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Should I get the meningitis vaccine?

1) I'm a college student and I've heard in the media that meningitis vaccine shots are recommended. How do I get more information and a shot?

2) As a parent of a college freshman this fall, I was concerned about the increasing publicity that Meningitis has received recently over the networks. Since the population most likely to be infected includes young adults living in close quarters, do you recommend vaccination and where is it available?


Why is mpox being spoken about as if it's a gay STD?

So I'm wondering some stuff about mpox. Why is mpox being spoken about as if it's a gay STD? Mpox can be spread through nonsexual contact and fomite transmission, according to health authorities, and many other diseases such as the flu and corona can be obviously spread through sexual intercourse (via close contact). Additionally, according to the CDC, Ebola can be spread through semen of a previously infected male a while after recovery while not symptomatic (which appears to be unlike mpox in which it's only spread while actively symptomatic and, although mpox is extremely severe, it doesn't last for more than several weeks) but Ebola isn't thought of as a STD (and of course Ebola can obviously be spread through nonsexual as well as sexual contact) just like corona and the flu among many other diseases. Yet mpox is basically now thought of as being a STD — and a gay STD at that — whereas other diseases that also spread through nonsexual means like mpox aren't. This is very concerning to me both because it would be contributing to ineffective containment measures which would let mpox continue spreading and because it could lead to an increase in discrimination against an already marginalized demographic. What's going on here?


What's up with FluMist?

I have heard numerous reports in the media where they make mention of the "live flu virus" in the flu vaccine, specifically "flu-mist." This is mentioned in conjunction with a warning to avoid contact with this and that (yadda, yadda) for a certain time period. This confuses me. I was under the impression that the flu vaccines contain dead viruses and that it was not possible to catch the flu from the vaccine. Which is it?


What’s the deal with my bad breath?

1) I often have a bad taste in my mouth, and bad breath as well, I assume. This doesn't stem from poor hygiene: I brush my teeth at least three times a day, and usually more. I'm wondering if there is anything I can do about this. Could this be a symptom of some sort of nutritional deficiency? I think my diet is pretty bad, although I'm working pretty hard on getting more protein and eating less fat. I've also been nauseous a lot lately, and vomiting some. Could that be related?

2) Like many people, I often have an embarrassing bad breath. Listerine and other mouthwashes won't be of any help for this chronic problem. There are lots of products available to get rid of "volatile sulfur compounds (VSC)" - that supposedly cause this — and I just don't know which one I should try. Also, what's your opinion on tongue-brushing?


Can I bond with teammates without alcohol?

I am a freshman on a collegiate varsity sports team. Team gatherings, when we are not practicing, usually consist of excessive drinking with and without drinking games. I did not drink in high school and when I tried drinking with the team it made me feel really sick. I want to bond with my teammates (they are really great when not drunk) but I don't know how because if I am the only guy in the room not drinking I can't play drinking games with them, discuss favorite types of alcohol, or even carry on a real conversation because at a certain point in the night they stop forming coherent sentences. I need to be friends with this group of people but I would like to do so in a way that allows me to remember the night in the morning. Is this possible? What should I do?

While I don't really approve of their lifestyle (why devote six days a week to practice only to reduce your performance with alcohol?), I make no moral judgement. I don't want to change their way of doing things, I just want them to respect my way.


How can I support a friend with mental health concerns when I’m struggling myself?

1) This is more of a coping question. I am a first-year who applied for a single room over the summer and was denied. I figured that everything would be okay nevertheless. I tried to look at the situation as a character-builder. Well, that is not the case. My roommate is very depressed. I talked to the RA on my floor, but she didn't take any action, except to talk with her. Unfortunately, my roommate is so ashamed of what's happening that she denied the facts, and the RA believed her. No one except me has realized yet that she is sleeping most of the day and all of the night, and that it is indeed a real problem. I have expressed my concern to her and encouraged her to go to counseling services. She went a couple of times and then started canceling appointments left and right. I have worried about her, but I have no backup whatsoever, so there is really nothing I can do to help at this point. We get along relatively well otherwise.

Right now, the concern I have is that her depression is pulling me down, too. I literally have not been alone anywhere for more than two to three minutes in weeks. I wanted a single because it's a requirement that I spend some time by myself, and I'm going crazy these days. The lights are always out in the room, and I've noticed that I'm sleeping more than usual myself as the situation has progressed. Also, I am having to deal with some personal issues of my own this semester, and I simply don't have the energy to take care of someone else who desperately wishes that I would do so. Any ideas would be greatly appreciated.

2) I know that when a friend is depressed, it's important to reach out, discuss the issue, and be there for the person as much as possible. But that's quite hard to do when I myself have a history with depression — I feel as if her emotions are taking me back to a place that I don't want to go. I really empathize with my friend and feel her pain, but at the same time know that I'd be useless to both of us if I'm in the troughs too. How can I help without sacrificing my always precarious emotional equilibrium?


Why can’t I control my bladder?

1) When I was a child, I used to wet the bed. This finally cleared up when I was about twelve. In the last month or so, it has come back — except it's even more embarrassing now because I'm twenty-eight and share my bed with my husband! It started when I had a bad cold, so I thought perhaps it was just stress incontinence caused by coughing while asleep. I do suffer somewhat from stress incontinence, but I learned to deal with it when awake by clamping my legs together whenever I cough or sneeze. I talked to my doctor about this, and he also thought it was due to coughing while asleep. He treated my cough and assured me that once the cough was gone, the bedwetting would be, too. Well, my cough has cleared up, but I am still wetting the bed almost every night! It's mortifying, and I feel like my husband finds me disgusting (not that I really blame him). He says it doesn't matter to him, but I feel like I ought to be put in a nursing home. Is there anything I can do to stop this?

2) I have an embarrassing problem that has always held me from going to a doctor. I do not know if it's called incontinence. When I'm out of the rest room, I always find a few drops of urine being discharged later in my dress. This usually occurs when I bend down, or when I sneeze, or sometimes even due to a jerk. I have tried to prevent this many a time by remaining in the comfort room for invariably a long time trying to make sure that I'm done fully, but in vain.

Being a Muslim, I always find it very difficult to offer my prayers due to this. I'm suffering from this problem for a long time. Would you please advise if there is any cure for this? Can some pills treat this or an operation is a must?