So you think you have a yeast infection and you buy an over-the-counter (OTC) treatment, but four days later you are still very itchy/irritated/burning like crazy. First of all you need this background information: If you were right then there is a 85-90% chance that you should be better. The next step, for most women, is to call their GYNO and ask for fluconazole, known by many under the brand name Diflucan, or to retreat with a OTC topical. If you guessed correctly and aren’t better more of the same (i.e. trying fluconazole/Diflucan or another OTC medication) is not likely to be any better because the oral and topicals work in the same way. If you are not feeling better after treatment (which will happen 75% of the time just looking at the statistics) there are five possible scenarios: Put another way, if 100 women use OTC medication for vaginal yeast, 70 will have persistent symptoms because they never had yeast to begin with and 5 will still have persistent symptoms related to yeast. That means if you have persistent symptoms there is a 93% chance you never had yeast and a 7% chance that you did, but need further information to treat. The chance that more of the same will help is very slim. Other clinical pearls: A bad yeast infection can take seven days to feel a lot better, An antihistamine, like Zyrtec or Claritin, will help you feel better faster and a low dose topical steroid on the vulva (labia and vaginal opening) will also help if there is a lot of external irritation But the OTC always fails for me and the Diflucan always works! This is unlikely related to the type of medication (OTC vs prescription) and more a mechanical issue – some women place the vaginal medication too low in their vagina (if the tissues are really inflamed it can be harder to get high enough). metoprolol generic brands Lately, I have been blogging on other websites, which I think is a delightful way of connecting. Kasalina Nabakooza is a photographer and a recent graduate in Comparative Literature from New York University. She lives in Brooklyn and began an exchange with me via email. Her website includes wonderful portraits of people on the street, in addition to this “interview” that we did. Today, in time for Hallowe’en, a blog post I wrote on Lady Gaga’s meat dress went live on the blog of University of Minnesota Press. 1987, is part of the Walker Art Collection in Minneapolis. It is called “Vanitas.” Thanks to Maggie Sattler for inviting me to blog for the Press. 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The Sucarnochee Folklife Festival (SFF) celebrates fifteen years of the unique life ways of Alabama’s Black Belt on Saturday, April 20, from 9 a.m. at the Sumter County Courthouse Square in downtown Livingston. The festival slogan for this year, “Sucarnochee: Year of the Pig,” unites two unique traditions— the celebration of all things BBQ in Alabama’s Black Belt region and the The Chinese Zodiac, based on a twelve-year cycle with each year in that cycle related to an animal sign, 2019 is the pig. The festival also includes plans to join all Alabamians in celebrating the 200th birthday of our great state, with 2019 the Year of Alabama Stories. “We are proud to highlight the traditional roots of Alabama food this year in celebrating our love of BBQ throughout the Black Belt and the whole state,” said Executive Director of Economic Development and Outreach Dr. “We continue to celebrate food with our Blue Ribbon contests.” said Jones. “The competition ties back to the original goal of the festival and why it began- as a way to teach people about traditions and customs of the Black Belt region and keep them alive for future generations.” Blue Ribbon Contests for this year include the Cornbread Cook-off, canned goods and the Gone Hog Wild BBQ Fixins’ category, such as potato salad, baked beans, stuffed eggs, coleslaw and BBQ sauce. It’s time for an Easter Bonnet Parade and the SFF’s bonnet contest will be at at the Bored Well on the Courthouse Square. 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