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COC Bylaws


COC meetings are normally held on the first Wednesday of the quarter (January, April, July, October) at 4:30 p.m. in the Eskridge Conference Room at Tahoe Forest Hospital.

Tahoe Forest Hospital Measure C Citizens Oversight Committee

The Citizens Oversight Committee (COC) was established as part of the Measure C bond to pay for facility improvements within the Tahoe Forest Hospital District. As part of Measure C, the Tahoe Forest Hospital District Board established an independent citizens oversight committee to ensure bond proceeds are expended only for the projects authorized by the ballot measure. Read more about the COC.

Have a question?

If you have a question for the committee about Measure C, first check out our Frequently Asked Questions. Can’t find your answer there? Submit an inquiry.

Need a document?

If you would like a copy of a document listed on any agenda, please call Rick McConn. Please include the meeting date and attachment number or document name in your request.

Infertility in females – causes and diagnostics

Inability to conceive is a serious issue that affects close to 17% of couples. Infertility is the diagnosis given to couples that have been unable to conceive during the period of 1 full year. Infertility in females contributes to 33% of all infertility cases.

With the problem being widespread, comprehensive research throughout the years has helped to come up with a clear-cut list of most common causes for infertility. These are the most prevalent reasons for female infertility:

  • Substance abuse, smoking, alcoholism;
  • Thyroid issues;
  • Obesity;
  • Age (over 35);
  • Previous history of STDs;
  • Underlying and life-long medical issues;
  • Hormonal imbalance;
  • Tumors and/or cysts;
  • Congenital disorders;
  • Infrequent or irregular sexual patterns;
  • Various issues that cause damage to the fallopian tubes or uterus;
  • Mental issues, including stress and depression.

Sometimes the main cause is undeterminable a combination of minor factors could explain infertility. Based on the above, prevention methods for infertility include:

  • Dieting and exercise;
  • Quitting smoking;
  • Strictly limiting your alcohol intake;
  • Reducing stress levels;
  • Strictly limiting your caffeine intake.

Now let’s go over the most common ways of diagnosing infertility in females, they include:

  • Blood/urine sample to determine hormone imbalance;
  • Examination of breasts and pelvic area;
  • Taking a sample of EWCM to determine required information in regards to ovulation;
  • Laparoscopic examination;
  • Hysterosalpingogram test;
  • Sonohysterogram;
  • Sonography.

With the root cause determined, your medical specialist will end up taking one of the following routes of treating infertility, based on your overall health and the main cause for the issue:

  1. Hormonal therapy to address the hormonal imbalance.
  2. Taking meds to stimulate ovulation and enhance fertility. Usually, there are two different medications that you’ll have to take to address both issues, but there exist pills that can take care of both, Nolvadex for sale for example.
  3. Taking antibacterials to eradicate an infection.
  4. Having a surgery to fix the damage done to salpinges, womb and/or pelvic area.

Disease prevention after 50, common health concerns

Growing older doesn’t mean you should accept your fate without putting up a fight. There are many illnesses that we are “expected” to encounter after reaching a certain age. In this article, we are going to talk about disease prevention at ages 50+.

Let’s go over the list of possible culprits, i.e. diseases frequently encountered in the elderly, and ways of keeping them at bay:

  1. Cardiovascular issues. These issues are responsible for the biggest amount of deaths in people over the age of 50. In order to avoid encountering cardiovascular issues, you have to maintain a good diet, get sufficient amount of sleep, and, most important of all, stick to a suitable exercise routine.
  2. Arthritis. This one is also shockingly widespread and the best way to combat it is, once again, staying active. It can be difficult while suffering from arthritis, but it’s the most effective way of preventing/stopping it.
  3. Lung illnesses. One of the most prolific killers among diseases frequently encountered in the elderly. It’s the third leading cause of death for people over the age of 50. To make sure your lungs stay as healthy as can be, you should get your lung tested on a regular basis.
  4. Cancer. This dreadful illness is treatable when diagnosed early by way of screenings, namely mastography, coloscopy, and skin checks.
  5. Osteoporosis. Losing mobility and becoming more fragile can prevent you from staying active and that alone can damage your health and shorten your lifespan. Please make sure you have an adequate calcium intake.
  6. Substance abuse. Cigarettes and alcohol topped the list of substances abused by people over 50. If you can’t quit smoking or limit your alcohol intake, please seek out professional help.
  7. Sexual issues. Lowered libido in females and erectile dysfunction in males. The latter is curable with Tadalafil USA, the former is curable with Flibanserin. Not as potentially dangerous as the issues specified above, but severely underreported. Having a healthy sex life is proven to be beneficial for the overall health.

What kind of medical examination is required in case of lowered libido in women

Women’s libido tends to fluctuate throughout the course of their lives. Those fluctuations are entirely natural, but that doesn’t mean there is no reason to worry. There can be a multitude of causes for lowered libido, so let’s split them into different categories. There might be strictly physical causes, including:

  • Sexual issues. If the experience is usually painful, stressful, or not as pleasurable as you would hope, it will definitely decrease your desire to have sex.
  • Medical issues. There are various types of diseases that can impact your sex drive, including various types of cancer, hypertension, hypotension, coronary issues, serious neurological illnesses.
  • Drugs. For example, serotonergic antidepressants are known to cause serious libido issues. Always make sure to check the list of side-effects.
  • Bad habits. Smoking, overeating, excessive alcohol intake – all can affect your sexual life in a negative way.
  • Exhaustion. Both fatigue and stress can cause lowered libido.

As far as hormonal causes go, the root of lowered libido can be found in:

  • Menopause. The levels of estrogen take a big drop during the transitional period. This can severely curb your interest in sex. Drier vaginal tissues can lead to painful and stressful experiences.
  • Pregnancy/breastfeeding. Exhaustion and fluctuating hormone levels can impact your sex life in a negative way.

There’s also a multitude of psychological and relationship issues, including:

  • Depression.
  • Anxiety.
  • Lowered self-esteem.
  • Past sexual abuse.
  • Unresolved relationship issues.
  • Lack of trust and poor level of communication when it comes to sex.

In order to find a suitable treatment, your MD will have to conduct a physical examination and evaluation of symptoms. The standard procedure when it comes to the lowered libido is the following – pelvic examination (assessing the health of reproductive organs) to rule out some of the physical causes. Further testing requires your MD to order blood test to check hormone levels and check for thyroid issues, liver issues, hyperlipidemia, and diabetes. Your MD may also refer you to a specialist better suited for your situation, i.e. someone who can assess emotional/relationship issues that ultimately contribute to lowered sex drive.
After this kind of examination, your MD will be able to find the best possible treatment for you. It may be something as simple as female Viagra to give your sex life a boost or something as time-consuming as couples therapy or counseling.