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New treatments for endometriosis a common, painful disease that causes infertility
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New treatments for endometriosis a crippling disease that affects 10 percent of women and causes severe pain, internal damage, and infertility. - photo by Heather Simonsen
Endometriosis: a painful disease that kills dreams.

Emily Cottrell and her husband wanted to have a baby. "If I had sought treatment sooner and been diagnosed sooner, things could have been treated before they got so bad," she said.

Cottrell had a hysterectomy after unsuccessful in vitro fertilization. Her uterus was damaged from endometriosis. She suffered severe pain, nausea and headaches for years, beginning with her first period. But Cottrell, who cleans houses, at first thought it was normal.

"That's a really active job, and it would be really hard to go to work for six hours on my feet," she said.

Endometrial tissue outside the uterus causes the condition.

Dr. Jeff Arrington, OB-GYN, said usually a surgeon can remove it without a hysterectomy. He said many doctors tell patients it's the definitive treatment, but he says that's just not true. Arrington said early detection and removal can dramatically decrease the need for repetitive surgeries and infertility.

"The worst cases I see are in their late 20s and they've struggled for so many years and never really had the disease taken care of," Arrington said. "Now they're struggling with fertility concerns and needing to consider hysterectomy."

Rachel Budge's pain was so bad she took prescription pain killers on and off throughout the month when necessary, not just during her period.

"Trying to take care of a baby while your endo is flaring is the hardest thing I've done in my life," she said.

It made being a mother almost impossible.

"I remember crawling on the floor," she said, pushing back tears. "Just completely ignoring my needs to be able to care for my baby."

Doctors say endometriosis has been found in every area of the body except the spleen. Budge even had it on her heart. The disease doesn't show up on scans. It looks like little black dots or blisters on surgical photos.

"I've cut holes in bladders to take endometriosis out," Arrington said. "Just this week, we've had two patients where we've had to cut holes in the bowel to get endometriosis."

Arrington said many OB-GYNs don't have the training to remove endometriosis around the bowel and bladder. But leaving tissue inside the body means it will grow back. He recommends patients look for an excision specialist, who may have recurrent surgery rates below 20 percent.

Budge has had a total of six surgeries, including a hysterectomy to control irregular, heavy bleeding. Her pain is almost gone.

"I feel like I can really set goals again," Budge said. "I can dream again."

Cottrell, too, is enjoying life again.

Arrington said there is hope and treatment in even the most severe cases.

There is help if you or a loved one suffers from endometriosis. Please visit the national "killer cramps" campaign at endofound.org, and Endometropolis and Nancy's Nook on Facebook.
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Have You Seen This? Street musician slays with clarinet
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Better than almost every face-melting guitar or drum solo. - photo by Facebook video screenshot

THE BIG EASY — Yeah, yeah, we all know that New Orleans is stuffed to the gills will incredible musicians.

But knowing that fact and then hearing that fact are two different things. You can step into any number of jazz clubs on any given night on Bourbon Street, and you’ll probably be impressed with virtually every act. Or you can sit at home on your comfy couch and watch this featured video.

In the video, you’ll see a woman who is in the groove. She is swinging hard, and wailing on her clarinet with a practiced expertise that makes it sounds so easy.

From note one you’ll be drawn in; your appreciation will grow with every second, and then your face will melt off when you realize how incredible she really is.

If you’ve never played a woodwind or a brass, you may not know everything that comes with a performance like this. Lung capacity and breath control are huge factors in keeping your notes clear and loud, and hitting those high notes is especially difficult.

So when this woman hits that high note and holds it for several seconds, you know you’re dealing with an exceptional musician. It means she has worked hard for years to develop skill on top of her natural talent, and we get to benefit.

It kinda makes you wonder how we let people get away with mumble rap and autotune when talent like this exists in the world.

I wish this video were longer, and I wish I had more information about this woman, but as it is, we’ll just have to appreciate the little flavor of New Orleans jazz posted by the Facebook group Clarinet Life.

Street musician killing it on clarinet

She must have lungs of iron! Its inspiring hearing the upper registers being played so well.

Posted by Clarinet Life on Tuesday, December 11, 2018

Martha Ostergar is a writer who delights in the ridiculous that internet serves up, which means she's more than grateful that she gets to cruise the web for amazing videos to highlight for your viewing pleasure.
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