YTube news: Auto news on Youtube Nov 2 2017

Kevin Spacey Will 'Seek Evaluation & Treatment' Following Sexual Abuse Allegations

Well, it looks like Kevin Spacey is taking a break from acting, as he just released a statement through his rep, saying he will seek evaluation and treatment after being accused of sexual harassment.

Kevin Spacey is stepping away from the public spotlight, as the House Of Cards actor just revealed hell be taking the time necessary to seek evaluation and treatment after an actor accused him of making an unwanted sexual advance, according to a statement given to our sister site, Variety. No other information is available at this time, his rep further said.

This news comes just a couple days after actor Anthony Rapp first accused Kevin of sexually harassing him when he was just 14 years old. Kevin also apologized after the news emerged.

I have a lot of respect and admiration for Anthony Rapp as an actor, Kevin wrote on Oct. I am beyond horrified to hear his story. I honestly do not remember the encounter as it would have been over 30 years ago.

But if I did behave then as he describes I owe him the sincerest apology for what would have been deeply inappropriate drunken behavior and I am sorry for the feelings he described having carried with him all these years..

This story has encouraged me to address other things in my life…I have loved and had romantic encounters with men throughout my life, and I choose now to live as a gay man, he continued.

The actor has since been criticized for the way he came out as a gay man.

He was also later accused of groping another young male (not Anthony) at a famous theater in London. Thus, Netflix has halted production on the sixth and final season of House of Cards.

HollywoodLifers, how do YOU feel about Kevin Spacey seeking treatment? Tell us below.

For more infomation >> Kevin Spacey Will 'Seek Evaluation & Treatment' Following Sexual Abuse Allegations - Duration: 2:52.

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How Effectiveness of PRP+ACell Hair Loss Treatment Depends on Customization for Individuals - Duration: 10:53.

Thank you

for your question.

You submitted your question without a photo and you're basically asking, what is the

best type of PRP to treat hair loss? And you state in the substance of your question that

you're reading about things about Acell and PRP and there are variables like the way

it's mixed. What are the questions essentially that you should be asking? Are there certain

methods that should be avoided?

Well, you're certainly asking very relevant questions for this current timeframe. I'll

give you a little bit of background about how I would explain this to you and for patients

who come to our practice. A little bit of background, I'm a Board-certified cosmetic

surgeon and Fellowship-trained oculofacial plastic and reconstructive surgeon. I have

been in practice in Manhattan and Long Island for over 20 years. I am also the founder of

TrichoStem™ Hair Regeneration Centers, a system that we developed with PRP and Acellular

matrix that began more than 7 years ago that we developed over the course of this time

and arguably, can be reflective of the largest number of patients treated and a system that

evolved from clinical data derived from treating so many people over this time and looking

at results critically.

So to help you understand the evolution of PRP and Acellular matrix. First of all, for

the longest time, the majority, I would argue that many of my colleagues have been vocal

about this who dismissed PRP, who dismissed Acellular matrix as to help people with hair

loss. And I think certainly, skepticism is important for anything that is particularly

new that is introduced as an option to help people.

The limitation for any hair loss treatment regardless whether it's a pharmaceutical,

whether it's an injection, whether it's surgery is that there is no cure. There is

no cure for hair loss. What we're dealing with hair loss is 95% of the time for men

and women is androgenetic alopecia, male or female pattern hair loss that is genetic.

It's in the DNA. What we have essentially are strategies to manage hair loss.

So when we see our patients at this current time, again deriving information from a lot

of experience and along the way, especially in the early years, a lot of setbacks and

a lot of obstacles that were overcome in developing a system. Now what we do essentially is not

just doing an injection and this is something that's very important to distinguish is

that we take care of patients with hair loss, we're managing hair loss. When we see our

patients, we look at them from the perspective of what is the most optimal strategy to help

them manage the progression of their hair loss particularly if it's genetic pattern

hair loss.

Everyone comes to the table with certain variables: gender, age, age of onset of hair loss, rate

of progression of hair loss, degree of hair loss, previous procedures and therapies for

hair loss, as well as the overall medical context, the hormone levels, anemia, stressors.

When you have so many variables, then one size doesn't fit all.

At the current time, thanks to some publications in the dermatology literature about PRP, there's

become this proliferation of people offering PRP for hair loss, PRP with a specific formula

using Acell for hair loss and what I think is ultimately going to be an awakening for

the colleagues who are offering these procedures as one size fits all or I call it the shotgun

approach is that people with hair loss need management more than just having them come

for an injection every month or every 3 months to try to maintain their hair.

Every patient has a profile and that profile in our practice is used to help predict what

kind of outcome they'll have. And again, we've developed these profiles based on

clinical experience. When we treat our patients, we developed what we call a treatment plan.

And part of that treatment plan is the strategy of these injections as to when these injections

are done if more than one injection is done as well as the timeframe in which we will

follow our patients. But routinely, we see our patients every 3-6 months and it's part

of the treatment. There's no additional cost to that. When we see our patients, we

are measuring. We are using microscope photos, we're doing standardized photography and

we spend at least 30 minutes or more every visit after the injection to analyze their

outcomes and results and to give them guidance based on our experience.

And since I've used the word experience a lot, I would say that the thing to ask to

the practitioner is what's their experience. What is the plan in order to see whether or

not their strategy is going to add value to your situation. Again, understanding that

there is no hair loss cure but there are strategies for doing this type of treatment and a way

to optimize the outcomes and prolong essentially the lifespan of the hair that is destined

otherwise to progress downward and disappear.

When we look at what it is that Acellular matrix and PRP and what we call TrichoStem™

Hair Regeneration does, we're reactivating hair that isn't growing. That is by definition

because hair thinning is characterized by the prolongation of the resting phase which

means that there is a significant number of hairs that are just not growing and shortening

of the active growing phase. So, it has been our observation in certain clinical profiles

that the prolongation of the lifespan is actually beneficial because otherwise, the lifespan

of that hair would have been shorter. And the stimulation of growth then means that

there is more hair to the total inventory that is providing best scalp coverage. The

thinning hairs actually become thicker and those thicker hairs contribute to the scalp

coverage. Ultimately, it is maximizing of whatever your inventory is. So the earlier

we treat someone, the better it is. The most challenging patients are the patients who

have very early onset, very aggressive progression or people who have more advanced progression

and are close to the end of their inventory.

Now certainly, there are surprises and there are a lot of people who have more advanced

hair loss that have very impressive results. But nonetheless, I think that when you do

your research, you want to learn about the experience and what is the practice philosophy.

Are they going to be there for you to evaluate? What happens if there is a setback if you

don't get the results that you were hoping for? No medical procedure comes with guarantees

but you try to work with probabilities. That is the practice of medicine is to maximize

probabilities to get the best outcomes. But again, hair loss is managed. And so understanding

that, I think it's important to have that dialogue with the doctor that you are considering

for your treatment.

So I hope that was helpful, I wish you the best of luck and thank you for your question.

For more infomation >> How Effectiveness of PRP+ACell Hair Loss Treatment Depends on Customization for Individuals - Duration: 10:53.

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How Facial Filler Treatment can be Done Soon After a Vampire Facelift® - Duration: 6:39.

Thank you for your question.

You submitted your question without a photo.

You state in your question that you had a Vampire Facelift® 3 days prior or you want

to know if you can get a filler after undergoing Vampire Facelift® 3 days after having this

procedure.

Well, I can certainly share with you a perspective without the benefit of an image or more details.

A little bit of background, I'm a Board-certified cosmetic surgeon and Fellowship-trained oculofacial

plastic and reconstructive surgeon.

I have been in practice in Manhattan and Long Island for over 20 years.

I've been a resource for the Vampire Facelift® network in terms of media who often reach

out at times when they want clarification periodically when Vampire Facelift® gets

press.

And so certainly, I have been available to help people understand what the Vampire Facelift®

is.

This can be useful for your question about having placement on the cheek.

So to begin with, just for the sake of clarification, we have to first define what a Vampire Facelift®

is.

If you had a Vampire Facelift® performed by a Vampire Facelift® provider, then you

had a combination of platelet-rich plasma (PRP) derived from your blood which is a concentration

of the wound healing factors that helps stimulate the skin in a way that makes the skin look

healthier.

That's injected under the skin in different places strategically as well as the use of

hyaluronic acid filler, one syringe or 1 cc placed strategically.

And I would say typically, it's just below the skin level.

So if you're asking about the cheeks, I would say that one major variable to be aware

of and that variable is, how swollen are you 3 days after the procedure?

Majority of the time, with this type of Vampire Facelift® procedure, there isn't a lot of

swelling.

And a lot of times, people like this procedure because of the strategic approach that allows

patients to do this and go back to work the next day.

So if there isn't significant swelling, we have to ask what do you want to do in terms

of the cheeks?

When we think of the cheeks, I'll tell you how I approach this.

Typically, when someone wants cheek volume, it is reflective of the underlying structural

deficit, that's genetic, or loss related to facial aging.

What I do is something called Structural Volumizing.

Structural Volumizing means placing a long lasting filler whether it's a Juvederm Ultra

Plus or Juvederm Voluma and placing it under the muscle above the bones using a minimally

traumatic technique with blunt cannulas.

By doing that, we're actually treating an area that is not likely to have been treated

with the Vampire Facelift® procedure.

So the point is that these compartments and spaces can be technically addressed because

of the separation.

If you were to try to add volume in an area where filler was placed already then predictability

and accuracy in correction can be problematic if there's still some swelling.

And generally speaking, we see our patients 2 weeks after any filler treatment to look

at how things look when things have settled down.

So if your physician did not do Structural Volumizing at the time then it is probably

likely that it's completely safe to do that using that strategy.

That being said, I would generally dissuade patients from doing anything so close unless

we're really looking at separate areas.

For example, if someone had their under eye filler placed and they want to do something

for their chin or jawline, well 3 days later is perfectly fine.

These are separate anatomic areas.

But if we're looking at overlapping areas, then usually waiting is better.

A lot of times patients will have urgent deadlines.

So they may come in 3 days later because they have a big event a week from now or they have

something they want to look good for and they're not going to be around because they're traveling.

So we always have to look at every individual situation.

So the take home message here is, essentially, if the area that you want to treat is not

at all affected significantly by the Vampire Facelift® procedure then you can probably,

with reasonable accuracy, have a correction done and improvement and maximize the outcome

of your appearance.

So I hope that was helpful, I wish you the best of luck and thank you for your question.

For more infomation >> How Facial Filler Treatment can be Done Soon After a Vampire Facelift® - Duration: 6:39.

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Kristen Bell Gives Frozen the Rock Star Treatment With Metallica Mash-Up - Duration: 4:57.

Kristen Bell Gives Frozen the Rock Star Treatment With Metallica Mash-Up

Tom Selleck and David Letterman gave an epic performance on Jimmy Kimmel Live Tuesday night. Or should we say, Kristen Bell dressed as Sellecks Magnum, P.I. character and Dave Grohl dressed as Letterman for Halloween, gave an epic performance.

Bell appeared on the late-night show Tuesday, guest hosted by Grohl. During the interview, Grohl said being there with Bell was kind of the biggest deal to his three daughters.

If I were to jam a song with you, I would become the coolest dad, the Foo Fighters star said. I would jam with you! I would, yes! Are you kidding me? Bell replied.

What do you wanna do? Bell then stood up and started singing a song from her 2013 movie Frozen, Do You Want to Build a Snowman? During her performance, Grohl got up from his seat and started playing the drums.

The performance then turned into a mash-up with Metallicas song Enter Sandman and the result is probably a little surprising and confusing to kids, but pretty awesome at the same time!. Watch the video above to see Bell and Grohls mash-up!.

For more infomation >> Kristen Bell Gives Frozen the Rock Star Treatment With Metallica Mash-Up - Duration: 4:57.

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Life Sustaining Treatment Policy (9 Minutes) - Duration: 8:28.

>> Hello and welcome to this training which will introduce you to the Massachusetts Department

of Developmental Services' new policy regarding life-sustaining treatment.

This training was prepared by the Center for Developmental Disabilities Evaluation and

Research on behalf of DDS.

My name is Jackie Berman and I'm an attorney with DDS.

I'm here to introduce the policy.

At the end of a person's life, there are many decisions to be made about treatment, decisions

designed to preserve dignity, comfort, and quality of life.

The position of DDS is that all individuals have the same rights regarding end-of-life

decision-making including those with intellectual disabilities even if they are under guardianship.

Those who are not capable of making decisions about life-sustaining treatment have access

to options to help them make those decisions.

So what's new in this policy?

While the policy statement is similar to the previous policy, it goes a bit further to

include individuals under guardianship and with health care proxies.

Here's a brief summary of what you can expect.

Some sections have been clarified such as when it's appropriate to consider a Do Not

Resuscitate Order, when to use an Ethics Committee, and when court intervention is required.

The section on guardianship has been expanded and there's a separate training on guardianship.

>> Let's take a closer look at some of the principles found in the Massachusetts Department

of Developmental Services policy on life-sustaining treatment.

Informed choice, goals of care, dignity and comfort, use of hospice, use of Ethics Committees,

long-term life support technology, withholding or withdrawing nutrition and hydration, Do

Not Resuscitate orders, and medical orders for life-sustaining treatment or MOLST.

Decisions about life-sustaining treatment must be made with informed consent.

That means that the person making the decision has the legal authority to do so, that they

have all the relevant information about treatment including risks and benefits, and that the

decision is made freely without coercion.

For someone without a guardian, who is competent, it's advisable to suggest the appointment

of a healthcare agent through a health care proxy.

For someone without a guardian and whose ability to make informed decisions is questioned,

a clinical team assessment should be considered.

Note that under Massachusetts' law, even a court appointed guardian does not have the

legal authority to make a decision regarding all life-sustaining treatments.

This may require expanded authority from the probate court.

In such a case, the DDS attorney, along with a guardian, will petition the court to expand

the authority of the guardian.

This process of court expanding authority of a guardian to consent to highly invasive

medical treatment is called Substituted Judgment.

When, in the opinion of the medical providers, the burdens of attempting to cure or prolong

life outweigh the benefits for the individual, then treatment can shift to comfort care.

Comfort care may include both palliative care and hospice.

Palliative care focuses on patient comfort rather than recovery.

When getting better is no longer an option, hospice care emphasizes comfort measures and

end-of-life counseling to provide emotional, social, and spiritual support to the person

who is dying, as well as to their family and caregivers.

To preserve the dignity and comfort of the individual, pain relief and comfort measures

will be provided, even if treatment for the underlying illness has stopped.

If death from a terminal condition is expected within six months, then the person is eligible

for hospice services.

Hospice services can be provided at home, in a long-term care facility, and even a day

program.

Hospice is a treatment option if no other treatment is viable.

While anyone can request hospice, a physician must order it.

When there's a disagreement about the decision to accept or refuse life-sustaining treatment

or whether or not implement a DNR Order, it may be useful to consult with an Ethics Committee

to insure that the person's human rights and dignity have been fully considered.

An Ethics Committee may include clinicians whose expertise is relevant to the person's

condition and an ethicist.

However, where court approval of a decision is required, the ultimate decision making

responsibility cannot be shifted away from the court to a committee or panel.

A decision as to whether or not a Substituted Judgment is required must be made in consultation

with the DDS Regional Attorney.

When there's some reasonable expectation of a cure or remission of an illness, then life

support measures should be taken.

Stopping life support would be considered if the burdens outweigh the benefits.

It's generally expected that artificial nutrition and hydration such as through intravenous

fluid or a feeding tube would be given.

Any decision to withhold or withdraw nutrition or hydration is reviewed on a case by case

basis.

A legally competent person, in collaboration with his or her qualified healthcare provider,

can consent to a DNR order.

If the person is incapable of giving consent, then the consent to a DNR order may be given

by a properly activated health care agent or by an involved family member whether or not

they are the legal guardian.

Consultation with the DDS Regional Attorney is required to determine the legal authority

of the guardian or health care agent.

In order for a DNR order to be considered, one or more of the following conditions must exist:

Life threatening illness or injury, chronic progressive disease, dementia, serious

chronic health condition that requires or will require advanced medical intervention,

any advanced debilitating disease.

Any end-of-life or DNR order must be reviewed at least once a year at the ISP to determine

the continued appropriateness of the order.

MOLST stands for medical orders for life-sustaining treatment.

The MOLST must be signed by the competent individual and that person's physician, physician

assistant, or nurse practitioner.

If not competent, the person's loving family member, whether guardian or not, may sign

the DNR section only.

In all other cases, the guardian must have expanded authority to sign.

Likewise, the person's designated health care agent may sign if a physician has activated

the health care proxy.

The DDS Regional Attorney should be consulted anytime a guardian signs a MOLST or DNR order

or if there are any questions about a guardian or agent's legal authority to sign on a person's

behalf.

A MOLST differs from an Advanced Directive, such as Five Wishes, in that it can only be

signed when the person has a serious illness or condition or is near the end of life.

It must be based on the person's current medical condition.

Once the order is signed, it is put into effect immediately.

If a health care agent signs it, it must be consistent with the authority as specified

in the health care proxy.

This is one webinar in a series on end-of-life planning with and for individuals with intellectual

disability.

These trainings and other related trainings are also available on our website or the DDS

website.

Thank you.

For more infomation >> Life Sustaining Treatment Policy (9 Minutes) - Duration: 8:28.

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FDA APPROVES ANOTHER IMMUNOTHERAPY FOR THE TREATMENT OF A BLOOD CANCER - Duration: 3:47.

FDA APPROVES ANOTHER IMMUNOTHERAPY FOR THE TREATMENT OF A BLOOD CANCER

The Food and Drug Administration approved another immunotherapy known as Yescarta on Wednesday.

It is a form of gene therapy that could treat people who are diagnosed with a deadly form of blood cancer called non-Hodgkin's lymphoma.

FDA Commissioner Scott Gottlieb said that this marks another milestone in the development of a whole new scientific paradigm for the treatment of serious disease.

He further said that the approval shows the "continued momentum of this promising new area of medicine."

Meanwhile, Dr. Frederick L. Locke, a specialist in blood cancers at the Moffitt Cancer Center in Tampa and lead author of the study of the new treatment describes the results as remarkable. They are also excited and think that many patients may need this therapy.

New York Times reports that about 3,500 people a year in the United States will be needing the Yescarta, which is developed by Kite Pharma.

The treatment is to be given once and infused into a vein. It must also be made individually for every patient for a cost of $373,000.

Yescarta was trialed in 101 patients who had one of these three diseases namely the diffuse large B-cell lymphoma, primary mediastinal B-cell lymphoma and the transformed follicular lymphoma.

The results showed that about 54 percent of patients had a complete remission, in which their tumors disappeared.

About 28 percent had partial remissions meaning the patients' tumors shrank or became less active. And about 80 percent of them were still alive after six months.

The process of treatment requires removing millions of T-cells, which is a type of white blood cell, in the patient's body. They are frozen and sent to Kite Pharma to be genetically engineered to destroy cancer cells.

Kite Pharma could provide the new treatment for 4,000 to 5,000 patients in a year. It also applied for approval in Europe as of today. Meanwhile, FDA also approved the first CAR T-cell therapy to treat people who have leukemia in August.

Non-Hodgkin's lymphoma also referred to as lymphoma is cancer that affects and originates in white blood cells known as lymphocytes. These are part of the body's immune system in which the tumors are developed.

Its symptoms include abdominal pain or swelling, swollen lymph nodes in your neck, armpits or groin, fever, fatigue, weight loss, chest pain, coughing, trouble breathing, and night sweats, according to Mayo Clinic.

For more infomation >> FDA APPROVES ANOTHER IMMUNOTHERAPY FOR THE TREATMENT OF A BLOOD CANCER - Duration: 3:47.

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For stroke patients, experts highlight importance of rapid treatment - Duration: 1:22.

For more infomation >> For stroke patients, experts highlight importance of rapid treatment - Duration: 1:22.

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PicoSure Tattoo Removal Treatment: Andy, Before & After - Duration: 1:53.

For more infomation >> PicoSure Tattoo Removal Treatment: Andy, Before & After - Duration: 1:53.

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Paul Ince slams Man Utd supporters over Romelu Lukaku treatment: They're not real fans - Duration: 3:52.

Paul Ince slams Man Utd supporters over Romelu Lukaku treatment: They're not real fans

Lukaku joined Manchester United in a £75m deal from Everton in the summer and scored 11 goals in his opening 10 games for the club.

But the Belgian powerhouse has failed to find the back of the net in his last six matches and attracted some criticism from the United supporters.

In United's last Premier League outing against Tottenham, a section of Old Trafford booed Jose Mourinho's decision to take Marcus Rashford off instead of Lukaku when he brought Anthony Martial on.

Lukaku proved it was the right move by setting up Martial to score the winner against Spurs, and Mourinho responded by shushing the United supporters after the final whistle.

And former United midfielder Ince reckons Mourinho was well within his rights to criticise the small section of United fans.

"If you're a proper fan, you can't just support someone only when they're playing well" Paul Ince Ince told Paddy Power: "Jose Mourinho was absolutely right to criticise the Man United fans after the Tottenham game.

"When Romelu Lukaku came to Manchester United, and he was bagging goals for fun, no one was saying a thing. Not one United fan was moaning.

"Now, he hasn't scored in a few games and suddenly loads of fans are on his back. They need to get real.

"We're talking about someone who has scored 11 goals for United already, and we're only at the start of November. Let's get it right.

"So, when I see that Mourinho has had a dig at the fans for booing, I literally couldn't agree with him any more for doing that. Those fans needed telling.

"When I was playing, even when things were going badly wrong, fans would support their team. They're called supporters for a reason.

And I think there's a huge difference between 'fans' and 'supporters' nowadays. "When you look at Huddersfield fans, they are what you would call a traditional supporter.

They stick by their team whether things are going right or wrong. "I was at Anfield for the game last week, and they didn't stop singing, even when they were three goals down.

"Then you look to some United fans, whose side are second in the table, but they were booing their top goalscorer. "If you're a proper fan, you can't just support someone only when they're playing well.

The proper Man United fans will be backing Lukaku whether he's doing well, or whether he's having a rough patch.".

For more infomation >> Paul Ince slams Man Utd supporters over Romelu Lukaku treatment: They're not real fans - Duration: 3:52.

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Relieve Arthritis in Your Hands with These 4 Natural Remedies Treatment for Arthritis - Duration: 3:05.

Relieve Arthritis in Your Hands with These 4 Natural Remedies

These natural remedies can be a great complement to relieve arthritis in your hands, but they

can't replace medication prescribed by your doctor.

Castor oil Castor oil has the ability to reduce pain

and inflammation caused by arthritis.

It contains a substance known as ricinoleic acid, which acts as an anti-inflammatory and

pain-reliever when it comes to problems like this.

What do I need?

2 tablespoons of castor oil (30 g) How do I use it?

Heat a few tablespoons of castor oil, and once it reaches a temperature safe for your

skin, smooth it over your hands.

Repeat twice a day, every day.

Fenugreek seeds

Fenugreek seeds contain fatty acids and essential amino acids that act as anti-inflammatories.

These properties mean it can help with pain from arthritis of the hands while helping

to prevent fluid retention.

They also contain antioxidants which help eliminate waste that your body doesn�t need,

as it supports lymphatic functions in your body.

Ingredients

1 teaspoon of fenugreek seeds (5 g) 1 cup of water (200 ml)

How do I use them?

Soak a teaspoon of fenugreek seeds in a cup of water and let sit overnight.

The next morning, strain and consume the seeds.

Repeat the treatment for at least two months.

Epsom salts Epsom salts have the ability to reduce inflammation

and stiffness, making them a great option for arthritis.

Topical application relaxes your muscles and joints, helping reduce pain.

Ingredients

1 cup of Epsom salts (200 g) Hot water (as needed)

How do I use it?

Add the cup of Epsom salts to a container with hot water and soak your hands for 20

minutes.

Repeat the treatment at least 3 times a week.

Apple cider vinegar

Apple cider vinegar contains organic acids that help regular blood pH, stimulating balance

in your body�s inflammatory processes.

The active substances in it, such as acetic acid, reduces pain the hands and stimulates

your circulation.

Ingredients

1 tablespoon of apple cider vinegar (10 ml) 1 cup of water (200 ml)

How do I use it?

Dilute a tablespoon of apple cider vinegar in a cup of warm water and drink on an empty

stomach, without any other food.

Optionally, you can add the vinegar to a container with hot water and soak your hands for 20

minutes.

Use every day.

For more infomation >> Relieve Arthritis in Your Hands with These 4 Natural Remedies Treatment for Arthritis - Duration: 3:05.

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Paul Ince slams Man Utd supporters over Romelu Lukaku treatment: They're not real fans - Duration: 3:52.