Health

Americans with Covid or other respiratory infections need not isolate for five days before returning to work or school, the Centers for Disease Control and Prevention said on Friday, a striking sign of changing attitudes toward the coronavirus.People with respiratory illnesses may resume daily activities if they have been fever-free for at least 24 hours without the aid of medications and if their symptoms are improving, agency officials said. Acknowledging that people can be contagious even without symptoms, the C.D.C. urged those who end isolation to limit close contact with others, wear well-fitted masks, improve indoor air quality and practice good hygiene, like washing hands and covering coughs and sneezes, for five days.The guidelines apply to Covid, influenza and respiratory syncyti...

On “The Daily Show” this week, the host Jon Stewart broke down as he announced the death of his beloved, three-legged brindle pit bull, Dipper — a raw, touching segment that exemplified the deep grief many pet owners feel.When an animal dies, owners lose companionship, affection and “just plain unconditional love — and we don’t find that in many places in our lives,” said Sherry Cormier, a psychologist and author of “Sweet Sorrow: Finding Enduring Wholeness After Loss and Grief.”Our society tends to be “grief-phobic,” Dr. Cormier said, and there is a sense that the feelings prompted by the loss of a pet are relatively low in the hierarchy of suffering, or that it’s something that people should be able to cope with and move on from quickly. Dr. Cormier and other loss experts said that is no...

The NewsA growing share of abortions is now being administered through telemedicine, with clinicians prescribing mail-order abortion pills after online consultations, according to the first nationwide count of telehealth abortions in the U.S. medical system. At least one in six abortions, around 14,000 a month, was conducted via telehealth from July through September, the most recent months with available data.How It WorksPills are prescribed by virtual-only providers and by clinics that also offer in-person services. Patients fill out an online questionnaire or meet with a clinician via video or text chat. This method began nationwide in 2020, when the Food and Drug Administration began allowing abortion providers to mail pills without an in-clinic visit during the pandemic.Some of the pr...

A cyberattack on a unit affiliated with UnitedHealthcare, the nation’s largest insurer, has disrupted drug prescription orders at thousands of pharmacies for nearly a week.The assault on the unit, Change Healthcare, a division of United’s Optum, was discovered last Wednesday. The attack appeared to be by a foreign country, according to two senior federal law enforcement officials, who expressed alarm at the extent of the disruption on Monday.UnitedHealth Group, the conglomerate, said in a federal filing that it had been forced to disconnect some of Change Healthcare’s vast digital network from its clients, and as of Monday, had not been able to restore all of those services.Change handles some 15 billion transactions a year, representing as many as one in three U.S. patient records and inv...

The first time Dr. Peter Hackett saw a patient with frostbite, the man died from his wounds. It was in Chicago in 1971, and the man had gotten drunk and passed out in the snow, his fingers so frozen that gangrene eventually set in.Dr. Hackett later worked at Mount Everest Basecamp, on Denali, Alaska, and now in Colorado, becoming expert in treating cold-weather injury. The experience was often the same: There was not much to do about frostbite, except rewarm the patient, give aspirin, amputate in severe cases and, more often, wait and accept that six months later the patient’s body might “auto-amputate” by naturally shedding a dead finger or toe.His mentor in Anchorage used to say, “Frostbite January, Amputation July,” remembered Dr. Hackett, clinical professor at the Altitude Research Cen...

Cryoport, a major embryo shipping company, said on Friday that it was “pausing” its business in Alabama as it evaluated the state’s Supreme Court decision that declared frozen embryos created through in vitro fertilization to be children.“Until the company has further clarity on the decision and what it means for Cryoport, clinics and intended parents, it is pausing all activity in Alabama until further notice,” read an email received by an Alabama fertility clinic and shared with The New York Times.The email said that Cryoport would “not be able to assist” with a scheduled shipment, and instead would offer a refund.The Alabama court’s ruling has already significantly limited fertility treatment for patients in that state. Three clinics have paused care as they evaluate what the ruling mea...

The Alabama Supreme Court has opened a new front in the legal debate over when human life begins. Embryos created and stored in a medical facility must be considered children under the state’s law governing harmful death, the court ruled.Friday’s ruling was cheered by anti-abortion activists nationwide, who have long argued that life begins at conception. They were thrilled that, for the first time, a court included conception outside the uterus in that definition. But the strongest and most immediate effect of the decision will be on fertility patients trying to get pregnant, not women seeking to end their pregnancies.The Alabama ruling invites states to enact strict new regulations over the fertility industry that could sharply limit the number of embryos created during a cycle of medica...

It started with mild anxiety.Emily, who asked to be identified only by her first name because she was discussing her mental health, had just moved to New York City after graduate school, to start a marketing job at a big law firm.She knew it was normal to feel a little on edge. But she wasn’t prepared for what came next: chronic insomnia.Operating on only three or four hours of sleep, it didn’t take long for her anxiety to ramp up: At 25, she was “freaking nervous all the time. A wreck.”When a lawyer at her firm yelled at her one day, she experienced the first of many panic attacks. At a doctor’s suggestion, she tried taking a sleeping pill, in the hopes that it might “reset” her sleep cycle and improve her mood. It didn’t work.Americans are chronically sleep deprived: one-third of adults ...

On Fridays at 10 a.m., Richard Bement and Zach Ahmed sign on to their weekly video chat. The program that brought them together provides online discussion prompts and suggests arts-related activities, but the two largely ignore all that.“We just started talking about things that were important to us,” said Mr. Ahmed, 19, a pre-med student at Miami University in Oxford, Ohio.Since the pair met more than a year ago, conversation topics have included: Pink Floyd, in a long exploration led by Mr. Bement, 76, a retired sales manager in Milford Township, Ohio; their religious faiths (the senior conversation partner is Episcopalian; the younger is Muslim); their families; changing gender norms; and poetry, including Mr. Ahmed’s own efforts.“There’s this fallacy that these two generations can’t co...

The NewsGrowing numbers of children and adolescents are being prescribed multiple psychiatric drugs to take simultaneously, according to a new study by researchers at the University of Maryland. The phenomenon is increasing despite warnings that psychotropic drug combinations in young people have not been tested for safety or studied for their impact on the developing brain.The study, published Friday in JAMA Open Network, looked at the prescribing patterns among patients 17 or younger enrolled in Medicaid from 2015 to 2020 in a single U.S. state that the researchers declined to name. In this group, there was a 9.5 percent increase in the prevalence of “polypharmacy,” which the study defined as taking three or more different classes of psychiatric medications, including antidepressants, mo...