Wednesday, December 29, 2021

Hipaa Privacy Rule Exceptions

Generally a persons health information is confidential. 1 A communication is not marketing if it is made to describe a health-related product or service or payment for such product or service that is provided by or included in a plan of benefits of the covered entity making the communication including communications about.

Health Insurance Portability And Accountability Act Of 1996 Hipaa Cdc

As required by the HIPAA law itself state laws that provide greater privacy protection which may be those covering mental health HIV infection and AIDS information continue to apply.

Hipaa privacy rule exceptions. To provide information to next of kin. Laws May Authorize Disclosure If a state or federal law authorizes medical disclosures then. Under the HIPAA public health exemption covered entities may under the HIPAA Privacy Rule disclose PHI without authorization to public health authorities legally authorized to receive it for.

The purpose of preventing or controlling disease The purpose of preventing or controlling injury The purpose of preventing or controlling disability. Judicial and administrative proceedings. The Privacy Rule permits covered entities to disclose protected health information without authorization to persons or entities activities including.

There are several situations in which the medical facility is not required to notify the patient or obtain written. Exceptions to the HIPAA Privacy Policy. In certain cases notice may be provided electronically.

45 CFR 164512bvB. Oversight of the healthcare system including licensing and regulation. Required by Law or Judicial and Administrative Proceedings Prevention or control of disease injury or disability Child or adult abuse neglect or domestic Violence.

The preparatory to research provision of the HIPAA Privacy Rule at 45 CFR 164512 i 1 ii addresses certain circumstances in which seeking patient authorization for use or disclosure of protected health information is not required nor is obtaining Privacy Board or Institutional Review Board IRB approval of a waiver of patient authorization required. Public health and in emergencies affecting the life or safety. The Privacy Rule carves out exceptions to the definition of marketing under the following three categories.

These confidentiality protections are cumulative. In 1999 Congress added HIPAAs Privacy Rule to the legislation to protect a patients health information. HIPAA also allows you to disclose a patients personal health information to an employer regarding work-related illnesses or injuries without the patients written authorization.

Although the privacy rule has placed stringent parameters around the transmission of personal health information it is recognized that health providers are required to maintain and transmit PHI in the course of conducting business. The final rule will set a national floor of privacy standards that protect all Americans but in some states individuals enjoy additional protection. Privacy exception Denial of a patients request for access consistent with HIPAA patient access limitations This exception mirrors the HIPAA Privacy Rule provisions on what Protected Health Information PHI patients have access to and the unreviewable grounds for denying access.

Because HIPAA exempts workers compensation programs from the Privacy Rule authorization requirement. There are however exceptions. 45 CFR 164512l.

Exceptions to the Privacy Rule. With limited exceptions individuals have the right to receive a notice of the uses and disclosures the covered entity will make of their PHI their rights under the Privacy Rule and the covered entitys obligations with respect to that information. Frequently Asked Questions for Professionals - Please see the HIPAA FAQs for additional guidance on health information privacy topics.

For identification of the.

What Causes A Rash With Blisters

The same virus that causes chickenpox the varicella-zoster virus causes shingles. What do autoimmune rashes look like.

Rash 22 Common Skin Rashes Pictures Causes And Treatment

However another frequent cause is an unhealthy living environment.

What causes a rash with blisters. Various illnesses such as mononucleosis chickenpox sixth disease and measles cause a. Viral rashes can occur due to many common viruses especially those that affect babies. The same virus that causes chickenpox also causes shingles or.

Red spots on the hands blisters on the torso and itchy wheals have been identified as possible signs of the coronavirus. The herpes simplex virus typically causes an infected person to break out in a rash of tiny fluid-filled blisters. The first symptom of shingles tends to be a.

It causes a viral skin rash consisting of fluid-filled blisters that are intensely itchy. Allergens usually cause a shiny blistered itchy rash while irritants tend to cause a dry scaly less itchy rash. Chickenpox an infection caused by a virus produces itchy spots and often blisters on the skin.

Depending on the specific reason for the rash the light may cause the affected area of skin to glow red pale blue yellow or white. Irritation Blisters can be caused by physical factors that irritate the skin such as friction rubbing the skin irritating chemicals or extreme cold or heat. It can appear hours to days after exposure.

Tick bites are of particular concern because they can transmit. Your forehead rash may be the result of exposure to heat sweat or the sun. Shingles causes a rash of blisters to occur on the skin.

These diseases are often characterized by chronic inflammation in places from your internal organs to your skin and everywhere in between. Much of the matter that comprises pus is the result of white cell casualties in the ongoing war against infection. Other possible causes of rashes include the following.

Autoimmune conditions may cause a rash because they trigger inflammation in skin cells. A rash can sometimes develop in the area of a bug bite such as a flea bite. You may have bumps and blisters that are red or pink or your skin may appear red or.

Blisters associated with herpes simplex virus are itchy and painful and can leave deep scars if they burst prematurely. Chickenpox is an illness caused by the varicella-zoster virus. Dermatologists have warned of five skin symptoms that may be a.

An open rash is one secondary cause of a rash with pus. Blisters on the feet can result from shoes that are either too tight or rub the skin in one particular area. The rash appears approximately 10 to 21 days after you are exposed to the virus.

Rashes with pus may be caused by an autoimmune disease. Tzanck test In this test a blister is opened and scraped to obtain a sample that is checked in a laboratory for signs of herpes virus infection. And the viral rash lasts about 5 to 10 days.

Etoh Abuse Meaning

The cause of death was combined toxic effects of intravenous heroin abuse and ethanol abuse with a contribution by chronic HIV infection. They may drink to calm down or loosen up in social settings.

Etoh Abuse

When found noted on a medical record it indicates the presence of alcohol on the breath of a patient.

Etoh abuse meaning. ETOH is a medical or scientific abbreviation for ethanol the substance found in alcoholic beverages. Abuse is of course a different issue which involves being involved in accidents having blackouts being unable to control the amount one drinks and other factors. When alcohol is consumed in large amounts it causes the sufferer to inflict a range of damage on his or her personal life and health.

Someone who might balk at the idea of drinking a great deal of wine or beer or who might live with parents or partners who would object to binge drinking might use this term to make alcohol abuse feel more acceptable. The term alcohol abuse is. For this reason alcoholic drinks have become a part of most social gatherings.

EtOh is shorthand for alcohol that individuals drink. ETOH is an acronym that stands for ethyl alcohol commonly referred to as ethanol. Use of alcoholic beverages to excess either on individual occasions binge drinking or as a regular practice.

Alcohol Addiction Meaning of the alcohol. Topics On this page. ETOH abuse is a medical term for people who drink too much alcohol leading to addiction and poisoning.

Substance abuse involving alcohol. This is the substance that constitutes all alcoholic beverages and it is based on its molecular structure. This term is derived from the chemical abbreviation for ethyl alcohol and its used as a synonym for alcoholic beverages.

We can say that term ETOH abuse is medical name of alcoholism and this term usually used by medical and rehabilitation sector which provides alcohol addiction treatment. The investigators looked at the excess deaths. Hospital staff and emergency responders use many abbreviations on medical documents to help record communicate and track a patients status.

In other words alcohol. For some individuals children or pregnant women for example almost any amount of alcohol use may be legally considered alcohol abuse Heavy alcohol abuse can cause physical damage and death. Sufferers are not able to stop drinking alcohol despite these negative consequences.

In medical terms ETOH stands for ethylalcohol. EtOH is a medical term for ethanol the primary ingredient in alcoholic drinks that causes intoxication. Alcohol abuse encompasses a spectrum of unhealthy alcohol drinking behaviors ranging from binge drinking to alcohol dependence in extreme cases resulting in health problems for individuals and large scale social problems such as alcohol-related crimes.

ETOH Abuse What is Symptoms and Treatment. Because of its relaxing effects alcohol is considered as a legal recreational drug. ETOH is short for ethanol or ethyl alcohol.

For some people alcohol abuse and alcoholism results from psychological or social factors. Ethyl alcohol is a clear liquid absorbed by the body when one consumes an alcoholic drink. You see there are several different kinds of alcohol more on that below.

ETOH abuse can be subtle as alcohol binge during weekends to uncontrollable drinking every day. Here alcohol abuse is known as alcohol use disorder. Thus ETOH abuse refers to abuse of drinking alcohol.

Ethanol is a volatile flammable colorless liquid with a slight characteristic odor. What is ETOH abuse. Ethanol is the only safely consumable form of alcohol but it is also used in scents flavorings colorings and medicines.

What does ETOH abuse mean. Others use alcohol to cope with. 5OH an ethyl group linked to a hydroxyl group and is often abbreviated as EtOH.

Addiction Alcohol EtOH Abuse. Ethanol abuse exacerbates copper Cu and zinc Zn deficiencies resulting in metabolic alterations that frequently lead to increased ethanol intake. The statement you posted states that there is a history of Alcohol use.

ETOH abuse means people who abusing alcohol. A person can have alcohol use disorder when they cannot control the amount of alcohol that they drink. Ethanol abuse synonyms Ethanol abuse pronunciation Ethanol abuse translation English dictionary definition of Ethanol abuse.

Ethanol EtOH or alcohol is a chemical added to various beverages to enhance its flavor and provide a relaxing feeling. It is a psychoactive substance recreational drug and the active ingredient in alcoholic drinks.

Tuesday, December 28, 2021

Entek Water Reviews

Simple Easy To Install. One of the best Heating Air ConditioningHVAC Contractors business at 7316 NE 47th Ave Vancouver WA 98661.

Home Entek Environmental Technologies Entek Environmental Technologies

The EPS Series is the flagship of the Entek line.

Entek water reviews. Average of 12 Customer Reviews. Find Reviews Ratings Directions Business Hours Contact Information and book online appointment. The gentleman was really nice and his sales pitch was on par.

We initially signed up to have the system installed. Needless to say I never received the 100 gift card. 10 cross-linked resin for greater capacity.

A Lifetime warranty on ALL components. Refill Cartridges From Only 3899. Warranty is transferable to new owner.

We called one of them and it was Entek water treatment systems. Then he starts talking about how there has been a warning in the city insert yours about the level of chlorine in the water making habitants sick and worried. Flow metered controlled valve.

Call us now at 1-855-999-SAFE 7233. Water softeners vary in cost depending on which type you go for. Custom brine tank indicates salt level.

The EcoWater softener ecs range is listed below. The Entek product line includes home water treatment systems home drinking water systems home HEPA Air filtration office drinking water units. View Jobs at ENTEK.

Audible add salt alarm. No Dry Irritating Skin. A few reviews for this pro.

Eight years ago we had Entek seal and clean ductwork after rodent infestation was cleaned-up. I called for the same job as I had noticed some tears mouse holes and deterioration of a few flex-ducts. No Dirty Water Spots.

All customer reviews are handled by the BBB where the company is Headquartered or a central customer review processing location. Refill Cartridges From Only 3899. EPS Series is certified by Water Quality.

Uses up to 50 less salt. Overview Overview 1 Reviews 1 Jobs 2 Salaries -- Interviews -- Benefits -- Photos. Treats Up To 25L For Around 1p.

YouTube and break room is the place to find them safety is non existent along with chemicals that are harmful to your longevity of life. Like all water softener brands EcoWater dont just produce 1 type of water softener they have a line and range of water softeners. XR-3000 Cation Ion Exchange Resin has Lifetime warranty.

The device looks impressive. They have a good reputation and provide very good technical solutions. Try Enhanced Profile Free for a Month.

Ad Each Cartridge Treats Up To 90000 Litres Of Water. One good manager out of 4 leads dont give advice. We scheduled for someone to come to our house to test our water.

Smart technology for greater efficiency. Claim this company. No Ugly Water Stains.

Explore the many benefits of having a premium branded profile on Glassdoor like increased influence and advanced analytics. EcoWater Softener Reviews. Anyone have experience with Entek Just had the guys at the house trying to sell the water filter but we backed out of it because of the pushy sales tactics at the end.

Simple Easy To Install. I sat through a 2 hour presentation for a water filtration system. Strongest warranty in the industry.

1 valve porting for high flow rates. Typically a water softener that uses salt will be available for around 350-500 and they shouldnt require too much maintenance. Our HVAC business specializes in making our customers feel confident in our products and services and more comfortable in their home or business space.

Remember that the higher the number associated with the series the higher capacity model it will be this is usually the case but not. 90 customer reviews of Entek Corporation. He has a fancy kit.

N0 Dull and Flaky Hair. Excellent customer service and dedication to certifications and ongoing. A lot of people have been there for 10 years so theyre doing something right.

How much do water softeners cost. Solid company with a family feel. 90 customer reviews of Entek.

Designer tanks with decorative tank collars. Entek is practicing in false marketing practices. My girlfriend and I recently moved into a new house.

Anyone actually get one of these. We received multiple flyers for 100 gift cards. You will need to factor in however that salt-based.

Advanced electronics for greater efficiency and reduced salt usage water softeners Audible alarm to remind you when salt should be replenished water softeners Premium 10 cross-linked resin for greater efficiency water softeners Decorative tanks and tank collars for attractive appearance. Read the full Pelican THD-PSE1800 Water Softener review. People are treated fairly and clients rely on expertise provided.

Ad Each Cartridge Treats Up To 90000 Litres Of Water. Check out the Entek advantages. Treats Up To 25L For Around 1p.

A representative comes to your house to do the free test.

Saturday, December 25, 2021

Mitochondrial Disease In Adults

Mitochondrial disease is the term for a group of neuromuscular diseases. Mitochondrial diseases that cause prominent muscular problems are called mitochondrial myopathies myomeans muscle and pathos means disease while mitochondrial diseases that causes both prominent muscular and neurological problems are called mitochondrial encephalomyopathies encephalo refers to the brain.

Mitochondrial Disease In Children Rahman 2020 Journal Of Internal Medicine Wiley Online Library

Progressive mtDNA depletion and the accumulation of mtDNA mutations explain some of the clinical features but the genetic and cellular processes responsible for the mtDNA abnormalities are not entirely clear in each instance.

Mitochondrial disease in adults. Mitochondrial disease is often mistaken for another illness or disorder at first since it can cause flu-like symptoms fatigue loss of appetite and other problems associated with different health. Mitochondria disease is actually a term used to group together hundreds of different disorders that all stem from dysfunctions of mitochondria each one with its own exact cause and symptoms. The complexity of their genotypephenotype.

Adult-onset mitochondrial disease is typically a progressive multisystem disorder. Some of these individuals have been ill their whole lives but went undiagnosed. Dealing with the Fatigue of Mito.

In particular disorders of mtDNA maintenance have emerged as a major cause of mitochondrial disease in adults. Examples of some of the more common mitochondrial diseases include Kearns-Sayre syndrome myoclonus epilepsy with ragged-red fibers and mitochondrial encephalopathy with lactic acidosis and stroke-like episodes. The complexity of their genotypephenotype correlation in terms of penetrance and clinical expressivity natural history and diagnostic algorithm derives from the dual genetic determination.

Mitochondrial Disease in Adults. Impairment of OXPHOS leads to cellular dysfunction and eventually cell death. What are mitochondrial disorders.

Mitochondrial disease in adults. A full exome sequencing revealed I had three mitochondrial diseases. Well known in childhood these mitochondrial diseases can onset in adulthood and may remain unrecognized.

Mitochondrial medicine is a field that expanded exponentially in the last 30 years. ATP is produced through oxidative phosphorylation OXPHOS by the mitochondrial respiratory chain. The natural history of mitochondrial diseases is poorly understood limiting our ability to offer prognostic advice to patients or to evaluate therapy.

The aging process itself may result from deteriorating mitochondrial function. While this disease primarily affects children adult onset is becoming more common. This means doctors dont know my prognosis and they dont know how to treat me.

Chronic progressive external ophthalmoplegia CPEO is the most common specific manifestation of mitochondrial disease and is considered to be present in approximately 20 of patients presenting in adult life. In this article the authors describe the development and validation of a. Mitochondrial diseases in adults Review-SymposiumJInternMed2020287592 608.

There is a broad spectrum of metabolic inherited and acquired disorders in adults that can be attributed to abnormal mitochondrial function. Individually rare mitochondrial diseases as a whole are prob-ably the most frequent genetic disorder in adults. One major obstacle to improving our understanding is the lack of a clinical rating scale to monitor the extensive clinical spectrum of mitochondrial disease.

6 Other patients present with refractory seizure disorders. Coping with Fears and Questions. Even in patients presenting with symptoms mainly in one organ system such as myopathy there is often evidence of multisystem involvement upon physical examination and laboratory evaluation.

I was am the only adult case known. As a result mitochondrial disorders primarily affect tissues that have a high metabolic demand such as the neural muscular cardiac ocular and endocrine systems. Many adults are diagnosed with adult-onset mitochondrial disease.

Mitochondrial disorders are a group of genetic diseases that are caused by defects in the way that mitochondria make energy for the body. Others have carried the genetic mutation that causes mitochondrial disease since birth but did not show any symptoms until a severe illness brought them on. Individually rare mitochondrial diseases as a whole are probably the most frequent genetic disorder in adults.

There are a number of mitochondrial diseases. Adults and False Allegations. In addition a further 165 in 100000 children and adults younger than retirement age are at risk for development of mtDNA disease.

A combination of these diseases the geneticists claimed there had been five to 10 reported cases of all in children under 3 years who died. 45 It typically causes symmetrical limitation of all extraocular muscles and usually occurs in conjunction with ptosis. The disorders affect the organs and tissues that use the most mitochondrial energy.

Mitochondrial diseases have numerous phenotypic expression and form an heterogeneous group of genetic diseases in which the production of energy fails.

Friday, December 24, 2021

Hiv And Hep C

Human Immunodeficiency Virus HIV and Hepatitis C Virus HCV co-infection is a multi-faceted chronic condition that significantly impacts public health. HIV and Hepatitis B and Hepatitis C Coinfection.

Hiv And Hepatitis C Nih

Hepatitis B and hepatitis C are liver infections caused by a virus.

Hiv and hep c. As we enter 2018 antiretroviral treatment for HIV is about as good as it can get use of PrEP for HIV prevention is expanding rapidly and most people can be cured of hepatitis C with 2 or 3 months of well-tolerated therapy. There is always risk of reinfection if re-exposed to the virus. It can wear down your bodys immune system making it hard for your body to fight off dangerous infections.

Health centers are poised to prevent and treat these viral infections by understanding the implications of comorbidity and by creating a welcoming environment for those at risk for previously infected or currently living with one or both diseases. Because these infections can be spread in the same ways as HIV people with HIV in the United States are often also affected by chronic viral hepatitis. Whether HCV causes HIV to advance faster is unclear.

HIV is spread mainly through the blood and through sexual contact. This virus is transmitted through contaminated blood. Consultation can be obtained from Occupational Health or Employee Health Services local experts or the NCCCs PEPline.

Hepatitis C is a disease that affects your liver. When you are diagnosed with HIV your providers will check your blood to see if you have HCV. Hepatitis C is one of the primary causes of chronic liver disease in the United States and hepatitis C-related liver injury progresses faster in people who also have HIV.

All people with HIV should be screened for hepatitis C virus HCV infection AIII. Both hepatitis C and HIV are transmitted the same way says Dr. If so you will be offered medication to cure your HCV.

President Trump Announces Remdesivir Authorized for Emergency COVID-19 Treatment Discusses Ending HIV and Hepatitis C 5-5-2020 On May 1 2020 the President announced that the investigational antiviral drug remdesivir has been authorized. Treatment for HIV is now enabling people to live longer but liver disease in people with HIV and hepatitis C co-infection is becoming a major cause of illness and death. Both hepatitis C and HIV are transmitted through shared injecting equipment so scale up of harm reduction and needle and syringe programmes are key to prevent both HIV and hepatitis C.

According to the Centers for Disease Control and Prevention CDC approximately 25 of people with HIV in the United States also have HCV. Hepatitis C is a contagious viral infection that affects the liver. The focus of the HIVHCV concentration is primarily clinical training in the first year combined with planning for increasing research emphasis in years 2 and 3.

If you have HIV and hepatitis C coinfection then you have both HIV and hepatitis C. Through unprotected sexual contact with an infected person or by sharing injection drug. Year two of the fellowship is largely dedicated to scientific investigation with ongoing.

People living with HIV are at higher risk of contracting hepatitis C because of. Progression to Cirrhosis in Patients with HCV Monoinfection and HIV-HCV Coinfection In the United States approximately 5 of adults with chronic hepatitis C virus HCV infection have coinfection with HIV. These NCCC post-exposure prophylaxis PEP recommendations will help you with urgent decision-making for occupational exposures to HIV and hepatitis B and C.

In people with HIVHCV coinfection HIV may cause chronic HCV to advance faster. Many people who have hepatitis C do not know they are infected and do not have symptoms or feel sick. 2 days agoThe Co-Infection of Hepatitis C and HIV The HepCAUSAL Collaboration co-led by a School of Public Health researcher is the largest collaborative study of HIV and Hepatitis C co-infection and aims to reduce the risk of Hep C reinfection and mortality.

Hepatitis C virus HCV and HIV are overlapping epidemics with serious clinical implications for patients living with both. Patients at high risk of HCV infection should be screened annually and whenever incident HCV infection is suspected AIII. Most people who get hepatitis C develop a long-lasting chronic infection.

See the PEPline page for current hours and availability. Hepatitis C virus HCV. It is caused by the hepatitis C virus and it is spread mainly by blood but sometimes by sex.

Infection with both HIV and HCV is called HIVHCV coinfection.

Wednesday, December 22, 2021

How Many Painkillers Does It Take To Kill You

Opioid painkillers like hydrocodone can trigger dependency and increased sensitivity to pain. If he took 10 ibuprophen it is different than him taking 10 opiate pain killers.

How Long Does Norco Stay In Your System

Can I kill myself with painkillers and how many Can you.

How many painkillers does it take to kill you. Answered 2 years ago Author has 99 answers and 6163K answer views. Its not easy to commit suicide by ingesting painkillers. That will depend on the type of painkillers.

Usually between 72-96 hours after ingesting the toxic dose of paracetamol. You are most likely to die if you take 24 to 30 pills at the same time. The situation can escalate rapidly if sleeping pills are taken along with alcohol.

This is why people become addicted. Yes if you take high doses and it causes enough respiratory depression. You will most like.

24g of Paracetamol is generally accepted to be a fatal dose. Many people had tried but few succeeded. If you take too much your liver cant keep up and starts to fail.

If you closely follow the manufacturers instructions included with the medication there is little to no chance of an overdose yet alone a fatal one. How Many Paracetamol Will Kill You. Doctors recommend only taking 3000 milligrams of APAP in a 24-hour period.

But this does usually take extremely high doses if you only have take opiate painkillers. Regular paracetamol and aspirin would probably have you critically ill before you passed out. Thats why its so hard to stop taking opioids although it is possible with professional treatment.

Probably but how many. It depends on the sort of pain killer. Eventually though your brain will develop a tolerance to painkillers and youll need to take larger doses of the drug to achieve the same high and.

6 reasons you should stop taking too many painkillers Are you one of those who take painkillers every now and then. If you think youve heard it before youre dead wrong. An addiction to opioids can occur after taking them just a few times and in many ways the chemical makeup of your brain starts to shift and this continues the longer you take the drugs.

To continually chase the feeling of being high. Heres how they affect your heart kidneys and brain. How opioids may increase pain over time.

So youll need to provide a little more information before you can get a proper answers. And the path leading to this death is to a significant degree characterised by relatively mild symptoms which misleads the victim to. How many times has someone told you a party drug could lead to more serious problems - like addiction brain damage or even death.

Prescription Pain Relievers Can Kill You. That is way to many u are only supposed to take about 2 for adults contact parents right away. Taking opioid medications over a long period of time may increase your sensitivity to pain known as opioid-induced hyperalgesia.

An overdose can kill you because it leads to liver damage and shuts down your internal organs. And speaking of chances. The lowest amount of Paracetamol to cause death was found by one study to be 10g.

What is tricky is how many other drugs contain APAP. Users of prescription painkillers report a sensation of euphoria when the drug first hits their brains. Chances are youve been taking one of the common pain medication NSAIDs like ibuprofen or naproxen to deal with the pain.

Youve probably heard it so many times its getting hard to believe. Updated March 10 2021 Author has 234 answers and 7984K answer views. Proper pain killers can take as little as 2.

The odds of dying from taking a nonsteroidal anti-inflammatory drug after just two months is around 1 in 1200. Now mix them with a generous amount of alcohol or benzodiazpines Xanax Klonipin Valium etc then you have a much higher chance of a fatal overdose. Read more about Opioid Pain Medications.

If this value is applied to humans it may take 191 tablets 200mgtablet or a total of 38160 mg for a 60-kg man to die from acute ibuprofen overdose. The effects of ibuprofen at lesser doses 600-800mg also include upset stomach which can lead to internal bleeding and death over a long time.

4 Month Appointment

The 4-month visit is a time to show off your beautiful baby. Then hell beam brightly and charm everyone around him. Pregancy Belly Month ...