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Why female executives are reluctant to talk about menopause – Hamilton Spectator

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“How can I compete with men when I can’t sleep?”

That’s the question Andrea said she asked herself when, at 50 and a senior executive at a Canadian financial services company, she realized she was not performing as well as she had previously.

“I looked around the table at all the men and thought, ‘I can’t sleep. I sweat all the time. How can I ever compete with these guys?’”

Andrea said her doctor told her that menopause symptoms were something she would just have to bear, a natural part of aging.

Andrea’s experience is typical in Canada, where a lack of information and fear cause millions of women to miss out on hormone-replacement therapies (HRT) that ease menopause systems, according to experts.

Caused by plummeting estrogen, menopause symptoms — including hot flashes, night sweats, insomnia, depression and transient memory loss — interfere with most women’s lives, according to a U.S. survey. And these challenges emerge between ages 45 and 55, just as women are likely to move into leadership positions.

Yet less than one in 10 Canadian women are treated.

Janice, an ultrafit, public-sector manager, remembers looking down during a meeting to see her pants soaked with blood. She was suffering from menstrual flooding, which affects a quarter of menopausal women. “It was hard to explain why I would leave and not return to meetings,” she remembers.

The bleeding, night sweats and insomnia took Janice to a doctor. “The doctor told me to ‘wait and see’ and did not offer to treat me with medication,” Janice remembers. “If my problem had been penile disfunction, there would have been a treatment for that.”

Janice agreed to “wait and see.” Then she waited some more. Then she broke down.

Overcome by lack of sleep, body changes and depression, Janice had to take a three-month leave. “I knew there was going to be blowback on my career,” she said, “but I just collapsed.”

Many professional women older than Janice and Andrea did not suffer as much. In 1994, more than 20 per cent of Canadian and more than half of American and French menopausal women were taking HRT.

When a 1997 American Medical Association report asserted that HRT extended life expectancy by three years, it became accepted treatment. Two-thirds of 30 retired Canadian professional women informally polled by email for this article took HRT in 1990s.

But then things got scary. A rushed 2002 study by the U.S. Women’s Health Initiative (WHI) announced that HRT increased risk of breast cancer, heart attacks and strokes. Women and their doctors were told that HRT’s risks outweighed its benefits, according to Dr. Maria Velez, an associate professor of obstetrics and gynecology at Queen’s University in Kingston.

Since then, physicians have been afraid to prescribe HRT, despite WHI’s methodology coming under serious scrutiny, said Velez. The study was definitively debunked in 2019.

“My doctor refused to prescribe HRT,” said Lois Sweet, who was an associate professor at Carleton University in Ottawa from 2000 to 2012. Sweet couldn’t sleep because night sweats left her sheets soaking, she said. But it was hot flashes while she was teaching that really affected her professional life.

“There I would be, standing in front of a group of young people, and suddenly my body would turn into a furnace … turning me a brilliant red while sweat poured down my face. It was excruciating.”

Sweet said she begged her doctor three times for HRT before he would prescribe it. “It was like a magic potion … It made a huge difference in my life.”

New research shows HRT is highly beneficial when given to symptomatic women within 10 years of menopause onset or under age 60, said Velez. Rather than harming health, studies show HRT reduces mortality on average by almost 10 per cent, by protecting against cardiovascular and other diseases.

Dr. Wendy Wolfman, a professor at the University of Toronto and director of the Menopause Unit at Mount Sinai Hospital, is trying to defeat the lack of information about menopause and fear about HRT.

“Women have to be aware that the major killer of women after menopause is cardiovascular disease. Eight times as many women die from it than from breast cancer,” said Wolfman. “It’s ridiculous to have women not be able to function for something that is treatable with a medication that’s very safe.”

Ridiculous, perhaps, but apparently difficult to talk about. Fourteen female financial services executives did not respond to a request to participate in this article, even with their identities concealed.

Menopause is not discussed around executive tables, said Nan DasGupta, a senior partner at the Boston Consulting Group and a leader of the company’s women’s initiative. “For men, aging is associated with experience, expertise, gravitas, wisdom,” said DasGupta. But aging women “are perceived as past our prime, grandmotherly.”

Corporations need to find ways for menopausal women to “continue to thrive, work and feel like they can be themselves,” she said.

Wolfman and Velez said much more research into mature women’s health is needed. Only one per cent of medical research is invested in female-specific conditions beyond oncology, according to a recent McKinsey & Company study.

Andrea is now taking HRT and feels much better, she said. “Being able to consistently fall asleep and stay asleep for six to seven hours was a really big change for me.”

But Andrea said she is frustrated and unnerved because she has a new family doctor who is against HRT. “She said she would take me off the hormones if it was up to her.”

Katharine Lake Berz is a consultant and writer on Vancouver Island and in Toronto.

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What’s the greatest holiday gift: lips, hair, skin? Give the gift of great skin this holiday season

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Give the gift of great skin this holiday season

Skinstitut Holiday Gift Kits take the stress out of gifting

Toronto, October 31, 2024 – Beauty gifts are at the top of holiday wish lists this year, and Laser Clinics Canada, a leader in advanced beauty treatments and skincare, is taking the pressure out of seasonal shopping. Today, Laser Clincs Canada announces the arrival of its 2024 Holiday Gift Kits, courtesy of Skinstitut, the exclusive skincare line of Laser Clinics Group.

In time for the busy shopping season, the limited-edition Holiday Gifts Kits are available in Laser Clinics locations in the GTA and Ottawa. Clinics are conveniently located in popular shopping centers, including Hillcrest Mall, Square One, CF Sherway Gardens, Scarborough Town Centre, Rideau Centre, Union Station and CF Markville. These limited-edition Kits are available on a first come, first served basis.

“These kits combine our best-selling products, bundled to address the most relevant skin concerns we’re seeing among our clients,” says Christina Ho, Senior Brand & LAM Manager at Laser Clinics Canada. “With several price points available, the kits offer excellent value and suit a variety of gift-giving needs, from those new to cosmeceuticals to those looking to level up their skincare routine. What’s more, these kits are priced with a savings of up to 33 per cent so gift givers can save during the holiday season.

There are two kits to select from, each designed to address key skin concerns and each with a unique theme — Brightening Basics and Hydration Heroes.

Brightening Basics is a mix of everyday essentials for glowing skin for all skin types. The bundle comes in a sleek pink, reusable case and includes three full-sized products: 200ml gentle cleanser, 50ml Moisture Defence (normal skin) and 30ml1% Hyaluronic Complex Serum. The Brightening Basics kit is available at $129, a saving of 33 per cent.

Hydration Heroes is a mix of hydration essentials and active heroes that cater to a wide variety of clients. A perfect stocking stuffer, this bundle includes four deluxe products: Moisture 15 15 ml Defence for normal skin, 10 ml 1% Hyaluronic Complex Serum, 10 ml Retinol Serum and 50 ml Expert Squalane Cleansing Oil. The kit retails at $59.

In addition to the 2024 Holiday Gifts Kits, gift givers can easily add a Laser Clinic Canada gift card to the mix. Offering flexibility, recipients can choose from a wide range of treatments offered by Laser Clinics Canada, or they can expand their collection of exclusive Skinstitut products.

 

Brightening Basics 2024 Holiday Gift Kit by Skinstitut, available exclusively at Laser Clincs Canada clinics and online at skinstitut.ca.

Hydration Heroes 2024 Holiday Gift Kit by Skinstitut – available exclusively at Laser Clincs Canada clinics and online at skinstitut.ca.

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Here is how to prepare your online accounts for when you die

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LONDON (AP) — Most people have accumulated a pile of data — selfies, emails, videos and more — on their social media and digital accounts over their lifetimes. What happens to it when we die?

It’s wise to draft a will spelling out who inherits your physical assets after you’re gone, but don’t forget to take care of your digital estate too. Friends and family might treasure files and posts you’ve left behind, but they could get lost in digital purgatory after you pass away unless you take some simple steps.

Here’s how you can prepare your digital life for your survivors:

Apple

The iPhone maker lets you nominate a “ legacy contact ” who can access your Apple account’s data after you die. The company says it’s a secure way to give trusted people access to photos, files and messages. To set it up you’ll need an Apple device with a fairly recent operating system — iPhones and iPads need iOS or iPadOS 15.2 and MacBooks needs macOS Monterey 12.1.

For iPhones, go to settings, tap Sign-in & Security and then Legacy Contact. You can name one or more people, and they don’t need an Apple ID or device.

You’ll have to share an access key with your contact. It can be a digital version sent electronically, or you can print a copy or save it as a screenshot or PDF.

Take note that there are some types of files you won’t be able to pass on — including digital rights-protected music, movies and passwords stored in Apple’s password manager. Legacy contacts can only access a deceased user’s account for three years before Apple deletes the account.

Google

Google takes a different approach with its Inactive Account Manager, which allows you to share your data with someone if it notices that you’ve stopped using your account.

When setting it up, you need to decide how long Google should wait — from three to 18 months — before considering your account inactive. Once that time is up, Google can notify up to 10 people.

You can write a message informing them you’ve stopped using the account, and, optionally, include a link to download your data. You can choose what types of data they can access — including emails, photos, calendar entries and YouTube videos.

There’s also an option to automatically delete your account after three months of inactivity, so your contacts will have to download any data before that deadline.

Facebook and Instagram

Some social media platforms can preserve accounts for people who have died so that friends and family can honor their memories.

When users of Facebook or Instagram die, parent company Meta says it can memorialize the account if it gets a “valid request” from a friend or family member. Requests can be submitted through an online form.

The social media company strongly recommends Facebook users add a legacy contact to look after their memorial accounts. Legacy contacts can do things like respond to new friend requests and update pinned posts, but they can’t read private messages or remove or alter previous posts. You can only choose one person, who also has to have a Facebook account.

You can also ask Facebook or Instagram to delete a deceased user’s account if you’re a close family member or an executor. You’ll need to send in documents like a death certificate.

TikTok

The video-sharing platform says that if a user has died, people can submit a request to memorialize the account through the settings menu. Go to the Report a Problem section, then Account and profile, then Manage account, where you can report a deceased user.

Once an account has been memorialized, it will be labeled “Remembering.” No one will be able to log into the account, which prevents anyone from editing the profile or using the account to post new content or send messages.

X

It’s not possible to nominate a legacy contact on Elon Musk’s social media site. But family members or an authorized person can submit a request to deactivate a deceased user’s account.

Passwords

Besides the major online services, you’ll probably have dozens if not hundreds of other digital accounts that your survivors might need to access. You could just write all your login credentials down in a notebook and put it somewhere safe. But making a physical copy presents its own vulnerabilities. What if you lose track of it? What if someone finds it?

Instead, consider a password manager that has an emergency access feature. Password managers are digital vaults that you can use to store all your credentials. Some, like Keeper,Bitwarden and NordPass, allow users to nominate one or more trusted contacts who can access their keys in case of an emergency such as a death.

But there are a few catches: Those contacts also need to use the same password manager and you might have to pay for the service.

___

Is there a tech challenge you need help figuring out? Write to us at onetechtip@ap.org with your questions.

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Pediatric group says doctors should regularly screen kids for reading difficulties

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The Canadian Paediatric Society says doctors should regularly screen children for reading difficulties and dyslexia, calling low literacy a “serious public health concern” that can increase the risk of other problems including anxiety, low self-esteem and behavioural issues, with lifelong consequences.

New guidance issued Wednesday says family doctors, nurses, pediatricians and other medical professionals who care for school-aged kids are in a unique position to help struggling readers access educational and specialty supports, noting that identifying problems early couldhelp kids sooner — when it’s more effective — as well as reveal other possible learning or developmental issues.

The 10 recommendations include regular screening for kids aged four to seven, especially if they belong to groups at higher risk of low literacy, including newcomers to Canada, racialized Canadians and Indigenous Peoples. The society says this can be done in a two-to-three-minute office-based assessment.

Other tips encourage doctors to look for conditions often seen among poor readers such as attention-deficit hyperactivity disorder; to advocate for early literacy training for pediatric and family medicine residents; to liaise with schools on behalf of families seeking help; and to push provincial and territorial education ministries to integrate evidence-based phonics instruction into curriculums, starting in kindergarten.

Dr. Scott McLeod, one of the authors and chair of the society’s mental health and developmental disabilities committee, said a key goal is to catch kids who may be falling through the cracks and to better connect families to resources, including quicker targeted help from schools.

“Collaboration in this area is so key because we need to move away from the silos of: everything educational must exist within the educational portfolio,” McLeod said in an interview from Calgary, where he is a developmental pediatrician at Alberta Children’s Hospital.

“Reading, yes, it’s education, but it’s also health because we know that literacy impacts health. So I think that a statement like this opens the window to say: Yes, parents can come to their health-care provider to get advice, get recommendations, hopefully start a collaboration with school teachers.”

McLeod noted that pediatricians already look for signs of low literacy in young children by way of a commonly used tool known as the Rourke Baby Record, which offers a checklist of key topics, such as nutrition and developmental benchmarks, to cover in a well-child appointment.

But he said questions about reading could be “a standing item” in checkups and he hoped the society’s statement to medical professionals who care for children “enhances their confidence in being a strong advocate for the child” while spurring partnerships with others involved in a child’s life such as teachers and psychologists.

The guidance said pediatricians also play a key role in detecting and monitoring conditions that often coexist with difficulty reading such as attention-deficit hyperactivity disorder, but McLeod noted that getting such specific diagnoses typically involves a referral to a specialist, during which time a child continues to struggle.

He also acknowledged that some schools can be slow to act without a specific diagnosis from a specialist, and even then a child may end up on a wait list for school interventions.

“Evidence-based reading instruction shouldn’t have to wait for some of that access to specialized assessments to occur,” he said.

“My hope is that (by) having an existing statement or document written by the Canadian Paediatric Society … we’re able to skip a few steps or have some of the early interventions present,” he said.

McLeod added that obtaining specific assessments from medical specialists is “definitely beneficial and advantageous” to know where a child is at, “but having that sort of clear, thorough assessment shouldn’t be a barrier to intervention starting.”

McLeod said the society was partly spurred to act by 2022’s “Right to Read Inquiry Report” from the Ontario Human Rights Commission, which made 157 recommendations to address inequities related to reading instruction in that province.

He called the new guidelines “a big reminder” to pediatric providers, family doctors, school teachers and psychologists of the importance of literacy.

“Early identification of reading difficulty can truly change the trajectory of a child’s life.”

This report by The Canadian Press was first published Oct. 23, 2024.

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