Sydney Evans had simply returned from a hard-earned trip within the Bahamas, a lazy, beachside break from her normal high-octane schedule: full-time work at a Washington, DC, nonprofit, a booming facet enterprise as a cake decorator, and management roles in her church.

Then got here the morning when she couldn’t budge.

“I woke up and felt like there was a huge weight on my body,” says Evans, 36. “I literally could not move my arms or my legs. My mother had to come pick me up and take me to the hospital.”

It was the worst – however not the primary – flare of unexplained signs Evans had been having for almost 4 years. “I was always sick,” she says. “A lot of episodes of pericarditis, when the lining around the heart inflames. It puts pressure on your chest and makes it difficult to breathe.”

Back then, Evans didn’t know the “fancy words” that are actually a part of her medical lexicon. She simply knew she felt horrible an excessive amount of of the time. “I was having joint pain. I had a lot of bouts of pneumonia and bronchitis. I was in and out of hospitals. I didn’t have consistent health insurance, so I didn’t have a primary care practitioner who really knew me. It was easy for physicians to say, ‘You need to get more rest.’

“I was working full-time and killing it in my cake business. I vacationed a lot. That first year, I just assumed I was super-stressed out, super-overwhelmed, and maybe I did need to cut back.”

The Turning Point: A Doctor’s Question

Finally, throughout certainly one of her hospital stays, a health care provider stated, “Have you ever been tested for lupus?” At first, Evans dismissed the notion; nobody in her household had an autoimmune illness. But the physician’s query grew to become a spur. “After that, I started to become more intentional in trying to figure out what was wrong with me. By this time, I had insurance. My PCP, who also has lupus, said, ‘I think you have an autoimmune disease; we just need to figure out which one.’”

The outcomes got here on Nov. 21, 2017. “In the African American community, hearing someone say ‘lupus,’ there was always a negative connotation: Oh, you have lupus, that’s a death sentence,” Evans says. “There’s a lot of ignorance around it.” She made an appointment with a rheumatologist and ready an inventory of questions.

She additionally took a deep dive into lupus analysis: the Lupus Foundation of America web site, different medical and social networking websites. “I like to know the information and be educated. But it is overwhelming to know the information, too. Because I have learned that stress is a huge trigger for my lupus, I’ve learned to balance the info that I’m taking in.”

Evans, who lives in Hyattsville, Maryland, is director of technique and planning for the National Association of Student Financial Aid Administrators. As an advocate with the Lupus Foundation of America, she serves on a world advisory group and sometimes speaks about her expertise with the illness.

‘Lupus Is So Unpredictable’

She informed her household immediately. Their assist by no means wavered, but it surely was exhausting for them to see Evans struggling and particularly tough for her mom to witness the unhealthy days, when Evans couldn’t twist the cap on a bottle of water or handle her personal toothbrush.

“I’m the one with the disease and the one who’s trying to be strong and figure out how I’m going to live my life with it, but also having to reassure my family that I’m OK,” she says.

“As a lupus patient, one of the things I hear a lot is, ‘Oh, but you don’t look sick.’ Lupus is so unpredictable. One day, you can feel fantastic, and the next day, you can’t move. Every day, I feel some sort of discomfort or pain. Right now, I have pain in my back. When I’m flaring, it’s hard for me to get out of bed for a week.”

Evans nonetheless struggles with the truth that lupus is lifelong, that there is no such thing as a remedy, and that her signs may worsen sooner or later. “When I was talking with my PCP, even before I met with the rheumatologist, I knew that lupus was incurable. I’m still not really OK with that. Who wants to be on medication for the rest of their lives? They say women in my age range might have difficulty having children because of lupus. That put an emotional heavy weight on me because I would like to have children.

“I journal every day; it’s helped to be able to put my thoughts down and gain clarity on my feelings. But even writing is hard sometimes, because it hurts. I wake up with pain and stiffness. Getting dressed takes a lot of energy. Walking to the bathroom. I love the fact that I have another day to live, but waking up is the hardest part of my day.”

Adjusting to a Chronic Illness

She’s discovered to acknowledge the triggers that trigger flare-ups: rain or chilly climate, which exacerbates her joint ache. Too a lot solar publicity. Stress. She takes a twice-daily dose of hydroxychloroquine and hopes to taper that drugs sooner or later.

“I think the biggest change is that I’ve had to cut back on a lot of activities. I used to hike; I don’t hike anymore. If there’s a friend’s birthday party or a baby shower, if I’m too tired or in pain, I don’t go.” Evans used to whip out two or three customized desserts a weekend; now she limits the variety of orders she’ll settle for.

Her weight fluctuates from 140 to 160. Her sleep is erratic. Spontaneous adventures are a factor of the previous. “I wish folks understood that people with lupus don’t want to cancel plans, we don’t want to lie in bed for hours. I wish everyone knew that people with lupus don’t want to be counted out.

“I’ve had some seasons when I was really sad: Is this really my life? I still have bad days, but I don’t have a lot of those anymore. I can really appreciate what a good day is – being able to dance around the house, being able to enjoy my friends and family. I don’t take those little things for granted anymore.

“Obviously, I don’t want to have lupus. Nothing about being in pain feels good. But knowing that I’m able to help someone else with their journey – that’s amazing to me.”

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March 24, 2022 — Cancer survivors who spend greater than 8 hours of the day sitting are 5 occasions extra prone to die over the following years than their friends who spend much less time sitting. Being bodily lively, however, lowers the chance of early demise, new analysis exhibits.

What’s “alarming” is that so many most cancers survivors have a sedentary life-style, Chao Cao and Lin Yang, PhD, with Alberta Health Services in Calgary, Canada, who labored on the research, inform WebMD.

The American Cancer Society recommends that most cancers survivors comply with the identical bodily exercise steerage as the overall inhabitants. The goal is 150 to 300 minutes of average exercise or 75 to 150 minutes of vigorous exercise every week (or a mixture of those).

“Getting to or exceeding the upper limit of 300 minutes is ideal,” Cao and Lin say.

Yet of their research of greater than 1,500 most cancers survivors, greater than half (57%) had been inactive, reporting no weekly leisure-time bodily exercise prior to now week.

About 16% had been “insufficiently” lively, or getting lower than 150 minutes per week. Meanwhile, 28% had been lively, reaching greater than 150 minutes of weekly bodily exercise.

Digging deeper, the researchers discovered that greater than one-third of most cancers survivors reported sitting for six to eight hours every day, and one-quarter reported sitting for greater than 8 hours per day.

Over the course of as much as 9 years, 293 of the most cancers survivors died — 114 from most cancers, 41 from coronary heart illnesses, and 138 from different causes.

After accounting for issues that may affect the outcomes, the chance of dying from any trigger or most cancers was about 65% decrease in most cancers survivors who had been bodily lively, relative to their inactive friends.

Sitting for lengthy durations was particularly dangerous, in accordance with the research in JAMA Oncology.

Compared with most cancers survivors who sat for lower than 4 hours every day, most cancers survivors who reported sitting for greater than 8 hours a day had practically twice the chance of dying from any trigger and greater than twice the chance of dying from most cancers.

Cancer survivors who sat for greater than 8 hours a day, and had been inactive or not lively sufficient, had as a lot as 5 occasions the chance of demise from any trigger or most cancers.

“Be active and sit less, move more, and move frequently,” advise Cao and Yang. “Avoiding prolonged sitting is essential for most cancer survivors to reduce excess mortality risks.”

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Feb. 14, 2022 – Doctors are nonetheless largely paid by what number of sufferers they see and providers they supply, regardless of years of discussions about pegging their pay to judgments in regards to the high quality of the care they ship, in line with the authors of a brand new research.

Volume-based pay was the commonest sort of base revenue for greater than 80% of major care docs and for greater than 90% of specialists in a pattern studied by Rachel O. Reid, MD, of Rand Corp., and co-authors. They revealed their findings Jan. 28 in JAMA Health Forum.

Their research examined the pay in 31 physician teams that work with 22 U.S. well being methods. The percentages of complete physician compensation based mostly on high quality and price efficiency judgments have been “modest,” at 9% for major care suppliers and 5% for specialists, the researchers discovered.

These findings could also be a “solid reality check” on progress in shifting the U.S. observe of drugs towards what are referred to as value-based preparations, Reid tells WebMD.

Their findings are much like earlier research. In 2016, for instance, researchers working for the federal Agency for Healthcare Research and Quality reported that 94.7% of U.S. physician workplace visits have been lined beneath some type of fee-for-service plan in 2013.

‘Beautiful Rhetoric’

There has been a lot speak lately about the necessity to tie docs’ pay to the standard of care sufferers obtain. In idea, there may be broad settlement about the advantages a shift away from the fee-for-service mannequin might present.

The Affordable Care Act of 2010 additionally included methods to encourage well being care methods to contemplate adjustments of their strategy to care.

In the years after the Affordable Care Act handed, dialogue centered on the necessity for cost based mostly on high quality of care, as an alternative of an a la carte system, which would offer a motive for docs to layer on providers, says Frederick Isasi, JD, the chief director of the left-leaning client advocacy group Families USA.

Leaders of well being methods will typically handle this theme of value-based cost of their public talks, he says.

But work from researchers like Reid and her co-authors reveals how little progress has been made in turning this into actuality.

“There’s lots of beautiful rhetoric, but this study shows that 12 years later, we’re still stuck in the same place,” Isasi says.

While the outcomes of Reid’s paper can be “100% predictable” for anybody who understands the financing of well being care within the United States, they might be “truly shocking” for most individuals, he says.

‘Fee-for-Service Chassis’

One motive for the sluggish tempo of development in value-based cost preparations is that a lot of them are rooted within the older strategy to reimbursement, Reid tells WebMD.

“A lot of the alternative payment models that are out there are built on a fee-for-service chassis where attribution happens on the basis of fee-for-service claims, or it’s a shared savings model on the basis of fee-for-service billing,” Reid says.

This research was half of a bigger Rand Health System research, wherein in-depth interviews have been accomplished with senior officers with well being methods in 4 states (California, Minnesota, Wisconsin, and Washington). These states have been chosen to symbolize variation within the U.S. market, however the discovering might not generalize to different areas of the nation, Reid and co-authors be aware.

Gary Young, JD, of Northeastern University, additionally cited this as a limitation of the paper. In an interview, he additionally famous that the Reid paper addressed a few of the hurdles which have slowed the adoption of value-based cost, akin to points with makes an attempt to determine measurements of high quality of care.

The paper’s conclusion “isn’t that surprising, but it raises some serious considerations about why pay-for-performance, value-based payment, and alternative payment arrangements have not diffused through the system more deeply,” he says.

The paper Reid and co-authors revealed final month in JAMA Health Forum supplies a snapshot of 1 a part of the controversy about how docs are paid, focusing in on the persistence of the fee-for-service strategy.

But Reid is also among the many researchers who’ve studied the results on sufferers of a fee-for-service strategy to medical care, as is Young, who’s director of the Northeastern University Center for Health Policy and Healthcare Research.

Reid, for instance, is among the authors of a 2021 paper in JAMA Network Open that reported on the persistence use of remedies thought of to be of low worth to sufferers regardless of main efforts to make docs and customers conscious of issues about them. In that paper, Reid and co-authors stated low-value care use and spending had decreased solely marginally from 2014 to 2018 amongst individuals enrolled in conventional Medicare.

Young says many customers are typically extra frightened about adjustments in well being care that might restrict their entry to providers.

“They may even say ‘Look, I’m happy to have my provider be more incentivized to give me more,’” Young says.

But they could not think about how this strategy raises medical health insurance prices typically or the way it can put them in danger for ineffective and pointless remedies, in line with Young. He is among the authors of a 2021 paper within the journal Health Affairs that discovered the percentages of a affected person receiving an inappropriate MRI referral elevated by greater than 20% in instances the place docs had transitioned to hospital employment.

Young and his co-authors stated they discovered most sufferers who acquired an MRI referral by a hospital-employed physician had the process on the hospital the place the referring physician was employed, Young and his co-authors discovered. These outcomes thus level to the rising pattern of hospital employment of docs as a possible driver of low-value care.

The post Effort to Move Doctors’ Pay Away from Volume Finds Obstacles appeared first on Healthy and Slim Life.

Feb. 1, 2022 — The G spot, an space contained in the vagina that is thought to trigger distinctive sexual pleasure, might be troublesome to pinpoint. Now, researchers are targeted as an alternative on discovering an much more elusive candy spot associated to ladies’s sexual pleasure: the a part of the mind that responds to genital contact.

The findings concerning the space’s location and variation, revealed in TheJournal of Neuroscience, provide perception into understanding wholesome intercourse, the causes and potential therapies for sexual dysfunction or dissatisfaction, and the long-term results of sexual abuse.

The somatosensory cortex is the mind area that detects contact generally, however totally different spots inside this area characterize totally different elements of the physique. Scientists have been making an attempt for years to pinpoint the precise location for sensory stimulation of the clitoris however stored getting inconsistent outcomes. It turns on the market’s a superb motive for that: Just as sexual experiences differ from one girl to the subsequent, the precise website linked to the clitoris within the somatosensory cortex additionally differs amongst ladies.

The thickness of that space in every girl diversified, in keeping with how ceaselessly every girl reported having intercourse previously 12 months. And the place the area was and the way massive it was depended at the least partly on how usually it was used.

The research concerned 20 wholesome ladies who had no historical past of being pregnant, psychiatric or neurological problems, childhood abuse or neglect, sexually transmitted ailments, sexual problems, or different ailments. They additionally weren’t menstruating on the time of the research or taking any psychotropic medication.

Each girl acquired MRI scans of their brains whereas sporting disposable underwear with a tool positioned over their clitoral space. The system, held in place with tape and a Velcro belt, calmly vibrated sufficient to stimulate the clitoral area. The researchers in contrast the mind imaging from this sensory contact to the imaging when the ladies stimulated the again of their proper palms with the identical system.

Unlike most previous analysis, this research managed to stimulate solely the clitoris with out touching different close by physique elements or inflicting notable sexual arousal, permitting the scientists to zero in on the area of the mind linked to sensory contact in that area.

This can also be the primary time that scientists may clearly present that frequency of intercourse previously 12 months and over an individual’s lifetime was associated to the bodily construction of the mind area linked to clitoral contact. An estimated 40% of girls report sexual issues of some type, and an estimated 1 in 5 ladies have been sexually abused. This research takes researchers one step additional in understanding these experiences and probably assist.

The post Move Over, G Spot — Scientists Have Found the C Spot appeared first on Healthy and Slim Life.

Nov. 2. 2021 — Hard exercises make us really feel scorching and sweaty as a result of they enhance our physique temperature and metabolism. A brand new examine monitoring declines in each temperature and metabolism places a quantity on how a lot each day bodily exercise has dwindled within the U.S. because the 1800s.

We’re all taught {that a} regular human physique temperature is about 37 C, or 98.6 F, a benchmark that traces to research from the 1800s. Back then, many U.S. adults had bodily demanding jobs as carpenters, farmers, bricklayers, and blacksmiths and did many family chores by hand. Now, that’s not the case, particularly when a big proportion of U.S. employees sit for hours at a time and machines do many family duties.

Researchers publishing in Current Biology relied on two research monitoring historic physique temperatures to calculate declines in each day exercise. The first examine included greater than a half million temperature measurements for U.S. adults. It instructed that in every decade because the early 1800s, resting physique temperature has dropped by 0.03 C. The second examine they used, of white males in Minnesota, confirmed that with each diploma Celsius enhance in resting temperature, there was a ten% enhance in resting metabolic fee.

The investigators utilizing these research assumed that the other can be true — {that a} single diploma drop in resting temperature may result in a ten% decline in resting metabolic fee. Using this assumption and the temperature change examine, they calculated that amongst U.S. adults, resting metabolic fee has decreased by 0.3% per decade, or about 6% within the final two centuries.

They then estimated how a lot bodily exercise ranges must drop for a resting metabolic fee to fall that far. The reply: 27 fewer minutes of bodily exercise every day.

Their estimate is tough at finest and never primarily based on research utilizing goal measurement instruments for bodily exercise ranges. Still, the outcomes recommend one other approach that fashionable habits could take their toll on our well being.

WebMD Health News

Sources

Current Biology: “Historical body temperature records as a population-level ‘thermometer’ of physical activity in the United States.”

© 2021 WebMD, LLC. All rights reserved.

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Oct. 7, 2021 — How younger is “too young” for Instagram? Since information broke that Instagram was creating a platform for youths, the concept has been extremely debated.

“Instagram Kids” is being designed for youths ages 10 to 12 years outdated and can characteristic parental controls, no commercials, and different baby security options, based on Adam Mosseri, head of Instagram.

Some mother and father have stated the power to maintain an eagle eye on their youngsters’ social media exercise could be welcome.

But different mother and father, consultants, and lawmakers have stated that even with added controls, Instagram is not any place for youths.

Those involved about Instagram Kids have gotten a minimum of a short lived reprieve. Facebook, the corporate that owns Instagram, introduced final week that it’s now delaying plans for its new kid-friendly Instagram service.

“While we stand by our decision to develop this experience, we’ve decided to pause to give us time to work with parents, experts, policymakers and regulators, to listen to their concerns, and to demonstrate the value and importance of this project for younger teens online today,” Mosseri stated in a press release on Twitter.

The delay additionally comes after TheWall Street Journal revealed an investigative report displaying analysis carried out by Facebook revealed that psychological well being struggles for teenagers, together with physique picture points and suicidal ideas, have been linked to time spent on Instagram.

Young women are significantly affected, findings present.

One now-revealed presentation slide of a research carried out by Facebook discovered that 13% of British teenagers and 6% of American teenagers traced their suicidal ideas again to their time on Instagram.

Facebook has rejected the Wall Street Journal’s portrayal of their analysis, saying that the report lacked key context surrounding their findings.

Underage Social Media Users

While a lot of social media platforms have age restrictions, youngsters can simply lie about their age, since no actual type of proof is required to open an account.

For instance, to open an Instagram or Facebook account, you’re required to be a minimum of 13.

But an astounding 45% of children between 9 and 12 years outdated use Facebook daily, and 40% of children in the identical age group use Instagram, based on a report by Thorn, an anti-human trafficking group that builds applied sciences to battle baby sexual abuse.

While some mother and father have already taken a tough stance a technique or one other about Instagram Kids, others are nonetheless weighing the professionals and cons.

Christina Wilds, creator of Dear Little Black Girl, and a media and expertise relations specialist, paperwork her life on Instagram, the place she has greater than 10,000 followers. Wilds lives in New York City along with her husband, entertainer Mack Wilds, and their younger daughter, Tristyn.

Wilds, 32, says that whereas she sees each optimistic and unfavourable features of Instagram Kids, figuring out her baby cannot entry sure content material would make her really feel higher as a dad or mum.

“If a 12-year-old were to go on Instagram right now, on the platform as-is, there’s nothing stopping them from seeing the inappropriate content that is put out on a daily basis,” she says.

“If someone drops a nude photo on Instagram and it goes viral, there’s no parental control, no way for me to stop my child from seeing what’s popular during that time,” Wilds says.

Is a Kids Platform the Answer?

While there are severe considerations about baby security on-line, some say creating social media platforms for kids, like Instagram Kids, shouldn’t be considered as the one approach to defend children.

“The myth of Instagram’s inevitably is just that — a myth. Our children don’t have to be on social media. For that matter, neither do we. Facebook does not, in fact, need to continue to grow. We could make policy decisions to stop it,” Christine Emba, an opinion columnist and editor at The Washington Post, wrote in a latest article.

It’s additionally necessary to remember that not all mother and father would be capable to intently monitor their baby’s Instagram Kids account, particularly single mother and father and households the place each mother and father work or have a number of jobs, based on Jeff Hancock, PhD, a professor of communication at Stanford University and founding director of the Stanford Social Media Lab.

“For some families, that would work really well; families that have the time and attention resources to be able to keep monitoring their kids and being active in that,” he says.

“But not all families have that. A system that relies on a parent’s attention to monitor it is going to be problematic.”

Negative psychological well being results may be a significant drawback, based on Jeremy Tyler, PsyD, an assistant professor of medical psychiatry and director of psychotherapy within the outpatient psychiatry clinic on the Perelman School of Medicine on the University of Pennsylvania.

“We already know that there are a lot of kids slightly older than them, who are going into dark places from these platforms and having some negative effects from them,” he says.

“I think it is something that we shouldn’t take lightly.”

Separating the Real From the Fake

One key motive an Instagram service for youths may very well be an issue is that children underneath 13 years outdated are nonetheless in a developmental section of life, and are sometimes very impressionable, Tyler says.

This could be significantly regarding in the case of filtered or edited photographs.

Apps like Perfect Me and Body Tune provide the choice to slim and reshape how your physique seems to be in your photographs. You can improve sure options, and easy and contact up your pores and skin, amongst different edits.

But in contrast to adults, youngsters usually have a a lot tougher time figuring out the distinction between what’s actual and what’s pretend, Tyler says.

“People are getting to put out a very filtered and different look of themselves, which creates a perception for the younger kids that this is normal,” he says.

“They see something that gets 10,000 likes and tons of comments with hearts and thumbs-up and positive reinforcement — socially, they’re learning through that observation and modeling. Cognitively, they can’t really decipher that it isn’t necessarily real life,” he says.

Bree Lenehan, an creator and content material creator, echoes Tyler’s level.

“As a pre-teen, you’re learning and developing your beliefs, morals, personality traits, values, what you do or don’t like — you’re practically a sponge soaking up information. So, when you bring social media into the mix, this can be tricky,” says Lenehan, 25.

And it’s not solely public figures that Instagram customers evaluate themselves to, says actress and content material creator Asia Jackson.

“It’s not just celebrities that you follow, it’s people that you know,” she says. “And no one wants to post negatives of their lives, they only want to post positives.”

“I think that a lot of these mental health issues stem from the platform with the seemingly perfectly curated lives of people.”

Keeping It Real

Lenehan, creator of the fantasy novel Pembrim: The Hidden Alcove, says she struggled with a unfavourable physique picture for a big portion of her life.

She remembers a time final 12 months when her accomplice, Dylan, took photographs of her by the pool.

“I felt terrible looking back at the photos where I wasn’t posing or ready for the photo. I usually always deleted those in-between, relaxed photos because I was so hard on myself,” she says.

“But this time, in particular, I didn’t. I knew I didn’t want to be so hard on myself anymore.”

She challenged herself to add these relaxed, unposed photographs each week, in a sequence she calls “Real Me Mondays.”

“At the start, it was just for me; to overcome my fear of not being good enough, my fear of other people judging me. It was terrifying. But I noticed as time went on that it was really encouraging and helping others too,” Lenehan says.

Lenehan, who has over 463,000 followers on Instagram, says after the previous 12 months of posting her Real Me Monday sequence, she’s turn out to be fully snug in her personal pores and skin.

“I appreciate so much more what my body does for me than the way it looks now, and I hope to encourage others to feel the same way in their skin too,” she says.

Jackson additionally makes use of her social media platforms — she has greater than 82,000 followers on Instagram and 440,000 followers on YouTube — to boost consciousness about points she’s obsessed with, together with psychological well being.

Last 12 months, Jackson, 27, determined to share along with her followers that she struggled with despair and was being handled with antidepressants.

“I figured that if I just spoke authentically about my own experience, that it might resonate with a lot of people,” she says.

“A lot of people were saying that they’re glad that they came across this video because these are conversations that they have at home with their parents or with their family or even with their friends.”

She says that is one in all many optimistic features of social media.

Jackson, who’s Black and Filipino, created a hashtag #MagandangMorenx, which implies “beautiful brown girl,” to problem colorism in Filipino communities.

“I got an email from someone after that hashtag went viral, and they told me that seeing people being proud of their skin color in that hashtag changed their mind about getting a skin whitening treatment,” Jackson says.

“Just something that they saw online changed their mind about getting a serious cosmetic procedure.”

Wilds says one main purpose of her Instagram platform is to encourage different moms to each be themselves and settle for themselves with out the pressures of social media.

“I think a lot of times we see the perfect snapback, the perfect pregnancy, and that’s not everyone’s reality,” she says.

“I want to set a realistic expectation for what motherhood really looks like — without the nanny, without the lipo surgery, or the mommy makeover.”

When she sees different mothers admiring her post-baby bod within the remark part, she cheers them on proper again.

“Whenever I take long walks or I take a run, I post it on my story and I tag other moms who I know are going through the same things that I am going through as a way of encouraging them, and vice versa.”

Safety Strategies

Much stronger security measures are wanted if we need to guarantee a wholesome social media setting for youths, based on Hancock.

“I would love to see that before you use some of these technologies, especially if you’re a young person, you have to take a course — and not just a little webinar,” he says.

“You have to have taken a course in your school, for example, and gotten a certain grade.

And until you do that, you’re not allowed to use this technology.”

Balancing optimistic features of Instagram, like self-expression and creativity, with unfavourable features, akin to social comparability and intensified considerations over one’s seems to be and physique, may very well be a tall order, with Instagram being largely image-based, he says.

“Is it going to be something where we never allow young people to have technologies like that? I don’t know. There’s lots of reasons that it can be useful for people, but it’s not clear to me that we need something for that age group.”

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