds DAP Health CEO David Brinkman. “Together, we are transforming lives and building a healthier, more compassionate community. By focusing on health equity and social drivers of health, we highlight the connection between housing and superior health outcomes. The ability of Vista Sunrise II residents, most of whom have no means of reliable transportation, to access primary and mental health care — not to mention wraparound social services such as nutrition, health education, and so much more — within a short walk next door is a game-changer for some of our most marginalized neighbors.”

Vista Sunrise II, a collaborative effort between DAP Health and developer Coachella Valley Housing Coalition, will provide affordable housing while incorporating thoughtful design elements and sustainable construction practices. This innovative project will feature 61 units, with 30 dedicated to rapid rehousing for individuals experiencing homelessness and 30 units allocated to those with chronic illnesses and/or low incomes. Key features include:

Thoughtfully Designed Living Spaces: The units will offer a variety of configurations, including one- and two-bedroom layouts, with a housing manager’s home also onsite. Each unit has been designed to prioritize comfort and functionality, featuring large windows for natural daylight, office nooks for work-from-home opportunities, and mobility-accessible options for residents with special needs.

Sustainable Construction Practices: The project incorporates environmentally friendly practices such as density housing on an existing site to minimize land clearing, “cool roof” materials to reduce energy costs, and all-electric appliances to decrease reliance on fossil fuels. Additionally, carports with solar panels will offset the complex’s power grid electrical needs, further enhancing its sustainability.

Unique Amenities: Vista Sunrise II offers a range of amenities to foster community engagement and well-being, including rooftop terraces with mountain views, outdoor courtyards, a community center for gatherings and learning, and on-site case management services for residents. The proximity to DAP Health programs and services, grocery stores, shops, and an adjacent park will encourage residents to lead a healthy, active lifestyle.

Vista Sunrise II represents a beacon of affordable housing innovation, combining compassionate care with sustainable practices to create a thriving community for all residents. With Desert Care Network’s generous contribution, this project will continue to make a positive impact on the lives of individuals and families in Palm Springs for decades to come.

 

About DAP Health

DAP Health, which celebrates its 40th anniversary in 2024, is an internationally renowned humanitarian health care organization and federally qualified health center (FQHC) whose goal is to protect and expand health care access for all people — especially the disenfranchised — regardless of who or where they are, their health status, or whether they have health insurance.
 
In 2023, the nonprofit made a successful bid to absorb the Borrego Health system, enabling its 950 employees to serve more than 85,000 patients of all populations, genders, and ages — from newborns to seniors — at a total of 25 Southern California clinics located within 240 rural and urban zip codes from the Coachella Valley to the San Diego coast.

For years, DAP Health’s programs and services have included primary care, infectious diseases, gender-affirming care, LGBTQ+ care, mental health, dentistry, harm reduction, recovery services, affordable housing, social services, and HIV prevention, testing, and treatment. The additional disciplines now under its vast umbrella include family medicine, women’s health (including OB-GYN), pediatrics, veterans’ health, geriatrics, urgent care, and pharmacy services.

The organization was founded as Desert AIDS Project in 1984 by a group of volunteers. Thanks to nearly 40 years of experience caring for those affected not only by the HIV epidemic but by various other public health emergencies (COVID-19, mpox), DAP Health has the physical and intellectual resources, the drive, and — most importantly — the vision to effect even greater change by positively impacting its diverse patient populations’ social drivers of health (SDOH).
 
According to the World Health Organization, SDOH are “the non-medical factors that influence health outcomes. They are the conditions in which people are born, grow, work, live, and age, and the wider set of forces and systems shaping the conditions of daily life.”
 
The next epidemic hasn’t surfaced — yet. But just as DAP Health met earlier community health crises decisively and successfully, its experts stand at the ready.

 

About Vision Forward

Vision Forward is DAP Health’s 10-year strategic plan that will see the organization grow from serving 10,000 individuals annually today at its Sunrise campus to 25,000 patients and clients a year by 2025. So far, this broadminded expansion has encompassed:

  • The purchase of the Annette Bloch CARE Building and the opening of its three clinics.
  • The opening of a DAP Health sexual wellness clinic in Palm Springs.
  • Construction of Vista Sunrise II, which will feature 61 new units of affordable housing, to be completed in the second quarter of 2024.

Still to come is the Tenet Health Pavilion, a structure that will bridge the Barbara Keller LOVE Building and the Annette Bloch CARE Building, and which will include:

  • A transit- and pedestrian-friendly pathway.
  • A central registration area for all patient services.
  • A cafe open to the public that will be staffed and managed by clients of DAP Health’s Return-to-Work program.

 

About Desert Care Network

Desert Care Network is your health care resource in the Coachella Valley and Morongo Basin regions of Southern California. We are three hospitals: Desert Regional Medical Center in Palm Springs, JFK Memorial Hospital in Indio, and Hi-Desert Medical Center in Joshua Tree. Working together, we bring advanced health care to our communities.

We operate a Level 1 trauma center at Desert Regional, the highest possible. And Level 4 trauma centers at JFK and Hi-Desert.

We have created a network of stroke-ready hospitals, anchored by Desert Regional Medical Center — our valley’s only nationally accredited comprehensive stroke center — and supported by the primary stroke center at JFK and the certified stroke-ready hospital at Hi-Desert.

Desert Regional is home to the only Level 3 neonatal intensive care unit (NICU) for newborns in the Coachella Valley. We also operate a hospital-based clinic that provides high-risk care for expectant moms.

DCN has an unwavering commitment to our community. We train the next generations of physicians through our residency program, and those doctors staff mobile clinics that provide services to the underserved, unhoused, and refugee populations across the desert.

DCN provides over a hundred million dollars in free and discounted health care to patients in need each year. In the last three decades, we have given millions of dollars in charitable donations and sponsorships to local organizations, including DAP Health, FIND Food Bank, the Women Leaders Forum, Volunteers in Medicine, and many more.

We are dedicated, driven, and proud to serve the health care needs of the Coachella Valley, the Morongo Basin, and everyone who visits our desert.

 

About Coachella Valley Housing Coalition

The Coachella Valley Housing Coalition was founded in 1982 by a group of community advocates, the local community, and business leaders, to address the substandard living conditions farmworkers and other low-income persons were enduring in the Eastern Coachella Valley.

Their innate sense of compassion for the human condition inspired them to help hundreds of families move out of inadequate living conditions — which included makeshift power poles in unpermitted mobile home parks, contaminated drinking water, and other crude housing additions made of cardboard — into safe, decent, and affordable housing. With a $10,000-dollar seed grant from the Aetna Foundation, the board of directors established the Coachella Valley Housing Coalition (CVHC).

Today, CVHC is an award-winning tax-exempt 501 (c)(3), nonprofit affordable housing development organization that has been named amongst the Top 50 Affordable Housing Developers in the country. Every CVHC housing community is built with a solid commitment to partnerships, vision, and extensive community planning. CVHC is a Neighbor Works® America chartered member and a Rural LISC partner. It has developed affordable housing throughout Riverside and Imperial Counties, and has developed more than 5,000 multi-family and single-family residences, making it the largest affordable housing developer in Riverside County.

Key Programs

Rental Housing: Through its Multi-Family Housing Development department, CVHC builds affordable rental housing for working families (in hospitality, retail, and health care), farmworkers, retired farmworkers, migrant farmworkers, veterans, and families/individuals with special needs — the elderly, people with disabilities, and chronic illnesses. With more than 41 affordable rental communities totaling 2,953 units developed throughout Riverside County, CVHC offers an array of housing options for renters who are looking for a steppingstone to homeownership, or who are in need of affordable rental housing. CVHC is proud to partner with DAP Health on the development and operations of Vista Sunrise II, a 61-unit special needs development located in the city of Palm Springs. The development will include 29 units for chronically homeless individuals and 31 units for chronic illnesses. The Vista Sunrise II development will be CVHC’s fifth special needs development constructed in Riverside County.

Homeownership Through the Mutual Self-Help Housing Program: Since 1989, CVHC has been helping families fulfill their dream of homeownership. Creating affordable homeownership opportunities for low-income families is a part of CVHC’s mission. The mutual self-help housing program means homes are built in part by homeowners. In the mutual self-help program, families work together and collectively build each other’s homes by using their sweat equity in place of a down payment.    Mutual self-help housing essentially builds communities based on a shared commitment of hard work, mutual support, and lifelong bonds. CVHC is the largest mutual self-help developer in the nation. To date, over 2,160 single-family homes have been constructed throughout Riverside and Imperial counties.

Community Engagement: CVHC also provides enrichment and educational programs at its Multi-Family developments. These include early childhood education centers, afterschool kids clubs, computer Instruction + technology centers, ballet folklorico dance instruction, mariachi music instruction, alternative high school diploma and GED programs for adults, community gardens + wellness for seniors, health and wellness educational classes + events, and English as a second language.

John F. Mealey College Scholarship Fund: In 2020, CVHC created the JFM Scholarship Fund in honor of its founding executive director. The scholarship is awarded annually to students living in CVHC developments who are seeking a higher education at any accredited college, university, or vocation school. To date, more than $962,000 in scholarships have been awarded, benefiting more than 889 students, supporting their dreams, and helping them persevere to complete their degrees.

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A Guide to Safely Hooking Up Online

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

Where Did All This Peanut Allergy Come F …

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

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.

Can I Tell Them Who I Am?

Jean-Marie Navetta

Can I Tell Them Who I Am?

After 17 years at PFLAG, Palm Springs resident — and Out & Equal’s new vice president of learning — knows all about diversity, equality, and inclusion in the workplace.

As seen in Issue 4 of DAP Health magazine 

Words by Victoria Pelletier • Photos by David A. Lee

Jean-Marie Navetta’s bio at PFLAG ended with the quip, “Jean-Marie is, most importantly, living proof that philosophy majors can get real jobs.”

Of course, Navetta is far more than a “philosophy major.” Educator, advocate, leader, prophet, sage, dreamer, superwoman? Now we’re getting closer. Navetta’s illustrious career in the diversity, equity, and inclusion (DEI) space through LQBTQ+ education and advocacy points to her why in life. She envisions a world wherein no one needs to ask the question she’s often asked herself on the first day of a new job: “Can I tell them who I am?” For those committed to actualized DEI in business and beyond it, the universal answer must become, “Yes, you can!” And one must not lose any sleep over it.

I recently sat down for a Zoom interview with the Palm Springs resident as she prepared to take on a new professional role as vice president of learning at Out & Equal, “the premier organization working exclusively on LGBTQ+ workplace equality,” per the nonprofit’s website. “Through our worldwide programs, Fortune 500 partnerships, and our annual Workplace Summit conference, we help LGBTQ+ people thrive and support organizations creating a culture of belonging for all.”

Navigating Identity: Jean-Marie's Journey in DEI Advocacy

The biggest takeaways from our conversation? Inclusion begins with education, and full inclusion means changing systems and the culture. Navetta is deeply committed to all of the above. She reminds me — and all of us, for that matter — that changing systems and culture is especially daunting in the current, uber-polarized environment. “DEI work was a given,” Navetta notes as she looks back on her early pro years, adding that “opposition has become far more sophisticated in how they are resisting it; this level of sophistication should cause us to be concerned and be more vigilant and relentless in our work.”

Education as Empowerment: Transforming Workplace Culture

Bottom line? There’s plenty of work to do to overcome the regression that is afoot in government, business, and broader culture. 

Navetta remembers the first time she encountered PFLAG. A teenager at the time, she observed a Pride parade from the sidelines and thought, “Wow…if only.” After earning that golden philosophy degree, Navetta considered law school for a while before settling into communications roles. Heart and mind stirred during those early years in the workplace. She recognized the forward momentum of the inclusion movement and knew she wanted to be a part of an unscripted future in DEI.

Challenges and Progress: Overcoming Obstacles in the DEI Movement

A work stint in Washington, D.C. provided the entry point for a career in her education and advocacy work. While working as a press secretary there, Navetta volunteered with a local PFLAG chapter. Impressed by her passion, intellect, and ability, the chapter director submitted her resume to PFLAG HQ, knowing Navetta’s drive and skills were needed at the national level. The pivot from communications to advocacy and education was now underway for Navetta, and would grow for the next 17 years with PFLAG.

Business as Catalyst: The Role of Corporations in Advancing LGBTQ+ Rights

“I had to find my space in the movement,” she says while reflecting on her early days in DEI, so she gobbled as much information as possible, taking deep dives into topics like butch/femme identity. Navetta had experienced, personally, that queerness could lead to discrimination and even hostility in the workplace. Like many in the LGBTQ+ community, she has been leery at times about “being out” in the office, and she understands that many workers remain confused by the difference between acceptance and full inclusion and belonging. “Look around,” she declares with a resolute voice. We need workplace advocacy because, “we’re losing ground on the policy and cultural acceptance fronts.” 

Global Impact: Jean-Marie's Vision for DEI Education at Out & Equal

Of course, the current political climate does not help advance DEI efforts in education or in business. In the most sobering moments of our conversation, Navetta laments the insidious ways elected representatives stoke regressive legislative action. “Legislation is designed to shut discussions down, and it makes you realize we have to do more.” Pondering the impacts of her work as a DEI champion and guide for businesses, Navetta adds, “Restrictions on how we talk about things in education, government, in documents, etc. means that one of the last places we can have this conversation is in the workplace.”

Effective DEI work in the workplace can move the broader cultural conversation forward, though. “Look at marriage equality — there was phenomenal grassroots activism, yet the influence of private sector employers was incredibly powerful in driving change and judicial decisions forward.” Navetta sees business shaping many more DEI advancements. “Let’s use the time and place where people spend more time than anywhere else [work] to educate and advance LGBTQIA+ rights, inclusion.”

Citing court challenges to DEI based on religious freedom arguments, I ask Navetta if she thinks companies might reverse course on DEI progress because of recent legislation and court rulings. Despite the legislative and judicial headwinds, she feels positive about the prospects of businesses staying the course. “Most of the companies that we see committed will continue on their path forward; most companies understand that [DEI] helps with business performance.”

Indeed, Navetta’s new role at Out & Equal gives her the leverage to scale up her DEI educational work in a way that could have broad, global impact. Immediately, her leadership at the organization’s workplace summit — the world’s largest of the kind — will provide opportunities to present a diverse portfolio of LGBTQIA+ programs to a significant, cosmopolitan audience. 

Our superwoman with the golden philosophy degree remains a global force in the DEI space. She feels supported by her wife of 23 years, Jude Medeiros, plus a cohort of generous colleagues. Then there’s the considerable quality of life she has found by moving from grey and chilly San Francisco to warm and sunny Palm Springs in 2018. The local international airport certainly makes her frequent travel less of a burden, and the community of friends the couple has cultivated recharges Navetta’s oft-depleted batteries come evening or the weekend. She’s even found time to volunteer to teach queer youth about their history at the LGBTQ Community Center of the Desert’s satellite space in Coachella. 

Basically, Navetta believes she was born at the perfect time into a difficult world, buoyed by infinite possibilities. “I am excited to be educating LGBTQIA+ leaders and the next generation,” she offers with a look of satisfaction.

I, like many of you, look forward to the day Navetta’s question — Can I tell them who I am? — is always answered in the affirmative.

Making an IMPACT

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/

I Know Where I’ve Been

I Know Where I’ve Been

 

Even when she was sure she was about to lose everything, beloved desert entertainer Keisha D kept on giving 

 

Words by Kay Kudukis • Photos by Matthew Mitchell

 

Keisha D Mimms has played many roles in her life — daughter, sister, wife, mother, businesswoman, actress, chanteuse — but the one she was unwittingly cast in five years ago might be her most challenging.

More than a decade ago, when Mimms stepped on the stage at McCallum’s 2008 Open Call, she and the Coachella Valley instantly began a fierce love affair. No one else stood a chance. She is a powerhouse singer with a soulful, richly textured voice and a smart, playful stage presence. She doesn’t steal hearts, they’re offered.

“I remember being so impressed and so awestruck when she performed,” says local entertainer Brian Wanzek, perhaps better known by his drag queen alter ego Bella da Ball. “I sent — I think it was an email — to the person involved with the Open Call and asked, ‘Is it possible that you could either give her my number or you could give me her number?’ I just wanted to chat and talk about opportunities to work with this fabulous, talented superstar.” 

Not only was Wanzek playing multiple clubs around town with his drag extravaganza, Delicious Divas, he was involved with multiple charities. Mimms was interested in giving back too, and a beautiful friendship and symbiotic working relationship coalesced. She sang for LGBTQ+ charities, including Palm Springs Pride, the LGBTQ Community Center of the Desert, The L-Fund, and many more. 

Billed as Keisha D Sings, she’s got a big voice, which came in handy in choir, and on the mission-based tours where her pastor father preached, and her mother and she sang. Anyone who’s heard her belt out gospel knows she can get an “Amen!” out of a diehard heathen.

Mimms attended Christian high school but, “I started singing in nightclubs when I was 16, I was sneaking in,” she says, chuckling at her cheekiness. “We were just sitting in with the band. [I sang] ‘Summertime,’ ‘Come Rain or Come Shine.’ Anything Ella Fitzgerald.” 

She received a vocal scholarship to Azusa Pacific, an evangelical Christian university where she did musical theater and opera. In fact, her favorite musical memory is not jazz, gospel, or Motormouth Mabel in “Hairspray.” It’s the titular character in Puccini’s “Madame Butterfly.” “That was just the highlight because I nailed it,” she says without a drop of ego. “This is something I never thought I could do.”

She moved to Palm Springs from Riverside for a position with a mortgage firm, but Wanzek wasn’t the only one who’d seen her perform at Open Call. Mimms was immediately in demand: The Purple Room, Vicky’s of Santa Fe, PS Underground, some clubs that have come and gone. But one thing remains the same. Her philanthropy. 

“She’s been working with me and the Club probably for 12 years,” says Jan Darlington of the Palm Springs Woman’s Club. “She’s performed at benefits for us many, many times.” The charitable organization has been raising money for scholarships for Palm Springs High School students for the past 85 years. 

Five years ago, Mimms began an unplanned journey: she started losing weight. Quite suddenly, she was half of her former self. She was performing, but her appearance was alarmingly delicate. Fans asked, “Is Keisha OK?” What they didn’t know — but what her best friends David Bader and Michael Shiplett knew — was that Mimms was very much not OK. The once energetic performer could barely drag herself out of bed. She was in constant, excruciating pain, and had recently stayed 14 days in the hospital with neither relief nor answers. 

“When I got out, [Bader and Shiplett] took me back to my house,” she softly recalls, her voice catching. “They were with me on the phone in the middle of the night. I would be just crying in so much pain. It’d be 11:30 at night, they’d knock on the door, and then put me in the hot shower — that helped. I couldn’t shower alone.”

Bader and Shiplett suggested she try DAP Health, but Mimms demurred. She wasn’t unfamiliar with the great work the nonprofit was known for — she had donated her time as a performer for fundraising events, and for silent auctions for private concerts. It was a demographics issue. 

“I’m not a guy and I’m not gay. And I don’t have AIDS. I know it’s not AIDS. We already ruled that out,” Mimms says.

Like countless others, Mimms misconstrued the breadth of DAP Health’s services. Many aren’t aware DAP Health is also a Medi-Cal and Medicare provider through Inland Empire Health Plan (IEHP), the largest not-for-profit Medi-Cal and Medicare health plan in the Inland Empire, and one of the fastest-growing health plans in the nation. Those who have fallen on unfortunate times can apply and choose from DAP Health’s exhaustive menu. The organization has programs and employees that cover virtually everything, including mental health and chiropractic care. 

Bader and Shiplett called DAP Health and explained Mimms’ condition. “Within two hours: ‘Hello. I’m from DAP. I’m an intake nurse and we want to schedule you for an appointment for tomorrow,’” Mimms recalls. When she arrived, Chief Medical Officer Dr. David Morris was waiting. 

“The first thing I said was, ‘Just help me die. That’s all I’m asking you to do. I don’t need your medicine. I need you to help me die. Please.’” There is no drama in Mimms’ voice, but the memory of the moment is absolutely palpable. 

“He took my hand and said, ‘I know who you are. I know what you do in this community. And if there’s one thing I’m not going to do, it’s help you die. You will live under my watch. We’re gonna figure out what it takes to help you live.’” 

If the horrors of the AIDS epidemic taught anyone anything, it’s that it takes a village. Morris secured an appointment for Mimms at the world-famous Loma Linda University Medical Center. After some rigorous testing and diagnostics, Mimms had a diagnosis: systemic lupus erythematosus (SLE), an autoimmune disease. From the CDC’s website: “The immune system attacks its own tissues, causing widespread inflammation and tissue damage in the affected organs. It can affect the joints, skin, brain, lungs, kidneys, and blood vessels. There is no cure for lupus, but medical interventions and lifestyle changes can help control it.”

imms’ illness spurred her to develop a scholarship fund with Palm Springs Unified School District. That journey began years ago when her daughter took dance classes at Palm Springs High School. Her young teacher was having a tough time with some students. Mimms had credentials, and volunteered to help. “So, I started working with these kids,” she says. Not just her daughter’s dance class, but all the classes. “Then it went to working with the orchestra, and teaching vocals to the jazz kids. So, I was singing with the kids, dancing with the kids, and talking to the kids. They called me Mama K. I couldn’t get to the counter [without], ‘Mama K, Mama K’ and hugs, hugs, hugs.” 

Budgets were tight for some families. Instruments, uniforms, and bus tickets for events were a low priority. So, Mama K provided. “As a kid, I had everything. If I was in cheer, I got a cheer outfit: the shoes, the jacket, the letter. I’m seeing these kids trying to get to college. That’s why I started the Keisha D Music Scholarship. Every year, seniors can apply for funds. I have a friend, he’s a philanthropist as well. He said, ‘I’ll match dollar for dollar up to $35,000 every year, but you gotta raise it.’ Every year since, I’ve raised … maybe a little less than $30K. He matched it.” 

In 2020, Mimms received a star on the Walk of the Stars Palm Springs and recalls the shock at seeing pictures of herself at the unveiling. “I looked like Skeletor,” she says, grimacing.

Today, Mimms’ all-around care is monitored by Dr. Morris and his handpicked Keisha D team. “They’re keeping me comfortable,” she says, “and they’re keeping me well. They’re doing a fabulous job.” 

Even though the last five years have been challenging, Mimms has still supported DAP Health by participating in its “Hope Begins with Health Care” televised special and by serving as a storyteller at the weekly IMPACT Hour tours (a by-invitation-only backstage visit of the facilities for prospective donors; please see separate story on page 78). 

With her new regimen, Mimms is looking and feeling much better. Her pain is regulated so well that she recently did a show with her band, Hearts of Soul, at the Palm Springs Cultural Center (PSCC). Part of a series celebrating Black female singers, the first featured Chaka Khan and Tina Turner songs. “We had dancers and everything,” says Mimms. “I can’t believe I was able to do that.” She also has Soulful Sundays at PSCC; Wednesdays at Mr. Lyons; Thursdays, Roost in Cathedral City; and Fridays at the kitschy PS Air Bar. She stays busy.

Mimms sings a song from “Hairspray” that is Wanzek’s favorite. Sung by Motormouth Mabel, it’s the title of this article, and seems to encapsulate Mimms — past and present. In fact, it seems to speak to her core being. Here’s Mabel talking: “What do we do when we see something wrong? We fix it. And I’m here to tell you, I’m going to keep on trying!” And then, singing: “There’s a struggle that we have yet to win. And there’s pride in my heart, ’cause I know where I’m going, and I know where I’ve been.”

Amen, Mabel. Amen!

Pull quote: “I know who you are. I know what you do in this community. And if there’s one thing I’m not going to do, “I know who you are. I know what you do in this community. And if there’s one thing I’m not going to do, it’s help you die. We’re gonna figure out what it takes to help you live.”

Pull quote: “As a kid, I had everything. If I was in cheer, I got a cheer outfit: the shoes, the jacket, the letter. I’m seeing these kids trying to get to college. That’s why I started the Keisha D Music Scholarship.”

Pull quote: “There’s pride in my heart, ’cause I know where I’m going, and I know where

A Community United Against mpox

A Community United Against mpox

Lessons learned from the AIDS epidemic and the COVID-19 pandemic fostered a swift, successful end to the local 2022 outbreak

Words by Trey Burnette • Photo by Zach Ivey

 

Larry Kramer said, “You don’t get anything unless you fight for it, united and with visible numbers.” It was the lesson he learned during the AIDS epidemic — one he wanted the LQBTQ+ community to learn. It was a lesson the professionals at DAP Health understood when the mpox outbreak started in May 2022. 

The disease is caused by the mpox virus, similar to the variola virus (smallpox) and related viruses. It often causes a painful rash of blisters on the hands, feet, chest, face, and mouth — as well as near the anus, and penis and testicles, or labia and vagina —before scabbing and healing. It was a rare ailment until 2022, with the CDC reporting only two cases in the United States in 2021. 

Then, on May 7, 2022, the United Kingdom reported its first incidence. On May 17, the first U.S. case was confirmed in Boston by the Massachusetts Department of Health. On May 23, a Sacramento patient was the earliest to be verified in California, and DAP Health saw its first local occurrence on July 8. 

Fortunately, DAP Health was ready. The agency had formalized a task force devoted to mpox by the end of May in view of a potential outbreak hitting the Coachella Valley. 

“We wanted to be proactive on where the clinical services would best be served, knowing we had to maintain operations in all other clinics,” says DAP Health Director of Community Health and Sexual Wellness C.J. Tobe.

The nonprofit already had a waiting list for primary care, and its sexual health clinic was seeing increased numbers of patients. Tobe and his team started by getting emergency authorization from the California Department of Public Health (CDPH) to use DAP Health’s “library” meeting room at the main campus in Palm Springs as clinic space. Also, taking cues from their recent experience with the COVID-19 pandemic, the powers that be knew they’d overburdened an already stressed staff, so they made arrangements for temporary workers to support the mpox response.

At that point, the vast majority of cases reported were in men who have sex with men. DAP Health needed to alert the community. It partnered with county and state health departments, attending weekly town halls. The agency’s mpox response team had triweekly internal meetings. Printed mpox fact and resource material was distributed to more than 80 businesses across the Coachella Valley, and information was also disseminated via local print, broadcast, and internet media outlets. Educational ads were placed on social apps like Scruff, Grindr, and Rent Men. Micro-messaging was done on Facebook and Instagram Live sessions. DAP Health even created a landing page dedicated to mpox on
its website. 

Furthermore, knowing that health crises historically impact people of color most, DAP Health collaborated with Brothers of the Desert for targeted messaging. 

Because mpox had been almost dormant in this country, vaccines were in short supply. Once JYNNEOS — a two-dose vaccine whose shots are administered 30 days apart — became available, its insufficient supply was quickly gobbled up. Los Angeles and other large cities received it first, directly from the federal government, while other federal allocations went to the states to disperse. The CDPH then distributed inoculations to counties pursuant to total population and actual mpox and syphilis case numbers, not infection rates per capita.

Unfortunately, this formula left Riverside County and DAP Health with just a handful of vaccines. What placed Palm Springs — a popular LGBTQ+ tourist destination where people often partake in sexual activity — at a disadvantage is that it was not where transmission occurred that was considered, but the location where the case was reported.

By July 9, DAP Health had received its first batch of 169 vials of JYNNEOS from Riverside University Health Systems (RUHS) and started vaccinating the most high-risk: people who were symptomatic for mpox and those who’d been exposed to a person who tested positive. Soon, guidelines were expanded to include sex workers, people who participated in group sex, and those who’d recently had an STI. 

DAP Health continued its outreach by using social media influencers popular in the queer community. Well-known adult film performer Trenton Ducati reached out to local sex workers to raise awareness about mpox, encouraging them to receive the shots available to them. He also recorded PSAs that spoke directly to those most at risk. 

The vaccines ultimately became (and still are) available to everyone. In addition to protecting people via its sexual wellness clinics in Palm Springs and Indio, DAP Health, in partnership RUHS, was able to set up more than 10 pop-up clinics, including some at sex-themed businesses such as Palm Springs’ All Worlds Resort and Cathedral City’s CCBC Resort Hotel. To date, DAP Health has vaccinated more than 6,000 people. 

As of January 4, 2023, reported mpox cases in the U.S. were 29,913, and 84,417 globally. This country has had a total of 20 deaths from mpox. DAP Health confirmed 109 positive cases after PCR-testing 245 people, and 16 mpox- positive patients were treated with TPOXX (tecovirimat).

Unfortunately, the ramifications of mpox weren’t limited to physical complications. Many people suffered mental, social, and financial costs from the outbreak. Tobe says he spent countless hours after work speaking with many long-term HIV survivors upset that they were initially ineligible for vaccines. The situation seemed too close to the initial federal and social response to the AIDS epidemic in the early 1980s, triggering numerous painful memories. Furthermore, some patients suffered financially or were fired for missing too much work while recovering. Some patients who had informal rental arrangements lost their homes. 

To help remedy these problems, DAP Health utilized its work-reentry program to help patients find new employment. The agency also partnered with the Musicland Hotel to house people until they found permanent residences. Desert Healthcare District funded the hotel cost, along with food delivery and TracFones. Mental health services were available at DAP Health for those in need of counseling. 

Tobe credits the relatively swift, successful end of the local outbreak to DAP Health’s proactive, holistic approach, at the forefront of which was an eagerness to join forces with community, county, state, and federal entities.

9 Bad Habits for the Brain

9 Bad Habits for the BRAIN

For a more positive headspace, avoid these negative behaviors

Words by Dr. Jill Gover

We all want healthy aging, and most of us know a good diet and exercise are essential for a happy and healthy brain. That said, there are also a number of bad habits that can undermine cognition. Altering just one of the following nine bad habits can change how the brain works and help you age better, with reduced risk of dementia. Even people with memory problems can benefit from changing these harmful behaviors. Here are the nine bad habits that hurt your brain:

1. Accentuating the Negative

Ruminating on the negative has been linked to more amyloid and tau deposits (microscopic protein shards that decrease one’s capacity to think and remember) in the brain, which increases risk of developing Alzheimer’s Disease. Negative rumination is associated with a decline in cognition and memory in people over 55, and an increase in depressed mood. Negative self-talk arises from faulty thinking that overemphasizes the destructive aspect of a situation and neglects or ignores the positives. To counter these intrusive negative thoughts, therapists recommend writing a daily gratitude journal, practicing deep belly breathing techniques, learning cognitive behavioral therapy interventions to counter negative self-talk, and employing mindfulness strategies such as greeting the negative thought with “hello,” then telling it “goodbye.”

2.  Skipping Vaccines

A recent study of adults 65 and over who had received the flu vaccine showed they were 40% less likely to develop Alzheimer’s Disease. Those who received the pneumonia vaccine were 30% less likely to develop dementia. 

3. Drinking Sugary Beverages

A 2022 research study found that sugar-sweetened beverages (soft drinks, sweetened tea, fruit drinks, sports drinks, and energy drinks) were linked to a decline in cognitive functioning. It’s better to eat whole fruits instead of fruit juice. Sugar is not good for the brain. 

4. Maintaining Unhealthy Sleep Habits

Quality sleep is crucial to a sharp, productive mind. Creating a consistent sleep schedule allows for more restoration. It’s important to go to bed and wake up at the same time every day, even on the weekends. Too much caffeine, or a room not cool or dark enough, can cause sleep problems as well. In addition, untreated sleep apnea can lead to memory and cognitive disturbances due to a buildup of amyloid material in the brain.

5. Listening to Loud Music

In a study of 639 adults aged 36–90, mild hearing loss was associated with double the likelihood of developing dementia. If someone else standing next to you can hear your earbuds, they’re too loud! If you’re standing within three feet of someone and can’t hear them, the world around you is too loud. It’s a good idea to wear earplugs at concerts, and to remove yourself from loud environments when possible. Continuously subjecting your ears to excessively loud noise when you’re young may harm your hearing and increase your risk of developing cognitive impairments later in life.

6. Excessively Using Drugs That Block Acetylcholine

Tricyclic antidepressants, some bladder medications, and antihistamines can block production of the neurotransmitter acetylcholine. Studies have found that higher cumulative use of these drugs is associated with dementia. If you regularly take several of these drugs, ask your doctor about the risk of anticholinergics and if you should explore alternative medications.

7. Having No Sense of Purpose

Having a reason to get up in the morning contributes to healthy aging, and is an essential element of good self-esteem. Researchers at Rush Alzheimer’s Disease Center in Chicago found that those who scored high on a purpose-in-life assessment were 2.4 times less likely to develop the illness. Whether you are young or old, working or retired, it’s important to explore and create a passion project. Look for new opportunities to engage in something meaningful to you. Volunteer. Travel. Deepen your relationships with others.

8. Not Flossing Your Teeth

Lackluster oral hygiene leads to buildup of bacteria in the mouth and inflammation of the gums, which untreated, can cause periodontitis. Poor periodontal health and tooth loss can increase risk of cognitive decline and dementia, as bacteria and inflammation can make their way from the mouth into the bloodstream, and eventually into the brain. Research has found that people missing several teeth had a 48% higher risk of cognitive impairment. 

9. Drinking Alcohol

In a 2022 study at the University of Pennsylvania, researchers found that even moderate drinking can cause reduced brain volume in older adults. A 50-year-old who went from one alcoholic drink a day to two drinks per day had changes in the brain equivalent to aging two years. Alcohol interferes with brain functions such as speech, memory, judgment, and balance. Cutting back on alcohol is a smart strategy for brain health. It’s a good idea to avoid the urge to drink when you feel sad, mad, tired, or bored. When you drink alcohol to get relief from unpleasant emotions, you inhibit the ability to process and resolve those feelings, which can lead to negative outcomes later. 

My professional advice: Eliminate as many of these bad habits as possible and you will improve your brain health and increase the likelihood of aging well!