Know The Cause Of Hair Loss And Stop Hair Loss With A Hair Loss Remedy

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Know the Cause of Hair loss and Stop hair loss with a hair loss cure, Start the hair loss restoration process with a hair development arrangement so you can control hair diminishing and sparseness

Hair loss strikes the two men and ladies all through the industrialized world, and has numerous causes, the majority of which shift on an individual premise. The most widely recognized reason for hair loss on the planet is male example hairlessness, which commonly begins between the ages of 20 and 40. Normally, it begins at the hair line or the sanctuaries and works its way back; raise male example hair loss can begin with a bare fix at the highest point of the head, and spreads from that point. Male example obat perontok bulu is hereditarily inheritable; more often than not through recessives from your mom – if your maternal granddad had male example hairloss, you will also.

While it’s called “male example hairloss”, one of the reasons for hair loss in ladies is indistinguishable to it – when ladies hit menopause, they quit delivering estrogen, and the proportion of estrogen to testosterone shifts, which can make the hair thin, and drop out, however it tends to frame more as example two (bare spot) hairloss as opposed to a subsiding hairline or blurring from the sanctuaries.

Different reasons for Hair loss incorporate contagious contaminations, similar to ringworm and related parasites. These contaminate the scalp and meddle with the hair follicles. It’s generally found in kids, or rustic zones, and it can be helped with fungicidal shampoos that your specialist can recommend for your youngster and stop hair loss; luckily, once the disease is contained, hair will in the long run become back, however it’ll be more slender. Different ailments that can cause hair loss incorporate diabetes and thyroid conditions, which back off the capacity of the body to produce new hair; being on the correct drugs for these conditions can enhance or stop hair loss. Liver and kidney ailment can likewise impede hair development.

For ladies, another reason for hairloss is a hormone irregularity called polycystic ovary disorder. It causes pimples in the ovaries, and impedes estrogen creation and ingestion, and makes hair thin. It requires deep rooted hair loss medicines. Chemicals you ingest or utilize cosmetically can be a reason for Hair loss, especially anything that strips the hair or stops up the pores, and less than stellar eating routine and sustenance can make your hair do not have the defensive oils it should be sound, making it end up dull and fragile. Taking a decent multivitamin, and eating heaps of protein will help stop this sort of hair loss.While hereditary qualities and hormones are the essential drivers of hair loss, it’s imperative, in case you’re concentrating on ceasing hair loss, to know about the different hair loss causes – they’ll enable you to deal with the hair loss treatment regimen that works for you.

While hair loss influences the two men and ladies, the side effects and root hair loss causes are distinctive between the sexual orientations; the greatest reason is androgenic hormones – an awkwardness between the body’s normally delivered testosterone and estrogens; when the testosterones overwhelm, hairloss starts. Most men endure androgenic hair loss as their bodies leave adolescence, and the testosterone levels don’t drop at a similar rate that estrogen levels do. Ladies endure androgenic hair loss after menopause, however hormone substitution treatment can cover it. Other basic causes incorporate awful eating routine and sustenance, stress, smoking and scalp harm.

Reasons for Hair Loss for Women: Hair loss is for the most part determined by hormones, so anything that influences hormonal levels or adjust will cause a few side effects of hair loss in ladies. These incorporate hormonal contraception, similar to The Pill, and NuvaRing, and some normal supplements that assistance animate weight reduction and muscle development act like progesterone and testosterone, causing comparable impacts. On the off chance that you discover your hair diminishing because of anti-conception medication pills or different pharmaceuticals search for estrogen substitutions, similar to soy items, or converse with your doctor for a hair loss cure.

Reasons for Hair Loss For Men: Hereditary Hair loss is the greatest reason for hair loss, hairlessness for men. Different examples for male example alopecia hair loss are immunilogical. At the point when the body produces DHT in overabundance, the safe framework will assault the hair follicles as an irresistible specialist. Rogaine and comparative are restorative hair loss medications to balance this.

How might you Stop Hair Loss

Your hair is a piece of your body; stay away from chemicals that fix or unkink your hair, and dodge high temperature hair curlers. When you blow dry your hair, you can likewise harm your scalp. Harm to the scalp, be it from pulling hair, or twists, ought to be kept away from. Try not to utilize your fingernails when washing your hair, just the delicate stack of your fingers. Abstain from utilizing metal brushes, which can excite the scalp, and drench your hair brushes in common oils when not being used. While drying your hair, constantly pat dry, or air dry. Keep any blow driers on the cool setting. When you’re going outside, wear a cap, as UV beams can execute your scalp and harm it. Keep your scalp and hair supported to evade any hair loss. Spotlight on keeping your body solid, supported, all around practiced and tranquil. Take up contemplation, or constrained unwinding, to keep your hair loss at any rate.

One-third of millennials brush teeth just once a day, study shows

Many of those polled said they would rather face their fears of public speaking than take a seat in the dentist’s chair.

Millennials may be successful in many ways, but they are failing when it comes to cleaning their teeth, a new study shows.

Research commissioned by Hello Products, an oral care start-up, found that only 30 percent brush their teeth just once a day. Of the 2,000 Americans surveyed, the average person had gone more than two days at a time without brushing their teeth at least once a day.

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Out of 2,000 Americans surveyed, 62% of adults are too afraid to visit the dentist.  (Moncherie)

“While most of us know that professional dental care is important for our overall health, visiting the dentist can still be a nerve-wracking experience for some,” said Craig Dubitsky, founder of Hello Products, to SWNS.

Of the group, 62 percent said were too afraid to visit the dentist, with millennials more likely to be afraid of the dentist than any other age group.

In fact, many of those polled said they would rather face their fears of public speaking than take a seat in the dentist’s chai

Even more surprising, 33 percent said they woulgo without sex for a month than undergo a dental procedure.

But studies have connected good oral hygiene to healthy people.

“Research has shown that there are many linkages to oral health and your overall health,” said Dr. Lawrence Fung, founder of Silicon Beach Dental.

TOP 10 REASONS AMERICANS AVOID THE DENTIST
· Fear of painful treatment
· Fear of pain after treatment
· Noise of the dental drill
· Negative past experiences
· That the anesthetic won’t work
· Dental instruments
· Gag easily
· Afraid of being poked with a sharp object
· Feelings of helplessness
· Embarrassment due to oral hygiene

TOP 5 EXCUSES AMERICANS MAKE TO AVOID OR DELAY THE
DENTIST
· It’s too expensive
· Nothing hurts so there’s no need to go
· My insurance may not cover it
· I can’t take time out of work
· I have more important things to do

Newt Gingrich: Opioid deaths are a health crisis — Treatment, not jail, is the cure

About 91 Americans are expected to die today and every day from opioid overdoses. Over 300,000 have died since the year 2000, surpassing vehicle accidents as the leading cause of unintentional deaths. The economic toll is estimated to be a staggering $78.5 billion per year nationwide.

Most people know someone who has battled addiction. They may have been in an accident or needed surgery. To ease their pain, their doctor prescribed opioids. Those prescriptions were appropriate and entirely legal.

Opioids reduce pain and give intense feelings of happiness. Many people’s brain chemistry causes them to crave this “high” and they become dependent on these drugs. When their prescriptions run out, the cravings don’t stop.

Addiction is a medical condition, not a moral failure. President Trump’s Commission on Combating Drug Addiction and the Opioid Crisis emphasized that addiction is “a chronic brain disease.”

Addiction changes the way people’s brains function, causing their brains to need opiates in order to function normally. The absence of opiates causes brain abnormalities that trigger withdrawal, with physical symptoms such as anxiety, vomiting, cramps, diarrhea, and tremors.

The pain of withdrawal can be unbearable. One person described it as though “every bone in your body hurts. You get hot and cold sweats. It is 90 degrees out here, but you’d be freezing with goose bumps. There is no middle ground.”

To avoid these withdrawal symptoms, many people living with addiction shop for a doctor who will give them another prescription. If that fails, they often resort to buying opioids on the street. This is extremely dangerous because these street drugs often contain Fentanyl, which is cheaper and more deadly than other drugs.

The tragic toll of this epidemic extends beyond those who die from overdoses. Grandparents and foster parents take on the burden of raising the children of those who have become addicted to or died from opioid use.

In addition, there is a troubling increase in the number of children whose mothers take opioids during pregnancy. These innocent babies suffer the terrors of withdrawal after they are born. As a result, many of them experience physical and mental difficulties throughout their lives.

Other epidemics are treated as public health crises with government and private sector support for research to find appropriate treatment and prevention protocols. Unfortunately, we have not made the same commitment to prevent and treat addiction.

Despite the solid evidence that addiction is a disease, there remain those who believe opioid addiction is a moral failure and should be punished with jail time. Certainly, we need to go hard against those who are bringing large shipments of this poison across our borders and into our neighborhoods. These drug dealers belong in prison.

However, imposing severe sentences for people with opioid addiction is both cruel and dangerous. We wouldn’t lock someone up for having pneumonia. So, why would we incarcerate someone with the disease of addiction?

While incarcerated, people living with addiction go through withdrawal without proper medical supervision. It is extremely painful and doesn’t do anything to treat their underlying disease.

Incarceration cannot reverse the neurobiological abnormalities of the addicted brain. In fact, putting people battling opioid addiction in jail rather than in treatment programs can lead to more opioid-related deaths.

Tolerance for the drug is reduced while in jail, but the person’s addiction remains. Upon release, if he or she succumbs to his or her brain’s cravings, the “usual” dose may cause an overdose, which could cause the person to die due to having a lowered tolerance. Continuing to follow the “punishment not treatment” course will only continue the devastation of the opioid epidemic.

Instead, here are some important steps that will help end this opioid epidemic:

  • Partner with pharmaceutical companies and research hospitals to develop non-addictive painkillers and new ways to treat addiction and overdoses.
  • Prosecute major drug trafficking organizations that ship large amounts of illicit synthetic drugs into our country and communities. Currently only 14 percent of federal prisoners convicted of drug crimes were major traffickers. That means we spend millions locking up the 86 percent, who are small fish.
  • Fully enforce the federal law that requires insurance companies to provide the same benefits for mental health and substance use diagnoses as they do for other medical conditions. When they refuse to pay for these services, patients end up in costly jail beds where their addiction is not treated.
  • Reverse health care policies that perversely provide incentives for prescribing opioids, while limiting payments for non-addictive treatments for pain, as well as addiction treatment and medication-assisted treatment.
  • Change outdated laws and regulations that make it harder for people living with addiction to get medication-assisted treatment. This includes eliminating the cap on the number of patients a health-care provider can treat. It also includes changing regulations that make it harder for patients to access new longer-acting recovery drugs that are less prone to be diverted and help with adherence.
  • Establish drug courts that support evidence-based treatment interventions in every federal judicial district. As the commission reported, drug courts are “working in our states and can work in our federal system to help treat those who need it and lower the federal prison population…. Drug Courts are known to be significantly more effective than incarceration…”

These are concrete steps that will provide help to millions of Americans fighting addiction. It is truly a matter of life and death.

Florida teen’s dying wish to marry high school sweetheart to come true

Dustin Snyder and Sierra Siverio will wed Sunday, Jan. 28, 2018, in Plant City, Fla.

edding bells are in the air for a couple whose love will last long after death.

A Florida teenager with terminal cancer will get his dying wish on Sunday to marry his high school sweetheart.

Dustin Snyder, 19, of Valrico, Fla., has been battling cancer, synovial sarcoma, on-and-off since before he turned 18, ABC News Go reported.

The young man was told he was cancer-free following surgery and chemotherapy, but just three weeks ago he experienced pain and was rushed to the hospital where he was told the cancer had returned.

Snyder was given just weeks to live.

“The only treatment for this is removal and they can’t remove this,” Cassandra Fondahn, Snyder’s mother told FOX 13. “It’s been a rough road.”

His girlfriend, Sierra Siverio, who has stayed by Snyder’s side through his sickness, plans to marry her boyfriend Sunday at Big Red Barn in Plant City.

“That means everything to me,” Siverio told FOX 13. “I’m going to be there for him no matter what and I’m really excited for this opportunity.”

“She was there with me since the beginning, and I couldn’t imagine being with anyone else,” Snyder told FOX 8.

The teens met in middle school but lost touch before reuniting in high school.

The community has come together to make sure the wedding is as memorable as possible. Citizens have donated everything from the rings to the wedding gown and venue.

LifePath Hospice is working to get the flowers and bridesmaids dresses, along with someone to provide drinks and a bar service.

A GoFundMe page has been set up to help pay for the couple’s wedding. As of Saturday morning, the campaign has raised more than $19,500.

“I can’t believe the amount of people that have reached out to help,” Fondahn told FOX 8. “It’s a lot of good and compassionate people.”

Siverio said she and Dustin would be together “no matter what, forever, in both of our hearts.”

Potentially toxic chemicals were found in e-cigarette vaper

A new study out of Johns Hopkins says there may be toxic levels of metals including lead that could be leaking from e-cigarettes.

A new warning about vaping published in Environmental Health Perspectives says there may be toxic levels of metals, including lead, that could be leaking from the heating coils of e-cigarettes.

Researchers from Johns Hopkins School of Public Health tested liquids in vapers’ refilling dispensers from 56 Baltimore area users and found potentially unsafe levels of arsenic, chromium, manganese, nickel and lead in the e-liquids from vapors refilling dispensers.

Test results also showed that aerosol metal concentrations were highest for e-cigarettes with more frequently changed coils. Study authors pointed out that chronic inhalation of these metals has been linked to lung, liver, immune, cardiovascular and brain damage, and even cancers.

“It’s important for the FDA, the e-cigarette companies and vaper [users] themselves to know that these heating coils, as currently made, seem to be leaking toxic metals — which then get into the aerosols that vapers inhale,” said study senior author Ana María Rule, assistant scientist in the Bloomberg School’s Department of Environmental Health and Engineering.

The Food and Drug Administration has the authority to regulate e-cigarettes, but has not issued any rulings on the matter so far.

More research is planned to determine possible health effects.

 

Cycling does not harm men’s sexual health, study says

Man cycling

Cycling does not negatively affect men’s sexual health or urinary function, a study has found.

Researchers compared cyclists with runners and swimmers and found their sexual and urinary health was comparable.

The findings contrasted with previous studies that suggested cycling could negatively affect men’s sexual function, the study’s authors said.

They said the benefits to cycling “far outweigh the risks”.

Cycling to work ‘halves cancer risk’

‘Tremendous benefits’

Some 2,774 cyclists from the UK, US Canada, Australia and New Zealand were surveyed, along with 539 swimmers and 789 runners, using a range of questionnaires that measured sexual health and urinary function.

Sexual health and urinary function were comparable in all three groups, researchers said, although some cyclists were more prone to urethral strictures – a narrowing of the urethra.

There was also no statistically significant difference between high intensity cyclists – those who have cycled for more than two years more than three times per week and averaging more than 25 miles per day – and recreational cyclists.

Authors of the study, published in the Journal of Urology, said their findings contradicted previous research that suggested cycling negatively affected erectile function.

These studies lacked comparison groups and were limited by small sample sizes, they said.

“Cycling provides tremendous cardiovascular benefits and is low impact on joints,” lead investigator Benjamin Breyer, from the University of California-San Francisco’s urology department, said.

“The health benefits enjoyed by cyclists who ride safely will far out weight health risks.”

The cyclists did have statistically significant higher odds of genital numbness, the study found.

But by standing more than 20% of the time while cycling the odds of this were significantly reduced, the research found.

The researchers said in future work they would look more closely at those who had reported numbness to see if this was a predictor for future problems.

What Soft Drinks Do to Your Body

Pop, pop, cola, – whatever you need to call it, is one of the most exceedingly bad refreshments that you could be drinking, regardless of whether eating regimen or consistent. I needed to share how sodas influence your body so you that you can settle on an informed and educated choice whenever you go down the drink walkway at the market.

Above all else, soda pops are void calories. Indeed, there are such things as great carbs and terrible carbs, and sodas are stacked with awful carbs, which are basically void calories. Regardless of whether you are drinking “slim down” soft drinks and supposing you are dispensing with calories, you are as yet assimilating conceivably risky simulated sweeteners like aspartame. Eating regimen or without sugar soft drinks are NOT a superior or more secure decision. Notwithstanding, one late examination found that drinking at least one soda pops a day – and it didn’t make a difference whether it was eating regimen or standard – prompted a 30% more noteworthy possibility of weight pick up around the paunch. You should remove soda pops on the off chance that you intend to lose any kind of weight.

Soda pops can likewise destroy your teeth. One container of pop contains more than your prescribed every day recompense of sugar. One can! Include that up finished a couple of years and you can perceive any reason why such a significant number of individuals create dental issues sometime down the road. Between weight pick up and spoiling teeth, also all the fake fixings, soft drinks are second just to liquor regarding what you need to keep away from when you drink.

Fortunately, options exist. Organic product juices do contain sugar, however characteristic sugar found in natural products trumps the manufactured, handled sugar in pop. Tea is a phenomenal option also and is significantly less demanding on your midsection line than pop. My own drink of decision is water with new lime. Americans have been devouring pop for a really long time without understanding the medical issues related with it, so whenever you are in the grocery store, investigate solid contrasting options to sugary soft drinks for you and your family.

Check out keto drink reviews

First gene-editing in human body attempt

Brian Madeux and his fiancé Marcie Humphrey

Gene-editing has been attempted on cells inside a patient, in a world first by doctors in California.

Brian Madeux, 44 from Arizona, was given the experimental treatment to try to correct a defect in his DNA that causes Hunter’s syndrome.

Mr Madeux says he was prepared to take part in the trial as he is “in pain every second of the day”.

It is too soon to know whether or not the gene-editing has worked in Mr Madeux’s case.

Hunter’s syndrome is rare. Patients are born without the genetic instructions for an enzyme that breaks down long sugary molecules called mucopolysaccharides.

Instead, they build up in the body and damage the brain and other organs. Severe cases are often fatal.

“I actually thought I wouldn’t live past my early 20s,” said Mr Madeux.

Patients need regular enzyme replacement therapy to break down the mucopolysaccharides.

But Mr Madeux has been given an experimental treatment to rewrite his DNA to give him the instructions for making the enzyme.

The therapy was infused into his bloodstream on Monday at Oakland’s UCSF Benioff Children’s Hospital.

The therapy contains two molecular scissors – called zinc finger nucleases – that cut the DNA at a precise spot.

This creates an opening for a new piece of DNA, containing the desired instructions, to be inserted into the patient’s genetic code.

The genetic therapy has been designed so it becomes active only once it gets inside Mr Madeux’s liver cells.

Dr Chester Whitley, one of the doctors working on the trial, told the BBC: “If works as well as it does in mice, this has huge ramifications.

“I’m very optimistic we have a both safe and efficacious way of providing gene therapy.”

His long-term hope is to perform gene-editing shortly after birth, because an “untreated baby loses 20 IQ points per year”.

Gene editing has been tried in people before, but cells have been taken out of the body, edited, checked for errors and then placed back in.

That works for tissues that can be temporally removed and returned at a later date like a sample of bone marrow.

However, such an approach is impossible for organs like the liver, heart or brain. It is why doctors have attempted the gene editing inside the patient’s body.

The trial is testing only the safety of performing the gene editing and it will require more research to know if it could be a valid therapy.

So far there have been no side effects in Mr Madeux and if everything continues to go well, then up to nine patients will receive the experimental procedure as part of the study.

‘New frontier’

Dr Sandy Macrae, from Sangamo Therapeutics, which designed the therapy, said: “For the first time, a patient has received a therapy intended to precisely edit the DNA of cells directly inside the body.

“We are at the start of a new frontier of genomic medicine.”

Further safety trials using the same technology to treat haemophilia B and Hurler syndrome are also planned.

Mr Madeux says he is prepared to have his DNA altered “if it will prolong my life and help scientists find cures for humankind”.

Health company fires 69 employees over refusal to get flu shots, report says

Some of the nurses claim they filed for exemptions based on religious or medical grounds, but Essentia Health, which counts 15 hospitals and 75 clinics in Minnesota, Idaho, Wisconsin and North Dakota, had previously said it would allow for “very limited medical and religious exemptions,” among its 13,900 employees.

A Minnesota-based health care company reportedly fired 69 employees who failed to comply with its flu shot mandate by the Nov. 10 deadline. In response to the firings, the Minnesota Nurses Association announced plans to file grievances against Essentia Health on behalf of the terminated employees to regain employment status or recover lost pay, Fox 9 reported.

Some of the nurses claim they filed for exemptions based on religious or medical grounds, but Essentia Health, which counts 15 hospitals and 75 clinics in Minnesota, Idaho, Wisconsin and North Dakota, had previously said it would allow for “very limited medical and religious exemptions,” among its 13,900 employees.

The nurses also claim they had proposed an alternative program that rewards employees for receiving the vaccine rather than punishing those who didn’t, as well as designated sick time for those who suffer adverse reactions from the shot.

“Essentia Health showed nurses they did not intend to bargain with us in good faith,” Steve Strand, co-chair of the MNA bargaining unit, told Fox 9 in a statement. “We tried to sit down with management, but Essentia executives told us they intend to follow through with terminations and mandatory flu shots regardless.”

Dr. Rajesh Prabhu, an infectious disease specialist and Essentia’s chief patient safety officer, told The Star Tribune that while the vaccine is not 100 percent effective, there is a greater need to vaccinate hospital workers who interact with severely ill patients.

HOW COMMON ARE FLU SHOT SIDE EFFECTS?

“We are working in a different environment,” Prabhu told the news outlet. “We’re taking care of patients. We have a different sort of ethical obligation.”

The Minnesota Department of Health does not have a policy for health care providers regarding the flu shots, but does promote the vaccine for anyone who is at high-risk for influenza or who is around other high-risk individuals.

Mental health issues increasing as Sonoma County enters new phase of fires’ aftermath

Martha Marquez is not prone to cry at movies and usually keeps a tight rein on her emotions. But when a Red Cross worker called her up recently and told her she was checking on her mental health after the loss of her Santa Rosa home, Marquez could not hold back the tears.

“She said to me, ‘We know everyone is offering financial assistance and donating stuff, but what about mental health? How are you doing?’ and I just started crying,” she said.

Marquez, 56, lost her home on Fairway Knoll Court when the Tubbs fire raced up the northern slopes of Fountaingrove on Oct. 9. The firestorm also completely destroyed Paradise Ridge Winery, where she worked as an event manager and where her husband, Fernando, worked as the estate property manager. Her daughter, Brianna, also worked at the winery part time.

For more than a month, Marquez and her family have been dealing with the daunting logistics of recovery, federal aid forms, insurance claims and home reconstruction estimates. But now something else has settled into her life like a thick fog, caused by the overwhelming uncertainty of the future, the loss of control and the inescapable memories of that traumatic night and the days that followed.

“I’m normally a very positive person, usually in a good mood. It’s just that I’m a little lost,” Marquez said. “First I was saying, I’m taking it day by day, and now I’m just saying, I’m OK.”

October’s deadly wildfires have left an untold number of North Bay residents battling new levels of stress, anxiety, depression and other mental health issues that experts say are anticipated in the wake of such a profound tragedy.

Therapists and other mental health professionals are seeing an increasing number of people seeking help, and Sonoma County officials are bracing for what could be an unprecedented wave of mental health care issues stemming from the historic disaster and its ongoing aftermath.

They say the growing need for mental health services will require a communitywide response that goes hand in hand with any regional strategy for rebuilding decimated neighborhoods and businesses.

“It’s been six weeks since the fires — the impact on the community has been incredible and it’s not going to just go away,” said Maryellen Curran, a clinical psychologist and the mental health director for Santa Rosa Community Health, the county’s largest system of health clinics.

Curran said the demand for mental health is on the rise in the past few weeks, with many patients exhibiting signs of enduring grief, depression, irritability, anger and sleep disturbance. The level of these symptoms depends “on the exposure they had to the immediacy of the fires,” she said.

Curran and other mental health experts say that for those who lost a loved one or fled from visible flames that ultimately consumed their home, the mental health effects will be more profound.

Michael Kennedy, Sonoma County’s mental health director, said the number of calls received by his department has doubled since the fires, with many of those calls coming from new patients. Local health care providers and clinics have only now begun to log the increase in patients seeking mental health assistance and it could be sometime before the impact on the local community’s mental health is fully assessed.

For Marquez, the fires have left her feeling like a different person.

“It’s an emotional roller coaster. I’m not a crier at all … that’s why I know I need help, because my mental health is not getting any better,” she said.

Marquez, who lived with her husband and daughter about a mile and a half from the winery where she worked, was awakened the night of the firestorm by a phone call at about 1 a.m. from an elderly woman, a tenant at the winery estate, who said she and others were evacuating the property. The tenant asked that Fernando call the winery owners.

Marquez, who along with her husband decided to drive by the winery, said she got dressed and went outside and saw smoke and ash, and could see cars speeding down Thomas Lake Harris Drive, away from Cross Creek Road and the Mark West Springs area.

“I told my husband, ‘I am not going to the winery, I’m getting the hell out of here,’ ” she said, adding that the three left in separate cars and embarked on a frightening exodus she knows will haunt her for sometime.

She experienced flames and embers flying in the howling wind, trees and branches in roadways, the smell of heavy smoke and the fear of being burned alive in her car while stuck in traffic.

“My husband and I both feel like we don’t have control over our lives,” she said. “Your financial future, your home, everything has just kind of been stripped from us. It’s hard to make decisions, because you don’t feel like you’re mentally healthy and you have to make very big decisions.”

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As Sonoma County and other fire-affected areas approach the second month since the firestorms, experts say we are poised to enter the “phase of disillusionment” — a period that follows the initial phase of cohesion where an entire community unites, exemplified perhaps by the slogans now seen throughout the county: “Sonoma Strong” or “The love in the air is thicker than the smoke.”

Based on research following other natural disasters, the disillusionment phase is defined by a downward slope of emotions that experts say could last six months or longer, depending in large part on the amount of time it takes for the thousands directly affected by the fires to recover and rebuild.

“It’s got to be a whole community response,” said Kennedy, the county mental health director. “We’re going to try to pull together all community members to all be involved.”

Kennedy said that includes getting special disaster-related training for health and human services employees and reaching out to local therapists, insurance plans and community-based agencies.

Trauma experts Robert Macy of the International Trauma Center and Melissa Brymer, program director of terrorism and disaster programs at the UCLA Neuropsychiatric Institute, are scheduled to visit Sonoma County Dec. 5, to help local officials develop a long-term mental health plan.

In a Nov. 21 presentation to the Sonoma County Mental Health Board, Kennedy used a chart describing the different phases of disaster psychology. He said the chart was developed by mental health experts after Hurricane Katrina, which killed more than 1,833 people and caused up to $108 billion in damage.

The chart, which tracks emotional highs and lows, shows the period of disillusionment, with slight dips and rises caused by “trigger events,” lasting all the way to the anniversary of the disaster. From then on it’s an emotional climb toward the period of “reconstruction.”

Doreen Van Leeuwen, a licensed marriage and family therapist and specialist in critical incident response and disaster mental health, said that for many fire survivors, the emotional highs that brought the community and many fire victims together will soon fade.

Van Leeuwen, who lives in Santa Rosa’s St. Rose neighborhood, said the uplifting and unifying qualities of “Sonoma Strong” begin to wane when people have to face the fact that it’s going to take longer than they want to rebuild and that, for some, the money that they’re getting from insurance companies isn’t going to cover rebuilding. For many if not most renters whose homes burned down, there is no rebuilding in their future, she said.

“The extent of the disaster here is causing a lot of upheaval in every aspect,” said Van Leeuwen. She and nearly 100 therapists with the Redwood Empire chapter of the California Association of Marriage and Family Therapists have banded to offer three to five sessions of counseling to anyone affected by the fires.

“I would say we have a whole community that’s grieving right now,” said Sonoma County Supervisor Shirlee Zane. “There’s also a tremendous amount of people beginning to experience the symptoms of grief.”

Zane, a former family therapist, said both grief and trauma have physiological effects, such as headaches, panic attacks, diarrhea, stomachachescq, sweating, having chills or being easily startled.

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Losing a house in a violent firestorm can leave people feeling powerless, almost insignificant, compared to the raw, indiscriminate power of a natural disaster, Zane said.

“For my wife and I, we’re really kind of feeling the reality that people not directly affected by the fire are moving on,” said Brad Silvestro, who lost his Rincon Valley home on Deer Trail Road on Oct. 9.

Silvestro, a paramedic with Sonoma Life Support, and his wife, Schiffbauer, a Kaiser Permanente nurse, say they are thankful and overwhelmed by all the community support they’ve received. But weeks will eventually turn to months, and hurdles and obstacles to rebuilding seem endless, the couple said.

“The lows are lower now,” Silvestro said. “Every day you remember something you don’t have. Every day you realize you have lost everything … there’s not a day that goes by where what happened is not in my consciousness.”

But Silvestro said he finds strength in his refusal to be a “victim” of the firestorm.

“Being a fire survivor gives us that motivation to keep moving,” he said. “We’re at the bottom of a hill. We have to get to the top; there really is no other option.”

Widespread disasters like the fires call for population-level health strategies, said Dr. Jason Cunningham, medical director of the West County Health Centers. Cunningham and mental health staff at WCHC have launched a “mapping” effort to identify all the health center’s patients potentially affected by the fires.

The project involved combining “fire maps” with home address data from WCHC’s patient database. Cunningham said the mapping identified some 700 active patients who had been seen within the last 18 months by a primary care provider at one of WCHC’s health centers

“People are settling into reality,” Cunningham said. “We’re seeing a lot of stress, worsening depression, anxiety … It’s no longer, you’re running away from a fire, it’s what’s this going to mean for my family and children going forward.”

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Aimee Gray, 42, of Santa Rosa has turned to Facebook for what she calls “self-therapy.” Gray recently posted a long message to the Santa Rosa Firestorm Update page on Facebook, warning that the “PTSD thing is VERY real.”

Gray, who fled her doomed home on Bennett Ridge with her husband and young daughter on Oct. 9, said she’s now dealing with the aftermath of what is “officially the scariest night of my life.” She’s said she’s considered counseling as she reflects back on the events of Oct. 9.

Awakened by the persistent barking of her dog at 2 a.m. and then the sound of several explosions, she got out of bed and smelled smoke as soon as she opened her bedroom door. Gray thought her home was on fire and ran to the other side of the house in search of flames. From her view overlooking Bennett Valley, the sky was glowing bright red. She texted her mother an alarming message and minutes later was leaving her home with her young family.

“Embers were flying on top of us as we were getting into our vehicles,” Gray said, adding that flames had already come up on their porch when they left. “We knew we were losing that house as we drove away.”

They headed toward a friend’s house in Windsor, unaware that the Tubbs fire was leveling neighborhoods in north Santa Rosa. Unable to get on Highway 101, they drove into northwest Santa Rosa, near the inferno that was consuming Coffey Park.

“We saw Coffey Park on fire … we didn’t know where to go at that point,” she said, adding that somehow they found a way to River Road and then arrived at their friend’s house in Windsor.

In her Facebook post, Gray describes recently smelling fireplace smoke for the first time since that night.

“This was very strong since it was so close,” she wrote. “The hair went up on the back of my neck from the smell and I couldn’t get back in the house quick enough. I started dry-heaving and then sobbing.”

Gray said she shared her story because she hopes it will help others who are feeling the same way. She said that as her life is getting back to normal — “not having to go to FEMA, not having to go to the Red Cross” — she has more time to reflect and to focus on her emotional state.

“I’m starting to do laundry, a normal life is taking over, you have time to reflect and see what’s going on,” she said. “That’s why a lot of people are like, ‘Oh, well I really need to get help.’ ”