After an off-duty pilot who said he had struggled with depression for months tried to shut off fuel to a plane’s engines midair, industry advocates are drawing renewed attention to the difficulties pilots face dealing with mental health issues.
The Federal Aviation Administration’s tight regulations and reliance on pilot “self-reporting,” advocates say, create a culture in which aviators bottle up their problems instead of reporting them and seeking treatment.
“If you mention that you have a mental health issue or problem, you have basically lost your job,” said Ross Aimer, chief executive of Aero Consulting Experts and a former United Airlines pilot. “Although we are supposed to self-disclose any mental issues, any drugs that we take to fix our mental issues, the minute you report that, you are basically off flying status and you may lose your job.”
The focus on pilot mental health follows the arrest of off-duty pilot Joseph Emerson, 44, who was charged in federal and state court in Oregon this week after he attempted to pull a Horizon Air plane’s red fire handles while sitting in the jump seat in the cockpit.
“I am not OK,” Emerson said after he had been casually engaging the two pilots in conversation, according to the FBI in a criminal complaint unsealed Tuesday.
Then he grabbed onto the fire handles, which are used to extinguish engine fires and will shut off all fuel to the engines, essentially turning the plane into a glider, the pilots told investigators. The flight’s pilots wrestled with Emerson and kicked him out of the cockpit. He was cuffed by flight attendants and arrested when the plane landed.
Emerson, who is due to be arraigned in federal court Thursday, told police he had been suffering from depression for six months and took psychedelic mushrooms 48 hours before the flight. He also told investigators that he was in the midst of a “nervous breakdown” and that he had not slept in 40 hours, according to the complaint.
Though Alaska Airlines said Emerson had completed all mandated FAA medical evaluations and was never suspended, researchers believe that pilots like Emerson underreport issues such as depression.
“Underreporting of mental health symptoms and diagnoses is probable among airline pilots due to the public stigma of mental illness and fear among pilots of being ‘grounded’ or not fit for duty,” wrote researchers with Harvard University’s T.H. Chan School of Public Health in a 2016 study.
The study followed the 2015 Germanwings crash that killed 150 in France. The pilot in that crash, Andreas Lubitz, also suffered from depression. He intentionally crashed the plane into a mountain after locking his co-pilot out of the cockpit.
Although it occurred in Europe, the Germanwings crash led the FAA to establish a committee to reevaluate the way it assesses pilot mental health, which led to a few changes, but not a substantial overhaul of the way the industry treats mental health issues, according to researchers.
“We thought more would be done at that time. We thought more resources would become available to pilots,” said Deborah Donnelly-McLay, a pilot and researcher with Harvard University who contributed to the 2016 Pilot Health Study.
“Nothing was being done that really changed the landscape of mental health treatment,” Donnelly-McLay said.
The study Donnelly-McLay co-authored focused on data compiled from 2,000 anonymous pilots’ responses to a survey. It found that 12.4% of pilots may be clinically depressed. Even more alarmingly, the survey found that about 4% of pilots had suicidal ideations at times. In Europe, about 17% of pilots suffer from depression, according to a Trinity College survey spearheaded by pilot Paul Cullen.
Still, many pilots do not report their depression.
“The real issue is the job security and the fear of loss of earnings,” Cullen said his report found.
But the FAA says that fear over reporting mental health issues is a “perceived risk.”
“We’re doing our best at the FAA to make that clear,” former FAA administrator Steve Dickson said at the University of North Dakota Mental Health Summit in 2021.
“It is a misconception that if you report a mental health issue, you will never fly again. … It’s just not true,” he said.
Dickson emphasized a renewed focus on “aircrew peer support networks, where pilots with concerns could talk to other pilots who were specifically trained to help.”
Despite the FAA’s insistence that mental health issues can be reported, barriers still exist for struggling pilots.
The FAA still does not allow pilots to take many antidepressants. And even those drugs that pilots are allowed to take for depression “are acceptable on a case by case basis,” according to the FAA.
“Approval for any psychiatric drug is very strict and does not permit applicants to be approved by an [Aviation Medical Examiner] or even the FAA office in Oklahoma City. These cases are decided by the FAA office in Washington, D.C. and many cases are not approved for a variety of reasons,” the FAA says in its list of accepted medications.
Donnelly-McLay believes the FAA has to treat mental health issues the way the airline industry handled alcohol and substance abuse.
In 1974, the Air Line Pilots Assn. created the Human Intervention Motivational Study, or HIMS, using a grant to treat pilots with alcohol and substance use disorders.
Now, the majority of American airlines refer pilots to HIMS programs that work with the FAA to get pilots treatment. More than 5,400 pilots with alcohol or substance use disorders have been treated through HIMS and returned to the air after successful completion of the program.
Before HIMS, many of the same issues existed related to pilot underreporting of substance use disorders.
“Prior to 1974, the FAA had no practical rehabilitative protocol to accommodate a recovering pilot and return him/her to work with safety. To identify an alcoholic pilot meant suspension or revocation of the medical certification and immediate loss of income,” according to the HIMS website.
In its 48-page report on pilot mental health after the Germanwings crash, the FAA report “investigated the concept of developing a pilot mental fitness-focused ASAP-like program” like HIMS.
“Consensus among the group as to the ability to implement such a program was not found,” the authors of the report wrote.
Certain airlines have their own programs. Alaska Airlines said it had internal programs to handle pilots with mental health issues, but the company did not immediately elaborate.
Aimer said it takes incidents like the Alaska Airlines flight to bring the FAA’s attention back to the critical issue.
“We are all human and we have our portion of alcoholics, mental issues,” Aimer said. “The FAA needs to do some serious soul searching and find a solution for this.”
At some point, you must have experienced a bloated face, red and puffy eyes, as well as dehydrated skin after smoking. Have you ever stopped to think and ask yourself why this happens whenever you smoke? Does using weed cause vasodilation. The answer is maybe.
Photo by Jeff W via Unsplash
What is Vasodilation?
Vasodilation is a mechanism to enhance blood flow to areas of the body that are lacking oxygen and/or nutrients. The vasodilation causes a decrease in systemic vascular resistance (SVR) and an increase in blood flow, resulting in a reduction of blood pressure.
The word “vasodilation” is used to describe the opening up of the body’s blood vessels.
It is the opposite of “vasoconstriction” where the blood vessels close up within the body. It is a temporary situation. It occurs naturally in your body in response to triggers such as low oxygen levels, a decrease in available nutrients, and increases in temperature. It causes the widening of your blood vessels, which in turn increases blood flow and lowers blood pressure.
Consuming marijuana could bring about vasodilation. When using cannabis, blood flow to some parts of the body is restricted or reduced. Oxygen transportation is also slowed down and not quickly delivered as promptly. While not dangerous, vasodilation can occur.
The easiest way to know this is happening is by the obvious reddening of the eyes, as well as the puffy/bloated face of the user. Unfortunately, many are not aware of this physiological mechanism, so they pin it on smoke irritation.
Some medical practitioners prescribe cannabis-based medications to patients suffering from glaucoma, high blood pressure, etc. This is because of the vasodilating response that would be induced by these drugs to help lower the blood pressure.
Photo by Skitterphoto via Pixabay
Vasodilation and Cannabis
While researchers have been able to find useful medical applications for cannabis in the human body, they have still not discovered the full extent of the effects of cannabis consumption on other organs in the body. And the risks involved are most times underestimated. The vasodilating effects of cannabis are one of the physiological responses of the body that have been investigated.
What Makes Cannabis a Vasodilator?
THC (Tetrahydrocannabinol) is the main psychoactive element present in cannabis. It is the agent that causes a noticeable increase in the heart rate, as well as a lowered blood pressure.
Another vasodilating effect is dizziness. This is because THC reacts with cannabinoid receptors present around the body, most especially the eyes to induce these effects.
Although THC is not the only cannabinoid responsible for all these, it is responsible for the bulk of these reactions. The amount of THC present in the cannabis strain ingested determines the extent of vasodilation in the user’s body.
For example, consuming a cannabis strain with less than 15% THC might result in little or no noticeable reddening of the eyes, compared to consuming over 30% THC cannabis strain. It also depends on the user’s tolerance, because everyone’s body anatomy is unique.
What Causes Reddening Of the Eyes?
The main reason your eyes get red — or bloodshot and bloated — when you use marijuana is due to vasodilation being set off by THC and other cannabinoids present in cannabis. When your eyes redden and get puffy, it indicates that there is an increased blood flow to your eyeball due to the dilation of blood vessels and capillaries around the eye area.
After the effects of the drugs begin to wear off, the capillaries and blood vessels gradually begin to close off and constrict. Till everything is back to normal.
Can Vasodilation Be Halted?
Vasodilation is a subconscious response, hence it cannot be prevented from occurring. Neither can it be halted when it has started. It only stops when the last effects of cannabis wear off in the body. You have zero control over the workings of vasodilation, nor vasoconstriction.
However, you can put in the effort to mask/cover up the effects of using cannabis by hiding your bloated face and puffy eyes.
Masking Vasodilation
Like I mentioned above vasodilation can’t be stopped, however with a few techniques you can effectively mask the signs. Here are some ways you can hide your puffy reds eyes effectively.
Eye drops—Allergy and Artificial: Allergy drops help with bloodshot eyes. It effectively reduces discomfort and redness. If it is itchy, it also helps soothe the eyes. Artificial teardrops can also help, although it is not as efficient as allergy eye drops, which is not surprising.
Both drops contain Tetryzoline, which acts as a constricting agent for the blood vessels. And both drops are easy to get at the nearest pharmacy over the counter.
Photo by Elizabeth Fernandez/Getty Images
Using Sunglasses: This is a perfect way to hide the use of marijuana, especially when in a public gathering with people you do not stare at your bloodshot eyes.
For example, you can use it for a lecture in college. It’s simple, less expensive, and fast to just pick your glasses, put them on and go about basking in your high. The only downside to this is that you cannot wear sunglasses at night, so as not to damage your eyesight.
Doing away with caffeinated drink: Coffee is also like cannabis, they are both vasodilators. Stay hydrated. Take a very cold bath if you can or put ice bags over your eyes.
Calmly wait for symptoms to subside: The redness will even be reduced and everything will go back to normal. The duration may vary from 1-12 hours depending on your body’s tolerance, weight, metabolism. And the strain and dose of cannabis ingested. Choose strains of cannabis with low THC.
Vasodilation is a temporary issue which can be partially mitigated with some simple steps. There isn’t a long term danger.
With the boom in craft spirits of the last 15 years has come an avalanche of new-make spirits labeled “moonshine,” “white dog,” or “white lightning,” often flavored with everything from apple pie to jalapeño to pumpkin spice. But what exactly is the stuff? Is it just a gimmick?
Moonshine is high-proof liquor, traditionally made, or at least distributed, illegally. The name was derived from a tradition of creating the alcohol during the nighttime, thereby avoiding detection. In the first decades of the 21st century, commercial distilleries have adopted the term for its outlaw cachet and begun producing their own legally sanctioned, novelty “moonshine,” including many flavored varieties, that in some sense continue its tradition, generally having a similar method and/or location of production.
Especially in the South, traditional moonshine still “homemade” and distributed to friends and family. Is can be made from any fermentable substrate, from sugar to grain to stone fruit. Whatever distillers can get their hands on and want to work with is fair game.
Commercial liquor labeled as moonshine is typically one of two things: neutral grain spirits or unaged whiskey. But what’s the difference there?
In short, it’s a difference in proof at distillation. Neutral spirits—of which vodka is a subcategory—must be at least 95% alcohol coming off the still, whereas whiskey must be distilled to less than 95% ABV. American whiskeys like bourbon, rye, and corn whiskey can’t be distilled above 80% ABV. Those differences are important, because the lower the proof at distillation, the more flavorful congeners carry over from the grain to the final spirit. White whiskey, in other words, is different from vodka, but some of what gets sold as “moonshine” is legally vodka. Check the fine print—if the label says “neutral spirits,” it’s not whiskey.
So why are these spirits so trendy these days? You see brands like Ole Smoky on shelves in mason jars and people are buying them right and left.
In large part, it’s because whiskey, like other aged spirits, is expensive and time-consuming to produce. It can be years before newly-distilled bourbon or rye is ready to hit the shelves, and small start-ups usually can’t afford to sit around twiddling their thumbs while whiskey is maturing. That leaves them with two options: buy and bottle sourced whiskey, or make clear spirits that can be sold right away. Gin, vodka, and white rum are all options, but so-called moonshine has an outlaw mystique that fits well with the branding of a lot of small distilleries. Some large distilleries, like Buffalo Trace, have since jumped on the bandwagon with their own new-make bottlings.
The fact that white dog is usually either a marketing ploy or a financial stopgap doesn’t necessarily mean it’s to be avoided. For one thing, it can be a great mixer, serving as a more-flavorful substitute for vodka. It can also be interesting to taste various styles of whiskey in their new-make form, and even, if you have the space and patience, try aging it at home.
As the day gets shorter and nights chillier, it might be time to put away the rosé, the margaritas, and the other fun summer drinks. As the leaves begin to change, it’s time to shake up your spirits selection with a favorite bourbon. Bourbon is an American Whiskey produced under a specific set of guidelines, and it seems the coziness of it is perfect for autumn.
Like Pina coladas, Cosmos, and Aperol Spritz evoke the feeling of summer, bourbon and whiskey boast specific tasting notes and flavor profiles that pair perfectly with the drop in temperatures. Holding the perfect drinks while cozying up by the fire with your favorite comfort foods is something bourbon is made to do. And it fits well with traditional fall foods like apple, maples, cinnamon and pumpkin.
Not all the great bourbon comes from Kentucky. Wyoming Whiskey in Kirby, Wyoming, is quietly turning heads with its well-made, well-aged, and well-that’s-delicious whiskeys, including a regular single barrel bourbon release that impresses even the most entrenched craft skeptics. Wyoming Whiskey’s line of wheated bourbons was developed in partnership with Steve Nally of Maker’s Mark, so it’s no surprise they’re so tasty.
The Booker’s Bourbon is a yet another crowd pleaser—a 127.4 proof, six-year-old bourbon named after a local group of motorcycle enthusiasts who are all active or retired police officers. It’s spendier than past Booker’s releases, but die-hard fans won’t be disappointed.
This new limited-edition release from Old Forester commemorates the release of the latest Statesman flick: The Kingsman: The Golden Circle. Indulge your international spy fantasies with this rye-forward bourbon, bottled at a healthy 95 proof.
Early Times’ flagship U.S. release isn’t a bourbon, but earlier this year the 157-year-old brand released a bottled-in-bond bourbon release seemingly designed specifically for cocktails.
It’s bottled at 100 proof, packaged in a one-liter bottle, and has a sweet, citrus-forward flavor and friendly price point that’s ideal for mixed drinks.
Debuting outside Kentucky for the very first time this September, this cult favorite brand is known for its small-batch vattings that showcase different flavors every time. Batch #7 combines 11 barrels that are at least 13 years old with four eight- to nine-year old barrels for a whiskey with a sweet entry and spicy finish.
As we wrap ourselves in all things autumn, bourbon does pair well with pumpkin spiced cookies.
Tommy Lee says he was drowning himself in two gallons of liquor a day during the depths of his alcoholism.
Pouring over his love-hate relationship with alcohol on Bill Maher’s Club Random podcast, the Mötley Crüe rocker said, “Alcohol’s such a fucking weird one.”
“It’s easy to fall in love with, the way it makes you feel, the way it makes you relax, and then all of a sudden you’re, like, ‘Fuck! I’m drinking two gallons of vodka a day?’ You’re trying to kill yourself now.”
“Your liver is on crutches at that point; it’s just barely functioning,” he told Maher.
After all the abuse his body has handled, Lee was floored when his doctors told him he hadn’t been left with any long-term health issues.
“I pinch myself on a daily basis,” he said of his glowing medical checkup.
Tommy Lee attends the premiere of “The Dirt” in Hollywood on March 18, 2019.
Paul Archuleta via Getty Images
Lee was so astonished by his health update that he thought it must have been a case of mistaken identity at first.
“I just did the full body scan, where they do head-to-toe everything, and I can’t believe ― smoking, drinking, all the fucking dumb shit, or the fun shit that I’ve done,” the “Dr. Feelgood” drummer said.
“Dude, the doctor was, like, ‘You’re good.’ And I was, like, ‘Are you sure you have the…? Let me see. Is that my name on there, or is there some Japanese guy in here that you have his results that you’re reading from?’ Because I find that fucking impossible. This is impossible.”
The hair metal legend talked more about his habit in an interview with Yahoo! Entertainment back in 2020, when he was marking one year of sobriety.
“Like, I was drinking just out of boredom,” he explained. “I would just wake up and be just building, just all vodka and just a little eyedropper of cranberry or lemonade. I was drinking two gallons — not pints, not quarts, but gallons, the big-handles.”
Need help with substance use disorder or mental health issues? In the U.S., call 800-662-HELP (4357) for the SAMHSA National Helpline.
The plane crash that killed Wagner mercenary boss Yevgeny Prigozhin could have been the result of intoxicated fighters letting off hand grenades, Russian President Vladimir Putin suggested Thursday.
Speaking surrounded by oligarchs and apparatchiks at a meeting of the Valdai Club in the Black Sea city of Sochi, Putin insisted “there was no external influence” on the Embraer Legacy 600 jet, which came down while flying between Moscow and St. Petersburg on August 23.
“The head of the Investigative Committee reported to me just the other day that hand grenade fragments were found in the bodies of those killed in the plane crash,” the Russian president added.
In an apparent explanation for the crash, Putin said that 5 kilograms of cocaine had been found among Prigozhin’s stacks of cash, weapons and fake documents when police raided the Wagner Group’s St. Petersburg headquarters.
“Unfortunately, no tests were carried out for the presence of alcohol and drugs in the victims’ blood,” he said. “In my opinion, it would’ve been important to do that analysis.”
The body of 62-year-old Prigozhin was buried at a private ceremony less than a week after he and his lieutenants died in the plane crash. The incident sparked rampant speculation of foul play from the Kremlin, coming just two months to the day after Prigozhin launched an insurrection against Russia’s top brass and had his fighters march on Moscow.
Putin had initially described the putsch as “treason” but, speaking days after his former ally’s death, softened his tone. “He was a man with a complex fate. [Sometimes] he made mistakes; and [sometimes] he got the results he wanted — for himself and in response to my requests, for a common cause,” the Russian president said.
The past week of campus crime saw incidents ranging from alcohol-related arrests during a football game to narcotics offenses and a disturbance on campus.
The University of Nebraska-Lincoln Police Department arrested two students on Saturday during Nebraska football’s home opener against Northern Illinois.
Sergeant Joshua Rubottom said one of the students, who police found on the ground at the game, had a blood alcohol content of .221. The other had a BAC of .084 and was found vomiting in the stadium bathroom.
Police transported both students to the station for processing and arrested the individuals.
“The football game was pretty busy. We were non-stop, it wasn’t fun,” Rubottom said.
There were three other alcohol-related incidents over the past week. UNLPD responded to a call from a student who found their roommate in a highly-intoxicated state last Friday. Rubottom said this was a Good-Samaritan situation and no citations were given. Medical arrived on the scene and transported the student to the hospital, according to Rubottom.
University Police responded to a second incident on Friday, involving a large group of students in Harper Hall returning from an off-campus party. UNLPD provided an educational talk to the students, and no citations were issued. Rubottom said a similar incident occurred at Abel Hall on Saturday, where, as in…
Time comes for us all, but wine doesn’t have to. In an interview with People, Gisele Bündchen discussed quitting drinking, and what happened when she went dry.
“Right after I turned 40, actually, I felt a huge difference between when I had the glass of wine and when I didn’t have the glass of wine,” she said. “It’s socially accepted to have a glass of wine. And people even say, ‘Oh, it’s healthy for you.’ Well, it is not healthy for me. If you want to ask of your body what I ask of my body, which is a lot, I can’t be having all these things (alcohol, caffeine) because they add up.”
Some of what she asks of her body includes parenting two kids (13-year-old Ben and 10-year-old Vivian), working out “every single day,” in her words (walking, yoga, weights, meditation), and the strains of work and travel as she co-parents with ex-husband Tom Brady, from whom she filed for divorce last October. She also, she said, was helping both of her parents through health problems.
“I feel like whenever it rains, it pours. With all the different twists and turns that life takes, all we can do is the best we can given what happens in our surroundings.”
She said she “immediately” felt the difference when she decided to quit drinking.
“I became more clear,” she said. “I felt a bit more foggy before. Now I’m very sharp and very present and I notice things that I didn’t notice before. When I’m not drinking, I’m sleeping much better. You have to be loving to yourself. You ask a lot of your body, you’ve got to do a reset. You have got to take care of this only vehicle you got, right?”
Bündchen defended self-care against those who might characterize it as selfish.
“No one is going to do it for you,” she said. “When you feel good, you’re a better mom, you’re a better friend, you’re calmer, you’re more patient, you’re more loving, you’re more grounded. So you can’t feel guilty about prioritizing yourself. Because that’s loving you and loving the people you love the most, which are going to be impacted by how well you are. Because if you’re sick, everyone’s hurts.”
It may also be considered self-care (in a financial sense, at least) that Bündchen is supporting her daughter’s passion for horse jumping while still not allowing her to get a second horse. “She’s obsessed,” she said of her daughter, who, as a certified Horse Girl, claims that she wants to be a professional equestrian.
“Now she’s already trying to get other horses,” she said. “She’s already like, ‘Mom. They told me I have to have a new horse to jump higher.’ I’m like, ‘You’re 10, calm down.’ Her horse jumps like a meter 20. ‘You’re going to be fine.’ I think it’s fine where you’re jumping right now.’ But she’s so courageous.”
She did, however, recently purchase a horse farm so Vivian can ride her horse, Item, in private. But that’s a no to a second horse, you hear? She has her limits.
In this ongoing series, we are sharing advice, tips and insights from real entrepreneurs who are out there doing business battle on a daily basis. (Answers have been edited and condensed for clarity.)
Who are you and what’s your business?
I’m Patt Eagan, one of the co-founders of Common Wealth Crush. We are a winery operation for winemakers in Virginia’s Shenandoah Valley — a custom crush meets incubator meets think tank cooperative. We offer a range of winemaking and related support services tailored to anyone from independent winemakers who need a production facility to brand owners who need full-service support.
What made you want to do this?
My co-founders Ben and Tim Jordan had the initial kernel of the idea after their experience of getting their own small family brand up and running. We realized that our state didn’t have a facility that was really geared toward the individual winemaker. A place where they could come in, utilize our tanks, equipment and expertise, and also call their own shots. We developed the idea while I was getting my MBA at UVA, and we opened shortly after I graduated. For me, it was a perfect mix of having a passion for wine and also wanting to be part of building a business from the ground up.
Credit: Common Wealth Crush
Can you talk about balancing the “new and innovative” aspects of your business with the history of the industry?
We set up in the historic Virginia Metalcrafters building, which is an important part of Waynesboro and Virginia manufacturing history. In fact, it’s on the US National Register of Historic Places. We appreciate being part of a long line of Virginia craftspeople who have occupied this space. It just feels right. And our overall business model took inspiration from Carlton Winemakers Studio in Oregon, Punchdown Cellars and Grand Cru Custom Crush in California. We’re proud to be part of a long tradition of community-focused facilities around the globe that have proven invaluable to the survival and growth of small producers. We were proud to receive Waynesboro’s first Agriculture & Forestry Industries Development Fund grant award.
Right now we have eight companies and as we look to expand, we’re striving to be a force for supporting more diverse representation within the wine industry. We’re launching a winemaker incubator program this coming harvest, designed to foster and support communities that lack representation in Virginia wine. To help jump-start these projects, we’re waiving the typical winemaking fees associated with the first year of production in our facility.
What are some of the biggest challenges you and winemakers face?
So principally I would say that the financial aspect of the wine industry is really difficult. It’s a tough slope to climb. It is a huge financial burden for small producers to build their own facilities. It’s a big hurdle to clear and what our model is actively trying to address. We take on those fixed costs and clients are then paying us based on the tons of fruit processed and things like that. The other big hurdle is the complexity of regulation within the industry, permitting, the nuances of marketing, the three-tier system with distribution versus direct sales, and so many other things.
What do you advise people looking to get into the wine industry?
It is funny, there’s this juxtaposition of the relaxed romance of the industry versus when you pop the hood and look inside at the complexity you have to navigate. I think that’s the reason that winemaking attracts people from so many different backgrounds — it’s like this Rubik’s Cube that you can’t help but enjoy solving.
Resting heart rate and heart rate variability are two terms you may often see associated with each other. And while they’re not the same thing, they do have a close relationship.
Resting heart rate measures the total number of heartbeats detected over one minute in the resting state, while HRV looks at time intervals between adjacent beats. And the greater the variation in those time intervals, the higher the HRV.
“Heart rate and heart rate variability (HRV) are inversely proportional, meaning that when the heart rate increases, the HRV will go down,” says Twyman.
HRV is usually higher in younger individuals and those who are physically fit, notes Klodas. “So higher HRV is often seen in people with lower resting heart rates, and is usually an indicator of higher parasympathetic tone, a more efficient cardiovascular system, and better overall health,” she says.
On the flip side, lower HRV can increase mortality rates15 and make you more susceptible to the effects of stress and disease.
The major exception here is in people with arrhythmias. In that case, the intervals between beats have nothing to do with parasympathetic tone or physical fitness.
Twyman adds that if you want to get an accurate picture of what’s going on, it’s best to measure HRV when you are in a relaxed state, and your resting heart rate is at its lowest. “During exercise, when the heart rate increases with workload, the HRV will become very low as the sympathetic branch of the autonomic nervous system is activated,” he says.
Past-year use of marijuana and hallucinogens by adults 35 to 50 years old continued a long-term upward trajectory to reach all-time highs in 2022, according to the Monitoring the Future (MTF) panel study, an annual survey of substance use behaviors and attitudes of adults 19 to 60 years old. Among younger adults aged 19 to 30, reports of past-year marijuana and hallucinogen use as well as marijuana and nicotine vaping significantly increased in the past five years, with marijuana use and vaping at their highest historic levels for this age group in 2022. The MTF study is funded by the National Institute on Drug Abuse (NIDA), part of the National Institutes of Health, and is conducted by scientists at the University of Michigan’s Institute for Social Research, Ann Arbor.
While binge drinking has generally declined for the past 10 years among younger adults, adults aged 35 to 50 in 2022 reported the highest prevalence of binge drinking ever recorded for this age group, which also represents a significant past-year, five-year, and 10-year increase.
“Substance use is not limited to teens and young adults, and these data help us understand how people use drugs across the lifespan,” said NIDA director, Nora Volkow, M.D. “Understanding these trends is a first step, and it is crucial that research continues to illuminate how substance use and related health impacts may change over time. We want to ensure that people from the earliest to the latest stages in…
MONDAY, Aug. 14, 2023 (HealthDay News) — Many Americans diagnosed with cancer continue to drink alcohol regularly — sometimes heavily and sometimes during treatment, a new study shows.
The study, of over 15,000 U.S. cancer survivors, found that 78% were current drinkers. And of them, significant percentages said they binged or engaged in other “risky” drinking. The same patterns were seen even among people undergoing cancer treatment.
Experts said the findings are concerning, in part because alcohol increases the risk of certain cancers. Drinking during cancer treatment, meanwhile, may interfere with the effectiveness of some therapies or boost the chances of side effects.
“There were a lot of risky drinking behaviors in this study, which is surprising,” said senior researcher Yin Cao, an associate professor at Washington University School of Medicine in St. Louis.
It is true, Cao said, that there is still a lot left to learn about how drinking — including problem drinking — affects cancer survivors’ health over the long haul. There’s limited information, for example, on whether drinking after a cancer diagnosis increases the chances of a recurrence.
On the other hand, heavy drinking has well-known health hazards. And there already are “clear guidelines” encouraging everyone — cancer survivor or not — to limit their drinking, for a host of health reasons, Cao said.
Those include guidelines from the American Cancer Society (ACS), which say that alcohol use is one of the most important changeable risk factors for cancer.
The best course is to not drink at all, said Dr. Farhad Islami, senior scientific director of cancer disparity research at the ACS.
“But if you choose to drink,” Islami said, “you should limit your intake to no more than one drink per day for women, and two per day for men.”
Islami, who was not involved in the new study, said it is highlighting a basic fact that many people, including cancer survivors, do not know.
“Most people know that smoking causes cancer,” he said. “But not many people are aware that alcohol use is also a risk factor.”
As you can probably guess, derms have pretty strong feelings about this trend. First things first: It doesn’t actually work.
“‘Beer tanning’ is a misconception,” board-certified dermatologist Michelle Henry, M.D., founder of Skin & Aesthetics Surgery of Manhattan, tells mindbodygreen. “The process of tanning occurs due to exposure to UV radiation from the sun, leading to the production of melanin, the pigment responsible for skin color. The notion that beer’s sugars or acids interact with melanin to accelerate tanning is not backed by scientific research.”
You might recall folks dousing their hair in beer to temporarily lighten their strands (I admit I was one of those eager teenagers). This DIY trick does technically work but for a totally different reason—and, still, it’s not something we would recommend.
“Beer contains alcohol, which acts as a solvent and can help remove some color from the hair strands, resulting in a subtle lightening effect,” Henry explains. But in terms of the pigment in your skin, there’s no reason beer would help enhance your tan.
It’s also not safe to sunbathe for sport, especially without proper sun protection. Make no mistake: Beer does not shield you against UV rays. “Relying on beer or other unconventional methods for tanning can be both ineffective and risky,” notes Henry, resulting in skin damage, burns, premature aging, and increased risk of skin cancer down the line.
Beer may even exacerbate irritation, especially for those with sensitive, easily reactive skin. “Ingredients in beer like hops or yeast can lead to skin irritation or allergic reactions upon contact,” Henry adds.
The bottom line? Skip the beer tans and practice safer sun habits. Your healthy skin will thank you in the long run.
Carla Garson’s memories of her final TikTok Live with her partner, 23-year-old David Lee Perez — which took place on Dec. 26, 2022 — are blurry.
The couple had found modest fame in the summer of that year through their shared TikTok account, Operation Hangover, which they used to broadcast themselves taking shots in exchange for cash on the platform’s Live function. Together, sometimes multiple times a week, they would sit in the basement of their home and tally up the drinks they’d consumed on a whiteboard behind them for their audience.
According to Garson, their drinking had become heavy by December 2022 as their streams had grown in popularity, and the holiday period meant more people were available to watch and pay them to take shots. Garson said the couple charged between $5 and $15 dollars per shot, although their earnings varied widely depending on that night’s crowd.
“On a good night, we made roughly $500,” said Garson, who told HuffPost that the pair were given money through PayPal, CashApp and TikTok Live’s gift function. “On a bad night, I would say, maybe like $50.” (The BBC reported that TikTok takes a 70% cut from the earnings creators receive through TikTok Live gifts, a figure the platform’s spokesperson described as “inaccurate”; on its website, TikTok states it takes a 50% cut, “after deducting the required payments to app stores, payment processors and any other adjustment required under [its] terms and policies.”)
Garson said she and Perez had tried to mitigate the risk of drinking to excess on the streams by secretly filling a small number of their alcohol bottles with sweet tea and other soft beverages, although she claimed the remaining ones always contained real booze, and that she and Perez were often actually intoxicated on their livestreams.
Sometimes, according to Garson, Perez would chug straight liquor on the Lives, usually when he was stressed. Although she said she often tried to warn him that his actions were dangerous, she was hopeful that they wouldn’t be drinking online for much longer.
“We wanted to change our TikTok from drinking to cooking and music,” said Garson, now 21, who lives in Colorado, where she is currently taking a break from studying psychology. She added that she and Perez wanted to spend 2023 looking after their health. “It was pretty miserable for the both of us, I think, towards the end,” she said of the streams. “It got pretty rough.”
Garson remembers feeling the pressure to drink being especially hard on the night of the pair’s last livestream. She told HuffPost that they had attracted a larger crowd than usual and were paid to take four or five shots at a time. Garson said she ended up drinking 11 shots in total, while Perez had 14, and according to her, shotgunned an additional two beers. The last thing Garson clearly recollects, she said, is Perez chugging an entire Four Loko — a 23-ounce can of malt alcohol that can be up to 14% ABV — in one sitting.
It was purchased for him, she alleges, by a TikTok creator who claims in his TikTok bio and some videos to be sponsored by Four Loko. “[The creator] paid 20 bucks for him to chug that,” Garson said, and also alleged that the creator she referenced — who makes videos of himself shotgunning cans of Four Loko for an audience of tens of thousands of followers — had convinced Perez to shotgun two Four Lokos in a separate livestream the night before, on Dec. 25. (The man behind the account did not respond to HuffPost’s multiple requests for comment, eventually blocking its reporter.)
Garson says she doesn’t remember much after that and was “blackout drunk.” According to her, she does remember Perez vomiting in the bathroom and being unresponsive when she called out to him. She remembers sobering up rapidly when she realized he wasn’t breathing and calling 911. She said she began to start hitting his back and attempted CPR. Amid the chaos, their phone — which the pair had been livestreaming on — fell into a pile of bags under their coffee table. According to Garson, she had no idea that the phone continued to broadcast audio of the unfolding nightmare to an audience of 280 people.
In one of the few recordings that remain of the incident, Garson could be heard crying, telling someone that her partner wasn’t breathing. A man in the background — whom Garson identified as a family member — could be heard yelling, saying that Perez had been passed out for a while. Eventually, one of the paramedics that Garson summoned to the scene called to his colleague to give Perez the drug epinephrine, which is administered to reverse cardiac arrest. In the recording, one of the paramedics stated that Perez had a history of pancreatic cancer. (According to Garson and Perez’s mother and sister, Perez informed his family that he had stage 3 endocrine cancer of the pancreas in 2021, and after several months of asking them to drop him off outside of the hospital for chemotherapy, he announced that he had entered remission in 2022.)
Meanwhile, viewers were commenting in real time. Some left messages like “Prayers for Dave!” or expressed their dismay. Others were more insensitive, saying it was “too late” to save Perez or that he was “way past dead.” Many people began to beg the TikToker to wake up, as if he could hear their messages. The livestream’s viewership crept up from 280 to 310.
Suddenly, the sound of clicking medical devices stopped. The paramedics could no longer be heard, and soon the livestream turned to static. On the TikTok video, only viewers’ messages and a “rising star” label — a ranking TikTok awards to creators making the most income from their Live streams — were visible in the corner of the screen. Some 343 people were watching toward the end of the recording. The last thing that could be heard before the recording cut out was the voice of Perez’s family member. “He’s dead, Carla!” the family member screamed. (TikTok declined to comment on Perez, the circumstances of his death, or the fact that it was livestreamed.)
Despite the best efforts of Garson and paramedics, Perez was pronounced dead at the scene. It’s a memory that still haunts Garson. “I tried saving him. I tried to revive him,” she said. “I just remember screaming for him.”
Since then, she has vowed to raise awareness about the dangers of alcohol-based TikToks — and the brands that creators claim they work with to create their content. “It is very common to have partnerships and sponsorships [among alcohol-based creators],” Garson said. “That’s when it’s promoting, literally, alcoholism — and I’m going to bring awareness to it.”
In response to Garson’s claim, a TikTok spokesperson said that such content would be a “breach of our policies.”
Although it is possible they were unaware that their products were being promoted in this way on TikTok, HuffPost also reached out to seven alcohol brands and one alcohol retailer that either had their branded merchandise or bottles of alcohol promoted by TikTokers who engage in drinking Lives, including Pernod-Ricard-owned Screwball Whiskey, Jim Beam Whiskey and malt beverage Four Loko. Only two independent brands — Trust Me Vodka and TC Craft Tequila — responded.
Garson, Perez and many of the peers they met from TikTok all hail from the same sphere: the intense and often dangerous world of drinking on TikTok Lives, where creators stream themselves downing what appears to be alcohol for cash in real time. The niche has been fueled by its lucrative nature, which allows influencers to make a quick buck through streams and potentially attract the attention of brands that have allegedly sent them swag, alcohol and other items. It points toward a larger, more troubling trend: In a saturated social media market where extremes attract the most attention, it pays to take risks and build personal brands around bingeing — and the results can sometimes be deadly.
Despite the prevalence of alcohol-themed creators on TikTok — who have, at the time of this writing, attracted over 24 billion views between the hashtags #alcohol and #cocktail alone — the platform has a hard-line stance on the promotion of booze-based content. In its branded content policy, TikTok explicitly prohibits branded content that promotes “products or services” for alcoholic beverages, alcohol-making kits, alcohol-sponsored events or even “soft drinks presented as mixers for alcohol.” The platform defines branded content as videos that feature “a product or service that has been gifted to [a creator] by a brand, or that [a creator has] been paid to post about (whether in the form of money or a gift), or for which [a creator] will receive a commission on any sales.”
In its community guidelines, the platform also bans videos that facilitate the trade or purchase of alcohol and states that videos of excessive alcohol consumption will be restricted to users aged 18 and over. (In a 2022 study, Dutch news organization Pointer made a fake account for a 13-year-old boy and found that 1 in 5 videos on the feed of this hypothetical minor contained alcohol, despite TikTok’s age restriction policies.)
A TikTok spokesperson confirmed that videos HuffPost provided to the company showing adults consuming “excessive amounts” of alcohol were age-restricted to users 18 and up globally, through a combination of tech-based solutions and human moderation, but said there was “no set level” in its guidelines for excessive consumption. The spokesperson also suggested the Pointer investigation was unfair. “I don’t think this study represents how most people would engage with TikTok,” said the spokesperson. “People don’t intentionally search for one type of content.”
While alcohol-based content on the platform is largely produced by creators like mixologists and bartenders, who pour drinks that they consume off-camera, there is a corner of the niche specifically devoted to alcohol consumption — even to excess. Perez, for instance, occupied a corner of TikTok streaming that was dominated by creators who appear to be heavy drinkers and who sometimes refer to themselves as “senders,” as they always finish their drinks in one chug.
Popular creators in this sphere include @izzydrinks, who has 382,000 followers and has previously posted videos of himself chugging what looks like several beers in succession until he violently vomits, and the creator who allegedly bought Perez Four Loko the last two nights of his life, who has over 20,000 followers and films himself shotgunning cans of the beverage while wearing branded gear. (@izzydrinks did not respond to multiple requests for comment. Neither did the creator who has aligned himself with Four Loko.)
Other creators film themselves downing what they claim are potent cocktails, like @pourdecisionmaker, who has just over 200,000 followers and has recorded himself drinking a mix that he says is made up of 128-proof moonshine, Don Q 151 rum and 190-proof Everclear, which allegedly left the TikToker vomiting for “three rounds with the toilet.”
“That one would probably be the most extreme I’ve ever done,” said Chris, the 28-year-old military veteran and IT worker behind the @pourdecisionmaker account, who told HuffPost that he would prepare for such drink-based events by drinking a lot of fluids and eating a meal to “cradle” the alcohol. (Chris asked HuffPost to withhold his last name for privacy reasons.) Although it’s possible that creators like Perez, Garson and Chris water down or fake their drinks, Chris claimed to be drinking real alcohol in his videos and asserted that he is often inebriated in his content. “I’ve had some nights I wish I could take back, obviously, and I’ve had some nights where I went to bed with a little bit of a drunk feeling and I wake up fine the next morning,” he said. “It would just depend on the night.”
Most creators in the “sender” niche also broadcast themselves on TikTok Live, where they offer to down drinks or take shots in exchange for cash gifts from their viewers — sent either through TikTok Live’s gift function or directly to PayPal and CashApp accounts. Influencers who engage in these streams have formed a small community, often appearing in the comment sections of each other’s videos or broadcasting themselves on TikTok Live opening and drinking cans of beer and other alcohol, slurring and using breathalyzers, among other things. While the nature of live broadcasts makes the sessions hard to trace, remnants of them persist online.
Another recording taken in January of this year shows the TikToker @drinktesterofficial, who has over 800,000 followers, slurring on Live and seemingly inebriated as he pours himself shots in front of his audience. (HuffPost reached out to @rudysends and @drinktesterofficial multiple times for comment, but did not receive a response.)
Two more videos HuffPost viewed feature Chris, aka @pourdecisionmaker, taking part in TikTok drinking Lives. They include a promotional TikTok directing people toward his livestream, in which he promised to do a shot for every TikTok gift he received while livestreaming. In that video, he could be seen brandishing a breathalyzer, which he promised to use regularly so his followers could see exactly how drunk they got him. It has been viewed over 600,000 times.
According to Chris, who built a bar in his East Coast home just before the pandemic started, the Lives were just a way to support his hobby and TikTok account. While he claims it isn’t necessarily about the money, he does use his earnings to reinvest in his channel and “buy more alcohol to make more content with, and then it’s just an endless cycle from there.” He said he participated in roughly 15 TikTok Lives where he drank alcohol in exchange for cash, which he said generated roughly $50–$75 in profit. He also says that the breathalyzer was used as a way to combat viewers who argued that he wasn’t drinking real alcohol on Live, although he admitted to HuffPost that he could “skew higher numbers” on the device by breathing into it immediately after taking a shot. “It would bring in the views,” he explained, “and it would obviously do well.”
When HuffPost approached TikTok for comment on @pourdecisionmaker’s videos, the platform responded by deleting his account. “Content which encourages people to drink in exchange for gifts does violate our dangerous acts policy, which covers behavior that is likely to cause physical harm,” a TikTok spokesperson later said to HuffPost. “We removed [@pourdecisiommaker’s account] for violating our guidelines.”
Shortly after his account was deleted, Chris began using a second @pourdecisionmaker account and uploaded a video promoting merchandise and alcohol that he claims he received from alcoholic iced-tea brand Arizona Hard. The video has since been deleted, and Arizona Hard did not respond to HuffPost’s requests for comment. As of Wednesday, @pourdecisionmaker’s account had reappeared; by Thursday, after HuffPost reached out to TikTok for comment on whether the account was reinstated, it was removed again. “This account has been banned in accordance with our rules,” a TikTok representative said.
The behavior seen in the Lives of creators like Chris — reminiscent of scenes that were once reserved for shock television shows like “Jackass” or frat parties — is becoming more common on social media. Meanwhile, the competition for views incentivizes risk-taking and aggressive or dangerous content that helps new creators stand out and generate an audience quickly.
But according to Perez’s mother, Angela Mosbarger, at first, the drinking in Operation Hangover’s Lives wasn’t extreme at all, and she even took part in one to celebrate Halloween 2022. At the time, she said, she had little cause for concern. There weren’t many viewers on the stream, and while Mosbarger admits someone paid her $20 to take a shot with Perez, she said she’d only had one drink by the end of the evening, and believes that Perez and Garson had consumed five between them. No one was drinking to excess or being pressured to do anything reckless, she said, and it felt like a relaxed atmosphere.
“I didn’t think of it being a harmful thing, because there wasn’t a lot of alcohol,” said Mosbarger, 51, who works in the hospitality industry. She remembers the evening on TikTok Live — which attracted a humble 20 spectators — as being one of her best memories with her son. “He was really excited about it,” she added, “because he was making good money on it.”
According to Jennifer Pauley, a 61-year-old stay-at-home grandmother and former Operation Hangover viewer from Texas, many of Perez and Garson’s viewers were enticed by the pair’s personalities. “It always started out fun and friendly, and you could see the love between Carla [Garson] and David [Perez],” she said. “They were so young and playful, it was nice to see at the beginning. But then you knew where it was going to go. They were so personable — and they were so young.”
As the summer went on and their live audiences swelled from tens to hundreds of people, Garson said that she and Perez found it harder to control the amount they were drinking. She told HuffPost that the situation was complicated by Perez’s medical debt — he had told her that he’d accrued it due to struggles with lupus and arthritis, although she said she’d never seen him take medication for the conditions — and the income from the streams spurred them to push through even as the number of shots they were taking each night began to rise.
“David thought it would be a good idea to do the [shots-for-cash] TikTok as a side hustle. Just more money to help us financially take care of the family and the bills,” she said. The real draw for Perez, in Garson’s eyes, however, was the adoration and approval of his newfound audience. “He finally felt accepted. He found a place where he was able to be himself. He didn’t have to be anybody else,” she added. “I felt that was definitely what contributed to him doing it — the people encouraging it.”
Pauley said she also noticed the livestreams were getting out of control, and as a person who claims to have spent large portions of her life around alcoholics, she said she felt compelled to stay in order to try and protect the pair from both themselves and their increased levels of drinking. “I would just watch and try to comment to the point where I wouldn’t get banned — you know, like telling them to eat something, or take a break, or drink some water,” she said.
She said she often felt helpless against the majority of viewers, who, from her perspective, seemed more interested in getting Perez and Garson hopelessly drunk, to the point where — Pauley said — Perez would often pass out. “People knew what the outcome of buying [them] the strongest shot is, but they still did it, because they wanted to see a tragedy,” she added. “It was a whole audience of pushers.”
For those closest to Perez, the months after his death have been confusing and shocking. His sister, Dayana Sandoval, who is 33 and lives in Wisconsin with her young daughter, was floored when she learned of the Operation Hangover account. She remembers her younger brother as a gentle soul who wasn’t the type to drink or behave recklessly — according to her, he opted for non-alcoholic beer on his 21st birthday as he wasn’t fond of the substance. Even during the period when Perez and Garson did their TikTok Lives, Sandoval says, he avoided alcohol at family gatherings on the weekends.
According to Sandoval, the first time she heard about her brother’s TikTok career was at 2:30 a.m. on Dec. 27, when Perez was receiving CPR on TikTok Live. Her younger sister had called to explain the situation and said that it was being broadcast on the social media platform. Sandoval tuned in as quickly as she could. “I was trying to read the comments because everything was blacked out, and then I heard on the phone — and on the TikTok Live, at the same time — that my brother had been pronounced dead,” she said.
Although Sandoval says she’d tried to participate in the Live, asking questions and attempting to attract the attention of moderators, she claims she was muted on the basis that they didn’t believe she was Perez’s sister. “It was just a very odd situation, and I was panicking.”
It’s a memory that still haunts Pauley, who watched the night of Perez’s death as it unfolded live on TikTok. “It was horrific because you could hear everything — every step, the EMTs talking to each other, saying that [Perez] wasn’t going to make it. I just couldn’t turn it off not knowing if he was going to be OK — and I know in my head that there was nothing I could do or say, but it was kind of like I wanted to be there for Carla,” she said.
Both Garson and Pauley also claim that moderators had seemingly repeatedly deleted messages urging Garson and Perez to slow down their drinking that night, although no records of the chat remain. (According to Garson, the moderators, who were appointed jointly by Garson and Perez, were fans with extra powers allegedly tasked with helping to police the chat, although Garson said she and Perez did not know them in real life, and HuffPost was unable to locate them. TikTok’s own content policing team, which only moderates content based on user reports, is a separate entity.)
“I feel like if I saw [those messages], I would have done something,” noted Garson. “Even if I was in that vulnerable state, you know?”
Both Garson and Sandoval also have questions for the TikTok creator who Garson alleges bought Perez one of his last-ever drinks. “A big content creator [in this scene] knows alcohol and the risks,” said Sandoval, who felt it was an irresponsible act for someone who claims he is “officially sponsored by Four Loko” in his TikTok biography. “He’s just going to come in and say, ‘Hey, do a Four Loko!’ when someone is already clearly inebriated? That seems destructive to me. I don’t understand it.” (Four Loko did not respond to multiple requests for comment.)
Although there are no strict rules around alcohol advertising on social media in the U.S., there are self-imposed ethical standards that companies are meant to adhere to; according to the FDA, these standards include not advertising in areas where more than 28.4% of the audience is under 21.
Industry-wide guidelines set out for distilled spirit brands also state that alcohol advertisements should portray drinkers “in a responsible manner” and not show alcohol being consumed “abusively or irresponsibly,” while beer and malt liquor guidelines state advertisements and marketing materials should not depict situations where beer is “consumed excessively [or] in an irresponsible way,” or “portray persons in a state of intoxication or in any way suggest that intoxication is acceptable conduct.”
Despite these regulations, HuffPost has reviewed several videos — which are still online at the time of writing — that seem to show influencers flagrantly ignoring these rules while saying they’re working with alcohol companies. Creator @izzydrinks claims to have received samples of alcohol from independent brands ’Merican Mule, Trust Me Vodka, as well as branded merchandise from Pernod-Ricard-owned Screwball Whiskey. Even Garson said she still receives requests from alcohol brands: She shared an email from TC Craft Tequila Company with HuffPost that promised Garson a free bottle of tequila in exchange for an unboxing video after her partner’s death. (HuffPost also has copies of videos posted by @pourdecisionmaker in which he claimed to receive alcohol from independent brands ’Merican Mule and Kurvball Whiskey, and branded merchandise for Pernod-Ricard-owned Screwball Whiskey and Suntory-Group-owned Jim Beam Whiskey, before TikTok removed his account.)
One of the beverages featured in these videos — Bakesale Cookie Liquor, which has been used in multiple clips created by both @izzydrinks and @pourdecisionmaker — appears to have been sent by CW Spirits, or Country Wine and Spirits, an online alcohol retailer. A number of creators in TikTok’s alcohol niche appear to be advertising for the company, and a hashtag dedicated to it, #cwspirits, has attracted almost 40 million views. In some unboxing videos, where influencers unpackage gifts from the retailer, affiliate codes for purchases are visible in the captions. Others display affiliate codes for CW spirits in the background of each of their videos, while a select few — like @jonesnmann, who has over 500,000 followers — overlay the website’s address and discount codes on their videos. (@jonesnmann did not respond to a request for comment. CW Spirits did not respond to multiple requests for comment.)
A few savvy TikTokers — including @izzydrinks, as well as @beauty.and.the.booze, who has over 300,000 followers, and @heavyhands94, who has over 1 million followers — share their personalized discount codes for CW Spirits via Linktree. (Content facilitating the sale or trade of alcohol is explicitly banned on TikTok, something a TikTok spokesperson confirmed to HuffPost. Several TikTok accounts promoting CW Spirits were removed from the platform after HuffPost requested comment on the matter. @izzydrinks, @beauty.and.the.booze and @heavyhands94 did not respond to requests for comment.)
Chris, the man behind @pourdecisionmaker, told HuffPost that he was always approached first by alcohol brands when it came to offers of merchandise or free alcohol, although some brands — like Jim Beam Whiskey and Screwball Whiskey — only offered to send him things after he’d already made videos with their alcohol on his account. He also told HuffPost that he’d been approached directly by CW Spirits, which sent him free alcohol each month if he made around two sales a month on the platform from his affiliate codes.
When asked if he knew that such partnerships were in violation of TikTok’s content policy, he admitted that he did. “I was told that there was some kind of workaround for that,” said Chris. When asked if an alcohol company had told him that, Chris refused to answer. He is ambivalent about his future prospect for partnerships. “If it just so happens to be, that’s wonderful,” continued Chris, who told HuffPost he has “gained considerable traction” with a new TikTok account that hosts both alcohol-based and comedy-based content. “If it doesn’t, life goes on and I can continue my content creation without it.”
HuffPost sent multiple requests for comment to ’Merican Mule, Trust Me Vodka, TC Craft Tequila, Screwball Whiskey, Four Loko, Jim Beam Whiskey and CW Spirits in response to allegations in this article. Only two companies responded.
A spokesperson from TC Craft Tequila told HuffPost over email that the company only sends alcohol to U.S.-based Instagram influencers, suggested that a company it had outsourced work to was at fault, and claimed it had launched an investigation to understand how “an insensitive and misdirected communication” had occurred between Garson and one of the company’s representatives.
Mitchell Bailey, co-founder of Trust Me Vodka, also responded. “No, we do not send alcohol to influencers for promotion,” Bailey said over email. “We are aware of the numerous rules and restrictions around alcohol. Everything we do is governed and approved.” When HuffPost sent Mitchell a video of @izzydrinks promoting Trust Me Vodka on TikTok and asked for additional comment, he said: “We do not and have not sent product to him.”
Over five months after her brother’s death, Sandoval still has plenty of unanswered questions, especially when it comes to TikTok. Her family, she said, has not been contacted by the social media company in the wake of her brother’s death, despite the fact that Perez’s accident made U.S. headlines. No one has explained why the entire scene was broadcast on Live, despite viewers’ purported attempts to report it.
“I would like to understand why the hell there’s nobody that’s actually monitoring during these Lives. I don’t understand how someone gets pronounced dead online, and the whole aftermath of crying and screaming and trauma is just right there, live, in front of hundreds of people,” she said. (TikTok did not respond to this specific allegation.)
Pauley — who claims to have reported the Live to TikTok “at least” 10 times when it became clear that Perez was in trouble — has also been horrified by TikTok’s silence on the matter.
She also said that, a week before her interview with HuffPost, she witnessed another incident on TikTok in which a young man was swigging large amounts of alcohol for his livestream audience first thing in the morning; by the evening, she said, he was “stumbling around his living room” and had seemingly passed out behind his sofa. “You couldn’t tell if he was alive or not,” said Pauley, who claims she had reported the Live four times that morning, while the TikToker in question was still standing. “I reported him [again, when he passed out] probably four or five times.”
A TikTok spokesperson said the company invests “heavily in training, technology, and human moderators to detect, review, and remove harmful content,” and stressed that frequently reported accounts that are found guilty of “repeated or severe violations” are either denied future access to TikTok Live or have their accounts suspended.
The turmoil that Sandoval and her relatives have gone through in the wake of Perez’s death has been further compounded by a shocking revelation. In the process of obtaining an autopsy — in which a coroner ruled that Perez had died from acute ethanol toxicity — Perez’s family found out that he had never had cancer at all. It had all been an elaborate lie.
“We’re really angry at him because it’s like, ‘What were you thinking?’ — but I can’t ask him that because he’s not here,” Sandoval said. “He was completely healthy and he had his whole life ahead of him — and he died because of what? So he can gain love and attention from thousands of people? He was successful in doing that, but at the cost of his life.”
Although it wasn’t his intention, Perez has become a cautionary tale about seeking social media fame — and the approval of others — no matter how dangerous the method is. But although drinking Lives are destructive and irresponsible, they would not exist in the first place without the viewers who watch and sometimes even encourage them.
Sandoval finds that hard to think about. “My brother was in so much pain,” she said. “How do you watch somebody and not understand? Are we seriously that oblivious as a society, that we can see someone doing something so destructive, and we literally don’t stop it?”
Garson was left heartbroken by the news of Perez’s lies. “I’m trying to wrap my head around that too, currently, and trying to figure out why. You know, I have so many questions,” she said. Garson is also struggling with what she sees as the lack of humanity on TikTok. In recent weeks, she has taken to entering the drinking Lives that still occur on the platform and telling people Perez’s story in the hopes that they might change their behavior.
While some folks have been receptive, according to Garson, bigger creators in the scene don’t want to hear her message. “I got completely blocked and banned from everything,” said Garson, who has been kicked out of chats by creators and their moderators for trying to educate their audiences. “It’s one of those situations: You could bring the water to a horse, but you can’t make the horse drink.”
Some creators, however, have made concerted efforts to change their ways. Chris said he has stopped doing drinking Lives in the wake of Perez’s death and has made efforts to curb his drinking.
“It happened so suddenly. It shocked me and had me make changes in my life that I needed to,” said Chris, who has also toned down the drinking in his regular TikTok videos. “Alcohol is meant to kill you, not meant to keep you alive. It’s nothing to be played with — it’s a very serious thing,” he continued. “Alcohol takes such a toll on the body, that when you do drink every other day or three times a week, your body doesn’t have time to heal.”
Looking back, Garson recognizes that she and Perez were once in the same position: using liquid IVs to recover from Lives as their drinking became more intense and refusing to acknowledge that they were in a bad situation. According to her, they were drawn in by the promise of success and a community on social media that they could utilize to build a life together.
Now, Garson — who is staying with Perez’s family while she recovers from the loss of her partner — feels sad that drinking is part of his legacy. “He’s more than just alcohol — he’s a person. He had a lot of ambitions,” she said. “He had a heart of gold. I think that’s the biggest thing: He had a heart of gold.”
“He had a smile that could light up a room, even from the other side of a screen,” Chris added. “It made me want to be a better person. Hopefully, from here on out, I can be a better [advocate] of responsible drinking.”
Perez’s ability to draw people in, spread joy and even inspire others is something that Garson and Sandoval, who have grown close since his passing, frequently discuss on the phone.
For them, one of the saddest parts of losing Perez was realizing that he couldn’t see himself the way his family, peers and fans saw him. “So many people loved him — and he didn’t feel like being himself was enough to get loved,” Sandoval said. “I don’t get it.”
Need help with substance use disorder or mental health issues? In the U.S., call 800-662-HELP (4357) for the SAMHSA National Helpline.
You’ll likely know whether or not you consumed alcohol the night before, but sometimes sodium-rich foods can sneak up on you. Most often, sodium-rich foods are present in processed snacks or meals, but you’ll occasionally find high amounts of sodium in products like soups, broths, sauces, and even canned or pickled vegetables.
Swelling can also signal dehydration, especially if you’ve consumed loads of salty food or alcohol. “Lack of proper hydration can cause your body to retain water, resulting in puffiness,” Anna Askari, M.D., family physician at One Medical, explains. “This can be exacerbated by alcohol or caffeine consumption, which dehydrate the body.”
So while hydration is important all the time, it will be even more essential when paired with alcohol and higher salt intake.
PISCATAWAY, N.J., July 20, 2023 (Newswire.com)
– Despite the harm that excessive alcohol consumption can cause in a community, use of some alcohol-related enforcement strategies remained low or decreased from 2010 to 2019, according to a new report in the Journal of Studies on Alcohol and Drugs. In particular, researchers found a drop in enforcement of underage drinking laws.
Researchers at the University of Minnesota first surveyed 1,028 county and municipal law enforcement agencies throughout the United States in 2010 about their practices regarding three factors to alcohol harms in communities: underage drinking, impaired driving and sales to obviously intoxicated persons.
That study was one of the first to investigate alcohol-related law enforcement efforts on a national level, says lead author Kathleen Lenk, M.P.H., Senior Research Fellow at the University of Minnesota School of Public Health. In the current study, surveying the same agencies (with 742 responding) again in 2019 allowed researchers to assess any changes in alcohol enforcement practices over time. Researchers asked one person from each department whether that agency utilized various enforcement strategies in the last year.
A concerning — and surprising — find was decreasing enforcement of underage drinking laws, says Lenk. The percentage of agencies using compliance checks (law enforcement supervises undercover youth who attempt to purchase alcohol, penalties to the retailer if a sale is made) dropped from 41.9% to 36.4%, enforcing adult provision of alcohol to underage persons decreased from 48.5% to 33.9% and enforcing underage possession/consumption dropped from 84.7% to 66.5%.
“Enforcement aimed at underage drinkers themselves, versus the alcohol outlets and adults who supply alcohol, were the most commonly used at both time points,” says Lenk. “This is a common enforcement approach, but studies demonstrate it is more effective to focus on reducing access to alcohol rather than punishing underage persons.”
The use of sobriety checkpoints (43.7% in 2010 and 42.1% in 2019) and the enforcement of laws prohibiting overservice (the sale of alcohol to obviously intoxicated persons; 24.8% and 23.8%) remained consistently low. There were increases in two types of impaired driving enforcement: The percentage of agencies using saturation patrols rose from 69.1% to 75.5%, and open container enforcement increased from 45.6% of agencies to 57.9%.
The survey also found that most agencies in both years collaborated with local media for their impaired driving enforcement efforts, which has been shown to help make sobriety checkpoints and saturation patrols more of a deterrent.
The researchers say their findings suggest that agencies could adopt more alcohol enforcement strategies, including in the three areas studied here.
“Our results indicate the need for improvement in alcohol enforcement regarding underage drinking, impaired driving, and sales to obviously intoxicated persons,” says Lenk. “Improvement is warranted particularly in focusing on suppliers of alcohol to youth rather than underage drinkers and increased awareness and enforcement of selling alcohol to obviously intoxicated patrons.”
The entertainer shared an update in a story published Wednesday on the “pact” she made with fiancé Bloom back in March, that neither would drink for three months. In late March, she told People that she had been “five weeks sober” while fake-weeping at a “curated cocktail event.” For those familiar with the calendar, three months minus five weeks plus March equals….I don’t know, a bit ago? Three months is over, we’re living that Q3 lifestyle, so how’s that sobriety thing going now, Katy?
“For me, it was an opportunity to reset,” she told People. “We reset after President’s Day, and it was a great opportunity to just let my body bounce back a little bit.” She says that she’s “had a pretty good relationship with just finding balance.”
Coincidentally, we’re sure, Perry’s non-alcoholic apéritifs label, De Soi, just introduced a new flavor.
Perry’s description of the current situation, which she said originally started as a supportive agreement between herself and Bloom while he shoots a demanding film role in London, sounds a little less like a “sobriety pact” and more like “I’m a 38-year-old mother who has work tomorrow”: She told the magazine that she’s “not really drinking” on weeknights, “but on the weekend I’ll indulge a little bit.”
She said that it’s “really hard to do anything, whether that’s doing a cleanse or a reset, unless your partner’s doing it. So doing it together makes it so much easier.”
The singer is gearing up for more performances in her Las Vegas residency throughout August and October.
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This Father’s Day, make a break from traditional (and let’s face it, boring) gifts and give Dad — or yourself — one of these innovative, Entrepreneur-approved presents. From sporty guys to foodies, we’ve picked out unique items to deliver smiles and surprises this Father’s Day. Bonus: Everything you see here is specially marked down — who says waiting til the last minute doesn’t pay off?
Caveman Portable Grill
Burn, baby, burn! The Caveman is the ultimate grill party-to-go. Its interchangeable surface allows you to grill burgers at night and fry eggs in the morning. And when you’re done stuffing your face? The Caveman cleans quickly and folds completely flat. Toss it in your trunk, and it’s off to the next party destination. Designed by a firefighter, you can trust that the Caveman is safe, rugged and capable of feeding a lot of hungry people fast!
It doesn’t get more classic than this — Dewar’s delicious blended Scotch has provided smooth sipping experiences for cocktail aficionados for 120 years and counting. In 1892, Tommy Dewar asked for his whisky to be served in a tall glass with soda and ice – and with that order the ‘Original Highball’ was born. Whether you’re toasting success or relaxing after a long day of making moves, Dewar’s White Label in your glass will put a smile on your face.
Want to quench your thirst and help the planet at once? Pick up the FinalStraw, a telescoping metal straw that’s easy to carry, simple to clean and eliminates waste. The FinalStraw was created by a professional mermaid, so you know it’s 100% ocean-friendly and 1000% fabulous!
Simultaneously sophisticated and tough, this stainless-steel tag can stand up to the roughest baggage handler and makes spotting your bags on the carousel a breeze. Its innovative design protects your privacy, and a lifetime replacement guarantee protects your investment.
Give your golf game a shot in the arm with the FLYT Sleeve. Designed by a former touring professional, the slip-on sleeve helps reduce over-activity in your hands and arms, creating more consistency in your strike and trajectory. If you want more control of your swing (of course you do!), give it a shot. There’s a 30-day money-back guarantee if you aren’t thrilled with the results.
JFK Terminal 8—It is 9:22 a.m., and I am learning about consumer protections from a food-safety inspector who is on her second Bloody Mary. There is nothing quite like alcohol to facilitate an expansive conversation: I should encourage young people, she tells me, to consider careers in food safety. She’s on her way back from a work trip, and I learn that she always drinks Bloody Marys when she travels, which is often, but never drinks them at home. We move on to other topics: reincarnation, ExxonMobil, karma, the state of labor unions. The only thing that seemed to be off limits was her full name (her job, she said, prevents her from speaking to the media).
We’re sitting in the New York Sports Bar across from Gate 10, which is next to Solstice Sunglasses and a vending machine selling ready-to-eat salads in plastic mason jars. In the corner, two blond women drank white wine. A passing traveler pops her head in: Does the bar serve French fries? The bartender says no, they don’t start serving French fries until 10:30. It is too early for French fries. But it is not too early for white wine.
By the time security spit me out into JFK Terminal 8 at 7:02 a.m., the bars were already slinging drinks. At least four bars had patrons, including O’Neal’s Restaurant (a “cozy wood-paneled pub,” according to the JFK directory) and Bobby Van’s Grill (“elegant ambiance and upscale menu”). At JFK, alcohol service can begin at 6 a.m., the same time bars open at LAX. That’s hardly early for major airports. At MSP, outside Minneapolis, opening time was once also 6 a.m. but is now 4 a.m.; at Tokyo Narita Airport and London’s Heathrow, there are no restrictions. Early-morning drinking at airports is not just accepted but pervasive, Kenneth Sher, a University of Missouri expert on alcohol habits, told me. The internet has noticed, too. “What’s with all these people drinking pints in the airport at 6am?” wondered a Redditor in one of the many threads devoted to the topic.
Outside the airport, this is not how drinking works—or at least, not how it works in public. Morning drinking, with few exceptions (brunch, tailgating), tends to be “a sign of pretty severe alcohol dependence,” Sher said. Legally, it is discouraged: Non-airport bars in New York State are not allowed to start serving alcohol until 8 a.m. (10 a.m. on Sundays), and most hold out until at least the early afternoon, if not happy hour, Andrew Rigie of the New York City Hospitality Alliance, told me. But in the airport, the normal rules of drinking do not apply. “I’m not judging,” the bartender at Bobby Van’s Grill said, pouring vodka into a flute of orange juice. “It’s 5 o’clock somewhere.”
I’d woken up at 4 a.m. to get to the airport, and by the time I met the food inspector, five hours later, I would have believed it was any time you told me. I was hopped up on adrenaline—feeling glamorous and vaguely ill—even though I had accomplished nothing. Mostly, travel is standing in different types of lines. I waited for people to look at my ticket. I waited for different people to inspect my shoes. None of this especially made me want alcohol, even though the idea of drinking at the airport felt romantic, in a novelistic sort of way.
At Bobby Van’s, perhaps the most dignified dining option in Terminal 8, I ate lukewarm potatoes next to a sad-eyed man drinking coffee and red wine. Mostly, the terminal was quiet. How Do I Live played, which seemed like a reasonable question. I watched a man in a zip-up cardigan eat eggs.
What are any of us doing here, sipping early-morning drinks at the airport Bobby Van’s? I am here because I am trying to answer that question. Other people have other reasons. You can, by observation and experience, put together a basic taxonomy of airport-drinking types. There is the solo business traveler with time to kill and no particular interest in working. There is the festive couple for whom airport drinks signal the beginning of vacation, and their corollary, the festive group of friends. And then there is the anxious traveler, motivated less by excitement than by ambient terror of being in a pressurized metal tube at 36,000 feet.
For a place where everyone is watching clocks, there is no real sense of time at an airport. “If you look out, all you see is the tarmac, a few airplanes,” says Michael Sayette, an alcohol researcher at the University of Pittsburgh. There are very few cues that you shouldn’t drink, and maybe it is actually happy hour for you. “You’ve got people coming in from all over the world who are on different times,” he points out. “It really is 5 p.m. where they woke up.” The airport perhaps is best understood as what French anthropologist Marc Augé has called a “non-place:” a blip in space and time. “A person entering the space of non-place is relieved of his usual determinants,” he wrote in his book on the subject. “He becomes no more than what he does or experiences in the role of passenger.” It is perversely freeing, if lightly dehumanizing, to be alone in the airport.
Once you pass security—the transition, in the language of the business, between “landside” and “airside”—you assume another version of yourself. Landside, you are still anchored in your normal life, which is to say that you can come and go and hang out with your family and carry as many ounces of water as you want. Airside, you have assumed a new identity. You have become a traveler. You have no legible context and no obvious history. Are you a person who orders cocktails on a weekday morning? Who’s to say? You belong to the airport now.
So does everybody else there. There is a sense of solidarity: As fellow travelers, we are all indefinitely trapped in the same timeless, placeless boat. Why not drink? “It’s exciting for people to take an activity that is normally very, very regulated, time-wise, and then be embedded in a space where everything’s okay,” Edward Slingerland, the author of Drunk: How We Sipped, Danced, and Stumbled Our Way to Civilization, told me. Alcohol signals the transition from one set of rules to another. “We use this, on a small scale, at the end of the workday, to transition to leisure time at home,” he suggests. “Drinking in airports is just kind of a bigger version of that. It’s a way of transitioning from our normal everyday lives to whatever unusual thing we’re off to.”
From the bartender at New York Sports Bar, I learn that women drink white wine and men order whiskey. I learn that back in Terminal 4, where she worked until recently, she’d go through five or six bottles of prosecco every morning shift. Luckily, for the travelers, JFK has no shortage of drinking opportunities, also including but not limited to Tigín Irish Pub, Soy & Sake Asian Eats, Blue Point Brewery, and Buffalo Wild Wings. And that’s not counting the multitude of private lounges, where elite passengers (or those with certain credit cards) are treated to an oasis of snacks and free-flowing booze. The American Express Centurion Lounge in Terminal 4, in fact, has three distinct bars, including a Prohibition-inspired speakeasy with drinks curated by a James Beard Award–winning mixologist.
None of this is an accident. The modern airport produces a captive, thirsty audience. Airports were once permeable by design, says Janet Bednarek, a historian of airports at the University of Dayton. Bars and shops and restaurants were open to everyone, and “airports depended upon non-travelers to spend money,” she told me. Then 9/11 happened, airports locked down, security tightened, and once you were airside, you’d passed a point of no return. For airports, Bednarek said, that provedt to be a business opportunity rather than a problem: People were now getting to the airport hours early, and they had to do something to pass the time, whether it was shopping or eating or lounging at the bar. “Airports are looking for any way they can to generate revenue,” Henry Harteveldt, a travel-industry analyst, told me. Airports charge airlines huge fees, and still, pre-pandemic, retail concessions accounted for approximately 30 percent of airports’ total revenue, according to data from the Airports Council International.
Here is the thing about the airport, though: Nobody has control. You cannot control the people sitting next to you, or their children, or the security line, or the prepackaged sandwich options at CIBO Express. And most of all, you cannot control when the plane comes, or whether it comes, or how long it is delayed. More than 20 percent of arrival flights in the U.S. in the first three months of this year were delayed, more than the same stretch in any year since 2014. And that’s not even considering the epic meltdowns that can leave travelers stranded for days. “In a way, alcohol may be crucial for air travel, because it allows you to relax into passive helplessness,” said Slingerland, who was in an airport when we spoke. “I’ve been on, like, 10 flights in the last week and a half, and every single one of them was delayed.” Alcohol, he explains, turns down your brain’s ability to focus, suppress distractions, delay gratification, and do all the things you need to do to succeed in your daily life as a functional adult. But you are not a functional adult in the airport. You are a giant suitcase-wielding baby.
There is, perhaps, a darker read. “I think 80 percent of what you’re seeing is people who, in their normal lives, would never drink in the morning,” Slingerland said. But that leaves a good number of people whose regular behavior is presumably on display at 7 a.m. No one at JFK seemed all that bothered by the white wine and whiskey passengers were sipping so early in the day, but it’s hard to not see it as yet another sign of what everyonekeepssaying: Americans drink too much.
“Drinking is acceptable in all sorts of other places it didn’t used to be,” wroteThe Atlantic’s Kate Julian in 2021. “Salons and boutiques dole out cheap cava in plastic cups. Movie theaters serve alcohol, Starbucks serves alcohol, zoos serve alcohol.” A study published last year traced one in five deaths of people ages 20 and 49 to booze. Another paper found that one in eight American adults drank in a way that met the criteria for alcohol use disorder, a figure that seems to have worsened during the pandemic. And drunken passengers cause problems. Although all-hours drinking is useful for airports, airlines have been less thrilled. “It’s completely unfair,” a Ryanair executive said in a statement arguing for stricter policies in 2017, “that airports can profit from the unlimited sale of alcohol to passengers and leave the airlines to deal with the safety consequences.”
Alcohol in the airport, I had thought, isn’t like alcohol in the world outside. But perhaps airport drinking isn’t different at all. It still facilitates transition from one state to another—only literally. It still provides the illusion of easing the low-grade misery of life. And it still fosters camaraderie. I thought about the food-safety inspector, whom I’d talked with for most of an hour and surely will never see again. Our conversation had been lovely, I thought. Why don’t I talk to people more? This is the weird duality of alcohol: It can simultaneously blunt and enhance the world. In the airport, you desperately need both.