How to be Prepared in Case of a Shooting Without Living in Fear

How to be Prepared in Case of a Shooting Without Living in Fear

Claremont Colonic Newsletter
At first, Brandon Tsay froze when a gunman aimed a firearm at him, he said. He was sure those would be his last moments.

But then something came over Tsay, who was working the ticket counter in the lobby of his family’s Lai Lai Ballroom & Studio, a dance hall in Alhambra, California.

He lunged toward the armed man and struggled through being hit several times in order to wrestle the gun away, he told CNN’s Anderson Cooper Monday evening.

The gunman had already killed 11 people and injured 10 others before arriving at Tsay’s workplace.

Tsay’s courage saved his life that day, but probably also saved countless more, said Ronald Tunkel, a former special agent with the US Bureau of Alcohol, Tobacco, Firearms and Explosives, who was trained as a criminal profiler.

While Tsay’s actions show heroism and bravery, what he did is more possible than people think, said Dr. Ragy Girgis, associate professor of clinical psychiatry at Columbia University in New York City.

“People have a great capacity for responding to tragedies like these. People wouldn’t realize how heroically they could respond,” he said.

Fortunately, most people will not find themselves in a situation in which they will have to respond to a mass shooter, Girgis said. But incidents like these are all too common and on the rise in the US, according to the Gun Violence Archive.

There is not much research on intervention in mass shootings by civilians, Girgis said.

Still, as the US sees mass shootings on a regular basis, companies, nonprofits and schools are training people about how to respond. Tunkel and Jon Pascal, an instructor for both Krav Maga Worldwide and the Force Training Institute, say they are seeing more training and protocols around active shooting situations for everyday people.

A word of warning: If your awareness around safety starts to contribute to anxiety or interfere with life in a meaningful way, it may be time to consult a mental health expert, said psychiatrist Dr. Keith Stowell, chief medical officer of behavioral health and addictions for Rutgers Health and RWJBarnabas Health.

Awareness and preparation

Tunkel said being able to respond effectively to emergency situations takes two things: awareness and preparation.

Create “a habit of safety,” Pascal recommended. That means that people should routinely make note of the mood of crowds they are in, the exits and entrances, and what tools are available around them in case they need to respond to a scary event.

“We don’t want to walk around paranoid and not live our lives, but I think if we make personal safety a habit, it becomes something normal,” he said.

Your worst-case scenario is probably never going to happen, but being prepared means you have ways to take care of yourself and those around you if it does, Pascal added.

In addition to implementing awareness of your surroundings, Pascal recommends making a plan for how you will respond in case of medical, fire or violent emergencies.

It is always important to look for two ways of exiting a building in case danger or an obstacle is blocking one, he said. And at home or in workplaces, he recommended taking note of doors that can be locked and things that can be used to barricade.

Once you have the plan, practice it, he added. That bookcase might look like the perfect barricade in your head, but then be impossible to move in an emergency, Pascal said. And you want to be sure your escape routes don’t have locked doors you can’t open.

But preparation can also take the form of training — and it doesn’t have to be long-term, intensive and specific to the situation, Tunkel said.

Self-defense or active shooter training can help give you knowledge and strategies to use quickly if ever they are needed, Pascal said. But even more general training can help give you the mental and physical responses needed in case of emergency, Tunkel said.

Weight lifting and team sports can show you that you are physically capable of responding, he said. Yoga and meditation can train your breath and brain to stay calm and make good decisions in crisis, he said.

And in a dangerous situation, acting quickly and decisively is often safest, Pascal said.

Understanding what is happening

It’s hard to be decisive when bullets are flying. Many victims of mass shootings have reported that the events were confusing and that it was hard to tell what was happening, Girgis said.

And if people don’t know what is happening, they often rely on their instincts to make decisions on what to do next, which can be scary, Pascal said.

The human brain likes categories to make things simpler, so it will often default to relating new things to those we have been exposed to before, Stowell said. When a person hears a popping noise, they might be likely to assume the sound is something familiar like a firecracker, he added.

Instead, Pascal advised people — whether they think they hear balloons popping or gunshots — to stop, look around to gather as much information as they can about what is going on around them, listen to see if they can learn anything from the sound, and smell the air.

Because where there are gunshots, there is often gunpowder, Pascal said.

Once someone has gathered what information they can, it is important to trust your perception of danger, Tunkel said.

Knowing there is danger activates a fight-or-flight response, which humans have honed over thousands of years to respond to predators, Stowell said.

But when a person is in a dangerous situation that is so far from anything they’ve experienced before, it is not uncommon for them to freeze, he added.

That is where training of any kind comes in. Even if it doesn’t teach you every detail of how to respond, it gives your brain a set of knowledge to fall back on in a terrifying situation, Stowell said.

Run, hide, fight

Wrestling a gun away isn’t the only way to act when there is a mass shooter, Pascal said.

The US Department of Homeland Security developed a protocol called “Run, hide, fight.”

“Run” refers to the first line of defense — to get yourself away from a dangerous situation as quickly as possible, Pascal said. You can encourage others to run away too, but don’t stay back if they won’t leave with you.

If it isn’t possible to run, the next best option is to hide, making it more difficult in some way for the perpetrator to get to you, he said.

If none of those are an option, you can fight.

“You don’t have to be the biggest, strongest person in the room,” Pascal said. “You just have to have that mindset that no one is going to do this to me and I’m going home safe.”

Even though most people are capable of responding to danger in some way, it is important not to judge how much or how little a bystander or victim acts, Tunkel said.

“What may be reasonable for one person in one situation is not for someone else in another situation,” Pascal said.

No matter how well a person has been trained, mass shootings are “beyond the scope of anything we’ve had to experience in our everyday lives,” Stowell said. “There’s no real expectation of a right response, despite training.”


Contributor: Madeline Holcombe -CNN

Series Elle Sez: Walk the Walk! – Let it Snow!

Series Elle Sez: Walk the Walk! - Let it Snow!

Walking the Walk in Wasatch Mountains State Park

Series: Know Your Body: The Lymphatic System

Series: Know Your Body: The Lymphatic System

Claremont Colonic Newsletter

Your lymphatic system, part of your immune system, has many functions. They include protecting your body from illness-causing invaders, maintaining body fluid levels, absorbing digestive tract fats and removing cellular waste. Blockages, diseases, or infections can affect your lymphatic system’s function.

What is the lymphatic system?

The lymphatic system is a network of tissues, vessels and organs that work together to move a colorless, watery fluid called lymph back into your circulatory system (your bloodstream).

Some 20 liters of plasma flow through your body’s arteries and smaller arteriole blood vessels and capillaries every day. After delivering nutrients to the body’s cells and tissues and receiving their waste products, about 17 liters are returned to the circulation by way of veins. The remaining three liters seep through the capillaries and into your body’s tissues. The lymphatic system collects this excess fluid, now called lymph, from tissues in your body and moves it along until it’s ultimately returned to your bloodstream.

Your lymphatic system has many functions. Its key functions include:
  • Maintains fluid levels in your body: As just described, the lymphatic system collects excess fluid that drains from cells and tissue throughout your body and returns it to your bloodstream, which is then recirculated through your body.
  • Absorbs fats from the digestive tract: Lymph includes fluids from your intestines that contain fats and proteins and transports it back to your bloodstream.
  • Protects your body against foreign invaders: The lymphatic system is part of the immune system. It produces and releases lymphocytes (white blood cells) and other immune cells that monitor and then destroy the foreign invaders — such as bacteria, viruses, parasites and fungi — that may enter your body.
  • Transports and removes waste products and abnormal cells from the lymph.
Anatomy
What are the parts of the lymphatic system?


The lymphatic system consists of many parts. These include:

  • Lymph: Lymph, also called lymphatic fluid, is a collection of the extra fluid that drains from cells and tissues (that is not reabsorbed into the capillaries) plus other substances. The other substances include proteins, minerals, fats, nutrients, damaged cells, cancer cells and foreign invaders (bacteria, viruses, etc). Lymph also transports infection-fighting white blood cells (lymphocytes).
  • Lymph nodes: Lymph nodes are bean-shaped glands that monitor and cleanse the lymph as it filters through them. The nodes filter out the damaged cells and cancer cells. These lymph nodes also produce and store lymphocytes and other immune system cells that attack and destroy bacteria and other harmful substances in the fluid. You have about 600 lymph nodes scattered throughout your body. Some exist as a single node; others are closely connected groups called chains. A few of the more familiar locations of lymph nodes are in your armpit, groin and neck. Lymph nodes are connected to others by the lymphatic vessels.·
  • Lymphatic vessels: Lymphatic vessels are the network of capillaries (microvessels) and a large network of tubes located throughout your body that transport lymph away from tissues. Lymphatic vessels collect and filter lymph (at the nodes) as it continues to move toward larger vessels called collecting ducts. These vessels operate very much like your veins do: They work under very low pressure, have a series of valves in them to keep the fluid moving in one direction.
  • Collecting ducts: Lymphatic vessels empty the lymph into the right lymphatic duct and left lymphatic duct (also called the thoracic duct). These ducts connect to the subclavian vein, which returns lymph to your bloodstream. The subclavian vein runs below your collarbone. Returning lymph to the bloodstream helps to maintain normal blood volume and pressure. It also prevents the excess buildup of fluid around the tissues (called edema).
  • Spleen: This largest lymphatic organ is located on your left side under your ribs and above your stomach. The spleen filters and stores blood and produces white blood cells that fight infection or disease.
  • Thymus: This organ is located in the upper chest beneath the breast bone. It matures a specific type of white blood cell that fights off foreign organisms.
  • Tonsils and adenoid: These lymphoid organs trap pathogens from the food you eat and the air you breathe. They are your body’s first line of defense against foreign invaders.
  • Bone marrow: This is the soft, spongy tissue in the center of certain bones, such as the hip bone and breastbone. White blood cells, red blood cells, and platelets are made in the bone marrow.
  • Peyer’s patches: These are small masses of lymphatic tissue in the mucous membrane that lines your small intestine. These lymphoid cells monitor and destroy bacteria in the intestines.
  • Appendix: Your appendix contains lymphoid tissue that can destroy bacteria before it breaches the intestine wall during absorption. Scientists also believe the appendix plays a role in housing “good bacteria” and repopulating our gut with good bacteria after an infection has cleared.

Conditions and Disorders

What conditions affect the lymphatic system?


Many conditions can affect the vessels, glands, and organs that make up the lymphatic system. Some happen during development before birth or during childhood. Others develop as a result of disease or injury. Some common and less common diseases and disorders of the lymphatic system include:
  • Enlarged (swollen) lymph nodes (lymphadenopathy): Enlarged lymph nodes are caused by infection, inflammation or cancer. Common infections that can cause enlarged lymph nodes include strep throat, mononucleosis, HIV infection and infected skin wounds. Lymphadenitis refers to lymphadenopathy that is caused by an infection or inflammatory condition.
  • Swelling or accumulation of fluid (lymphedema): Lymphedema can result from a blockage in the lymphatic system caused by scar tissue from damaged lymph vessels or nodes. Lymphedema is also often seen when lymph nodes are removed from those who’ve had surgery or radiation to remove cancer. The buildup of lymphatic fluid is most commonly seen in your arms and legs. Lymphedema can be very mild or be quite painful, disfiguring and disabling. People with lymphedema are at risk for serious and potentially life-threatening deep skin infections.
  • Cancers of the lymphatic system: Lymphoma is cancer of the lymph nodes and occurs when lymphocytes grow and multiply uncontrollably. There are several different types of lymphoma, including Hodgkin’s lymphoma and non-Hodgkin’s lymphoma. Cancerous tumors can also block lymphatic ducts or be near lymph nodes and interfere with the flow of lymph through the node.
Other disorders include:
  • Lymphangitis: This is an inflammation of the lymph vessels.
  • Lymphangioma: This is a condition that you’re born with. It’s a malformation in the lymphatic system. Lymphangiomatosis is the presence of multiple or widespread lymphatic vascular malformations.
  • Intestinal lymphangiectasia: This is a condition in which loss of lymph tissue in the small intestine leads to loss of protein, gammaglobulins, albumin and lymphocytes.
  • Lymphocytosis: This is a condition in which there is a higher-than-normal amount of lymphocytes in the body.
  • Lymphatic filariasis: This is an infection caused by a parasite that causes the lymphatic system not to function correctly.
  • Castleman disease: Castleman disease involves an overgrowth of cells in the body’s lymphatic system.
  • Lymphangioleiomyomatosis: This is a rare lung disease in which abnormal muscle-like cells begin to grow out of control in the lungs, lymph nodes and kidneys.
  • Autoimmune lymphoproliferative syndrome: This is a rare genetic disorder in which there is a high number of lymphocytes in the lymph nodes, liver and spleen.
  • Mesenteric lymphadenitis: This is an inflammation of the lymph nodes in the abdomen.
  • Tonsillitis: This is an inflammation and infection of the tonsils.
Care

How can I keep my lymphatic system healthy?

To keep your lymphatic system strong and healthy, you should:
  • Avoid exposure to toxic chemicals like those in pesticides or cleaning products. These chemicals can build up in your system and make it harder for your body to filter waste.
  • Drink plenty of water to stay hydrated so lymph can easily move throughout your body.
  • Maintain a healthy lifestyle that includes regular exercise and a healthy diet.

Frequently Asked Questions

When should I call my doctor about an issue with my lymphatic system?

Call your doctor if you experience fatigue (extreme tiredness) or have unexplained swelling that lasts more than a few weeks or interferes with your daily activities.

How will my doctor test my lymphatic system?

To see if your lymphatic system is working as it should, your doctor may use imaging tests such as a CT scan or MRI. These tests allow your doctor to see blockages in your lymphatic system.


Contributor: ClevelandClinic.org

What Your Feet Are Telling You About Your Health

What Your Feet Are Telling You About Your Health

Claremont Colonic Center Newsletter
Like many parts of your body, your feet are an amazing window into your health. The condition of your feet can give away valuable information about the overall health and wellbeing of your entire body. Here are some things you should be watching for and what they might mean.
Dry, flaky skin

Do you suffer from chronic dry heels or cracks in your feet along with flaky skin? If so, this can be a yellow flag that your thyroid gland is acting up. The thyroid is instrumental in metabolism, regulating blood pressure and new tissue growth.

Less serious: Dry skin can also be the result of changes in the weather. Had a long day on your feet? Soaking them in sea salt can reduce pain and soreness, soften skin, fight infections, relax your feet AND relax you. Add one teaspoon of sea salt for every cup of water. For an even more luxurious soak, add a few drops of relaxing essential oils like lavender or rosemary.

Toe baldness

Men generally have more toe hair than women, but if you look closely, gals, you will see some light hairs on your toes as well. If you happen to notice that you are losing hair or your toes have gone bald, it can be a sign of a lack of blood flow to your foot. One cause of poor blood flow is peripheral arterial disease (PAD). If this condition is not treated, it can result in a stroke, heart attack or even put you at risk for an amputation. Be sure that you are getting plenty of exercise, eating healthy, and not smoking. If you have diabetes or hypertension, you are more likely to have issues with PAD.

What to do: If you suspect PAD, see a doctor immediately for a diagnosis.

Black lines or spots under your toenails

Black spots or lines can appear under your toenails if you drop a heavy object on your foot. However, if you see lines or spots and you have not experienced an injury, it could mean something serious. Discoloration – either black or brown vertical lines might indicate you have hidden melanoma.

Less serious: Marks under the toenail can also be the result of a fungal infection.

Fix toenail fungus with this simple natural remedy

Apple cider vinegar (ACV) has made headlines in the alternative health world for its many wide-ranging benefits, including everything from curing hiccups to aiding weight loss. But did you know another benefit includes curing toenail fungus? Try this easy foot soak to combat the fungus.

Ingredients
  • Apple cider vinegar
  • Warm water

Instructions
1. In a foot bath, add a 50:50 mixture of ACV and water. Stir to mix. Make sure there’s enough solution to completely cover your feet.
2. Dip your clean, dry feet into the solution and soak for about 15 minutes.
3. Dry your feet thoroughly. Repeat twice each day.

Numb feet

Numb feet are, like toe baldness, often the result of lack of blood flow to the foot and can be a sign of PAD. More commonly, however, numbness is a sign of peripheral neuropathy, a condition that impacts millions of people and is relative to type 2 diabetes.

Less serious: If you have been sitting in the same position for a long time you can develop numbness in the foot. Be sure that you get up and move around frequently, especially if you have a desk job.

Morning foot pain

Are those first few steps after getting out of bed painful in the morning? If the pain is burning or shooting it could mean a variety of things. It may be the beginning signs of rheumatoid arthritis (RA) which causes joint pain – even in the tiny bones of the feet. If you have joint pain in other parts of our body or you suspect RA, see your physician for a proper diagnosis and treatment options.

Morning foot pain might also be caused by plantar fasciitis, an inflammatory condition that impacts the thick band of tissues connecting your heels to your toes. When you sleep, the band is contracted, and with the first steps of the day, the tissue stretches causing pain. If you suspect plantar fasciitis there are a number of stretches you can do even before you get out of bed that will help prevent the sudden and sharp pain. In addition, you should do foot strengthening exercises and eat a clean diet to help reduce inflammation.

Less serious: Morning foot pain could also be the result of a muscle cramp in the foot. Stretch before getting into bed and before getting out of bed in the morning. Muscle cramps can occur when the body is deficient in certain nutrients, or dehydrated. Be sure you are including plenty of calcium, magnesium, and potassium in your diet and drinking at least eight glasses of water daily.


Contributor-Susan Patterson, AlternativeDaily.com