I Sure Hopes It Fits

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But in season 2, the daddy and the millennial started talking about safe sex. Turns out, the millennial is on pre-exposure prophylaxis (PrEP), but the daddy says: "Sorry, no way. I'm old fashioned; I still use condoms." And with that, a cute intergenerational gay romantic comedy suddenly became a lesson on contemporary HIV prevention!

Daddyhunt alone didn't come up with that plotline. To make sure it got both the science and the messaging right, the app turned to Building Healthy Online Communities (BHOC), a self-described "consortium of public health leaders and gay dating website and app owners who are working together to support HIV and STI [sexually transmitted infection] prevention online."

BHOC is also working with health departments and nonprofits nationwide so that if a department or agency in one city comes up with a really cool LGBTQ sexual health campaign -- such as the sexy "Swallow This" PrEP campaign from NYC's Harlem United -- the ad can be rebranded for use in other cities.

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In surveys of people with epilepsy, stress is the most commonly reported seizure trigger. Exposure to toxins or poisons such as lead or carbon monoxide, street drugs, or even excessively large doses of antidepressants or other prescribed medications also can trigger seizures.

Blood samples may be taken to screen for metabolic or genetic disorders that may be associated with the seizures. They also may be used to check for underlying health conditions such as infections, lead poisoning, anemia, and diabetes that may be causing or triggering the seizures. In the emergency department, it is standard procedure to screen for exposure to recreational drugs in anyone with a first seizure.

Tests devised to measure motor abilities, behavior, and intellectual ability are often used as a way to determine how epilepsy is affecting an individual. These tests also can provide clues about what kind of epilepsy the person has.

The most common approach to treating the epilepsies is to prescribe antiseizure drugs. More than 20 different antiseizure medications are available today, all with different benefits and side effects. Most seizures can be controlled with one drug (monotherapy). Deciding on which drug to prescribe, and at what dosage, depends on many different factors, including seizure type, lifestyle and age, seizure frequency, drug side effects, medicines for other conditions, and, for a woman, whether she is pregnant or will become pregnant. It may take several months to determine the best drug and dosage. If one treatment is unsuccessful, another may work better.

The risk of seizures also limits people's recreational choices. Individuals may need to take precautions with activities such as climbing, sailing, swimming, or working on ladders. Studies have not shown any increase in seizures due to sports, although these studies have not focused on any activity in particular. There is some evidence that regular exercise may improve seizure control in some people, but this should be done under a doctor's supervision. The benefits of sports participation may outweigh the risks and coaches or other leaders can take appropriate safety precautions. Steps should be taken to avoid dehydration, overexertion, and hypoglycemia, as these problems can increase the risk of seizures.

The use of antiseizure medications is considered safe for breastfeeding. On very rare occasions, the baby may become excessively drowsy or feed poorly, and these problems should be closely monitored. However, experts believe the benefits of breastfeeding outweigh the risks except in rare circumstances. One large study showed that the children who were breastfed by female parents with epilepsy on antiseizure medications performed better on learning and developmental scales than the babies who were not breastfed. It is common for the antiseizure medication dosing to be adjusted again in the postpartum setting, especially if the dose was altered during pregnancy. 2b1af7f3a8