It Is Well With My Soul

If you have a Chronic illness, then you have experienced that Twilight Zone moment when your diagnosis was first given. A part of you is hearing what the doctor is saying. The other part is almost in shock — engulfed with disbelief. This is the start of an emotional, physical and often times spiritual rollercoaster. One that none of us asked to ride on. One that seems hopelessly out of our control. Or is it? I have heard the diagnosis of a Chronic illness, more than once. Multiples are not unusual. Millions of patients can attest to that. And I have asked, “Why me?” But I have also asked, “Why not me?” One of the most important things that any patient of a Chronic illness can do is embrace it. Those words are easier said than done. I know. Still, they beg the question: Have you accepted your diagnosis?

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A Chronic illness is not the same as being terminally ill. Yet, there are five stages of grief involved: Denial, Anger, Bargaining, Depression and Acceptance. The life you had is gone. This is your new normal. Many of the things that you once did are lost to an affliction that you didn’t ask for. And, if you are like most patients, you don’t feel that you deserve. It’s a lot to take in. It doesn’t seem fair. Why is this happening? You lament about what you could have done differently. Some seem to have done everything right and still they are diagnosed with a Chronic illness. It’s confusing, irritating and overwhelming. While you are trying to cope with medications, treatment, side-effects, lifestyle changes, symptoms and emotions … you may also be wrestling with your spiritual beliefs.

Faith is easy to have, when life is good. It becomes a different ballgame, in difficult times. Some people question their faith, when life gets hard. They may even become angry with God — confused by the turmoil that has engulfed their comfort zone. Often times, adults drift away from church and faith. There isn’t a specific reason. It just happens. The diagnosis of a Chronic illness can bring them back. They now need the assurance, hope and peace that faith provided. Those things they shrugged aside — took for granted. For others, who have never had a religious belief system, difficulty can actually lead them to faith. It’s a very personal walk, down an often lonely path. If you are struggling with your faith, you may be asking, “Why did God let this happen to me?” And that’s a good question. We don’t always understand why, at the moment we are going through an ordeal. It may take months — even years — to know. But one day, we will understand (1 Corinthians 13:12).

Personally, I believe that God has a plan for each of us. To get us where He needs us, God uses every tool. He doesn’t create our suffering, but he allows good to flourish from it. He knows that in these difficult moments, we are gaining insight … serving as examples … literally inspiring others. Good emerges. In Romans 8:28, we are told, “… God works for the good of those who love Him, who have been called according to His purpose.”

If you take a few moments to look through the Holy Bible, you’ll note that affliction and suffering are ever present. In fact, there are at least 14 words in Hebrew and Greek that translate to “affliction”. Think about that. Suffering is part of this earthly world. It always has been. None of us are immune. Chronic illnesses, i.e. Alcoholism, Mental illness, Atrophy, Leprosy, Epilepsy, Obesity, Glaucoma/Blindness, etc., were present in biblical times. What you are experiencing isn’t new. Such afflictions have been around for centuries.

Today, thanks to modern medicine, we have options that make living with Chronic illness much easier. Even modern society has changed — becoming more accepting of those who suffer from these diseases. Yes, there are still problems to be addressed. Awareness continues to be a need. The more people understand, the better off that we become as a society. Healthier living. Preventative measures. Learning has its rewards. We cannot control human nature. There will, unfortunately, always be individuals who are bigoted, who discriminate, who bully, who judge, etc. But we can pray for them. The Lord works in mysterious ways.

If you have a Chronic illness, work towards accepting it. Stay optimistic. Take the necessary steps — changes —  to manage your health. It will provide much needed stability to your life. Learn to live each and every day to the fullest. Appreciate what you can do. Maintain a clear perspective — set a few goals. Avoid additional stress. Count your blessings. Your life has changed before. Think about it. Perhaps, it was when you went off to college? Or when you entered military service? Or marriage? This isn’t the end of the world. This is a new journey. So embrace it, as I have. It isn’t the path that I would have chosen. And you probably feel the same. But it is well with my soul.

Have a Blessed Easter.

 

Reference Links:

http://www.apa.org/helpcenter/chronic-illness.aspx

http://www.christianitytoday.com/pastors/2012/july-online-only/doesgodallowtragedy.html

http://www.jennifermartinpsych.com/yourcolorlooksgoodblog/2013/09/the-five-stages-of-grief-for-chronic.html

https://www.gotquestions.org/Bible-affliction.html

https://www.biblicaltraining.org/library/diseases-bible

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC1070773/

*Photo by Caleb Frith on Unsplash

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Should I Take Generics?

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If you manage to celebrate your 65th birthday, free of any chronic illness, by all means consider yourself lucky. More than half of America’s population is living with at least one chronic condition, i.e. Mental illness, Diabetes, Rheumatoid Arthritis, HIV, Cancer, Epilepsy, Hypertension, Addiction, etc. If you are one of those individuals, then you know how expensive and confusing it can be. Medication isn’t the sole issue, but it is a large part of the equation. And as the cost of medication continues to rise, you feel the pinch on your budget. Frustration. Worry. So, you begin to think about your options. With a chronic illness, you cannot risk doing without your medication. Though, unfortunately, some have resorted to such decisions. But you can consider alternatives. Generics offer a very viable solution.

When a company creates a Brand-name drug, a lot of research goes into its development. Once the FDA gives their approval, a 20-year patent is issued. And the drug goes on the market. When that patent expires, a Generic version can be created. Because it requires less research/development expense, a Generic costs less — usually 30-80% less!

I am not here to promote any specific company, or drug. I am here to inform. What many people do not realize is that a Generic drug is a chemically-equivalent version of a Brand-name drug. The FDA requires that Generics have the same active ingredient, dosage, safety strength, usage directions, quality and performance as the Brand-name drugs they copy. They work in the same way. And, like Brand-name drugs, they are manufactured in FDA-inspected facilities.

There are two types of Generic drugs: Generic Substitution and Therapeutic Exchange. A Generic Substitution drug is the equivalent of the Brand-name drug, on the molecular level. The Therapeutic Exchange is a little different. Think of it as comparing store-brand products with Brand-name products. It is a molecular-related substitute, but not exactly the same.

Generic drugs play a pivotal role in the management and treatment of chronic illnesses. One study estimated that the use of Brand-name drugs for the treatment of blood-pressure, in a non-diabetic patient, can cost up to $52K per year. That same patient, using Generics, spends under $8K per year. Which would you prefer to pay?

Best of all, Generics do work. I have spoken to many people, with a variety of chronic illnesses, who made the decision to switch to Generics. Like myself, they found that the Generic drug performed as well as the Brand-name drug. Health insurers and government programs also approve of their use. In many cases, pharmacies will automatically fill a prescription with the Generic version unless they are instructed to use the Brand-name drug.

All medications, Generic or Brand-name, have side-effects. There is no perfect pill, capsule, injection, etc. Finding the right medication is often a process of trial and error … searching … trying … sometimes trying again … then finding the one that works for you. And a couple of Generics, as with a few Brand-name drugs, have been disappointing. Still, the vast majority of Generics are not only safe … they are very effective!

If you are wondering about the use of Generics, talk to your doctor. Ask questions. Be candid with your concerns. He/She can give you information on the Generics that are available for treating your condition/s. You can also visit the FDA Generic Drug Program on their website. You have a choice. Perhaps, it’s time to consider making it?

 

Reference Links:

https://www.sciencedaily.com/releases/2016/10/161025092655.htm

https://www.health.harvard.edu/blog/buying-generic-drugs-201607159982

https://www.ncbi.nlm.nih.gov/pubmed/21734210

http://healthsmart.com/SmarterHealth/GenericVsBrandDrugs.aspx

http://www.berkeleywellness.com/self-care/article/how-good-are-generic-drugs

https://www.fda.gov/Drugs/ResourcesForYou/Consumers/BuyingUsingMedicineSafely/GenericDrugs/ucm167991.htm

*Photo by Pina Messina on Unsplash

The Healing Power of A Pet

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Those of us who are pet owners know how wonderful they are. We brag on them, dote on them, etc.  Those of us, who are also parents, may even distinguish between our children as “those with fur” and “those without”. Our pets live with us, play with us and travel with us. They comfort — even mourn — with us. They are a member of our family and we love them. But did you know that these adorable pets … with their soulful eyes … precocious personalities … cunning wit … and slobbery kisses … actually have the ability to heal?

The U.S. Dog Registry divides dogs (of any breed) into three categories:

  • Service Dogs help with a function/s for a person with a disability, i.e. Blind, Deaf, PTSD, MS, etc.
  • Emotional Support Dogs help people with emotional problems by providing support and comfort, i.e. Anxiety, Depression and Mood Disorders.
  • Therapy Dogs provide affection and comfort to people in hospitals, nursing homes and assisted living centers. They are often sent, in the wake of horrific events, i.e. the recent mass shooting in Parkland, FL.

But what they all accomplish is that they make a positive impact on the people that they interact with. These pets improve the lives of every human that they touch.

Children with Autism were significantly more engaged, when animal therapy was incorporated into their sessions instead of using the standard approach. The children used more language. They exhibited more social interaction. All positive. All heathful.

Cancer patients have improved from pet therapy, also known as Animal-assisted Therapy or AAT. A session of animal interaction, lasting between 5-15 minutes, provides a welcomed distraction from difficult treatments like chemotherapy and radiation. It brightens their day, lifts their spirits and offers a myriad of benefits overall. In fact, AAT has proven to be so effective time and again for many illnesses that the medical community is embracing the idea more than ever before — regularly including it in patient care.

Seniors, who often live alone, also benefit from owning a pet. A pet can provide mental stimulation, erase loneliness, give them a reason to walk around the block and a companion to do it with. Pet interaction has the ability to lessen, even diminish, overall pain. And many seniors live with chronic illnesses that cause a lot of discomfort.

When we are bonding with a pet, we are in the company of a dear friend — a confidante. As a result, our blood pressure lowers … muscles relax … stress fades. On the chemical level, a pet decreases cortisol in our blood. It can raise levels of the brain chemical dopamine that makes us feel good. We are happier and more positive. And when we reach out … touching their fur … rubbing their back … talking to them … we experience an increase of immunoglobulin A. That antibody boosts our immune system. Hormones like serotonin, oxytocin and prolactin are released, when we are rubbing that fuzzy belly or rolling a tennis ball across the floor. Our mood is lighter. We’re smiling … laughing … enjoying life.

Have you hugged your pet, today? Have you felt the nuzzle of a cold nose against your cheek? Or was it soft purring? We all should be so lucky. That furry companion, who greets us at the door, is actually good for us!

 

 

Reference Links:

https://www.prevention.com/health/healthy-living/healing-power-pets

https://www.curetoday.com/community/mike-verano/2015/12/cancer-and-the-healing-power-of-pets

https://www.agingcare.com/articles/benefits-of-elderly-owning-pets-113294.htm

https://www.uclahealth.org/pac/animal-assisted-therapy

https://www.psychologytoday.com/therapy-types/animal-assisted-therapy

https://www.oncologynurseadvisor.com/from-cancercare/animal-assisted-therapy-enhances-cancer-care/article/372518/

https://www.mayoclinic.org/healthy-lifestyle/consumer-health/in-depth/pet-therapy/art-20046342

* Photo by the author

Clarity In The Garden …

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There are few things that represent clarity better than water. Whether you are admiring a waterfall, a fountain, a koi pond, or the massive ocean, there is something clear … almost pristine … about it. You might even wonder how it can look that way … beautiful, refreshing, sustaining.

God gave nature ecosystems to filtrate its water. If you own a garden pond or fountain, you probably have a filtration system operating to maintain it — freeing the water of muck and algae. He also gave our bodies a good filtration system to eliminate cellular wastes and fluids. That system comes in the form of a pair of organs known as kidneys. But when Chronic Kidney Disease strikes, it can make that filtration very difficult.

CKD, or Chronic Kidney Failure as it is also known, is the gradual loss of kidney functioning. When it reaches an advanced stage, dangerous levels of wastes and fluid build-up in the body. Progression of CKD can lead to End-Stage Kidney Failure which requires regular dialysis or a kidney transplant to sustain life.

Chronic Kidney Disease has a variety of symptoms that may include:

  • Nausea
  • Vomiting
  • Loss of Appetite
  • Fatigue
  • Sleep Problems
  • Changes In Urination
  • Decreased Mental Sharpness
  • Muscle Cramps
  • Swelling in the feet & ankles
  • Itchy Skin
  • Chest Pain
  • Shortness of Breath
  • Hypertension

Since many of these symptoms can be associated with other medical conditions, it is important to see your doctor if you are experiencing them. A diagnosis usually involves examining family history; the medications a patient may be taking; blood tests; urine tests; Imaging tests; and possibly a kidney biopsy. If Chronic Kidney Disease is present, treatment is based upon the stage that the CKD is in.

Since CKD is a Chronic illness, it’s not leaving. So a patient’s response becomes very pivotal to how the disease progresses. There was life before CKD and now there must be life with it. Lifestyle modifications have shown significant improvement in many CKD patients. Through diet alone, one study showed that patients with CKD reduced their risk of death by 68%! Cigarette smoking, exercise and body mass also play a role. Those CKD patients who do not smoke show a slower progression of the disease. They also have a reduced risk of heart attacks and death. Regular exercise was also associated with a reduced risk of death.

The DASH diet has been approved by many health organizations including the National Kidney Foundation. If you have been diagnosed with CKD and need to lose some weight, it is an excellent option. Studies have already shown that the DASH diet helps to decrease hypertension; lowers a patient’s risk of heart disease, stroke and cancer; as well as reducing the formation of kidney stones. If you have any questions, discuss it with your doctor or contact the National Kidney Foundation.

The DASH diet is simple. It is rich in fruits, vegetables, low-fat dairy products, whole grains, fish, poultry, beans, seeds and nuts. The diet encourages less salt/sodium intake. And it limits sugars/sweets. This isn’t a crash diet, or a fad diet. This is about eating healthier and living better as a result.

Exercise can play a positive role, in the lives of CKD patients. Yet, some choose to avoid it. Hopefully, if you’ve been diagnosed with Chronic Kidney Disease, you will talk to your doctor about exercise options that can keep you on the move. Aerobic exercise has been shown to increase oxygen consumption, in some patients. There is also evidence that aerobics can improve hypertension, lipid profiles and overall mental health. If you just can’t visualize yourself in an aerobics class, then consider another low-impact option. There are many low-impact exercises that provide beneficial results: Golf, Swimming, Water Aerobics, Walking, Elliptical machines, Kayaking, Hiking, Yoga, etc. The important thing is that you find one that you like and get moving.

Life with Chronic Kidney Disease isn’t easy, but it is possible. What matters most is the kind of gardener that you are. Think about that, for a moment. If you ever seen an unkept garden, you know that it is steadily taken over, i.e. weeds, pests, etc. There is no control. A conscientious gardener stays vigilant … takes the actions that need to be taken, maintains a level of control. As a result, they have a beautiful garden. Our lives are gardens, too. How we live … thrive … and enjoy life … depends upon the kind of garden that we choose to keep!

                         “I Can Do All Things Through Christ Which Strengthens Me.”

 — Philippians 4:13 (KJV)

 

Reference Links:

https://www.mayoclinic.org/diseases-conditions/chronic-kidney-disease/symptoms-causes/syc-20354521

https://www.webmd.com/a-to-z-guides/tc/stages-of-chronic-kidney-disease-topic-overview

https://www.kidney.org/atoz/content/Dash_Diet

https://www.kidney.org/news/lifestyle-modifications-improve-ckd-patient-outcomes

https://www.ncbi.nlm.nih.gov/pubmed/15974634

* Photo by Jeffrey Workman on Unsplash

 

Moving On: Life With RA & JRA

Twenty years ago, I rode a bicycle or stationary-bike daily. I used to pedal almost effortlessly, for 5-10 miles. And I loved it — lived for it. At home or on vacation, if I could score the use of one, I was pedaling hard. Cycling was something that I couldn’t seem to outgrow. What a difference two decades, age and a diagnosis can make …

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Rheumatoid Arthritis (RA) is an autoimmune disorder that causes chronic inflammation of the joints. Without proper treatment, it can wield unimaginable damage, i.e. joint deformities and even disability (in some patients). It occurs when the immune system mistakenly attacks the body’s own tissues. And RA can also impact the skin, eyes, lungs, heart and blood vessels.

Despite the social myth of grannies in rocking chairs, Rheumatoid Arthritis isn’t a disease exclusive to the elderly. It’s very much the opposite. Onset for adults, is usually between the ages of 30-60. In other words, highly productive years. Like other rheumatic illnesses, women are three times more likely than men to be diagnosed. Juvenile RA (also known as Juvenile idiopathic arthritis) is what the disease is referred to when it presents itself in children. There are approximately 300K children, in the U.S., living with JRA. Toddlers, under the age of two, have even been diagnosed with it.

The onset of RA can develop over a matter of a few weeks, or a few months. Many symptoms actually mimic those of influenza. This was my personal experience. It wasn’t until my joints swelled, about 12-14 days later, that I realized I wasn’t fighting the flu.

By now, you may be wondering about heredity. One study showed that genetics played a role in slightly more than half of all diagnosed cases. My great-grandmother, who I barely remember, had Rheumatoid Arthritis. The disease skipped two generations and then found me. It happens. But there are thousands who are diagnosed with no hereditary link. In other words, there is no certainty that having a family member with RA will equate to a diagnosis in you. Even in a study done on identical twins, who share the same genes, only 15% were likely to be diagnosed with RA.

Simple tests like labwork, x-rays, MRI and ultrasound, are used to achieve a diagnosis. Your family physician may order them, or refer you to a Rheumatologist who will do so. Your RF Factor (get used to that term) measures the amount of RF antibody present in the blood. About 70-80% of all adults, who are diagnosed with RA, will have a high RF Factor. Approximately 50% of children will also have it. Those who do are more likely to have RA in adulthood. Some JRA patients can outgrow the disease.

Since RA is considered chronic (lasting longer than 3 mos.), there is no cure. The disease will progress with time. Each patient will experience periods of remission (when symptoms are barely present) and “flares” (when the disease increases its activity within the body).

Treatment for RA and JRA is very similar. Exactly how any patient, adult or child, is treated depends upon the severity of the disease in their bodies. Doctors often prescribe NSAIDs (Nonsteroidal anti-inflammatory drugs) to help reduce inflammation. DMARDs  (Disease-modifying antirheumatic drugs) are also prescribed to slow the progression of the RA. Possibly the most common of these is Methotrexate — a chemotherapy drug. Let that sink in, for a moment. It may be administered orally, by injection, even IV. And it can bring many of the side-effects that are seen in Cancer patients (who are taking much higher doses). Biologic DMARDs, i.e. Orencia, Enbrel, Humira, etc., are also possible treatment options. Your doctor will discuss, at length, which treatment approach is best for you and why. Teens with JRA are typically referred to an “adult” Rheumatologist, around the age of 17-18 years. For many patients, occupational therapy and surgery is sometimes needed as the disease progresses.

I cannot lie to you, or sugarcoat it. RA and JRA changes lives. And this is something that goes beyond the patient — affecting spouses, parents, children, siblings. It can change relationships, at home … at work … at school. It changes the patient’s abilities, mood, even productivity. RA and JRA patients live with pain, lack of mobility, fatigue, the side-effects of medications, trouble sleeping, etc. Some JRA patients have even struggled with Anorexia and growth failure. And children with any chronic illness are often the targets of bullying. This is what becomes the new normal. It is a lot to take in … accept … and manage. Still, it can be done. It’s important to remember that.

Living with RA and JRA is a blend of positives and negatives. For example, healthier eating habits are a positive that everyone can benefit from. Gentle, low-impact exercises are another positive. Patients can feel weather, i.e. rain, even before it arrives. As the barometric pressure drops, their joints swell. They become more sensitive to cold, air conditioning, etc. A study done at Tufts University, back in 2007, revealed that just a drop of 10 degrees increased the pain in rheumatic patients. Negative effects of the disease.

Concessions must be made for a patient to live happier and comfortably, i.e. with the thermostat, activities, etc. That too can be a positive thing. Personally, my cycling was traded-in for walking. There are handy tools, cooking utensils, even video gaming systems that are better suited for RA and JRA patients. All fun, helpful and positive. All can be used (and will be) by other family members. No, you don’t have to give up everything. But, often times, you do have to change how you do them, i.e. 9 holes of golf on a Par 3 instead of 18 on a Par 5. Once upon a time, I used to shop in a mall like I was the Energizer Bunny … going … and going … and going. Now, I limit my excursions to 2 hours. It helps me to manage the fatigue that will follow. If you have RA or JRA, it will help you too. Learn to use the internet, wisely — find locations that sell the products you are looking for, before you leave home. Enjoy activities, even though you must limit them. If you push your body, the RA will push back even harder. It isn’t worth a setback.

Unfortunately, Depression can be a problem for some patients. When the frustration of a flare, pain, limitations, etc. complicate life … it can be difficult to have patience and remain optimistic. Yet, that’s exactly what it takes. Much about living with Rheumatoid Arthritis is a mental game. RA or JRA has entered your life. But you can control your lifestyle. You can control the disease through medications, changes to your diet, activities, etc. It doesn’t have to control you. When you embrace optimism, you become a better player … smarter … happier … and definitely moving on with your life!

 

Reference Links:

https://www.mayoclinic.org/diseases-conditions/rheumatoid-arthritis/symptoms-causes/syc-20353648

https://www.healthline.com/health/rheumatoid-arthritis-hereditary#family-ties

https://www.webmd.com/rheumatoid-arthritis/understanding-juvenile-rheumatoid-arthritis-treatment#1

https://www.webmd.com/arthritis/chemotherapy-drugs#1

http://www.health.com/rheumatoid-arthritis/living-with-rheumatoid-arthritis-0

https://www.arthritis.org/living-with-arthritis/tools-resources/weather/

https://www.hindawi.com/journals/isrn/2013/737356/

* Photo by Bogdan Dada on Unsplash

 

Choose Joy …

It’s funny how little things can emotionally move you. When I was very young, my mother took me on a trip to the local garden center. She said that a Dutch girl (such as myself) needed to start appreciating Dutch flowers. We picked out various bulbs — Tulip, Crocus and Hyacinth. Then, we went home to plant them. It was my first real hands-on experience, with gardening — filled with ancestry, excitement, dirt, anticipation, and beautiful results. In the decades long since, I’ve always had and admired Dutch flowers. Whenever I see them in bloom, no matter where it is, I have to pause to just look at them. And I always smile. It gives me joy.

Recently, I was doing some updates around the house. I wasn’t really looking for a wall plaque, but it found me. It was simple, in design — a bit rustic — painted with wildflowers and butterflies. Yet, its message leaped out at me: “Let it go … Choose joy”. Like those Dutch flowers, it made me smile. It literally uplifted me, if only for a few moments. Need I say, I bought the plaque? And I hung it where it can be seen, first thing, every day. I did this as a reminder to myself to choose joy — to live as happily as I can. And to let go of the negative.

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Faith teaches us that joy is an emotion and a “fruit of the Spirit” (Galatians 5:22-23). That it is a matter of habit and virtue. And that it can be commanded. I’ve never professed to being a Divinity major. My walk in faith is purely based on my experiences in life. But in my humble opinion, God didn’t place us on Earth to be miserable. Scripture teaches us that “A joyful heart is good medicine …” (Proverbs 17:22). Remarkably, there are actually scientific studies to support this.

When we are happy, or joyful, our hearts are healthier. Our stress is lessened. Aches and pains diminish. Our immune systems grow stronger. And our lives are lengthened. Think about that, for a moment.

Psychology teaches us that happiness and joy aren’t exactly the same. Happiness is a vague emotion. It means different things to different people. And that it’s temporary, in duration. Yet, all agree that it is positive. Joy is also positive — possibly more powerful. But Joy, they contend, is like a belief. It is with us, for the long haul. Even when life becomes difficult, joy can find a way to comfort and uplift us.

There are ways to feel more joy and happiness, in your daily life:

  •  Choose to smile. You can make a conscious decision, each day, to have a good day.
  • Try Prayer or Meditation. It soothes the mind and soul. Relieves stress. Comforts.
  • Practice Positive Thinking. Acknowledge the simple things that bring you joy.
  • Be Grateful. Often times, joy/happiness is increased by recognizing the people & things that we already have.
  • Be More Active. Random acts of kindness don’t require Olympic training. Yet, they are fulfilling and inspiring. Try volunteering for a cause you believe in. You will feel joy, as a result of your involvement.

Society often times bombards us with negative things. But each of us has the power to choose. We don’t have to accept every negative that surrounds us. We can learn to let go and choose joy!

 

Reference links:

https://faith.yale.edu/joy/virtues

https://greatergood.berkeley.edu/article/item/six_ways_happiness_is_good_for_your_health

https://www.hsph.harvard.edu/news/magazine/happiness-stress-heart-disease/

https://www.theguardian.com/lifeandstyle/2014/nov/03/why-does-happiness-matter

https://healthpsychology.org/is-there-a-relationship-between-happiness-and-joy/

https://ideapod.com/psychologist-explains-best-way-change-thinking-negative-positive/

* Photo by Aaron Burden on Unsplash.

Breathing In The Garden …

Plants and flowers breathe. Trees do, too. Did you know that? Their tissues respire just as animal tissues do. But it isn’t plant-life that I want to focus on. Our lives are gardens; remember? And breathing is essential to our quality of living. An absolute must, for survival. Unfortunately, breathing can be difficult for anyone who has lung disease.

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Chronic Obstructive Pulmonary Disease, or COPD, is a chronic inflammatory disease of the lung. It obstructs airflow when you exhale. And it is highly prevalent throughout the world. Approximately, 600M people live with COPD. By 2028, the number is expected to increase — making it the third leading cause of mortality worldwide.

In the U.S., about 20-30% of all COPD patients are (or were) smokers. Cigarette use constitutes the largest risk factor for the disease. Cigars are also harmful. Yet, many who are diagnosed have never smoked at any point in their life. Air pollution, biomass smoke exposure, genetic abnormalities, age, occupational dusts / chemicals, poor nutrition and respiratory infections (especially in childhood) are additional factors.

If you have been diagnosed with COPD, then you know the symptoms all too well. For those who may be concerned about themselves or a loved one, consider some of the following:

  • Shortness of breath (especially during physical exertion)
  • Wheezing
  • Chest tightness
  • Constantly clearing your throat of mucus
  • A persistent cough
  • Blueness of the lips or fingernails
  • Lack of energy
  • Swelling of the ankles, legs & feet

The quickest and easiest method to diagnose COPD is with Spirometry. Other tests may also be used, i.e. chest x-ray, Bronchodilator Reversibility, Alpha-1 Antitrypsin Deficiency, Computed Tomography, etc.

If you have been diagnosed with COPD, there are ways to improve your health and life. Quit smoking. And, please, do not fool yourself into thinking that E-cigarettes are a safe alternative. When you use them, you are inhaling the ingredients, i.e. flavorings. There are no medical studies to confirm that this is safe, or what effects it could have on your body in years to come. Eating healthy will not cure COPD, but it will make you feel better. Food is fuel for the body. Good fuel produces good energy. When you have COPD, you actually need more energy to breathe. That equates to the need for a healthy, balanced diet. If you are overweight, consider dropping some of those extra pounds. Drink plenty of fluids (42-48 oz. of non-caffeinated beverages), daily. It will make the mucus that you struggle with thinner and easier to cough up. Limit your caffeine consumption. Watch the salt. Too much sodium will cause your body to retain fluid. That makes breathing difficult. Calcium and Vitamin D can be found in dairy products, i.e. milk, cheese, yogurt, etc. If you aren’t getting enough in your diet, your doctor may suggest supplements. Remember to eat grains, low-fat meats, vegetables and fruits. You’ll be glad that you did!

Another way to enhance your quality of life, despite COPD, is with exercise. Weak muscles need oxygen. When they aren’t getting enough, even simple tasks (like a trip to the supermarket) become difficult. Exercise can change that. Walking is a simple and safe way for most patients to start. A stationary bike is another option. Arm curls, done with light weights, can also help. Leg extensions can strengthen your thighs. In fact, many COPD patients enjoy Tai Chi. It provides a mild workout and also helps to ease stress/anxiety. Talk to your doctor about  the exercise options that can best help you.

With any Chronic illness, optimism plays a key-role in maintaining a productive lifestyle. And optimism comes, in part, from being informed. So, talk to your doctor. Read articles about COPD. It will enable you to have more control over your life and your disease, instead of allowing it to take control of you. It’s also important to remember that you aren’t alone. 133M Americans live with a Chronic illness. Many have COPD. You might even consider meeting some of them. The Better Breathers Club is a great way to do so. It is a support group for individuals who are living with lung diseases like yours. And these groups are all over the country. If you are interested in finding a Better Breathers Club near you, call 1-800-LUNG-USA or visit the American Lung Association’s website for more details. You CAN do this! 

 

Reference Links:

https://www.mayoclinic.org/diseases-conditions/copd/symptoms-causes/syc-20353679

https://www.ncbi.nlm.nih.gov/pmc/articles/PMC2650603/

https://my.clevelandclinic.org/health/articles/9451-nutritional-guidelines-for-people-with-copd

https://www.everydayhealth.com/hs/healthier-living-with-copd/live-better-with-copd/

https://www.webmd.com/lung/copd/ss/slideshow-copd-exercises

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