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Anti-Stress Tips

Anti-Stress Tips
Friday, December 19, 2008
By: Elisabeth Deffner

FMOnline vol. 8, no. 12

Work responsibilities. Family friction. Healthcare challenges. Economic tumult. We all know there are plenty of reasons to feel stressed out—and we all know that too much stress can impact our health: increasing blood pressure, disturbing sleep, even paving the way for a fibro-flare.

We also know the best ways to stave off stress: stay as healthy as possible by maintaining a good diet and getting enough sleep, exercising the body, and taking time to relax. But what to do when stress hits anyway? That’s the question we asked FM patients. Here we share their top suggestions.

Eyes and Ears
You may benefit from carefully considering what you watch and what you listen to. Karen Call relaxes every day with “Reduce Stress and Anxiety,” a DVD by Dr. David Illig, or Dr. Andrew Weil’s Mindbody Toolkit, which includes breathwork, meditation, guided imagery, and sound therapy. It’s not difficult to find soothing CDs of ocean sounds or bird calls; perhaps classical music is key to calm for you.

“When I am having a flare-up. I sip warm tea, curl up with my heating pad, cuddly throw and just close my eyes and listen to the ocean, the rain, and beautiful music,” says Suzanne Blaquiere.

Daily affirmations may be helpful for you as well. There are many books available, as well as page-a-day affirmation calendars. You may also want to search online for a website that can emailyou a daily affirmation.

Four-Legged Assistance
Study after study has shown that animal interaction benefits people physiologically—and Arlene LaBarre Kempf of Amity, Ore., has experienced this firsthand. “With everything I’ve been through, my love of my horses, my complete involvement in their care and training—as well as the high level of fitness and the amount of exercise I was getting—always so completely occupied my mind that it allowed me to de-stress, unwind, let-down, relax,” she says.

While maintaining a stable may be out of economic reach for many people, there are plenty of inexpensive ways to interact with animals—from renting a horse to go riding, to owning a small pet such as a guinea pig, to pet-sitting for friends and neighbors, to volunteering at an animal shelter or veterinary clinic.

“Relieving stress for me meant totally occupying my mind with the one thing that I loved more than anything else in the world,” says LaBarre Kempf. “Occupying my mind with something I felt passionate about … causes me to forget about the pain and the stress for those periods of time when I am on a horse’s back.”

“I raise Nigerian Dwarf Dairy Goats and Chihuahuas,” says Claudia Mitchell of the southwestern Missouri Hoof Print Farm. “When I get that feeling of stress, I go to the barn and hug goats or just watch them. I feel so good when I go back up to the house.”

“I have a cat. She purrs and when I need some loving, I pick her up and she purrs and all things don’t seem as bad,” adds Sandy Crary.

Focus
When Anne Kennedy feels stressed, she takes time out to sit comfortably somewhere and “center” herself. Then she begins to consciously relax her body, a little bit at a time, taking deep breaths as she does it, and focusing on the areas where she is experiencing a lot of pain. “Sometimes it’ll work after one try; other times I keep at it until I relax,” she says.

Change Your Mindset
Family squabble got you stressed? Is your boss in a bad mood? Break your favorite piece of china? Take a deep breath and remind yourself that these are small bumps in the road. Few things are worth the pain of a fibro-flare, so don’t let small annoyances stress you out and put you in one.

“When I get up in the morning I actually do make a conscious decision to be happy and not let things get to me,” explainsAngie Phillips of Burlington, Iowa. “When things do get to me I ask myself one question: ‘In the big scheme of my life, does this really matter that much?’ A lot of times I discover that it doesn’t and I’m able to deal more effectively with whatever is bothering me.

“I really think that the best first step to controlling stress in anyone’s life is to recognize that the control is ours! We can make all the difference in the amount of stress that we have in our lives each day simply by paying attention to our attitudes.”

“I learned that when the stress gets out of control, I need to change the things I can, and it helps me to deal with the things I can’t,” says Michele Stobbe Schenck.

Exercise
You don’t need to do aerobics to experience the de-stressing benefits of exercise. A leisurely walk outside may offer you a new perspective on the issues that are causing you stres and release some endorphins, raising your mood and even decreasing your pain levels.

“Exercise definitely helps,” says Gina S. “At first I didn’t believe it. Exercise in the last thing you think you need when you are curled up in bed, especially on these lately cold mornings. But when I leave the gym and take a shower I feel so much more energized and happy. It has become a healthy addiction for me. I only hope I can keep it up!”

Get a Hobby
Studies have shown that different kinds of handwork—such as knitting and sewing—provides a “relaxation effect” that can sooth your stressed mind. Other hobbies you enjoy, such as painting, gardening, writing, or scrapbooking may provide a distraction from the issues that are bothering you, staving off stress. Christine Margaret Knox, who lives in North Yorkshire in England, makes cards and knits scarves—activities she enjoys, which result in products she can sell for funds to donate to her support group. 

Eliminate the Stress Source
Many of the tips above focus on managing stress, which is an important skill to develop. But big, constant stressors might be better dealt with if they were eradicated. Angie Phillips of Burlington, Iowa, only realized how intensely stress impacted her fibromyalgia symptoms after her divorce became final and she moved to a new community. “I was amazed, and still am, that within a few weeks of the finalization of my divorce and arriving in my new life, I literally felt like a whole new woman,” she says. “It was amazing how much better my pain levels were, how much clearer I could think, how much better my balance was, and I didn’t feel like dying anymore!”

“The first thing I had to do was to distant myself from people that stressed me out (you could call them ‘high-maintanance’),” says Dionne White. “Then I would have to learn to say ‘no.’ I had to stop committing to things that I could not do. Believe me, it keeps stress at bay. You don’t end up disappointing someone else or even yourself.”

“One of the hardest yet most important things I needed (and finally did learn) to help manage my stress levels was to give myself unconditional permission to step back, or even withdraw both emotionally and physically from stressful situations,” says one patient in Bend, Ore. “I give myself to permission to remove myself from a ‘toxic’ situation for whatever time I may need to get back in the saddle again.”

Laugh it Up
“Laughter is a great stress relief,” says Dionne White, who often watches funny movies to reduce her stress. “You feel better when you laugh and I’m convinced it fights depression.”

“Anytime I start to feel stressed I either pop in a funny movie (Blazing Saddles works every time) or I call a friend or one of my sisters. We always end up laughing, and I always feel better!” says Cynthia Mittel.

Consider Alternatives
Valerie Blake loves to cook big holiday meals—but she knows the toll that takes on her, so she has re-consideredher methods. She buys frozen mashed potatoes and mashed sweet potatoes. Her daughters bake the holiday pies, and her grocery store cooks the turkey.  “It’s a hard change to make,” she admits, “but time with my family is far more important to me than the food preparation.  I am thankful I have learned this lesson before I spent one more year suffering through it."

December 31, 2008 Posted by Rachel Miller | Friends | | No Comments Yet

Sisters


A young wife sat on a sofa on a hot humid day, drinking iced tea and visiting with her Mother. As they talked about life, about marriage, about the Responsibilities of life and the obligations of adulthood, the mother clinked the ice cubes in her glass thoughtfully and turned a clear, sober glance upon her daughter.

‘Don’t forget your Sisters,’ she advised, swirling the tea leaves to the bottom of her glass. ‘They’ll be more important as you get older. No matter how much you love your husband, no matter how much you love the children you may have, you are still going to need Sisters. Remember to go places with them now and then; do things with them.’

‘Remember that ‘Sisters’ means ALL the women… your girlfriends, your daughters, and all your other women relatives too. ‘You’ll need other women. Women always do.’

What a funny piece of advice!’ the young woman thought. Haven’t I just gotten married?

Haven’t I just joined the couple-world? I’m now a married woman, for goodness sake! A grownup! Surely my husband and the family we may start will be all I need to make my life worthwhile!’

But she listened to her Mother. She kept contact with her Sisters and made more women friends each year. As the years tumbled by, one after another, she gradually came to understand that her Mom really knew what she was talking about. As time and nature work their changes and their mysteries upon a woman, Sisters are the mainstays of her life.

After more than 50 years of living in this world, here is what I’ve learned:

THIS SAYS IT ALL:

Time passes.

Life happens.

Distance separates.

Children grow up.

Jobs come and go.

Love waxes and wanes.

Men don’t do what they’re supposed to do.

Hearts break.

Parents die.

Colleagues forget favors.

Careers end.

BUT………

Sisters are there, no matter how much time and how

many miles are

between you. A girl friend is never farther away

than needing her can reach.

When you have to walk that lonesome valley and you

have to walk it by yourself, the women in your life

will be on the valley’s rim, cheering you on,

praying for you, pulling for you, intervening on

your behalf, and waiting with open arms at the

valley’s end.

Sometimes, they will even break the rules and walk

beside you…Or come in and carry you out.

Girlfriends, daughters, granddaughters,

daughters-in-law, sisters, sisters-in-law, Mothers,

Grandmothers, aunties, nieces, cousins, and extended

family, all bless our life!

The world wouldn’t be the same without women, and

neither would I. When we began this adventure called

womanhood, we had no idea of the incredible joys or

sorrows that lay ahead. Nor did we know how much we

would need each other.

Every day, we need each other still. Pass this on

to all the women who help make your life meaningful.

I just did. Short and very sweet:

There are more than twenty angels in this world.

Ten are peacefully sleeping on clouds. Nine are

playing. And one is reading her email at this

moment.

Send this message to ten of your friends including

me. If you get 5 replies, someone you love will

surprise you.

Happy days!

December 24, 2008 Posted by Rachel Miller | Friends | | No Comments Yet

Santa and Sarah

Santa and Sarah
Three years ago, a little boy and his grandmother came to see Santa at the
Mayfair Mall in Wisconsin. The child climbed up on his lap, holding a
picture of a little girl.
"Who is this?" asked Santa, smiling. "Your friend? Your sister?’"
"Yes, Santa,’ he replied. "My sister, Sarah, who is very sick," he said sadly.
Santa glanced over at the grandmother who was waiting nearby, and saw her
dabbing her eyes with a tissue.
"She wanted to come with me to see you, oh, so very much, Santa!" the child
exclaimed. "She misses you," he added softly.
Santa tried to be cheerful and encouraged a smile to the boy’s face, asking
him what he wanted Santa to bring him for Christmas. When they finished their visit,
the Grandmother came over to help the child off his lap, and started to say something to Santa, but halted.
"What is it?" Santa asked warmly.
"Well, I know it’s really too much to ask you, Santa, but.." the old woman
began, shooing her grandson over to one of Santa’s elves to collect the
little gift which Santa gave all his young visitors.
"The girl in the photograph… my granddaughter well, you see … she has
leukemia and isn’t expected to make it even through the holidays," she said
through tear-filled eyes. "Is there any way, Santa, any possible way that
you could come see Sarah? That’s all she’s asked for, for Christmas, is to see Santa."
Santa blinked and swallowed hard and told the woman to leave information
with his elves as to where Sarah was, and he would see what he could do.
Santa thought of little else the rest of that afternoon. He knew what he
had to do. "What if it were MY child lying in that hospital bed, dying," he
thought with a sinking heart, "This is the least I can do."
When Santa finished visiting with all the boys and girls that evening, he
retrieved from his helper the name of the hospital where Sarah was staying.
He asked the assistant location manager how to get to Children’s Hospital.
"Why?" Rick asked, with a puzzled look on his face.
Santa relayed to him the conversation with Sarah’s grandmother earlier that
day. "C’mon…..I’ll take you there." Rick said softly. Rick drove them to the
hospital and came inside with Santa.
They found out which room Sarah was in. A pale Rick said he would wait out
in the hall.
Santa quietly peeked into the room through the half-closed door and saw
little Sarah on the bed. The room was full of what appeared to be her family; there was the
Grandmother and the girl’s brother he had met earlier that day. A woman
whom he guessed was Sarah’s mother stood by the bed, gently pushing Sarah’s
thin hair off her forehead. And another woman who he discovered later was
Sarah’s aunt, sat in a chair near the bed with a weary, sad look on her
face. They were talking quietly, and Santa could sense the warmth and
closeness of the family, and their love and concern for Sarah.
Taking a deep breath, and forcing a smile on his face, Santa entered the
room, bellowing a hearty, "Ho, ho, ho!"
"Santa!" shrieked little Sarah weakly, as she tried to escape her bed to run
to him, IV tubes intact.
Santa rushed to her side and gave her a warm hug. A child the tender age of
his own son — 9 years old — gazed up at him with wonder and excitement.
Her skin was pale and her short tresses bore telltale bald patches from the
effects of chemotherapy. But all he saw when he looked at her was a pair of
huge, blue eyes. His heart melted, and he had to force himself to choke
back tears. Though his eyes were riveted upon Sarah’s face, he could hear
the gasps and quiet sobbing of the women in the room.
As he and Sarah began talking, the family crept quietly to the bedside one
by one, squeezing Santa’s shoulder or his hand gratefully, whispering "Thank
you" as they gazed sincerely at him with shining eyes. Santa and Sarah
talked and talked, and she told him excitedly all the toys she wanted for
Christmas, assuring him she’d been a very good girl that year.
As their time together dwindled, Santa felt led in his spirit to pray for
Sarah, and asked for permission from the girl’s mother. She nodded in
agreement and the entire family circled around Sarah’s bed, holding hands.
Santa looked intensely at Sarah and asked her if she believed in angels.
"Oh, yes, Santa… I do!" she exclaimed.
"Well, I’m going to ask that angels watch over you." he said. Laying one
hand on the child’s head, Santa closed his eyes and prayed. He asked that
God touch little Sarah, and heal her body from this disease. He asked that
angels minister to her, watch and keep her. And when he finished praying,
still with eyes closed, he started singing, softly, "Silent Night, Holy
Night…. all is calm, all is bright…"
"The family joined in, still holding hands, smiling at Sarah, and crying
tears of hope, tears of joy for this moment, as Sarah beamed at them all.
When the song ended, Santa sat on the side of the bed again and held Sarah’s
frail, small hands in his own. "Now, Sarah," he said authoritatively, "you
have a job to do, and that is to concentrate on getting well. I want you to
have fun playing with your friends this summer, and I expect to see you at
my house at Mayfair Mall this time next year!"
He knew it was risky proclaiming that to this little girl who had terminal
cancer, but he "had" to. He had to give her the greatest gift he could —
not dolls or games or toys — but the gift of HOPE.
"Yes, Santa!" Sarah exclaimed, her eyes bright. He leaned down and kissed
her on the forehead and left the room.
Out in the hall, the minute Santa’s eyes met Rick’s, a look passed between
them and they wept unashamed.
Sarah’s mother and grandmother slipped out of the room quickly and rushed to
Santa’s side to thank him.
"My only child is the same age as Sarah," he explained quietly. "This is
the least I could do." They nodded with understanding and hugged him.
One year later, Santa Mark was again back on the set in Milwaukee for his
six-week, seasonal job which he so loves to do. Several weeks went by and
then one day a child came up to sit on his lap.
"Hi, Santa! Remember me?!"
"Of course, I do," Santa proclaimed (as he always does), smiling down at
her. After all, the secret to being a "good" Santa is to always make each
child feel as if they are the "only" child in the world at that moment.
"You came to see me in the hospital last year!"
Santa’s jaw dropped. Tears immediately sprang in his eyes, and he grabbed
this little miracle and held her to his chest. "Sarah!" he exclaimed. He
scarcely recognized her, for her hair was long and silky and her cheeks were
rosy — much different from the little girl he had visited just a year
before. He looked over and saw Sarah’s mother and grandmother in the
sidelines smiling and waving and wiping their eyes.
That was the best Christmas ever for Santa Claus. He had witnessed –and been
blessed to be instrumental in bringing about — this miracle of hope. This precious
little child was healed. Cancer-free. Alive and well. He silently looked up to Heaven
and humbly whispered, "Thank you, Father. ‘Tis a very, Merry Christmas!"
If you believe in miracles you will pass this on..I did!

December 19, 2008 Posted by Rachel Miller | Friends | | No Comments Yet

Christmas

Twas the month before Christmas*

*When all through our land,*

*Not a Christian was praying*

*Nor taking a stand.*

*See the PC Police had taken away,*

*The reason for Christmas – no one could say.*

*The children were told by their schools not to sing,*

*About Shepherds and Wise Men and Angels and things.*

*It might hurt people’s feelings, the teachers would say*

* December 25th is just a ‘ Holiday ‘.*

*Yet the shoppers were ready with cash, checks and credit*

*Pushing folks down to the floor just to get it!*

*CDs from Madonna, an X BOX, an I-pod*

*Something was changing, something quite odd! *

*Retailers promoted Ramadan and Kwanzaa*

*In hopes to sell books by Franken & Fonda.*

*As Targets were hanging their trees upside down*

* At Lowe’s the word Christmas – was no where to be found.*

*At K-Mart and Staples and Penny’s and Sears*

*You won’t hear the word Christmas; it won’t touch your ears.*

*Inclusive, sensitive, Di-ver-si-ty*

*Are words that were used to intimidate me.*

*Now Daschle, Now Darden, Now Sharpton, Wolf Blitzen*

*On Boxer, on Rather, on Kerry, on Clinton !*

*At the top of the Senate, there arose such a clatter*

*To eliminate Jesus, in all public matter.*

*And we spoke not a word, as they took away our faith*

* Forbidden to speak of salvation and grace*

*The true Gift of Christmas was exchanged and discarded*

*The reason for the season, stopped before it started.*

*So as you celebrate ‘Winter Break’ under your ‘Dream Tree’*

*Sipping your Starbucks, listen to me.*

*Choose your words carefully, choose what you say*

*Shout MERRY CHRISTMAS ,

not Happy Holiday !*

Please, all Christians join together and

wish everyone you meet during the

holidays a

MERRY CHRISTMAS

Christ is ‘The Reason’ for the Christ-mas Season!

December 10, 2008 Posted by Rachel Miller | Friends | | No Comments Yet

Prayer

Subject: FW: prayer

A  Pastor with GUTS!!
Thought you might enjoy this interesting
Prayer given in Kansas at
The opening session of their Senate. It seems
Prayer still upsets some
People. When Minister Joe Wright was asked to open
The new session of the Kansas Senate, everyone was
expecting the usual  generalities, but this is what they heard: 

Heavenly Father, we come before you today to ask
Your forgiveness and to seek your direction and 
Guidance. We know Your Word says, ‘Woe to those 
Who call evil good,’ but that is exactly what we
Have done. 

We have lost our spiritual equilibrium and reversed
Our values.

We have exploited the poor and called it
The lottery. 

We have rewarded laziness and called it
Welfare.

We have killed our unborn and called  it
Choice. 

We have shot abortionists and called  it
Justifiable. 

We have neglected to discipline our
Children and called it building self esteem..

We have abused power and called it 
Politics. 

We have coveted our neighbor’s possessions
And called it ambition. 

We have polluted the air with profanity and
Pornography and called it freedom of expression. 

We have ridiculed the time-honored values
Of our forefathers and called it enlightenment.

Search  us, Oh, God, and know our hearts
Today;  cleanse us from every sin and set us free. 
Amen! 

The response was immediate. A number of
Legislators walked out during the prayer in
Protest. In 6 short weeks, Central Christian
Church,  where Rev. Wright is pastor, logged more than
5,000 phone calls with only 47 of those calls
Responding negatively. The church is now receiving
International requests for copies of this prayer
From India , Africa and Korea .

Commentator Paul Harvey aired this prayer on
His radio program, ‘The Rest of the Story,’and
Received a larger response to this program than any  
Other he has ever aired. 

With the Lord’s help, may this prayer sweep
Over our nation and wholeheartedly become our
Desire so that we again can be called ‘one nation
Under God.’ 

If possible, please pass this prayer on to
Your friends. ‘If you don’t stand for something,
You  will fall for everything.’

Think about this: If you forward this
Prayer to everyone on your
E-mail list, in less than 30 days it would be
Heard by the world.

How many people in your address book will  
Not receive this prayer…..do you have the guts to pass it on? 

 

December 9, 2008 Posted by Rachel Miller | Friends | | No Comments Yet

The Orgin of TAPS

If any of you have ever been to a military funeral in which taps were played; this brings out a new meaning of it.
Here is something Every American should know. Until I read this, I didn’t know, but I checked it out and it’s true:
We in the United States have all heard the haunting song, ‘Taps’. It’s the song that gives us that lump in our throats and usually tears in our eyes.
But, do you know the story behind the song?  If not, I think you will be interested to find out about its humble beginnings.
Reportedly, it all began in 1862 during the Civil War, when Union Army Captain Robert Ellicombe was with his men near Harrison’s Landing in Virginia ..  The Confederate Army was on the other side of the narrow strip of land.
During the night, Captain Ellicombe heard the moans of a soldier who lay severely wounded on the field.  Not knowing if it was a Union or Confederate soldier, the Captain decided to risk his life and bring the stricken man back for medical attention  Crawling on his stomach through the gunfire, the Captain reached the stricken soldier and began pulling him toward his encampment.
When the Captain finally reached his own lines, he discovered it was actually a Confederate soldier, but the soldier was dead.
The Captain lit a lantern and suddenly caught his breath and went numb with shock.  In the dim light, he saw the face of the soldier. It was his own son. The boy had been studying music in the South when the war broke out. Without telling his father, the boy enlisted in the Confederate Army.
The following morning, heartbroken, the father asked permission of his superiors to give his son a full military burial, despite his enemy status. His request was only partially granted.
The Captain had asked if he could have a group of Army band members play a funeral dirge for his son at the funeral.
The request was turned down since the soldier was a Confederate.
But, out of respect for the father, they did say they could give him only one musician.
The Captain chose a bugler.  He asked the bugler to play a series of musical notes he had found on a piece of paper in the pocket of the dead youth’s uniform.
This wish was granted.
The haunting melody, we now know as ‘Taps’ used at military funerals was born.
The words are:
Day is done.
Gone the sun.
From the lakes.
From the hills.
From the sky.
All is well.
Safely rest.
God is nigh.
Fading light.
Dims the sight.
And a star.
Gems the sky.
Gleaming bright.
From afar.
Drawing nigh.
Falls the night.
Thanks and praise.
For our days.
Neath the sun.
Neath the stars.
Neath the sky.
As we go.
This we know.
God is nigh
I too have felt the chills while listening to ‘Taps’ but I have never seen all the words to the song until now.  I didn’t even know there was more than one verse.  I also never knew the story behind the song and I didn’t know if you had either so I thought I’d pass it a long.
I now have an even deeper respect for the song than I did before.
Remember Those Lost and Harmed While Serving Their Country.
Also Remember Those Who Have Served And Returned; and for those
presently serving in the Armed Forces.
Please send this on after a short prayer.
Make this a Prayer wheel for our soldiers….please don’t break it!

December 9, 2008 Posted by Rachel Miller | Friends | | No Comments Yet

Tex-Mex Chicken and Rice Casserole

Tex Mex Chicken and Rice Casserole

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Prep: 20 minutes
Bake: 25 minutes

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Ingredients

· 1/2  cup chopped onion (1 medium)

· 1  tablespoon olive oil

· 1  6.9-ounce package chicken-flavored rice and vermicelli mix

· 1  14-ounce can chicken broth

· 2  cups water

· 2  cups chopped cooked chicken or turkey

· 1  cup chopped seeded tomatoes (2 medium)

· 3  tablespoons canned diced green chile peppers, drained

· 1  teaspoon dried basil, crushed

· 1-1/2  teaspoons chili powder

· 1/8  teaspoon ground cumin

· 1/8  teaspoon black pepper

· 1/2  cup shredded cheddar cheese (2 ounces)

Directions

1. In a medium saucepan cook onion in hot oil over medium heat until tender. Stir in rice and vermicelli mix (including seasoning package); cook and stir for 2 minutes. Stir in broth and water. Bring to boiling; reduce heat. Cover and simmer for 20 minutes (liquid will not be fully absorbed).

2. Transfer the rice mixture to a large bowl. Stir in chicken, tomatoes, chile peppers, basil, chili powder, cumin, and black pepper. Transfer to a 2-quart casserole.

3. Bake, covered, in a 425 degree F oven for 25 minutes. Sprinkle with cheese. Let stand for 5 minutes before serving. Makes 6 servings.

Make Ahead Directions: Prepare as above through step 1. Cover and chill for up to 24 hours. Bake, covered, in a 425 degree F oven about 40 minutes or until heated through. Uncover and sprinkle with cheese. Let stand for 5 minutes before serving.

 

I wanted to share this recipe with everyone.  My kids absolutely loved it!!!

December 5, 2008 Posted by Rachel Miller | Friends | | No Comments Yet

Help

I am adopted. The only thing I know for sure is that my Biological Mother
was from Mississippi. I was born at Seventh Ward General Hospital on April
26,. 1971.
I am searching for any family I may have out there. So if anyone can help I
would appreciate it.

November 4, 2008 Posted by Rachel Miller | Friends | | No Comments Yet

Fibromyalgia and Environmental Triggers

by Cynthia Perkins, M.Ed. ©

Although there has been a great deal of recent interest and writing on the subject of Fibromyalgia and how to manage the painful symptoms, it is almost never suggested that avoidance of certain environmental triggers may be an important management practice. I learned slowly and painstakingly that this is indeed the case for me.

My Fibromyalgia was diagnosed after I was diagnosed with Chronic Fatigue Immune Dysregulation and Multiple Chemical Sensitivity. Many of the symptoms of these conditions overlap, but the characteristic painful tender points and extreme diffuse pain were a signal that my condition included something distinctly different from what other MCS and CFIDS patients typically experience.

Because medical practitioners did not tell me that environmental and chemical exposures could trigger or aggravate my FM pain, I did not assume that this would be the case. I only discovered this to be true because of being diagnosed with MCS and I had learned to pay very close attention to my body’s messages and to any possible environmental triggers of my symptoms. It was through this process that I discovered that my Fibromyalgia symptoms were aggravated by chemical exposures, certain foods, and hormonal fluctuations and I came to believe that all three diagnoses were actually one in the same with a different subset of symptoms for each syndrome. I unfortunately had all three syndromes symptoms.

The first thing I noticed was that at different times in my menstrual cycle, particularly at ovulation, menstruation, and right after menstruation my Fibromyalgia symptoms would flare. There was a definite and repeated patter. The tender points on my head, shoulders, legs and buttocks would become extremely painful. I would have accompanying headaches, diffuse body pain, and sleep difficulties. My neuro-cognitive difficulties, often referred to as “brain fog” would also worsen at these times in my menstrual cycle.

If I had been out in the world a great deal being exposed to common everyday chemicals in the days and weeks before my menstrual period, I would invariable notice that all these symptoms would be worse. I also began to see that my Fibromyalgia symptoms would be worse if I had been eating high levers of refined carbohydrates during my cycle.

I discovered that if I washed my clothes in water that was chlorine free and eat organic foods then that made an enormous difference in my Fibromyalgia pain. If I wash my clothes in chlorinated water then the pain is so bad I can’t function and I must take my clothes off. If I shower in chlorinated water I will feel comatose. When I have an exposure to pesticides or herbicides such as a neighbor spraying their yard or mosquito control then my all my symptoms flare severely. If I would sit in a room full of people with someone wearing cologne or an air freshener present then trigger points and widespread pain are excruciating and cognitive functioning is impaired severely. If I leave this room and take a shower in filtered water then my symptoms improve. If I stay in that same room for an extended amount of time then the next day I will be bedridden and barely able to walk or function because of pain and brain fog.

If I don’t have chemical exposures and if I limit refined carbohydrates in my diet then my fibromyalgia symptoms as well as my MCS and CFIDS will improve dramatically. The more exposures I have or the more refined carbohydrates I eat then the more severe my symptoms will be in each category.

Why this happens, we can only speculate, but I believe that the chemicals are upsetting my body’s natural hormonal and endocrine balance. Scientists are now aware that many of the air-borne and food-borne chemicals we are constantly ingesting are endocrine-disrupters. These chemicals mimic estrogen in the body and may contribute to many problems. There is also evidence that refined carbohydrates may interfere with proper endocrine functioning.

Some Fibromyalgia patients may feel that following a strict regimen of avoiding certain chemicals or following a strict diet may not give you enough improvement to justify the effort. However, there is recent evidence to suggest that chemical sensitivity can be the result of a liver dysfunction that is a component of a medical condition known as porphyria. Porphyria has been studied for decades, and it has long been accepted that it is often degenerative in certain types of porphyria, the disability can permanently worsen over time if the patient does not avoid the triggers of their episodes. Although this research is not yet conclusive, it creates cause for concern. If in fact Fibromyalgia, CFIDS, MCS and GWS are all related in some way or in fact really just one in the same and if all involve this typed of liver dysfunction, then avoidance of chemicals may be an important therapy for these patient groups. I would urge all FM patients to carefully evaluate the possibility that they are reacting to environmental triggers to prevent the possibility of a permanent worsening of their condition.

***************

You have permission to publish this article electronically free of charge, providing the entire byline at the end of the article is included and the content is left unchanged. If you use it, please notify me with a copy of your publication or a url to where it can be found. For print publications, please contact me to discuss and to obtain US mailing address to send a courtesy copy. cynthiap@frognet.net This e-mail address is being protected from spam bots, you need JavaScript enabled to view it

Cynthia Perkins, M.Ed. is an author and holistic health counselor providing alternative solutions and life management and support for individuals living with chronic illness or chronic pain. She is also author of the inspirational E-Book “Finding Life Fulfillment when Living with Chronic Illness-A Spiritual Journey”. Subscribe to her FREE monthly Newsletter for inspiration, advice and support. http://www.holistichelp.net/ or send any email to this address to subscribe to the FREE Newsletter Holistichelp-Subscribe@Topica.com

November 3, 2008 Posted by Rachel Miller | Friends | | 1 Comment

INTERESTING STUFF

 


In the 1400’s a law was set forth in England that a man was allowed to beat his wife with a stick no thicker than his thumb. Hence we have ‘the rule

of thumb’

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Many years ago in Scotland, a new game was invented. It was ruled ‘Gentlemen Only…Ladies Forbidden’…and thus, the word GOLF entered

into the English language.

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The first couple to be shown in bed together on prime time TV was Fred and Wilma Flintstone.


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Every day more money is printed for Monopoly than the U.S. Treasury.


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Men can read smaller print than women can; women can hear better.


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Coca-Cola was originally green.


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It is impossible to lick your elbow.


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The State with the highest percentage of people who walk to work:


Alaska


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The percentage of Africa that is wilderness: 28% (now get this….)


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The percentage of North America that is wilderness: 38%


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The cost of raising a medium-size dog to the age

of eleven:

$ 16,400


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The average number of people airborne over the U.S. In any given hour:


61,000


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Intelligent people have more zinc and copper in their hair.


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The first novel ever written on a typewriter, Tom Sawyer.


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The San Francisco Cable cars are the only mobile National Monuments.


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Each king in a deck of playing cards represents a great king from history:


Spades – King David


Hearts – Charlemagne


Clubs -Alexander, the Great


Diamonds – Julius Caesar


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111,111,111 x 111,111,111 = 12,345,678,987,654,321


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If a statue in the park of a person on a horse has both front legs in the air, the person died in battle. If the horse has one front leg in the air, the person died because of wounds received in battle. If the horse has all four legs on the ground, the person died of natural causes.


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Only two people signed the Declaration of Independence on July 4, John Hancock and Charles Thomson. Most of the rest signed on August 2, but the last signature wasn’t added until 5 years later.


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Q. Half of all Americans live within 50 miles of what?


A. Their birthplace


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Q. Most boat owners name their boats. What is the most popular boat name requested?


A. Obsession


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Q. If you were to spell out numbers, how far would you have to go until you would find the letter ‘A’?


A. One thousand


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Q. What do bulletproof vests, fire escapes, windshield wipers and laser printers have in common?


A. All were invented by women.


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Q. What is the only food that doesn’t spoil?


A. Honey


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Q. Which day are there more collect calls than any other day of the year?


A. Father’s Day


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In Shakespeare’s time, mattresses were secured on bed frames by ropes.  When you pulled on the ropes, the mattress tightened, making the bed firmer to sleep on. Hence the phrase…’Goodnight, sleep tight’


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It was the accepted practice in Babylon 4,000 years ago that for a month after the wedding, the bride’s father would supply his son-in-law with all the mead he could drink. Mead is a honey beer and because their calendar was lunar based, this period was called the honey month, which we know today as the honeymoon.


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In English pubs, ale is ordered by pints and quarts… So in old England, when customers got unruly, the bartender would yell at them ‘Mind your pints and quarts, and settle down.’


It’s where we get the phrase ‘mind your P’s and Q’s’


————————————————————————


Many years ago in England, pub frequenters had a whistle baked into the rim, or handle, of their ceramic cups. When they needed a refill, they used the whistle to get some service. ‘Wet your whistle’ is the phrase inspired by this practice.


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At least 75% of people who read this will try to lick their elbow!


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-


Don’t delete this just because it looks weird. Believe it or not, you can read it.


I cdnuolt blveiee taht I cluod aulaclty uesdnatnrd waht I was rdanieg. The phaonmneal pweor of the hmuan mnid Aoccdrnig to rscheearch at Cmabrigde Uinervtisy, it deosn’t mttaer in waht oredr the ltteers in a wrod are, the olny iprmoatnt tihng is taht the frist and lsat ltteer be in the rghit pclae. The rset can be a taotl mses and you can sitll raed it wouthit a porbelm. Tihs is bcuseae the huamn mnid deos not raed ervey lteter by istlef, but the wrod as a wlohe. Amzanig huh?


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YOU KNOW YOU ARE LIVING IN 2008 when…


1. You accidentally enter your PIN on the microwave.


2. You haven’t played solitaire with real cards in years.


3. You have a list of 15 phone numbers to reach your family of three.


4. You e-mail the person who works at the desk next to you.


5. Your reason for not staying in touch with friends and family is that they don’t have e-mail addresses.


6. You pull up in your own driveway and use your cell phone to see if anyone is home to help you carry in the groceries.


7. Every commercial on television has a web site at the bottom of the screen


8. Leaving the house without your cell phone, which you didn’t even have the first 20 or 30 (or 60) years of your life, is now a cause for panic and you turn around to go and get it.


10. You get up in the morning and go on line before getting your coffee.


11. You start tilting your head sideways to smile. : )


12. You’re reading this and nodding and laughing.


13. Even worse, you know exactly to whom you are going to forward this message.


14. You are too busy to notice there was no #9 on this list.


15. You actually scrolled back up to check that there wasn’t a #9 on this list.


~~~~~~~~~~~AND FINALLY~~~~~~~~~~~~


NOW U R LAUGHING at yourself.

October 23, 2008 Posted by Rachel Miller | Friends | | 1 Comment

The Real Meaning Of The 12 Days Of CHRISTMAS

What in the world do leaping lords, French hens, swimming swans, and especially the partridge who won't come out of the pear tree have to do with Christmas?
From 1558 until 1829, Roman Catholics in England were not permitted to practice their faith openly. Someone during that era wrote this carol as a catechism song for young Catholics. It has two levels of meaning: the surface meaning plus a hidden meaning known only to members of their church.
Each element in the carol has a code word for a religious reality which the children could remember.
The partridge in a pear tree was Jesus Christ.
Two turtle doves were the Old and New Testaments
Three French hens stood for faith, hope and love.
The four calling birds were the four gospels of Matthew, Mark, Luke & John.
The five golden rings recalled the Torah or Law, the first five books of the Old Testament.
The six geese a-laying stood for the six days of creation.
Seven swans a-swimming represented the sevenfold gifts of the Holy Spirit--Prophesy, Serving, Teaching, Exhortation, Contribution, Leadership, and Mercy.
The eight maids a-milking were the eight beatitudes.
Nine ladies dancing were the nine fruits of the Holy Spirit--Love, Joy, Peace, Patience, Kindness, Goodness, Faithfulness, Gentleness, and Self Control.
The ten lords a-leaping were the ten commandments.
The eleven pipers piping stood for the eleven faithful disciples.
The twelve drummers drumming symbolized the twelve points of belief in the Apostles' Creed.

So there is your history lesson for today. This knowledge was shared with me and I found it interesting and enlightening and now I know how that strange song became a Christmas Carol…so pass it on!!
Author Unknown

October 8, 2008 Posted by Rachel Miller | Friends | | No Comments Yet

Butterfly

 

I have taken many moments to find the right things to say,

When I think of how wonderful you are the words just slip away,

I really cannot begin to tell you how you light up the room,

When you enter into a place there is no sign of doom.

The smile on your face is as beautiful as the stars above,

You are a true expression of God’s creation and his love.

You are blessed with a spirit that is genuine and ooh so true,

Your personality is so awesome you keep others from being blue.

Always hold your head up and never look down,

Continue to trust the Master and stay on level ground.

You are like a colorful butterfly; the limit is truly the sky,

When you are faced with obstacles just spread your wings and fly.

Remember to trust the Savior and always bend your knees to pray,

And know in your heart that He will always make a way.

By: Chantal R. Lee 9/9/08

September 22, 2008 Posted by Rachel Miller | Friends | | No Comments Yet

Appreciate Your Mother

Labor analysis estimate that if a Canadian stay-at-home mom with two school aged children were paid for all the work she does, her annual salary would be $163,852.00 {Canadian}.  The figure is based on current market wages and a “100-hour work week consisting of six 15 hour days and one 10 hour day,” says the Vancouver Sun newspaper.  Among the responsibilities of a stay at home mom are those of day care, teacher, driver, teacher, housekeeper, cook, nurse, and general maintenance worker.  The newspaper offers the following advice: “Appreciate your mother: She’s probably underpaid.”

September 19, 2008 Posted by Rachel Miller | Friends | | No Comments Yet

Two Men

It will take just 37 seconds to read this and change your thinking.


Two men, both seriously ill, occupied the same hospital room.
One man was allowed to sit up in his bed for an hour each afternoon to help drain the fluid from his lungs.
His bed was next to the room’s only window.
The other man had to spend all his time flat on his back.


The men talked for hours on end.


They spoke of their wives and families, their homes, their jobs, their involvement in the military service, where they had been on vacation.
Every afternoon,  when the man in the bed by the window could sit up, he would pass the time by describing to his roommate all the things he could see outside the window.
The man in the other bed began to live for those one hour periods where his world would be broadened and enlivened by all the activity and color of the world outside.
The window overlooked a park with a lovely lake.
Ducks and swans played on the water while children sailed their model boats. Young lovers walked arm in arm amidst flowers of every color and a fine view of the city skyline could be seen in the distance.

As the man by the window described all this in exquisite details, the man on the other side of the room would close his eyes and imagine this picturesque scene.
One warm afternoon, the man by the window described a parade passing by ..
Although the other man could not hear the band, he could see it in his mind s eye as the gentleman by the window portrayed it with descriptive words.
Days, weeks and months passed.
One morning, the day nurse arrived to bring water for their baths only to find the lifeless body of the man by the window, who had died peacefully in his sleep.


She was saddened and called the hospital attendants to take the body away.
As soon as it seemed appropriate, the other man asked if he could be moved next to the window. The nurse was happy to make the switch, and after making sure he was comfortable, she left him alone.

Slowly, painfully, he propped himself up on one elbow to take his first look at the real world outside.


He strained to slowly turn to look out the window beside the bed.
It faced a blank wall.
The man asked the nurse what could have compelled his deceased roommate who had described such wonderful things outside this window.

The nurse responded that the man was blind and could not even see the wall.
She said, ‘Perhaps he just wanted to encourage you.’


Epilogue:

There is tremendous happiness in making others happy, despite our own situations.
Shared grief is half the sorrow, but happiness when shared, is doubled.

If you want to feel rich, just count all the things you have that money can’t buy.
‘Today is a gift, that is why it is called
The Present ..’
The origin of this letter is unknown, but it brings good luck to everyone who passes it on.

Do not keep this letter.
Just forward it to your friends to whom you wish blessings.

August 26, 2008 Posted by Rachel Miller | Friends | | No Comments Yet

The Wrong Funeral

     God doesn’t make mistakes. He puts us where we are to be.
  They say there are no mistakes, for everything there is a purpose. Makes you think. Enjoy! We’ll never know where our paths will take us!
   ***AN ABSOLUTE MUST READ**TRUST ME
   This is really beautiful…God is not sleeping.
   Consumed by my loss, I didn’t notice the hardness of the pew where I sat. I was at the funeral of my dearest friend-my mother. She finally had lost her long battle with cancer. The hurt was so intense; I found it hard to breathe at times. Always supportive, Mother clapped loudest at my school plays, held box of tissues while listening to my first heartbreak, comforted me at my father’s death, encouraged me in college, and prayed for me my entire life.
     When mother’s illness was diagnosed, my sister had a new baby and my brother had recently married his childhood sweetheart, so it fell on me, the 27-year-old middle child without entanglements, to take care of her.
   I counted it an honor.. ‘What now, Lord?’ I asked sitting in church. My life stretched out before me as an empty abyss. My brother sat stoically with his face toward the cross while clutching his wife’s hand.
   My sister sat slumped against her husband’s shoulder, his arms around her as she cradled their child.. All so deeply grieving, no one noticed I sat alone.
   My place had been with our mother, preparing her meals, helping her walk, taking her to the doctor, seeing to her medication, reading the Bible together. Now she was with the Lord. My work was finished, and I was alone. I heard a door open and slam shut at the back of the church.  Quick footsteps hurried along the carpeted floor.
   An exasperated young man looked around briefly and then sat next to me. He folded his hands and placed the them on his lap. His eyes were brimming with tears. He began to sniffle. ‘I’m late,’ he explained, though no explanation was necessary.
   After several eulogies, he leaned over and commented, ‘Why do they keep calling Mary by the name of ‘ Margaret ?” ‘Because that was her name, Margaret . Never Mary . No one called her ‘ Mary ,” I whispered. I wondered why this person couldn’t have sat
on the other side of the church He interrupted my grieving with his tears and fidgeting. Who was this stranger anyway?
   ‘No, that isn’t correct,’ he insisted, as several people glanced over at us whispering, ‘Her name is Mary , Mary Peters .’ ‘That isn’t who this is.’ ‘Isn’t this the Lutheran church?’
   ‘No, the Lutheran church is across the street.’  ‘Oh.’  ‘I believe you’re at the wrong funeral, Sir.’
     The solemnness of the occasion mixed with the realization of the man’s mistake bubbled up inside me and came out as laughter. I cupped my hands over my face, hoping it would be interpreted as sobs.
   The creaking pew gave me away. Sharp looks from other mourners only made the situation seem more hilarious.
   I peeked at the bewildered, misguided man seated beside me. He was laughing, too, as he glanced around, deciding it was too late for an uneventful exit. I imagined Mother laughing..
     At the final ‘Amen,’ we darted out a door and into the parking lot. ‘I do believe we’ll be the talk of the town,’ he smiled. He said his name was Rick and since he had missed his aunt’s funeral, asked me out for a cup of coffee.
     That afternoon began a lifelong journey for me with this man who attended the wrong funeral, but was in the right place. A year after our meeting, we were married at a country church where he was the assistant pastor.
   This time we both arrived at the same church, right on time.
   In my time of sorrow, God gave me laughter. In place of loneliness, God gave me love. This past June we celebrated our twenty-second wedding anniversary. Whenever anyone asks us how we met, Rick tells them , ‘Her mother and my Aunt Mary introduced us, and it’s truly a match made in heaven.’
     Jesus said, ‘If you are ashamed of me, I will be ashamed of you before my Father. ‘Not ashamed? Pass this on. Only if you mean it. Yes, I do Love God. He is my source of existence and Savior. He keeps me functioning each and everyday. Without Him, I would be nothing. Without him, I am nothing, but with Him I can do all things, through Christ that strengthens me. (Phil. 4:13)
   If you Love God, and are not ashamed of all the marvelous things he has done for you, send this on to others.

August 16, 2008 Posted by Rachel Miller | Friends | | No Comments Yet

Today is my Quit Day!!!

 

Today is the day I started taking CHANTIX.  A prescription medication designed to help you quit smoking.  According to the paperwork, I should be completely smoke free by August 2, 2008.  I have decided to help myself out by blogging it on here!!!

I would like for my experience to somehow help someone else to quit smoking.  I’ll be spending alot of time on my papercrafts.  I know it will be easier if I keep myself busy.  Therefore, I will be doing alot of scrapbook maybe, I will even work on my cousins cookbook for Christmas.

So, everyone lets see how many of you smokers out there are willing to quit with me!!!

July 26, 2008 Posted by Rachel Miller | Friends | | No Comments Yet

A Different Kind of "LOVE POEM"

Love is always PATIENT,
Love is always KIND,
Love is always JEALOUS,
Love is always BOASTFUL,
Love is always CONCEDED,
Love is always RUDE,
Love is always SELFISH,
Love does not take OFFENSE,
Love is never RESENTFUL,
Love takes no pleasure
In other peoples Pain,
But delights in the TRUTH:
Love is always ready to EXCUSE,
Love is always ready to TRUST,
Love is always ready to HOPE,
Love is always ready to ENDURE,
WHATEVER COMES!!!!!!!!!!!!!!!!

 

129291810_3faaceb5eb_s

The Red Rose stands for

” PASSIONATE LOVE”

July 26, 2008 Posted by Rachel Miller | Friends | | No Comments Yet

Depression 101 Continued part 2

 

The first step to getting appropriate treatment for depression is a physical examination by a physician. Certain medications as well as some medical conditions such as a viral infection can cause the same symptoms as depression, and the physician should rule out these possibilities through examination, interview, and lab tests. If a physical cause for the depression is ruled out, a psychological evaluation should be done, by the physician or by referral to a psychiatrist or psychologist.

A good diagnostic evaluation will include a complete history of symptoms, i.e., when they started, how long they have lasted, how severe they are, whether the patient had them before and, if so, whether the symptoms were treated and what treatment was given. The doctor should ask about alcohol and drug use, and if the patient has thoughts about death or suicide. Further, a history should include questions about whether other family members have had a depressive illness and, if treated, what treatments they may have received and which were effective.

Last, a diagnostic evaluation should include a mental status examination to determine if speech or thought patterns or memory have been affected, as sometimes happens in the case of a depressive or manic-depressive illness.

Treatment choice will depend on the outcome of the evaluation. There are a variety of antidepressant medications and psychotherapies that can be used to treat depressive disorders. Some people with milder forms may do well with psychotherapy alone. People with moderate to severe depression most often benefit from antidepressants. Most do best with combined treatment: medication to gain relatively quick symptom relief and psychotherapy to learn more effective ways to deal with life’s problems, including depression. Depending on the patient’s diagnosis and severity of symptoms, the therapist may prescribe medication and/or one of the several forms of psychotherapy that have proven effective for depression.

Electroconvulsive therapy (ECT) is useful, particularly for individuals whose depression is severe or life threatening or who cannot take antidepressant medication. ECT often is effective in cases where antidepressant medications do not provide sufficient relief of symptoms. In recent years, ECT has been much improved. A muscle relaxant is given before treatment, which is done under brief anesthesia. Electrodes are placed at precise locations on the head to deliver electrical impulses. The stimulation causes a brief (about 30 seconds) seizure within the brain. The person receiving ECT does not consciously experience the electrical stimulus. For full therapeutic benefit, at least several sessions of ECT, typically given at the rate of three per week, are required.

Medications for Depression
There are several types of antidepressant medications used to treat depressive disorders. These include newer medications — chiefly the selective serotonin reuptake inhibitors (SSRIs) — the tricyclics, and the monoamine oxidase inhibitors (MAOIs). The SSRIs-and other newer medications that affect neurotransmitters such as dopamine or norepinephrine-generally have fewer side effects than tricyclics. Sometimes the doctor will try a variety of antidepressants before finding the most effective medication or combination of medications. Sometimes the dosage must be increased to be effective. Although some improvements may be seen in the first few weeks, antidepressant medications must be taken regularly for 3 to 4 weeks (in some cases, as many as 8 weeks) before the full therapeutic effect occurs.

Patients often are tempted to stop medication too soon. They may feel better and think they no longer need the medication. Or they may think the medication isn’t helping at all. It is important to keep taking medication until it has a chance to work, though side effects may appear before antidepressant activity does. Once the individual is feeling better, it is important to continue the medication for 4 to 9 months to prevent a recurrence of the depression. Some medications must be stopped gradually to give the body time to adjust, and many can produce withdrawal symptoms if discontinued abruptly. For individuals with bipolar disorder and those with chronic or recurrent major depression, medication may have to be maintained indefinitely.

Antidepressant drugs are not habit-forming. However, as is the case with any type of medication prescribed for more than a few days, antidepressants have to be carefully monitored to see if the correct dosage is being given. The doctor will check the dosage and its effectiveness regularly.

For the small number of people for whom MAO inhibitors are the best treatment, it is necessary to avoid certain foods that contain high levels of tyramine, such as many cheeses, wines, and pickles, as well as medications such as decongestants. The interaction of tyramine with MAOIs can bring on a hypertensive crisis, a sharp increase in blood pressure that can lead to a stroke. The doctor should furnish a complete list of prohibited foods that the patient should carry at all times. Other forms of antidepressants require no food restrictions.

Medications of any kind — prescribed, over-the counter, or borrowed — should never be mixed without consulting the doctor. Other health professionals who may prescribe a drug-such as a dentist or other medical specialist-should be told of the medications the patient is taking. Some drugs, although safe when taken alone can, if taken with others, cause severe and dangerous side effects. Some drugs, like alcohol or street drugs, may reduce the effectiveness of antidepressants and should be avoided. This includes wine, beer, and hard liquor. Some people who have not had a problem with alcohol use may be permitted by their doctor to use a modest amount of alcohol while taking one of the newer antidepressants.

Antianxiety drugs or sedatives are not antidepressants. They are sometimes prescribed along with antidepressants; however, they are not effective when taken alone for a depressive disorder. Stimulants, such as amphetamines, are not effective antidepressants, but they are used occasionally under close supervision in medically ill depressed patients.

 

Questions about any antidepressant prescribed, or problems that may be related to the medication, should be discussed with the doctor.

Lithium has for many years been the treatment of choice for bipolar disorder, as it can be effective in smoothing out the mood swings common to this disorder. Its use must be carefully monitored, as the range between an effective dose and a toxic one is small. If a person has preexisting thyroid, kidney, or heart disorders or epilepsy, lithium may not be recommended.

Fortunately, other medications have been found to be of benefit in controlling mood swings. Among these are two mood-stabilizing anticonvulsants, carbamazepine (Tegretol™) and valproate (Depakote™). Both of these medications have gained wide acceptance in clinical practice, and valproate has been approved by the Food and Drug Administration for first-line treatment of acute mania. Other anticonvulsants that are being used now include lamotrigine (Lamictal™) and gabapentin (Neurontin™): their role in the treatment hierarchy of bipolar disorder remains under study.

Most people who have bipolar disorder take more than one medication including, along with lithium and/or an anticonvulsant, a medication for accompanying agitation, anxiety, depression, or insomnia. Finding the best possible combination of these medications is of utmost importance to the patient and requires close monitoring by the physician.

Side Effects of Antidepressants
Antidepressants may cause mild and, usually, temporary side effects (sometimes referred to as adverse effects) in some people. Typically these are annoying, but not serious. However, any unusual reactions or side effects or those that interfere with functioning should be reported to the doctor immediately. The most common side effects of tricyclic antidepressants, and ways to deal with them, are:

  • Dry mouth — it is helpful to drink sips of water; chew sugarless gum; clean teeth daily.
  • Constipation — bran cereals, prunes, fruit, and vegetables should be in the diet.
  • Bladder problems — emptying the bladder may be troublesome, and the urine stream may not be as strong as usual; the doctor should be notified if there is marked difficulty or pain.
  • Sexual problems — sexual functioning may change; if worrisome, it should be discussed with the doctor.
  • Blurred vision — this will pass soon and will not usually necessitate new glasses.
  • Dizziness — rising from the bed or chair slowly is helpful.
  • Drowsiness as a daytime problem — this usually passes soon. A person feeling drowsy or sedated should not drive or operate heavy equipment. The more sedating antidepressants are generally taken at bedtime to help sleep and minimize daytime drowsiness.

 

The newer antidepressants have different types of side effects:

  • Headache — this will usually go away.
  • Nausea — this is also temporary, but even when it occurs, it is transient after each dose.
  • Nervousness and insomnia (trouble falling asleep or waking often during the night) — these may occur during the first few weeks; dosage reductions or time will usually resolve them.
  • Agitation (feeling jittery) — if this happens for the first time after the drug is taken and is more than transient, the doctor should be notified.
  • Sexual problems — the doctor should be consulted if the problem is persistent or worrisome.

Herbal Therapy for Depression
In the past few years, much interest has risen in the use of herbs in the treatment of both depression and anxiety. St. John’s wort (Hypericum perforatum), an herb used extensively in the treatment of mild to moderate depression in Europe, has recently aroused interest in the United States. St. John’s wort, an attractive bushy, low-growing plant covered with yellow flowers in summer, has been used for centuries in many folk and herbal remedies. Today in Germany, Hypericum is used in the treatment of depression more than any other antidepressant. However, the scientific studies that have been conducted on its use have been short-term and have used several different doses.

Because of the widespread interest in St. John’s wort, the National Institutes of Health (NIH) is conducting a 3-year study, sponsored by three NIH components-the National Institute of Mental Health, the National Center for Complementary and Alternative Medicine, and the Office of Dietary Supplements.

The study is designed to include 336 patients with major depression, randomly assigned to an 8-week trial with one-third of patients receiving a uniform dose of St. John’s wort, another third a selective serotonin reuptake inhibitor commonly prescribed for depression, and the final third a placebo (a pill that looks exactly like the SSRI and the St. John’s wort, but has no active ingredients). The study participants who respond positively will be followed for an additional 18 weeks. After the 3-year study has been completed, results will be analyzed and published.

The Food and Drug Administration issued a Public Health Advisory on February 10, 2000. It stated that St. John’s wort appears to affect an important metabolic pathway that is used by many drugs prescribed to treat conditions such as heart disease, depression, seizures, certain cancers, and rejection of transplants. Therefore, health care providers should alert their patients about these potential drug interactions. Any herbal supplement should be taken only after consultation with the doctor or other health care provider.

July 13, 2008 Posted by Rachel Miller | Friends | | No Comments Yet

Depression 101

In any given 1-year period, 9.5 percent of the population, or about 18.8 million American adults, suffer from a depressive illness. The economic cost for this disorder is high, but the cost in human suffering cannot be estimated. Depressive illnesses often interfere with normal functioning and cause pain and suffering not only to those who have a disorder, but also to those who care about them. Serious depression can destroy family life as well as the life of the ill person. But much of this suffering is unnecessary.

Most people with a depressive illness do not seek treatment, although the great majority — even those whose depression is extremely severe — can be helped. Thanks to years of fruitful research, there are now medications and psychosocial therapies such as cognitive/behavioral, “talk,” or interpersonal that ease the pain of depression.

Unfortunately, many people do not recognize that depression is a treatable illness. If you feel that you or someone you care about is one of the many undiagnosed depressed people in this country, the information presented here may help you take the steps that may save your own or someone else’s life.

A depressive disorder is an illness that involves the body, mood, and thoughts. It affects the way a person eats and sleeps, the way one feels about oneself, and the way one thinks about things. A depressive disorder is not the same as a passing blue mood. It is not a sign of personal weakness or a condition that can be willed or wished away. People with a depressive illness cannot merely “pull themselves together” and get better. Without treatment, symptoms can last for weeks, months, or years. Appropriate treatment, however, can help most people who suffer from depression.

Depressive disorders come in different forms, just as is the case with other illnesses such as heart disease. Three of the most common types of depressive disorders are discussed here. However, within these types there are variations in the number of symptoms, their severity, and persistence.

Major depression is manifested by a combination of symptoms that interfere with the ability to work, study, sleep, eat, and enjoy once pleasurable activities. Such a disabling episode of depression may occur only once but more commonly occurs several times in a lifetime.

A less severe type of depression, dysthymia, involves long-term, chronic symptoms that do not disable, but keep one from functioning well or from feeling good. Many people with dysthymia also experience major depressive episodes at some time in their lives.

Another type of depression is bipolar disorder, also called manic-depressive illness. Not nearly as prevalent as other forms of depressive disorders, bipolar disorder is characterized by cycling mood changes: severe highs (mania) and lows (depression). Sometimes the mood switches are dramatic and rapid, but most often they are gradual. When in the depressed cycle, an individual can have any or all of the symptoms of a depressive disorder. When in the manic cycle, the individual may be overactive, overtalkative, and have a great deal of energy. Mania often affects thinking, judgment, and social behavior in ways that cause serious problems and embarrassment. For example, the individual in a manic phase may feel elated, full of grand schemes that might range from unwise business decisions to romantic sprees. Mania, left untreated, may worsen to a psychotic state.

Not everyone who is depressed or manic experiences every symptom. Some people experience a few symptoms, some many. Severity of symptoms varies with individuals and also varies over time.

Depression Symptoms

  • Persistent sad, anxious, or “empty” mood
  • Feelings of hopelessness, pessimism
  • Feelings of guilt, worthlessness, helplessness
  • Loss of interest or pleasure in hobbies and activities that were once enjoyed, including sex
  • Decreased energy, fatigue, being “slowed down”
  • Difficulty concentrating, remembering, making decisions
  • Insomnia, early-morning awakening, or oversleeping
  • Appetite and/or weight loss or overeating and weight gain
  • Thoughts of death or suicide; suicide attempts
  • Restlessness, irritability
  • Persistent physical symptoms that do not respond to treatment, such as headaches, digestive disorders, and chronic pain

Mania Symptoms

  • Abnormal or excessive elation
  • Unusual irritability
  • Decreased need for sleep
  • Grandiose notions
  • Increased talking
  • Racing thoughts
  • Increased sexual desire
  • Markedly increased energy
  • Poor judgment
  • Inappropriate social behavior

 

Some types of depression run in families, suggesting that a biological vulnerability can be inherited. This seems to be the case with bipolar disorder. Studies of families in which members of each generation develop bipolar disorder found that those with the illness have a somewhat different genetic makeup than those who do not get ill. However, the reverse is not true: Not everybody with the genetic makeup that causes vulnerability to bipolar disorder will have the illness. Apparently additional factors, possibly stresses at home, work, or school, are involved in its onset.

In some families, major depression also seems to occur generation after generation. However, it can also occur in people who have no family history of depression. Whether inherited or not, major depressive disorder is often associated with changes in brain structures or brain function.

People who have low self-esteem, who consistently view themselves and the world with pessimism or who are readily overwhelmed by stress, are prone to depression. Whether this represents a psychological predisposition or an early form of the illness is not clear.

In recent years, researchers have shown that physical changes in the body can be accompanied by mental changes as well. Medical illnesses such as stroke, a heart attack, cancer, Parkinson’s disease, and hormonal disorders can cause depressive illness, making the sick person apathetic and unwilling to care for his or her physical needs, thus prolonging the recovery period. Also, a serious loss, difficult relationship, financial problem, or any stressful (unwelcome or even desired) change in life patterns can trigger a depressive episode. Very often, a combination of genetic, psychological, and environmental factors is involved in the onset of a depressive disorder. Later episodes of illness typically are precipitated by only mild stresses, or none at all.

Depression in Women
Women experience depression about twice as often as men. Many hormonal factors may contribute to the increased rate of depression in women-particularly such factors as menstrual cycle changes, pregnancy, miscarriage, postpartum period, pre-menopause, and menopause. Many women also face additional stresses such as responsibilities both at work and home, single parenthood, and caring for children and for aging parents.

A recent NIMH study showed that in the case of severe premenstrual syndrome (PMS), women with a preexisting vulnerability to PMS experienced relief from mood and physical symptoms when their sex hormones were suppressed. Shortly after the hormones were re-introduced, they again developed symptoms of PMS. Women without a history of PMS reported no effects of the hormonal manipulation.

Many women are also particularly vulnerable after the birth of a baby. The hormonal and physical changes, as well as the added responsibility of a new life, can be factors that lead to postpartum depression in some women. While transient “blues” are common in new mothers, a full-blown depressive episode is not a normal occurrence and requires active intervention. Treatment by a sympathetic physician and the family’s emotional support for the new mother are prime considerations in aiding her to recover her physical and mental well-being and her ability to care for and enjoy the infant.

Depression in Men
Although men are less likely to suffer from depression than women, three to four million men in the United States are affected by the illness. Men are less likely to admit to depression, and doctors are less likely to suspect it. The rate of suicide in men is four times that of women, though more women attempt it. In fact, after age 70, the rate of men’s suicide rises, reaching a peak after age 85.

Depression can also affect the physical health in men differently from women. A new study shows that, although depression is associated with an increased risk of coronary heart disease in both men and women, only men suffer a high death rate.

Men’s depression is often masked by alcohol or drugs, or by the socially acceptable habit of working excessively long hours. Depression typically shows up in men not as feeling hopeless and helpless, but as being irritable, angry, and discouraged; hence, depression may be difficult to recognize as such in men. Even if a man realizes that he is depressed, he may be less willing than a woman to seek help. Encouragement and support from concerned family members can make a difference. In the workplace, employee assistance professionals or worksite mental health programs can be of assistance in helping men understand and accept depression as a real illness that needs treatment.

Depression in the Elderly
Some people have the mistaken idea that it is normal for the elderly to feel depressed. On the contrary, most older people feel satisfied with their lives. Sometimes, though, when depression develops, it may be dismissed as a normal part of aging. Depression in the elderly, undiagnosed and untreated, causes needless suffering for the family and for the individual who could otherwise live a fruitful life. When he or she does go to the doctor, the symptoms described are usually physical, for the older person is often reluctant to discuss feelings of hopelessness, sadness, loss of interest in normally pleasurable activities, or extremely prolonged grief after a loss.

Recognizing how depressive symptoms in older people are often missed, many health care professionals are learning to identify and treat the underlying depression. They recognize that some symptoms may be side effects of medication the older person is taking for a physical problem, or they may be caused by a co-occurring illness. If a diagnosis of depression is made, treatment with medication and/or psychotherapy will help the depressed person return to a happier, more fulfilling life. Recent research suggests that brief psychotherapy (talk therapies that help a person in day-to-day relationships or in learning to counter the distorted negative thinking that commonly accompanies depression) is effective in reducing symptoms in short-term depression in older persons who are medically ill. Psychotherapy is also useful in older patients who cannot or will not take medication. Efficacy studies show that late-life depression can be treated with psychotherapy.

Improved recognition and treatment of depression in late life will make those years more enjoyable and fulfilling for the depressed elderly person, the family, and caretakers.

Depression in Children
Only in the past two decades has depression in children been taken very seriously. The depressed child may pretend to be sick, refuse to go to school, cling to a parent, or worry that the parent may die. Older children may sulk, get into trouble at school, be negative, grouchy, and feel misunderstood.

Because normal behaviors vary from one childhood stage to another, it can be difficult to tell whether a child is just going through a temporary “phase” or is suffering from depression. Sometimes the parents become worried about how the child’s behavior has changed, or a teacher mentions that “your child doesn’t seem to be himself.”

In such a case, if a visit to the child’s pediatrician rules out physical symptoms, the doctor will probably suggest that the child be evaluated, preferably by a psychiatrist who specializes in the treatment of children. If treatment is needed, the doctor may suggest that another therapist, usually a social worker or a psychologist, provide therapy while the psychiatrist will oversee medication if it is needed.

Parents should not be afraid to ask questions: What are the therapist’s qualifications? What kind of therapy will the child have? Will the family as a whole participate in therapy? Will my child’s therapy include an antidepressant? If so, what might the side effects be?

The National Institute of Mental Health (NIMH) has identified the use of medications for depression in children as an important area for research. The NIMH-supported Research Units on Pediatric Psychopharmacology (RUPPs) form a network of seven research sites where clinical studies on the effects of medications for mental disorders can be conducted in children and adolescents. Among the medications being studied are antidepressants, some of which have been found to be effective in treating children with depression, if properly monitored by the child’s physician.

July 11, 2008 Posted by Rachel Miller | Friends | | No Comments Yet

Sad, Bitter and Pissed off!!!!!

I am adopted.  My mother passed away on November 26, 2007.  Since my Mother passed away the only person that I hear from on her side of the family is her niece and my cousin Paula.  I made an effort to invite members of the family to my sons 7th birthday party which we had yesterday.  None of them bothered to come.  Paula I knew most likely wouldn’t because she doesn’t drive alot and drives even less in bad weather.

Well I made my last effort to include the others in my life.  The only one I will talk to on a daily basis or invite to anything that I have for my family is Paula.  The others need not worry that they will hear from me again because they won’t.  Lord knows that I don’t need them for anything.

My Mom would be really proud of the way they are treating me and my children.  But, as I told Paula, it is not for me to judge them.  They will be judged by a higher power.  I will leave judgement to Our LORD and Savior. 

It just saddens me that they feel as if we are no longer a part of this family simply because my Mother is no longer with us.

June 30, 2008 Posted by Rachel Miller | Friends | | No Comments Yet

SHE WAS ONLY 13

SHE WAS ONLY 13 YRS OLD…

Her dad was drunk
Her mom was an addict
Her parents kept her
Locked in an attic
Her only friend
was a little toy bear
It was old and worn out
And had patches of hair
She always talked to it
When no one’s around
She lays there and hugs it
Not a peep of sound
Until her parents
unlock the door
Some more and more pain
She’ll have to endore
A bruise on her leg
A scar on her face
Why would she be
In such a horrible place?
But she grabs her bear
And softly crys
She loves her parents
But they want her to die
She sits in the corner
Quiet but thinking,
“Please God, why is
My life always sinking?”
Such a bad life
For a sad little kid
She’d get beaten and beaten
For anything she did
Then one night
Her mom came home high
And the poor child was beaten
As hours went by
Then her mom suddenly
Grabbed for a blade
It was sharp and pointy
One that she made
She thrusted the blade
Right in her chest,
“You deserve to die
You worthless piece of crap!”
The mom walked out
Leaving the girl slowly dying
She grabbed her bear
And again started crying
Police showed up
At the small little house
Then quickly barged in
Everything quiet as a mouse
One officer slowly
Opened a door
To find the little girl
Lying dead on the floor
It must have been bad
To go through so much harm
But at least she died
With her best friend in her arms
A child dies every day from child abuse
And if you have an ounce of pity in you for Auroura (the little girl),
and you hate child abuse with a passion,
just repost this
if you dont repost this you’re a lazy, cold hearted person
repost this saying: she was only 13

June 22, 2008 Posted by Rachel Miller | Friends | | No Comments Yet

Depression

Depression (Major Depressive Disorder)

Definition of Depression (Major Depressive Disorder)

Depression is a medical disorder characterized by feelings of sadness, hopelessness, pessimism, guilt, and a general loss of interest in life, combined with a sense of reduced emotional well-being and low energy. People with depression also tend to have disturbed sleep, reduced appetite and may even feel suicidal.

Description of Depression (Major Depressive Disorder)

Symptoms of depression can occur as a result of a wide range of medical and psychiatric disorders. In a person who has been found to not be medically ill, there are three common psychiatric diagnoses in which depression is present: major depressive disorder, Dysthymic disorder, and bipolar disorder:

· Major depression is manifested by a combination of symptoms (see Symptoms below) that interfere with the ability to work, sleep, eat and enjoy once pleasurable activities. These symptoms occur without any apparent cause and deepen and persist day-in and day-out for two weeks or longer.

· Dysthymia is marked by mild to moderate depressive symptoms that last at least two years. People with this condition tend to have fewer symptoms than those with major depression, but the symptoms last longer and develop more slowly. Sometimes people with dysthymia also experience major depressive episodes.

· Bipolar disorder, formerly called manic-depressive illness, involves cycles of depression and elation (mania). Sometimes the mood switches are dramatic and rapid, but most often they are gradual. When in the depressed cycle, a person can have any or all of the symptoms of depression. When in the manic cycle, any or all manic symptoms (see Symptoms below) may be experienced.



Causes and Risk Factors of Depression (Major Depressive Disorder)

Depression is caused by a combination of genetic (inherited), psychological and environmental factors. Depression, especially bipolar disorder, has been shown to run in families. Additionally, having too little or too much of certain neurochemicals in the brain have shown to be the cause of depression. The psychological makeup of a person, such as low self-esteem, pessimism and stress, can also cause depression. Environmental or other associated health factors, such as a serious loss, chronic illness, pregnancy, childbirth, difficult relationships, financial problems, unwelcome changes in life patterns, alcohol, drug abuse and medications can also trigger a depressive episode.

Depressed mood can be caused my a variety of medical conditions and by certain medications, including certain sedating and heart medications. Once these conditions are treated or the medication stopped or changed, the depressive symptoms will usually go away.

Symptoms of Depression (Major Depressive Disorder)

The symptoms of depression include:

  • loss of interest in the things that the person once enjoyed
  • feeling sad, blue, or down in the dumps
  • feeling slowed down or restless and unable to sit still
  • feeling worthless or guilty
  • an increase or decrease in appetite or weight
  • thoughts of death or suicide
  • problems concentrating, thinking, remembering or making decisions
  • trouble sleeping or sleeping too much
  • loss of energy or feeling tired all of the time
  • headaches
  • digestive problems
  • sexual problems
  • feeling pessimistic or hopeless
  • being anxious or worried

The symptoms of mania are:

  • feeling unusually “high,” euphoric or irritable
  • severe insomnia
  • grandiose notions
  • increased talking
  • disconnected and racing thoughts
  • increased sexual desire
  • markedly increased energy
  • poor judgment
  • inappropriate social behavior

Diagnosis of Depression (Major Depressive Disorder)

Diagnosis of depression involves a psychological/physical history and evaluation. According to the American Psychiatric Association, if a person experiences a loss of interest in the things they once enjoyed and are feeling sad, blue, or down in the dumps for at least two (2) weeks, and are experiencing at least five (5) of the other symptoms of depression, they may have major depression. If a person experiences euphoria, irritability, or a feeling of being “high” with four (4) other symptoms of mania for at least one (1) week, they may have bipolar disorder.

In addition to listing the symptoms, the doctor will also ask when the symptoms began, how long they have lasted, how severe they are, whether the individual has had them before, and if so, whether or not they were treated and what treatment was received, as well as whether or not other family members have had these symptoms.

Furthermore, a mental status examination will be done to determine if speech, thought patterns or memory have been affected. The physical examination will either diagnosis and/or rule out any medical conditions (such as thyroid disease, cancers or neurologic diseases) that could be causing the depression.

Treatment of Depression (Major Depressive Disorder)

Treatment of depression usually involves medication, psychotherapy or a combination of both. Other treatments may include electroconvulsive therapy (ECT), light therapy and alternative treatments.

Medication

There are more than 20 antidepressant drugs currently available. Antidepressants correct the chemical imbalance in the brain. Because a variety of drugs target different neurotransmitters and imbalances of these neurotransmitters can vary from patient to patient, some drugs may be more effective than others for any individual. Sometimes a combination of drugs is best.

There are four (4) groups of antidepressant medications most commonly used to treat depression:

  • Tricyclic antidepressants (TCAs), which include:

amitriptyline (Elavil)

imipramine (Trofanil,Janimine)

nortryptyline (Pamelor)

despiramine (Norpramin)

TCAs work by slowing the rate at which neurotransmitters (chemical messengers) re-enter brain cells. This increases the concentration of the neurotransmitters in the central nervous system which relieves depression.

  • Monoamine oxidase inhibitors (MAOIs) include phenelzine (Nardil) and tranylcypromine (Parnate). MAO is an enzyme responsible for breaking down certain neurotransmitters in the brain. MAOIs inhibit this enzyme and restore more normal mood states.
  • Lithium carbonates, including Eskalith and Lithobid. Lithium reduces excessive nerve activity in the brain by altering the chemical balance within certain nerve cells. This drug has been used to improve the benefit of SSRIs and alone is effective in treating bipolar disorder.
  • Selective serotonin reuptake inhibitors (SSRIs) include:

fluoxetine (Prozac)

fluvoxamine (Luvox)

paroxetine (Paxil)

sertraline (Zoloft)

citalopram (Celexa)

escitalopram oxalate (Lexapro)

SSRIs act specifically on serotonin, making it more available for nerve cells, thus easing the transmission of messages without disrupting the chemistry of the brain. Two other antidepressants that affect two neurotransmitters, serotonin and norepinephrine, are venlafaxine (Effexor) and nefazodone (Serzone). Another of the newer antidepressants, bupropion (Wellbutrin), is chemically unrelated to the other antidepressants. It has more effect on norepinephrine and dopamine than on serotonin.

Medication usually produces a marked improvement by six weeks, but may require up to 12 weeks for full effect.

Psychotherapy

Psychotherapy involves talking to family doctor, counselor, psychiatrist or therapist about things that are occurring in a person’s life. The aim of psychotherapy is to remove all symptoms of depression and return a person to a normal life.

There are three psychotherapies commonly used to treat depression: behavioral therapy, cognitive therapy or interpersonal therapy. Behavioral therapy focuses on current behaviors, cognitive therapy focuses on thoughts and thinking patterns, and interpersonal therapy focuses on current relationships.

Although psychotherapy may begin to work right away, it may take eight to 10 weeks to show a full effect for some people.

Electroconvulsive therapy (ECT)

ECT, also called electroshock treatment, is used for severely depressed patients and/or those who have not responded to antidepressant medication and/or psychotherapy. During this therapy, an electric current travels through electrodes placed on the temples, causing a generalized shock that produces biochemical changes in the brain.

Light Therapy

In light therapy, a special kind of light called a broad-spectrum light, is used to give people the effect of having a few extra hours of daylight each day. Light therapy is helpful in treating people with seasonal affective disorder (SAD). SAD is a serious depression that recurs each year at the same time, starting in fall or winter and ending in spring.

Helpful Tips

During the treatment process try these helpful tips:

  • Do not set difficult goals or take on a great deal of responsibility.
  • Break large tasks into small ones, set priorities, and do what you can.
  • Try to be with other people.
  • Participate in activities that make you feel better.
  • Do not overdo it or become upset if the treatment does not work right away.
  • Do not make major life decisions.
  • Do not expect to snap out of depression.
  • Do not expect too much of the depressed person.

AlternativeDepression (Major Depressive Disorder)

Light therapy, acupuncture, herbal remedies (such as St. John’s Wort), exercise, mediation and fasting are shown to help people lessen or eliminate symptoms associated with depression.

Questions To Ask Your Doctor About Depression (Major Depressive Disorder)

Has a complete diagnostic evaluation been given?

What type of depression is it?

What kind of treatment should be used or sought?

Would an antidepressant medication be prescribed?
If so, what are the side effects?

After treatment is started, how long will it take before there is an improvement?

Is the depression likely to return?

If the depression is due to a serious loss, how long is the depression going to last?
What measures can be taken to help the process?

Where can the family get help to cope with this disorder or get more information?

June 18, 2008 Posted by Rachel Miller | Friends | | No Comments Yet

Degenerative Disc Disease


What is degenerative disc disease?

Degenerative disc disease is not really a disease but a term used to describe the normal changes in your spinal discs as you age. Spinal discs are soft, compressible discs that separate the interlocking bones (vertebrae) that make up the spine. The discs act as shock absorbers for the spine, allowing it to flex, bend, and twist. Degenerative disc disease can take place throughout the spine, but it most often occurs in the discs in the lower back (lumbar region) and the neck (cervical region).

See an illustration of the spine and the discs in your spine.

The changes in the discs can result in back or neck pain, as well as:

These conditions may put pressure on the spinal cord and nerves, leading to pain and possibly affecting nerve function.

What causes degenerative disc disease?

As we age, our spinal discs break down, or degenerate, which may result in degenerative disc disease in some people. These age-related changes include:

  • The loss of fluid in your discs. This reduces the ability of the discs to act as shock absorbers and makes them less flexible. Loss of fluid also makes the disc thinner and narrows the distance between the vertebrae.
  • Tiny tears or cracks in the outer layer (annulus or capsule) of the disc. The jellylike material inside the disc (nucleus) may be forced out through the tears or cracks in the capsule, which causes the disc to bulge, break open (rupture), or break into fragments.

These changes are more likely to occur in people who smoke cigarettes and those who do heavy physical work (such as repeated heavy lifting). People who are obese are also more likely to have symptoms of degenerative disc disease.

A sudden (acute) injury leading to a herniated disc (such as a fall) may also begin the degeneration process.

As the space between the vertebrae gets smaller, there is less padding between them, and the spine becomes less stable. The body reacts to this by constructing bony growths called bone spurs (osteophytes). Bone spurs can put pressure on the spinal nerve roots or spinal cord, resulting in pain and affecting nerve function.

What are the symptoms?

Degenerative disc disease may result in back or neck pain, but this varies from person to person. Many people have no pain, while others with the same amount of disc damage have severe pain that limits their activities. Where the pain occurs depends on the location of the affected disc. An affected disc in the neck area may result in neck or arm pain, while an affected disc in the lower back may result in pain in the back, buttocks, or leg. The pain often gets worse with movements such as bending over, reaching up, or twisting.

The pain may start after a major injury (such as from a car accident), a minor injury (such as a fall from a low height), or a normal motion (such as bending over to pick something up). It may also start gradually for no known reason and get worse over time.

In some cases, you may have numbness or tingling in your leg or arm.

How is degenerative disc disease diagnosed?

Degenerative disc disease is diagnosed with a medical history and physical examination. Your health professional will ask about your symptoms, injuries or illnesses, any previous treatment, and habits and activities that may be causing pain in the neck, arms, back, buttocks, or legs. During the physical examination, he or she will:

  • Check the affected area’s range of motion and for pain caused by movement.
  • Look for areas of tenderness and any nerve-related changes, such as numbness, tingling, or weakness in the affected area, or changes in reflexes.
  • Check for underlying conditions, such as fractures, tumors, and infection.

If your initial examination reveals no signs of a serious condition, imaging tests, such as an X-ray, are unlikely to help the diagnosis. Imaging tests may be considered when your symptoms develop after an injury, nerve damage is suspected, or your medical history suggests conditions that could affect your spine, such as bone disease, tumors, or infection.

How is it treated?

To relieve pain, put ice or heat (whichever feels better) on the affected area and use nonsteroidal anti-inflammatory drugs, including aspirin (such as Bayer), ibuprofen (such as Advil), or naproxen sodium (such as Aleve). Do not give aspirin to anyone younger than 20 because of the risk of Reye’s syndrome. Acetaminophen (such as Tylenol) also can help relieve pain. Your health professional can prescribe stronger medications if necessary.

Further treatment depends on whether the damaged disc has resulted in other conditions, such as osteoarthritis, a herniated disc, or spinal stenosis. Physical therapy and exercises for strengthening and stretching the back are often recommended, and in some cases surgery may be recommended.

June 12, 2008 Posted by Rachel Miller | Friends | | No Comments Yet

Family files lawsuit in metal bat injury case

 

Published: 5/19/08, 11:46 AM EDT

WAYNE, N.J. (AP) – The family of a boy who suffered brain damage after he was struck by a line drive off an aluminum baseball bat sued the bat’s maker and others on Monday, saying they should have known it was dangerous.

The family of Steven Domalewski, who was 12 when he was struck by the ball in 2006, filed the lawsuit in state Superior Court. It names Hillerich & Bradsby Co., maker of the 31-inch, 19-ounce Louisville Slugger TPX Platinum bat used when Steven was hit.

The lawsuit also names Little League Baseball and Sports Authority, which sold the bat. It claims the defendants knew, or should have known, that the bat was dangerous for children to use, according to the family’s attorney, Ernest Fronzuto.

“People who have children in youth sports are excited about the lawsuit from a public policy standpoint because they hope it can make the sport safer,” Fronzuto said after filing the suit Monday morning. “There are also those who are skeptical of the lawsuit and don’t see the connection between Steven’s injury and the aluminum bat.”

Little League denies any wrongdoing, as does the bat manufacturer. Sports Authority has not responded to several telephone messages seeking comment.

Steven was pitching in a Police Athletic League game when he was hit just above the heart by a line drive. His heart stopped beating and his brain was deprived of oxygen for 15 to 20 minutes, according to his doctors.

Although he was not playing in a Little League game, the organization is being sued because it gave its seal of approval to the bat, certifying it as safe for use by children, Fronzuto said

May 19, 2008 Posted by Rachel Miller | Friends | | No Comments Yet

AT&T – News

May 15, 2008 Posted by Rachel Miller | Friends | | No Comments Yet

Understanding Chronic Pain

WebMD Feature from Oprah.com

By Dr. Margaret Caudill-Slosberg

clip_image001Dr. Margaret Caudill-Slosberg is a board-certified internist and diplomat of pain medicine. She’s currently an instructor in medicine at Dartmouth Medical School and a Quality Scholar at the V.A. Hospital in White River Junction, Vermont.

Once largely ignored, understanding and treating patient pain is now at the forefront of modern medicine. Dr. Margaret Caudill-Slosberg, an expert in pain management and healthcare improvement, weighs in on the new findings.

First defined by the American College of Rheumatology in 1990, fibromyalgia is a complex pain problem. Sufferers complain of tender points on their arms, legs and trunk. The key symptoms include chronic widespread pain, chronic fatigue syndrome, irritable bowel syndrome and joint pain. And many people with fibromyalgia experience all four of these conditions.

Fibromyalgia can make daily tasks difficult. The pain and fatigue often lead to frustration, which, in turn, can exacerbate symptoms since physical and emotional behaviors can alter levels of pain.

Though sufferers generally feel pain in their skin and muscles, the heightened physical pain is thought to originate in the brain and spinal cord. Therefore, symptoms can be alleviated — but not cured — through medications that affect brain chemistry.

Reduce the chronic pain of this crippling disorder.

Helping Yourself
If you suffer from fibromyalgia — or any other chronic medical problems — it is important to understand the difference between what your doctor can do to help you and what you can do to help yourself. Eating balanced meals, exercising regularly, nurturing social supports and managing the stressors in your life are key self-management skills and can improve your symptoms and quality of life.

Before You See Your Doctor
Before any appointment with a healthcare provider, write down the top three issues you want to discuss. It is easy to forget what you really want to ask, especially if you feel like your doctor is rushed. If you take time to prepare for your visit, you are more likely to have your needs met.

Ready Your Answers
At your doctor’s appointment, be prepared to answer the following questions.

· What is your main symptom?

· Where is it?

· When did it start and how long does it last?

· What makes it better or worse?

· What are the qualities of the sensation — sharp, stabbing, tingling, burning?

· What have you done for the symptom?

· What other symptoms do you have?

Write your responses down and bring them with you to the appointment.

Writing It Down
Keep a diary of your symptoms of sensation and emotional distress. Record three times a day at same time every day using a 0 – 10 numerical system (0 = no pain or distress; 10 = worst pain/most distress). This can help you determine how much pain you have and how often it occurs. In this way, you can discover what are truly physical symptoms and what are frustrations associated with pain. This is important information for your doctor in monitoring new treatment effects and changes in your symptoms.

Treatment and Medication
Fibromyalgia treatments should target both brain and behavior, and can help reduce pain and improve quality of life. Because serotonin, norepinephrine and dopamine play a role in sensory processing in the brain, antidepressant medication may be more beneficial than anti-inflammatory agents and opioids. Anti-seizure medications have also been shown to be helpful.

Always keep a written or computerized list of your medications — including doses, frequency and purpose — with you at all times. Update it whenever your medication is changed.

April 25, 2008 Posted by Rachel Miller | Friends | | No Comments Yet

Project of the week

untitled 

love makes the world go round layout

By: Erin KeenerDescription:

love makes the world go round layout

Supplies:
cricutTM supplies
cricutTM cardstock, rainbow
cricutTM machine
cricutTM cartridge mini monograms
cricutTM cartridge george & basic shapes Provo Craft supplies
pc cardstock-lime
pc paper-juicy stripes
pc paper-lime scribble floral
pc paper-cc b&w layers
cardstock sticker mini monogram other supplies
black cardstock
white cardstock
craft buttons
color box fluid chalk

Instructions:
Use lime green Rob and Bob paper for background, place a strip of inked green flower paper over right side.
Place black and white CC paper at a tilt across background and trim edges that hang over the green paper.
Cut out white circle and adhere picture in center. Adhere this to center of layout.
Use the cricutTM to cut out two hearts, one in pink and one in striped paper.
Adhere hearts to left side of picture.
Cut out pink flower hearts and place on right side of picture.
Use cricutTM to cut out the word LOVE (do w/ two different fonts).
Adhere cardstock stickers LOVE in center of heart, then using what you cut from the cricutTM place that across heart also.
Use the cricutTM to cut out MAKES THE WORLD GO ROUND and adhere around white part of circle.
Use cricutTM to cut out several flowers and adhere down green strip on right side of layout.
Adhere buttons to center of flowers.
Sew around edges of the black CC paper to give layout texture.

April 18, 2008 Posted by Rachel Miller | Friends | | No Comments Yet

Fibromyalgia

Definition of Fibromyalgia

Article updated and reviewed by Ariel D. Teitel, MD, MBA, Chief, Division of Rheumatology, St. Vincent’s Hospital, Manhattan on May 16, 2005.

Fibromyalgia, (also known as fibrositis, fibromyositis, and muscular rheumatism), is a chronic syndrome that causes pain and stiffness throughout the tissues that support and move the bones and joints. Muscle pain, tender points, and fatigue are the predominant symptoms associated with fibromyalgia.

Fibromyalgia may occur alone or in conjunction with rheumatic disorders such as arthritis, osteoarthritis, or lupus.


Description of Fibromyalgia

Fibromyalgia is very common, affecting up to 5 percent of the U.S. population. Although anyone can get fibromyalgia, eight times as many women develop it relative to men.

Most cases occur among women between the ages of 20 to 65. It shares many features with the chronic fatigue syndrome.

People with fibromyalgia are found to have multiple tender points in specific muscle areas. Most individuals complain of aching and stiffness in areas around the neck, shoulders, upper back, lower back and hip areas.

Causes and Risk Factors of Fibromyalgia

Fibromyalgia can be a complication of hypothyroidism, rheumatoid arthritis, or in men, sleep apnea.

Although the exact causes of fibromyalgia are not known, there are a number of theories as to the cause of this syndrome. The theories include:

  • The cerebral spinal fluid in those afflicted with fibromyalgia had more substance P (a neuropeptide that carries pain signals).
  • • There is a diminished blood flow to the two areas of the brain that help regulate the amount of pain signals the brain receives.
  • The syndrome is psychosomatically based. Psychological factors such as anxiety, depression, disappointment, or failure to achieve goals somatize (express themselves) as physical symptoms such as backache or sore muscles.
  • Fibromyalgia is caused by sleep disturbances. Tests of people with fibromyalgia often show a sleep disorder in which the deepest or most restful stage of sleep (stage IV) is disturbed or interrupted. This disruption in sleep may be responsible for the shortage of the growth hormone called somatomedin-C which is produced in deep sleep. This hormone is responsible for muscle repair and maintenance.
  • There is a deficit in the levels of tryptophan. Tryptophan is a neurotransmitter that plays an important role in inhibiting pain and inducing deep sleep.


Symptoms of Fibromyalgia

The major symptoms of fibromyalgia are:

  • Widespread muscular and joint pain for over three months (such as aching, stiffness, and tenderness around joints, muscles, tendons, and ligaments). Pain may appear in one or more locations at the same time and also in many different parts of the body. The pain is bilateral in that it appears above and below the waist. The pain is located within the muscles themselves, as well as the points where ligaments attach muscles to bones.
  • Extreme tenderness in specific “tender points.”
  • Poor-sleep patients report non-refreshing sleep.
  • Fatigue: Some people experience fatigue as a lack of muscle endurance, while others describe the fatigue as an overall sense of lack of energy. Much of the fatigue is thought to result from lack of sleep.

Tender points or trigger points are localized tender areas of the body that can bring on widespread pain and muscle spasm when touched. There are at least 18 tender points on the body to which people with fibromyalgia seem to be more susceptible. They are:

  • At the base of the skull at both neck muscles;
  • Midway between the neck and shoulder (both sides);
  • Muscle over upper inner shoulder blade (both sides);
  • Two centimeters below side bone at elbow (both sides);
  • Upper outer buttock (both sides);
  • Hip bone (both hips);
  • Just above knee on inside (both knees);
  • Lower neck in front (both sides); and
  • Edge of upper breast bone (both sides).

These symptoms may be aggravated by stress, anxiety, depression, hormonal changes, cold environments as well as the change in weather.

Up to 70% of patients have coexistent chronic fatigue syndrome, 50% have multiple chemical sensitivities, and 75% have a psychiatric diagnosis.

Other symptoms that may accompany fibromyalgia are Raynaud’s phenomenon (poor circulation to the hands or toes), tension headaches, migraine headaches, dizziness, tingling and numbness, an irritable bowel, muscle tremors, bladder spasms, and blurred vision.


Diagnosis of Fibromyalgia

There are no blood or x-ray tests to help doctors diagnose fibromyalgia. Therefore, the diagnosis is made purely on clinical findings and the medical history.

The doctor also will rule out the existence of other diseases that mimic the symptoms of fibromyalgia. In chronic fatigue syndrome, fatigue is the predominant symptom, as opposed to pain. Other diseases to consider are hypothyroidism, inflammatory disorders such as rheumatoid arthritis, and autoimmune diseases such as myositis or polymyalgia rheumatica.

Prognosis of Fibromyalgia

The disease may be long-lasting, but it is not progressive. There is no long-term organ damage.


Treatment of Fibromyalgia

There is presently no cure for fibromyalgia, but the symptoms of this syndrome can be controlled by education, exercise, medication, sleep, and stress reduction.

Education. Education begins with reassurance that the pain is valid; however the condition is not crippling, does not weaken joints or muscles, is not life-threatening and need not hinder the ability to work. Professionals try to reinforce that fibromyalgia is not a disease but a constellation of symptoms that add up to “pain,” for which sufferers need a large amount of support.

Exercise. The emphasis is often on muscle conditioning and programs to improve aerobic fitness (such as swimming, cycling, walking and stationary cross-country ski machines) as well as physical therapy. Patients should be told that exercise is safe and effective. After an initial training period, the exercise regimen chosen should be done daily for 30 to 40 minutes.

Medication. To reduce fatigue, relieve muscle pain and spasm, and promote sleep the doctor may prescribe medication. Medications may include tricyclic antidepressants such as amitriptyline (Elavil) or Nortriptyline (Pamelor), selective serotonin reuptake inhibitors (SSRI’s) such as fluoxetine (Prozac), or muscle relaxants such as Cyclobenzaprine (Flexeril). NSAIDS (non-steroidal anti-inflammatory drugs) are generally not useful. Newer medications which decrease pain sensitivity in the brain include Neurontin (gabapentin) or Ultram (tramadol); these may be helpful for pain control. Opioids are usually not advisable given the potential for creating dependency and addiction. Steroids are ineffective. For severe pain in the tender points, the doctor may give an injection of a local anesthetic to help with the pain.

Sleep. Patients with fibromyalgia need adequate sleep every night.

Stress reduction. Since stress and tension can contribute to the symptoms, relaxation techniques such as muscle relaxation, yoga and meditation can be very helpful. Acupuncture may be beneficial. Stress reduction might also include biofeedback, stress modification exercises, relaxation tapes, and psychological counseling.


Questions To Ask Your Doctor About Fibromyalgia

Do any tests need to be done to diagnose fibromyalgia or to rule out any other disease?

What type of treatment do you recommend?

Will you be prescribing any medications?

What are the side effects?

What can be expected in the future from this disease?

What daily activities, including rest and sleep, will help

decrease the symptoms?

March 4, 2008 Posted by Rachel Miller | Friends | | No Comments Yet

Signs and Symptoms

Signs and Symptoms

Date updated: June 25, 2007
Content provided by MayoClinic.com

Signs and symptoms of fibromyalgia can vary, depending on the weather, stress, physical activity or even the time of day. Common signs and symptoms include:

  • Widespread pain. Fibromyalgia is characterized by pain in specific areas of your body when pressure is applied, including the back of your head, upper back and neck, upper chest, elbows, hips and knees. The pain generally persists for months at a time and is often accompanied by stiffness.
  • Fatigue and sleep disturbances. People with fibromyalgia often wake up tired and unrefreshed even though they seem to get plenty of sleep. Some studies suggest that this sleep problem is the result of a sleep disorder called alpha wave interrupted sleep pattern, a condition in which deep sleep is frequently interrupted by bursts of brain activity similar to wakefulness. So people with fibromyalgia miss the deep restorative stage of sleep. Nighttime muscle spasms in your legs and restless legs syndrome also may be associated with fibromyalgia.
  • Irritable bowel syndrome (IBS). The constipation, diarrhea, abdominal pain and bloating associated with IBS are common in people with fibromyalgia.
  • Headaches and facial pain. Many people who have fibromyalgia also have headaches and facial pain that may be related to tenderness or stiffness in their neck and shoulders. Temporomandibular joint (TMJ) dysfunction, which affects the jaw joints and surrounding muscles, also is common in people with fibromyalgia.
  • Heightened sensitivity. It’s common for people with fibromyalgia to report being sensitive to odors, noises, bright lights and touch.

Other common signs and symptoms include:

  • Depression
  • Numbness or tingling sensations in the hands and feet (paresthesia)
  • Difficulty concentrating
  • Mood changes
  • Chest pain
  • Dry eyes, skin and mouth
  • Painful menstrual periods
  • Dizziness
  • Anxiety

February 26, 2008 Posted by Rachel Miller | Friends | | No Comments Yet

Complementary and Alternative Medicine

Complementary and Alternative Medicine

Date updated: June 25, 2007
Content provided by MayoClinic.com

Complementary and alternative therapies for pain and stress management aren’t new. Some, such as meditation and yoga, have been practiced for thousands of years. But their use has become more popular in recent years, especially with people who have chronic illnesses, such as fibromyalgia.

Several of these treatments do appear to safely relieve stress and reduce pain, and some are gaining acceptance in mainstream medicine. But many practices remain unproved because they haven’t been adequately studied. Some of the more common complementary and alternative treatments promoted for pain management include:

  • Acupuncture. Acupuncture is a Chinese medical system based on restoring normal balance of life forces by inserting very fine needles through the skin to various depths. According to Western theories of acupuncture, the needles cause changes in blood flow and levels of neurotransmitters in the brain and spinal cord. In a 2006 Mayo Clinic study, acupuncture significantly improved symptoms of fibromyalgia. Research on the benefits of acupressure – a similar practice that uses finger pressure on the skin rather than needles – is inconclusive.
  • Chiropractic care. This treatment is based on the philosophy that restricted movement in the spine may lead to pain and reduced function. Spinal adjustment (manipulation) is one form of therapy chiropractors use to treat restricted spinal mobility. The goal is to restore spinal movement and, as a result, improve function and decrease pain. Chiropractors manipulate the spine from different positions using varying degrees of force. Manipulation doesn’t need to be forceful to be effective. Chiropractors may also use massage and stretching to relax muscles that are shortened or in spasm. Because manipulation has risks, always go to properly trained and licensed practitioners.
  • Massage therapy. This is one of the oldest methods of health care still in practice. It involves use of different manipulative techniques to move your body’s muscles and soft tissues. The therapy aims to improve blood circulation in the muscle, increasing the flow of nutrients and eliminating waste products. Massage can reduce your heart rate, relax your muscles, improve range of motion in your joints and increase production of your body’s natural painkillers. It often helps relieve stress and anxiety. Although massage is almost always safe, avoid it if you have open sores, acute inflammation or circulatory problems.
  • Osteopathy. Doctors of osteopathy go through rigorous and lengthy training in academic and clinical settings, equivalent to medical doctors. They’re licensed to perform many of the same therapies and procedures as conventional doctors. One area where osteopathy differs from conventional medicine – but is similar to chiropractic medicine – is in the use of manipulation to address joint and spinal problems.

February 26, 2008 Posted by Rachel Miller | Friends | | No Comments Yet

Hair Conditioner

Conditioner

This homemade remedy will help lift your hair and make it shiner.

Ingredients

For Dark Hair:
1 part apple cider vinegar
4 parts water
5 drops oil of cloves
For Blond Hair:
1 part lemon juice
4 parts water

Directions

Pour the mixture over your shampooed, rinsed hair as a final rinse. Leave it in.

February 26, 2008 Posted by Rachel Miller | Friends | | No Comments Yet

Dandruff Shampoo

Dandruff Shampoo

Natural moisturizers rejuvenate your scalp and get rid of those flakes.

Ingredients

1/2 C. baby shampoo
1 Tbs. apple cider vinegar
3 Tbs. apple juice
1/2 tsp. oil of wintergreen
6 finely ground cloves
3 crushed generic uncoated aspirins

Directions

In a blender, mix all ingredients on low for 30 seconds. Wet your hair with warm water and shampoo in the dandruff mixture. Rinse well with warm water. Condition and style as usual. Cover and refrigerate unused portion. Discard after 3 days.
Yield: 1/2 C.

February 26, 2008 Posted by Rachel Miller | Friends | | No Comments Yet

Hair Spray

Hair Spray

Ideal for fine hair types, this is an easy product to make at home.

Ingredients

1 lemon
2 C. distilled water

Directions

Chop up the lemon in a wooden bowl so that you don’t lose any of the juice. Add the chopped Lemon to the water in the top of a double boiler. Simmer the mixture until the liquid has been reduced by half. Strain through cheesecloth or fine silk cloth and pour the liquid into a bottle that will fit a pump-type sprayer. A washed and rinsed Windex bottle will do for your spray container. Add 1/2 C. of water to thin the mixture if necessary.
To Use: Spray your hair with this mixture whenever necessary. Since it is gentle, with not alcohol or chemical additions, it can be used on children’s hair too. Should be made fresh every few days and kept in the fridge between uses.
Tips: 1 C. of the Lemon Hair Spray can be preserved with 1 oz. or more of Bay Rum. Substitute an orange for the lemon for dry hair.
Yield: about 1-1 1/2 C.

February 26, 2008 Posted by Rachel Miller | Friends | | No Comments Yet

Herbal Hair-Growth Shampoo

Herbal Hair-Growth Shampoo
This shampoo not only helps encourage hair growth, but it also keeps the scalp very clean and
healthy and helps prevent dandruff.
Ingredients
2 C. distilled water
1 C. fresh spearmint
1 C. fresh rosemary
1 C. all-natural, gentle baby shampoo
Directions
Boil the water with the
fresh herbs for about ten minutes, in a glass saucepan (like Visions). Or, you can put in a microwave-safe glass or plastic bowl and heat in the microwave until boiling; allow to boil for about ten minutes. Then, remove the pot from the stove or bowl from the microwave and cover with a lid. Allow to sit and steep for an hour. Strain the liquid through cheesecloth. Mix this with the baby shampoo. Pour into bottles and let set overnight. The next morning you can add some essential oil to the shampoo in whatever scent you like the most, or just leave it fragrance-free.

February 26, 2008 Posted by Rachel Miller | Friends | | No Comments Yet

Lighten Circles Under Eyes

Lighten Circles Under Eyes

The watery starch from the potato helps to relieve some of the darkness under you eyes.

Ingredients

1 raw potato, grated

Directions

To lighten dark circles under your eyes, wrap grated raw potato in cheesecloth and apply to eyelids for 15-20 minutes. Wipe off residue and apply an eye cream.

February 26, 2008 Posted by Rachel Miller | Friends | | No Comments Yet

Just Stay

Just Stay
A nurse took the tired, anxious serviceman to the bedside.

"Your son is here," she said to the old man.

She had to repeat the words several times before the patient’s eyes opened.

Heavily sedated because of the pain of his heart attack, he dimly saw the young uniformed Marine standing outside the oxygen tent. He reached out his hand. The Marine wrapped his toughened fingers around the old man’s limp ones, squeezing a message of love and encouragement.

The nurse brought a chair so that the Marine could sit beside the bed.All through the night the young Marine sat there in the poorly lighted ward, holding the old man’s hand and offering him words of love and strength. Occasionally, the nurse suggested that the Marine move away and rest awhile.
He refused. Whenever the nurse came into the ward, the Marine was oblivious of her and of the night noises of the hospital – the clanking of the oxygen tank, the laughter of the night staff members exchanging greetings, the cries and moans of the other patients.

Now and then she heard him say a few gentle words. The dying man said nothing, only held tightly to his son all through the night.

Along towards dawn, the old man died. The Marine released the now lifeless hand he had been holding and went to tell the nurse. While she did what she had to do, he waited.

Finally, she returned. She started to offer words of sympathy, but the Marine interrupted her.

"Who was that man?" he asked.
The nurse was startled, "He was your father," she answered.
"No, he wasn’t," the Marine replied. "I never saw him before in my life."

"Then why didn’t you say something when I took you to him?"

"I knew right away there had been a mistake,
but I also knew he needed his son, and his

son just wasn’t here.
When I realized that he was too sick to tell
whether or not I was his son,
knowing how much he needed me, I stayed."

The next time someone needs you … just be there. Stay.
**************
WE ARE NOT HUMAN BEINGS GOING THROUGH A

TEMPORARY SPIRITUAL EXPERIENCE.

WE ARE SPIRITUAL BEINGS GOING THROUGH A TEMPORARY HUMAN EXPERIENCE.

(love this line)

PLEASE PASS THIS ONE ON AND GOD WILL BLESS YOU!

THIS IS WHAT WE ARE PUT ON THIS EARTH TO DO ANYWAY. RIGHT ?
HAVE A GREAT DAY AND BLESS SOMEONE ELSE IN SOME LITTLE WAY TODAY!

GOD IS SO GOOD.

February 7, 2008 Posted by Rachel Miller | Friends | | No Comments Yet

Wedding Picture

Wedding picI decided to post at least one of the pictures that my daughter took at the wedding. So, here it is!!

December 30, 2007 Posted by Rachel Miller | Friends | | No Comments Yet

WEDDING!!!

I  married Richard today.  I am so excited.  I only wish my mom had been  here. At least she was here in spirit.  She knows she is loved and missed.  Not just today but everyday.  The wedding was small.  It was just me, Richard, Amanda, Rebecca, Joshua, my cousins Linda and Paula.  Linda and Paula were witnesses.  It was short and sweet just what we wanted. 

We’ve been together for almost 3 years and in those 3 years we have been through alot together.  I guess if we can make through what we’ve been through we can make it through just about anything.  My kids were worried that I didn’t get everything I wanted for Christmas, but, I told them I had everything I wanted all year long.  Three beautiful children whom I love and the love and support of a wonderful man.  That’s all anybody can ask for. 

I hope that Everyone has a WONDERFUL NEW YEAR.  I know mine will be as good as I can make it considering what I have been thru.

Love and Happiness to all.

December 26, 2007 Posted by Rachel Miller | Friends | | No Comments Yet

You can shed a tear that she is gone

This is a poem that someone on another site sent to me and I wanted to share it with all of you:

You can shed tears that she is gone
Or you can smile because she has lived
You can close your eyes and pray that she will come back
Or you can open your eyes and see all that she has left
Your heart can be empty because you can’t see her
Or you can be full of the love that you shared
You can turn your back on tomorrow and live yesterday
Or you can be happy for tomorrow because of yesterday
You can remember her and only that she is gone
Or you can cherish her memory and let it live on
You can cry and close your mind, be empty and turn your back
Or you can do what she would want: smile, open your eyes, love and go on.

It made me feel somewhat better to read this.  May you all have a Very Merry Christmas. May God Bless You.

 

1f48 Beatrice Walker

                              March 12, 1937 – November 26, 2007

                                  Rest in Peace!

December 19, 2007 Posted by Rachel Miller | Friends | | No Comments Yet

Seven Life Style Tips

Taking care of Fibromyalgia starts with taking care of yourself. A healthy diet. Exercise. Plenty of sleep. They’re just a few of the ways to help you manage Fibromyalgia.

Here are 7 things you can do to take care of your health.

  1. Eat healthy meals. Healthy eating is always important. Stick to low-fat meats and dairy products. Also, be sure to eat plenty of fruits and vegetables, as well as whole grains. Don’t forget to drink enough water.
  2. Exercise. Pain often makes exercise a challenge. Your doctor may be able to suggest a light exercise routine that’s right for you, such as walking or swimming. Exercise may help ease your type of pain. And help reduce symptoms. (Check with your doctor before starting any exercise program.)
  3. Get a good night’s sleep. Although difficult for people with Fibromyalgia, developing regular sleep habits will help fight the fatigue that comes with Fibromyalgia. Try going to bed and getting up at the same time each day. And avoid naps during the day.
  4. Quit smoking. Cigarette smoking can affect circulation. By quitting you can decrease the risk of many other health problems.
  5. Massage your hands and feet. Or have someone massage them for you. Massage helps improve circulation. It also stimulates nerves and may relieve pain.
  6. Focus on the positive. Never underestimate the power of positive thinking. Try to avoid negative thoughts. And hold on to your sense of humor.
  7. Keep it consistent. Trying to do too much on one day can create several “bad” days. Do your best to have a consistent amount of activity from one day to the next.

August 25, 2007 Posted by Rachel Miller | Friends | | No Comments Yet

If Tomorrow Starts Without Me

If Tomorrow Starts Without Me

A few weeks ago a woman was killed in an auto accident. She was very  well liked, so the office shut down for her funeral and it was on the  news and so on. On the day the workers came back to work, they found  this poem in their e-mail that the deceased woman had sent on Friday  before she left for home. 

If Tomorrow Starts Without Me 

If tomorrow starts without me, And I’m not there to see, 
If the sun should rise and find your eyes all filled with tears for me; 

I wish so much you wouldn’t cry the way you did today, 
While thinking of the many things, We didn’t get to say. 

I know how much you love me, As much as I love you, 
And each time that you think of me, I know you’ll miss me too; 

But when tomorrow starts without me, Please try to understand,  that an angel came and called my name, And took me by the hand, 

And said my place was ready, In heaven far above, 
And that I’d have to leave behind all those I dearly love. 

But as I turned to walk away, A tear fell from my eye, 
For all my life, I’d always thought! , I didn’t want to die. 

I had so much to live for, So much left yet to do, 
it seemed almost impossible, that I was leaving you. 

I thought of all the yesterdays, The good ones and the bad, 
I thought of all that we shared, And all the fun we had. 

If I could relive yesterday, Just even for a while, 
I’d say good-bye and kiss you and maybe see you smile. 

But then I fully realized, That this could never be, 
For emptiness and memories, would take the place of me. 

And when I thought of worldly things, I might miss some tomorrow,  I thought of you, and when I did, My heart was filled with sorrow. 

But when I walked through heaven’s gates, I felt so much at home.  When God looked down and smiled at me, From His great golden throne, 

He said, “This is eternity, And all I’ve promised you.” 
Today your life on earth is past, but here life starts anew. 

I promise no tomorrow, But today will always last, 
and since each day is the same way, There’s no longing for the past. 

So when tomorrow starts without me, don’t think we’re far apart,  For every time you think of me, I’m right here, in your heart.” 

Send this to all those you care about….and back to the one who sent it because you never know what’s going to happen tomorrow.  Show them how you care, before it’s too late…May God watch over you  and your family now and always.  There is no right time to do the wrong thing…. there is no wrong time  to tell someone you care. 

August 22, 2007 Posted by Rachel Miller | Uncategorized | | No Comments Yet

An Old Man’s Hands

AN OLD MAN’S HANDS
The last two or three years my Mom would stare at her hands and say,
“Look how ugly my hands have gotten.” She just hated the way her hands

had gotten in her old age. I wish she could have read this.
An old man, probably some ninety plus years, sat feebly on the park
bench. He didn’t move, just sat with his head down staring at
his hands. When I sat down beside him he didn’t acknowledge my
presence and the longer I sat I wondered if he was ok.
Finally, not really wanting to disturb him but wanting to check on
him at the same time, I asked him if he was ok. He raised his
head and looked at me and smiled.
“Yes, I’m fine, thank you for asking,” he said in a clear strong
voice.
“I didn’t mean to disturb you, sir, but you were just sitting here
staring at your hands and I wanted to make sure you were ok?”

I explained to him.
“Have you ever looked at your hands?” he asked. “I mean really
looked at your hands.”
I slowly opened my hands and stared down at them. I turned them
over, palms up and then palms down. No, I guess I had never
really looked at my hands as I tried to figure out the point he was
making.
Then he smiled and related this story:
Stop and think for a moment about the hands you have, how they have
served you well throughout your years. These hands, though
wrinkled, shriveled and weak have been the tools I have used all my
life to reach out and grab and embrace life. They braced and
caught my fall when as a toddler I crashed upon the floor. They put
food in my mouth and clothes on my back. As a child my
mother taught me to fold them in prayer. They tied my shoes and
pulled on my boots. They dried the tears of my children and
caressed the love of my life.
They held my rifle and wiped my tears when I went off to war. They
have been dirty, scraped and raw, swollen and bent. They were
uneasy and clumsy when I tried to hold my newborn son. Decorated
with my wedding band they showed the world that I was
married and loved someone special.
They wrote the letters home and trembled and shook when I buried my
parents and spouse and walked my daughter down the
aisle. Yet, they were strong and sure when I dug my buddy out of a
foxhole and lifted a plow off of my best friends foot. They have
held children, consoled neighbors, and shook in fists of anger when I
didn’t understand. They have covered my face, combed my
hair, and washed and cleansed the rest of my body.
They have been sticky and wet, bent and broken, dried and raw. And
to this day when not much of anything else of me works real
well these hands hold me up, lay me down, and again continue to fold
in prayer. These hands are the mark of where I’ve been and
the ruggedness of my life. But more importantly it will be these
hands that God will reach out and take when he leads me home.
And He won’t care about where these hands have been or what they have
done. What He will care about is to whom these hands
belong and how much He loves these hands. And with these hands He
will lift me to His side and there I will use these hands to
touch the face of Christ.
No doubt I will never look at my hands the same again. I never saw
the old man again after I left the park that day but I will never
forget him and the words he spoke. When my hands are hurt or sore or
when I stroke the face of my children and wife, I think of the
man in the park. I have a feeling he has been stroked and caressed
and held by the hands of God. I, too, want to touch the face of
God and feel his hands upon my face. Thank you, God,

August 21, 2007 Posted by Rachel Miller | Uncategorized | | No Comments Yet

Complications of Fibromyalgia

Complications

The following condition have been associated with Fibromyalgia or mimic its symptoms:

  • Rheumatoid arthritis
  • Hypothyroidism
  • Cervical and low-back degenerative disease
  • Lyme disease
  • Chronic fatigue syndrome
  • Sleep disorders
  • Depression
  • Cancer
  • HIV infection

Calling your health care provider

Call your health-care provider if symptoms of Fibromyalgia develop.

July 18, 2007 Posted by Rachel Miller | Uncategorized | | 2 Comments

Complications of Fibromyalgia

Complications

The following condition have been associated with Fibromyalgia or mimic its symptoms:

  • Rheumatoid arthritis
  • Hypothyroidism
  • Cervical and low-back degenerative disease
  • Lyme disease
  • Chronic fatigue syndrome
  • Sleep disorders
  • Depression
  • Cancer
  • HIV infection

Calling your health care provider

Call your health-care provider if symptoms of Fibromyalgia develop.

July 18, 2007 Posted by Rachel Miller | Uncategorized | | No Comments Yet

The Necklace

   
The cheerful little girl with bouncy golden curls
was almost five. Waiting with her mother at the
checkout stand, she saw them, a circle of glistening
white pearls in a pink foil box.
“Oh mommy please, Mommy. Can I have them? Please! ,
Mommy, please?”
Quickly the mother checked the back of the little
foil box and then looked back into the pleading blue
eyes of her little girl’s upturned face.
“A dollar ninety-five that’s almost $2.00 If you
really want them, I’ll think of some extra chores
for you and in no time you can save enough money to
buy them for yourself. Your birthday’s only a week
away and you might get another crisp dollar bill
from Grandma.”
As soon as Jenny got home, she emptied her penny
bank and counted out 17 pennies. After dinner, she
did more than her share of chores and she went to
the neighbor and asked Mrs. McJames if she could
pick dandelions for ten cents. On her birthday,
Grandma did give her another new dollar bill and at
last she had enough money to buy the necklace.
Jenny loved her pearls. They made her feel dressed
up and grown up. She wore them everywhere, Sunday
school, kindergarten, even to bed. The only time she
took them off was when she went swimming or had a
bubble bath. Mother said if they got wet, they might
turn her neck green.
Jenny had a very loving daddy and every night when
she was ready for bed, he would stop whatever he was
doing and come upstairs to read her a story. One
night as he finished the story, he asked Jenny, “Do
you love me?”
“Oh yes, daddy. You know that I love you.”
“Then give me your pearls.”
“Oh, daddy, not my pearls But you can have
Princess, the white horse from my collection, the
one with the pink tail. Remember, daddy? The one you
gave me. She’s my very favorite.”
“That’s okay, Honey, daddy loves you. Good night.”
And he brushed her cheek with a kiss.
About a week later, after the story time, Jenny’s
daddy asked again, “Do you love me?”
“Daddy, you know I love you.”
“Then give me your pearls.”
“Oh Daddy, not my pearls, But you can have my baby
doll. The brand new one I got for my birthday. She
is beautiful and you can have the yellow blanket
that matches her sleeper.”
“That’s okay. Sleep well. God bless you, little one.
Daddy loves you.”
And as always, he brushed her cheek with a gentle
kiss.
A few nights later when her daddy came in, Jenny was
sitting on her bed with her legs crossed Indian
style.
As he came close, he noticed her chin was trembling
and one silent tear rolled down her cheek.
“What is it, Jenny? What’s the matter?”
Jenny didn’t say anything but lifted her little hand
up to her daddy. And when she opened it, there was
her little pearl necklace. With a little quiver, she
finally said, “Here, daddy; this is for you.”
With tears gathering in his own eyes, Jenny’s daddy
reached out with one hand to take the dime store

Necklace, and with the other hand he reached into

His pocket and pulled out a blue velvet case with a
strand of genuine pearls and gave them to Jenny.
He had them all the time. He was just waiting for
her to give up the dime-store stuff so he could give
her the genuine treasure. So it is, with our
Heavenly Father. He is waiting for us to give up the
cheap things in our lives so that he can give us beautiful treasures.

God will never take away something without giving you something better in its place.
You can do two things with this story:
A. Pass it on and let others be touched by its message;
B. Throw it away and not let it touch your heart.

The greatest gifts happen when you share love and
touch others.
I hope in sharing this story, I have touched your life.

July 17, 2007 Posted by Rachel Miller | Uncategorized | | No Comments Yet

Reduce Your Stress and Reduce Your Fibromyalgia Symptoms By: Jane Thompson

 

Stress and pain are irreversibly linked in Fibromyalgia.  For many people, some kind of stressful event is what initially triggers fibromyalgia.  It often shows up after a serious illness, some kind of emotional or mental shock or with PTSD (Post Traumatic Stress Disorder).  There is probably a genetic tendency toward fibromyalgia, and many people believe that stress unmasks the disorder. 

Fibromyalgia is thought to be a central nervous system disorder in which either pain-sensing nerves are excessively sensitive, or the brain is extremely sensitive to pain impulses.  People with fibromyalgia have poor functioning of the HPA axis—hpyophysis-pituitary-adrenal axis—which is our body’s system for responding to stress with neurochemicals like adrenalin and serotonin.  We don’t know how pain sensation and an abnormal stress response are related, but we do know that people with fibromyalgia experience more pain when they are stressed. 

Just having fibromyalgia is stressful.  Dealing with constant pain, fatigue and mental cloudiness is stressful.  Not being able to accomplish things is stressful, especially if it affects your employment situation.  That can lead to financial stress.  The fact that few people understand what you are going through and expect you to behave “normally” is stressful.  Dealing with a chronic illness and lifestyle changes is stressful.  That’s the everyday stress load; adding anything to it tends to tip the scale and cause the fibromyalgia symptoms to be worse. 

Stress reduction is an important part of managing your fibromyalgia.  Here are a few ways that may help alleviate some of your stress. 

1. Good self care.  Eating a nutritious diet, getting the right amount of the right kind of exercise, establishing regular sleep habits and giving yourself grace are all part of taking good care of yourself.  They are important.  You will feel worse, and be able to do less if you do not take care of yourself.

2. Practice body awareness.  People who deal with chronic pain, as in fibromyalgia, become accustomed to ignoring their bodies; it’s one way they cope with the pain.  If you learn to recognize your body’s cues that you are becoming tense, you can use a relaxation technique or exercise early on, before stress becomes unmanageable.  At the same time, you don’t want to lose that protective lack of awareness about pain.  Take breaks every so often and just sit quietly and pay attention to how you feel.  Learn where you feel stress first.  Do you get heartburn?  Do your shoulders get tight?  Once you learn that, you can periodically scan to see if your body is showing tension.

3. Change the way you think.  This takes practice, but it gives you a chance to respond to situations instead of reacting.  

4. Keep a stress journal.  This has two purposes.  You can journal about stressful incidents and use the journal as a tool to help you identify situations that are stressful to you. This can help you either avoid repeating these situations or be better prepared should they be unavoidable.  Journal about a stressful event also helps you debrief and de-stress after the event.

5. Learn stress management techniques, such as visualization, meditation and breathing.  These techniques decrease the level of neurochemicals circulating in your body, and help decrease both stress and pain.

6. Physical therapy, stretching and massage can help decrease muscle tension and stress, and help minimize pain.

7. Talk to a counselor who specializes in stress management and pain treatment.  He or she can help you learn new ways to manage stressful events. 

If you decrease your stress, you will probably experience less pain and fatigue from your fibromyalgia.  Changing your lifestyle so that you are taking care of yourself can help prevent flare-ups and give you a better quality of life.

For more information on reducing the impacts of stress on Fibromyalgia symptoms please visit: Eliminate.com

To Return to the Fibromyalgia Report Page Click Here

To Read more Fibromyalgia articles Click Here

July 17, 2007 Posted by Rachel Miller | Uncategorized | | No Comments Yet

Depressed

Have you ever been so depressed that you would rather be dead?  I am at that stage right now.  I have so much going on and noone to talk to about it. 

The one I thought would always be there for me has suddenly decided that he’ll live here but not be here for me.  When he got home from work the last 2 days, I was in our room in tears.  Not once did he ask what was bothering me.  If he had he might have known what the doctors had to say to me.

There is a possibility that I need back surgery for a bulging disk.  Having the surgery means a 99% chance that I will come out a parapalegic.  If I don’t and the disk ruptures, I could be paralized from the waist down.  Yet I have noone to talk to about this.

This does me no good.  But here’s the post anyways.

July 13, 2007 Posted by Rachel Miller | Uncategorized | | No Comments Yet

Questions you need to ask YOUR Doctor

Review the following ‘Questions to Ask’ about Fibromyalgia so you’re prepared to discuss this important health issue with your health care professional.

1. Do my symptoms suggest Fibromyalgia syndrome (FS)?

2. Do you have experience diagnosing FS and similar diseases? If not, can you refer me to someone who does?

3. Could antidepressants or other medications help in my case?

4. What are the side effects and potential drug interactions of medications I’m being prescribed?

5. Are there Fibromyalgia support groups in this area?

6. Can you help me plan a personal program for my FS that includes exercise, sleep, nutrition and smoking cessation?

7. What should I do if my pain or any other symptom gets worse?

8. How might FS interact with other health conditions I have?

9. What are some strategies I can use to get through the day at work when I’m in pain?

10. What changes should I make in the way I manage the disease if I decide to get pregnant?

Review the following ‘Questions to Ask’ about anxiety disorders so you’re prepared to discuss this important health issue with your health care professional.

1. Could my anxiety be caused by an underlying medical condition or medications I’m taking?

2. Can anxiety be treated? What treatments are available?

3. How can I use relaxation techniques or biofeedback to ease my anxiety?

4. Will counseling or therapy help my anxiety? What kind of counseling or therapy do you recommend?

5. Are there any substances I should avoid, or lifestyle habits I should change, to help overcome my anxiety?

6. I need to involve my partner or family member in my treatment. Will you help educate them about my problem and how to help me manage it?

7. (If medication is prescribed): How do you expect this medication to help me? When and how should I take it?

8. What are the possible side effects of the medication you’re prescribing?

9. How long will it take the medication to work?

10. Should I avoid other medications, alcohol or certain foods while I take this medication?

11. What if this medication doesn’t work? Is it safe to stop taking it without warning?

12. How long should I take this medication? How can I avoid becoming dependent on it?

Review the following ‘Questions to Ask’ about chronic fatigue syndrome (CFS) so you’re prepared to discuss this important health issue with your health care professional.

1. Do you have experience in diagnosing CFS? What tests will you conduct to rule out other causes for my symptoms?

2. Does my medical history support a diagnosis of CFS? Or does it suggest some other cause for my illness, such as hypothyroidism?

3. Do you treat other patients with CFS?

4. What treatments do you recommend for my symptoms?

5. When should I notify you of changes in my condition, such as the recurrence or appearance of new symptoms?

6. What strategies can I use to cope with this illness? How can I help my family, friends and co-workers understand my illness?

7. How will you follow my illness?

8. Do you recommend an exercise plan?

9. Where can I find more information on CFS? Is there any new research available regarding the causes or treatment of CFS?

10. Are there any CFS support groups in my community?

Review the following ‘Questions to Ask’ about depression so you’re prepared to discuss this important health issue with your health care professional.

1. Do I have depression? What kind of depression do I have?

2. Could my depression be caused by an underlying medical condition or by medications I’m taking?

3. Should I see a psychiatrist to determine if medication might help me?

4. (If medication is prescribed): How long before the drug begins to help me? How will I know that it is helping?

5. Is this medication safe for me to take given my current situation and any other medications I’m taking? Does it have any side effects I should be aware of?

6. How long will I need to keep taking this medication? Will I be able to stop taking it eventually?

7. Should I avoid other medications, alcohol or certain foods while I take this medication?

8. What if this medication doesn’t work? Should I call you and come in for another visit before stopping the medication?

9. What if I can’t tolerate the side effects of this medication? Should I call you and come in for another visit before stopping it?

10. Will you be counseling me or referring to me to counseling, as well as prescribing medication? What should I do if I believe I need counseling or other types of support?

11. Is the medication you’re prescribing for me in any way addictive? Are there any substances, like alcohol, that I should stay away from while taking my medication?

12. What should I do if I find myself thinking of suicide?

Review the following ‘Questions to Ask’ about homeopathy so you’re prepared to discuss this important health issue with your health care professional.

1. What kind of training and certification do you have?

2. How much experience do you have with my particular condition?

3. What type of medicine do you practice other than homeopathy? How will that affect my initial examination?

4. Do you have any objection to my continuing to visit my regular health care professional?

5. I can’t consume any alcohol. How will that affect my treatment?

6. Are you associated with any insurance plan?

7. Would you be willing to refer me to a conventional health care professional if you are unable to help me?

8. What conditions do you think are inappropriate for homeopathic treatment?

9. How long will it be before I can expect to see improvement?

Review the following ‘Questions to Ask’ about pain management so you’re prepared to discuss this important health issue with your health care professional.

1. What may be causing my pain symptoms?

2. Can my pain be successfully treated? What should I expect?

3. How long will my pain and treatment last?

4. What medications will I need to take and are there any side effects from these medications?

5. How might they affect the medications I am currently taking?

6. Is the condition that is causing my pain hereditary?

7. Is there anything else besides taking medication that I can do to help relieve my pain?

8. What should I do if additional pain, symptoms or problems occur?

9. Could my pain be a symptom of another illness? If so, what?

10. Will my pain get worse with age?

11. Do my symptoms, illness or progress need to be monitored in any way?

Review the following ‘Questions to Ask’ about weight management so you’re prepared to discuss this important health issue with your health care professional.

1. Do I need to lose/gain weight? How much? What should be my weight goal?

2. What is the average weight for a person of my height, body composition and fitness level?

3. Do I have any medical conditions that could affect my weight?

4. Could the medications I am taking affect my weight?

5. What types of health problems are associated with being overweight?

6. Based on my current weight and weight management goals, how many calories a day should I eat?

7. Should I follow a special diet plan or take a diet supplement?

8. What are the success rate, risks and benefits for this diet plan or diet supplement?

9. What are the best types of exercises for me?

10. What warning signals should I watch out for while I’m exercising?

11. Should I take a weight-loss drug? How effective is the drug you’re recommending? What are its risks and potential side effects?

12. Can you recommend a hospital-based weight-management program or a registered dietitian who can help me put together a healthy eating plan?

13. If I want to lose weight, why shouldn’t I skip meals?

Link of the month: http://www.mercksource.com/pp/us/cns/cns_merckmanualhome.jsp

You can access this entire book online via the link I have provided you. It is the same as the book you can buy only it doesn’t cost you any thing!

MerckSource.com is also an enlightening site. Here is a link to follow:

http://www.mercksource.com/pp/us/cns/cns_home.jsp

Diagnosis and Treatment

The diagnosis of Fibromyalgia is based on the pattern and location of the pain as well as the presence of tender points. Doctors firmly press designated areas of the body to determine whether the person feels pain in one spot (a tender point) or whether the pain seems to travel (refer) to another area (a trigger point). Diagnosis requires tenderness at 11 or more of the 18 designated tender points.

Fibromyalgia: Finding the Tender Points

Finding the Tender Points

Tender points are areas of tenderness that develop in people with Fibromyalgia. For a diagnosis of Fibromyalgia, a person must feel pain in at least 11 of the 18 tender points.

Nondrug treatments are usually the most helpful. Reducing stress can alleviate some mild cases of Fibromyalgia. Stretching and conditioning exercises of gradually increasing intensity, improvements in the quality of sleep, application of heat to the affected area, gentle massage, and keeping warm are usually beneficial.

Aspirin
or other nonsteroidal anti-inflammatory drugs (NSAIDs) are generally of limited benefit. Occasionally, local anesthetics (eg, lidocaine
, alone or with corticosteroids [eg, hydrocortisone
]) are injected directly into a particularly tender area or trigger point, but these injections should not be relied on for repetitive use. Doctors may prescribe low doses of tricyclic antidepressants (see Depression and Mania: Drugs Used to Treat DepressionTables

For people who have the temporomandibular type of myofascial pain syndrome, using a plastic mouth guard can keep the teeth from touching each other and thereby prevent them from clenching and grinding. A benzodiazepine or tricyclic antidepressant at bedtime is sometimes used to relieve symptoms until a mouth guard can be obtained. Nonsteroidal anti-inflammatory drugs (NSAIDs) or acetaminophen
is useful. Because the condition tends to persist, opioids should not be used, except possibly for short times. The person should be taught to stop clenching the jaw and grinding the teeth. Foods that are hard to chew and chewing gum should be avoided. Physical therapy, biofeedback to encourage relaxation, and psychological counseling help some people. Most people, even if untreated, stop having significant symptoms within 2 to 3 years.

Symptoms

Aching stiffness and pain usually develop gradually in generalized fibromyalgia. In localized fibromyalgia, the pain may begin more suddenly after muscle strains, and be sharp. In both syndromes, the pain usually worsens with fatigue, straining, or overuse. Specific discrete areas of muscle may be tender when firm fingertip pressure is applied; these areas are called either tender or trigger points. (Both points are tender, but “trigger” points radiate the pain to a distant site.) During flare-ups, muscle tightness or even spasms may occur. Any soft tissue (muscles, tendons, and ligaments) may be affected. Soft tissue of the neck, shoulders, chest and rib cage, lower back, and thighs as well as joints are especially likely to be painful.

In primary fibromyalgia syndrome, widespread pain typically occurs and is often accompanied by other symptoms, such as poor sleep, anxiety, depression, fatigue, and irritable bowel syndrome (see Bowel Movement Disorders: Irritable Bowel Syndrome (IBS)).

In the temporomandibular type of myofascial pain syndrome, the mouth often cannot be opened fully, and opening the mouth may be painful. Clenching or grinding of the teeth during sleep can lead to a headache on awakening that improves over the course of the day. Sometimes the teeth clenching or grinding continues throughout the day.

Fibromyalgia describes several disorders, all characterized by achy pain and stiffness in soft tissues, including muscles, tendons, and ligaments.

The term fibromyalgia is used to describe several related disorders. Various alternative terms for these disorders have been used, including generalized fibromyalgia, primary fibromyalgia syndrome, secondary fibromyalgia syndrome, localized fibromyalgia, and myofascial pain syndrome, each having different connotations. Previously, these disorders were collectively called fibrositis or fibromyositis syndromes, but because inflammation is not present, the “itis” suffix was dropped.

In generalized fibromyalgia, which is about 7 times more common in women than in men, the pain and stiffness are widespread, occurring throughout the body. Primary fibromyalgia syndrome is the most common variation of generalized fibromyalgia; it usually occurs in young or middle-aged women who have no associated or contributing underlying disorder.

Secondary fibromyalgia syndrome is a type of generalized fibromyalgia and refers to fibromyalgia symptoms in a person who has another underlying disorder that is causing the fibromyalgia symptoms, such as hypothyroidism. Other disorders, such as systemic lupus erythematosus or rheumatoid arthritis, may be associated with fibromyalgia, but not be the underlying cause.

In localized fibromyalgia, pain and stiffness occur in a particular area, or at a few sites, such as the jaw, neck, and/or shoulder muscles. Localized fibromyalgia is somewhat more likely to occur in men, possibly because they are more likely to engage in more physically muscular activities in occupational or sports situations. Sometimes, localized fibromyalgia gradually spreads to become generalized fibromyalgia. Myofascial pain syndrome is a type of localized or regional fibromyalgia which may occur in various sites. In the temporomandibular type (see Temporomandibular Joint (TMJ) Disorders), the chewing muscles on the side of the face are commonly involved and may become painful and tender.

Fibromyalgia is not dangerous or life threatening. Nonetheless, persistent symptoms can be very disruptive.

Causes

Usually, the cause of generalized fibromyalgia is unknown; in primary fibromyalgia syndrome, the cause is always unknown. However, generalized fibromyalgia may be worsened by physical or mental stress, poor sleep, repetitive strains, an injury, or chronic exposure to dampness and cold. In secondary fibromyalgia syndrome, an underlying cause is known. The syndrome may occur as a complication of certain infections (for example, Lyme disease), or hypothyroidism. Another associated disorder, such as rheumatoid arthritis or systemic lupus erythematosus, may be coincidental or may sometimes increase the symptoms of fibromyalgia.

Localized fibromyalgia often results from an occupational or recreational muscle strain. The temporomandibular type of myofascial pain syndrome can be caused by clenching and grinding of the teeth, especially while the person is asleep

July 8, 2007 Posted by Rachel Miller | Uncategorized | | No Comments Yet

Newly Published Data

Newly Published Data Shows Superiority of Cipralex® Over Duloxetine for Acute Treatment of Depression

06 Jun 2007


H. Lundbeck A/S announces new study data published today in the journal Current Medical Research and Opinion, demonstrating that Cipralex® (escitalopram) was superior to duloxetine in the acute treatment of patients with major depressive disorder (MDD) and was at least as efficacious in long-term treatment.1 The study directly compared Cipralex® (an allosteric serotonin reuptake inhibitor – ASRI) to duloxetine (the most recently introduced serotonin and noradrenalin reuptake inhibitor – SNRI) and these findings support the growing body of evidence that Cipralex® offers important treatment advantages over SNRI antidepressants such as duloxetine.2-6
Depression is a serious illness that results in significant disability and is associated with both increased morbidity and the risk of suicide.7 Affecting around 121 million people globally,8 the World Health Organization lists depression as the leading cause of disability worldwide.8 At present, there is no simple universal treatment effective for all patients and it is therefore relevant that treatments are directly compared in order to provide clinicians with information on the efficacy and tolerability benefits of the currently available treatments.
“The study demonstrates that Cipralex® was superior to duloxetine during acute treatment and at least as effective in long-term treatment with the added benefit of significantly better tolerability,” said Dr Alan Wade, lead investigator and medical director of CPS Research, Glasgow, Scotland. “Data that compares antidepressants in this way is an important tool for physicians and allows them to make informed decisions about the best treatments for their patients.”
Important key findings from the study:
The 24-week study investigated the efficacy and tolerability of Cipralex® compared to duloxetine and its key findings include:1
– Patients taking Cipralex® demonstrated significantly greater improvement in depression symptoms at week eight (acute treatment) than patients taking duloxetine. This superiority was evident after the first week of treatment and was maintained at all time points until week 16 (p<0.05)1
– Cipralex® was at least as effective as duloxetine at 24 weeks of treatment, the primary endpoint of the study (p=0.055) 1
– Patients treated with Cipralex showed significantly better functioning in their work, family and social life at week 8 and week 24, compared to duloxetine1
– Cipralex® was better tolerated than duloxetine. Significantly more duloxetine patients withdrew from the study due to adverse events than those treated with Cipralex® (17 percent versus nine percent respectively)1
“Since current guidelines urge the long-term treatment of depression, it is vital that treatments offer the required efficacy coupled with acceptable tolerability,” continued Dr Wade. “These new data add to the increasing evidence that Cipralex® may have a significant clinical advantage in this respect.”
About the clinical study
The study was designed to look at the efficacy and tolerability of Cipralex® compared to duloxetine in patients with moderate to severe MDD over 24 weeks, with a secondary endpoint at eight weeks (acute treatment). The double-blind, fixed-dose, comparative study included 294 patients with MDD from 35 centers in nine countries. Patients were randomized to either Cipralex® (n=143) or duloxetine (n=151), at dosing regimens recommended in the package inserts in participating countries (Cipralex® 20mg, duloxetine 60mg).1
Efficacy (using the MADRS rating scale as the primary scale) and tolerability were assessed at baseline and after 1, 2, 4, 8, 12, 16, 20 and 24 weeks; a safety follow-up visit was performed at 28 weeks.1
This superiority was evident after the first week of treatment and was maintained at all time points until week 16 (p<0.05). At the primary endpoint at 24 weeks, Cipralex® was at least as effective as duloxetine (p=0.055).1
At the end of the secondary pre-defined endpoint at week 8, patients taking Cipralex® demonstrated significantly greater improvement than patients taking duloxetine as determined by MADRS and other predefined secondary endpoints such as the Clinical Global Impression – Improvement (CGI-I) and the Sheehan Disability Scale (SDS) scores.1
Significantly more people taking duloxetine withdrew from the study compared to those taking Cipralex® (17% vs. 9% respectively, p<0.05).1
A post-hoc analysis of the present study revealed a significant advantage for Cipralex® (68.8% early responders) versus duloxetine (54.8%).1
About depression
Depression is a very common, debilitating illness affecting around 121 million people worldwide.8 The symptoms of depression can be chronic or recurrent, and impact patients both mentally and physically. Depression has a significant impact on patient quality of life and imposes a considerable burden on society, yet it is still underrecognised and under treated with less than 25 percent of those affected having access to effective treatment.8
Symptoms include feelings of hopelessness, sadness, guilt, loss of interest in activities, decreased energy, poor concentration, persistent physical symptoms such as headache and digestive disorders, and in more severe cases, suicidal thoughts and suicide attempts.9
About Lundbeck
H. Lundbeck A/S is an international pharmaceutical company engaged in the research and development, production, marketing and sale of drugs for the treatment of psychiatric and neurological disorders. In 2006, the company’s revenue was DKK 9.2 billion (approximately EUR 1.2 billion or USD 1.6 billion). The number of employees is approximately 5,300 globally. For further information, please visit www.lundbeck.com.

July 6, 2007 Posted by Rachel Miller | Uncategorized | | No Comments Yet

Cymbalta

INDIANAPOLIS, May 21 /PRNewswire-FirstCall/ — Data suggest that patients with generalized anxiety disorder (GAD) treated with Cymbalta(R) (duloxetine HCl) experienced improved ability to perform everyday activities at home, work and in social situations compared to sugar pill. These improvements in global functioning were the result of improvements in anxious symptoms, as well as through an improvement in the painful physical symptoms that can be associated with the condition. The results of these data from two GAD registration studies of more than 840 patients were presented today at a major medical meeting of psychiatrists.
These analyses focused on the relationship between global functional impairment and the treatment of anxious and painful physical symptoms in patients with GAD. Improvement in global functioning was measured by the Sheehan Disability Scale (SDS), which assesses the extent emotional symptoms disrupt ability to perform everyday activities at work, home and in social situations.
In one of the two studies, patients treated with 60 mg and 120 mg once daily of Cymbalta experienced statistically significant improvements compared to those treated with a sugar pill (defined by mean change on SDS, 7.76 and 7.04 vs. 3.83). In the second study, patients treated with 60-120 mg once daily of Cymbalta experienced statistically significant improvements compared to those treated with a sugar pill (defined by mean change on SDS 5.78 vs. 3.11). In the pooled analysis, among Cymbalta-treated patients, 48 percent of improvement in global functioning was from improvements in psychic anxiety, while 9 percent was from improvements in painful physical symptoms and 7 percent was from improvements in somatic anxiety associated with GAD.
Since GAD presents with a variety of symptoms, it can be difficult to diagnose(1) and may have a negative impact on a person’s ability to function properly in work, family and social situations.(2)
“This study underscores the importance of treating all of the many symptoms of GAD and reducing the global functional impairment associated with the disorder,” says Dr. David Sheehan, lead study author and professor of psychiatry at the University of South Florida College of Medicine in Tampa. “This information may be important for physicians to consider when choosing a treatment for their patients with GAD since different medications may affect symptoms differently.”
Additional Study Highlights — Thirty-six percent of the improvement in global functioning was due to an undefined effect of Cymbalta, which was not measured on any of the three scales used in the study. — In improvement in work functioning, 36 percent was due to treatment of psychic anxiety, 8 percent was due to treatment of painful physical symptoms and 4 percent was due to treatment of somatic anxiety, while 51 percent was due to an undefined effect of Cymbalta. — In improvement in social functioning, 46 percent of the improvement was due to treatment of psychic anxiety, 9 percent was due to treatment of painful physical symptoms and 6 percent was due to treatment of somatic anxiety, while 39 percent was due to an unexplained effect of Cymbalta. — In improvement in family life functioning, 51 percent of the improvement was due to treatment of psychic anxiety, 10 percent was due to treatment of painful physical symptoms and 10 percent was due to treatment of somatic anxiety, while 30 percent was due to an undefined effect of Cymbalta. — In the pooled analyses of all the GAD registration studies, the most commonly observed adverse events (incidence of 5 percent or greater and at least twice the incidence of sugar pill) were: nausea; fatigue; dry mouth; somnolence; constipation; insomnia; appetite decreased; hyperhidrosis; libido decreased; vomiting; ejaculation delayed; and erectile dysfunction. Approximately 16 percent of patients taking Cymbalta discontinued treatment due to an adverse event compared to 4 percent of patients receiving sugar pill. The most common adverse events reported as reasons for discontinuation (occurring at a rate of less than or equal to 1.2 percent and at a significantly higher rate compared to sugar pill) were nausea, vomiting and dizziness.(3) Methods
Data from two double-blind, placebo-controlled trials in adults with generalized anxiety disorder were pooled. In the first trial, patients received 60 mg of Cymbalta once daily, 120 mg once daily or sugar pill for nine weeks. In the second trial, patients were started at a dose of 60 mg of Cymbalta but dose could be increased to 120 mg once daily, or they were given sugar pill for 10 weeks.
In both trials, the Hamilton Anxiety Scale (HAMA) was used to measure anxious symptoms, the SDS was used to assess global functional impairment and the Visual Analog Scale for Overall Pain (VAS) was used to measure severity of painful physical symptoms. Pearson partial correlations were used to assess the magnitude and significance of the associations between global functional impairment and psychic anxiety or painful physical symptoms. Path analysis was used to assess the relative contributions of changes in psychic and somatic anxiety and painful physical symptoms on improved functional outcomes.
The large unexplained effect of Cymbalta implies that Cymbalta improves global functioning through the treatment of additional symptoms that the scales in our clinical trials do not measure. These symptoms could be related to other anxious symptoms, painful physical symptoms, or entirely separate symptom domains not mentioned in this analysis.
About Generalized Anxiety Disorder
Approximately 6.5 million Americans are diagnosed with generalized anxiety disorder each year.(4) Symptoms persist for at least six months and can include exaggerated worry or chronic anxiety, irritability, poor concentration, sleep disturbance and fatigue.(5,6) Generalized anxiety disorder may be brought on, or worsened by, stressful life events. The illness also tends to be chronic with periods of exacerbation and remission.(7)
About Cymbalta
Serotonin and norepinephrine in the brain and spinal cord are believed to both mediate core mood symptoms and help regulate the perception of pain. Based on pre-clinical studies, duloxetine is a balanced and potent reuptake inhibitor of serotonin and norepinephrine that is believed to potentiate the activity of these chemicals in the central nervous system (brain and spinal cord). While the mechanism of action of duloxetine is not fully known, scientists believe its effects on depression and anxiety symptoms, as well as its effect on pain perception, may be due to increasing the activity of serotonin and norepinephrine in the central nervous system.
Cymbalta is approved in the United States for the treatment of major depressive disorder, the management of diabetic peripheral neuropathic pain and the treatment of generalized anxiety disorder, all in adults. Cymbalta is not approved for use in pediatric patients.
Important Safety Information
Cymbalta is approved to treat major depressive disorder, diabetic peripheral neuropathic pain and generalized anxiety disorder. In children and teens, antidepressants can increase the risk of suicidal thoughts or actions. Patients should call their doctor right away if they experience worsening depression symptoms, unusual changes in behavior or thoughts of suicide, especially at the beginning of treatment or after a change in dose. Cymbalta is approved only for adults 18 and over.
Cymbalta is not for everyone. Patients should not take Cymbalta if they have recently taken a type of antidepressant called a monoamine oxidase inhibitor (MAOI), are taking Mellaril(R) (thioridazine) or have uncontrolled glaucoma. Patients should speak with their doctor about all medicines they are taking, including those for migraine to avoid a potentially life- threatening condition. Patients should tell their doctor about their alcohol consumption, if they have liver disease, and about all of their medical conditions.
Patients taking Cymbalta may experience dizziness or fainting upon standing. The most common side effects of Cymbalta include:
About Eli Lilly and Company
P-LLY
This press release contains forward-looking statements about the potential of Cymbalta for the treatment of generalized anxiety disorder, and reflects Lilly’s current beliefs. However, as with any pharmaceutical product, there are substantial risks and uncertainties in the process of development and commercialization. There is no guarantee that the product will continue to be commercially successful. For further discussion of these and other risks and uncertainties, see Lilly’s filings with the United States Securities and Exchange Commission. Lilly undertakes no duty to update forward-looking statements.
Eli Lilly and Company

July 6, 2007 Posted by Rachel Miller | Uncategorized | | No Comments Yet

Anti Seizure Meds and Fibromyalgia

Gabapentin’s Shows Potential Benefit for Fibromyalgia Pain

New research supported by the NIH’s National Institute of Arthritis and Musculoskeletal and Skin Diseases shows that the anticonvulsant medication gabapentin, used for certain types of seizures, can be an effective treatment for the pain and other symptoms associated with the common, often hard-to-treat chronic pain disorder, fibromyalgia, the NIH announced.

Although gabapentin has little, if any, effect on acute pain, it has shown a robust effect on pain caused by a heightened response to stimuli related to inflammation or nerve injury in animal models of chronic pain syndromes, the agency said.

Lesley M. Arnold, director of the Women’s Health Research Program at the University of Cincinnati College of Medicine says one possible explanation of how gabapentin helps reduce pain, involves the binding of gabapentin to a specific subunit of voltage-gated calcium channels on neurons. “This binding reduces calcium flow into the nerve cell, which reduces the release of some signaling molecules involved in pain processing,” she said.

How gabapentin improves sleep and other symptoms is less clear, and there are probably different mechanisms involved in fibromyalgia symptoms, according to the NIH.

The agency said people with fibromyalgia now have a potential new treatment option for a condition with few effective treatments. “Studies like this give clinicians evidence-based information to guide their treatment of patients,” said Arnold.

June 20, 2007 Posted by Rachel Miller | Uncategorized | | No Comments Yet

Something I just had to share

Please show this to your kids, or if you don’t have any kids,
show it to Nieces & Nephews or Grandchildren. After what happened at
Virginia Tech maybe it will make us all think about the
situation our schools are in.
      New Pledge of Allegiance!
      Since the Pledge of Allegiance
      and The Lord’s Prayer
      are not allowed in most
      public schools anymore
      Because the word “God” is mentioned….
      A kid in Arizona wrote the attached
      NEW School prayer.
      I liked it.
      Now I sit me down in school
      Where praying is against the rule
      For this great nation under God
      Finds mention of Him very odd.
      If Scripture now the class recites,
      It violates the Bill of Rights.
      And anytime my head I bow
      Becomes a Federal matter now.
      Our hair can be purple, orange or green,
      That’s no offense; it’s a freedom scene.
      The law is specific, the law is precise.
      Prayers spoken aloud are a serious vice.
      For praying in a public hall
      Might offend someone with no faith at all.
      In silence alone we must meditate,
      God’s name is prohibited by the state.
      We’re allowed to cuss and dress like freaks,
      And pierce our noses, tongues and cheeks.
      They’ve outlawed guns, but FIRST the Bible.
      To quote the Good Book makes me liable.
      We can elect a pregnant Senior Queen,
      And the ‘unwed daddy,’ our Senior King.
      It’s “inappropriate” to teach right from wrong,
      We’re taught that such “judgments” do not belong.
      We can get our condoms and birth controls,
      Study witchcraft, vampires and totem poles.
      But the Ten Commandments are not allowed,
      No word of God must reach this crowd.!
      It’s scary here I must confess,
      When chaos reigns the school’s a mess.
      So, Lord, this silent plea I make:
      Should I be shot; My soul please take!
      Amen
      If you aren’t ashamed to do this,
      please pass this on.
      Jesus said,
      “If you are ashamed of me,
      I will be ashamed of you before my Father.”
      Not ashamed. Pass this on.

May 30, 2007 Posted by Rachel Miller | Uncategorized | | 1 Comment

Lyme Disease VS Fibromyalgia

I recently got into a debate with a young woman who was diagnosed as having Fibromyalgia.  She later found out that it was lyme disease. Therefore I thought I would let you guys in on a few things.

Lyme Disease Symptoms

The Lyme disease bacterium can infect several parts of the body, producing different symptoms at different times.  Not all patients with Lyme disease will have all symptoms, and many of the symptoms can occur with other diseases as well.  If you believe you may have Lyme disease, it is important that you consult your health care provider for proper diagnosis.

The first sign of infection is usually a circular rash called erythema migrans or EM.  This rash occurs in approximately 70-80% of infected persons and begins at the site of a tick bite after a delay of 3-30 days.  A distinctive feature of the rash is that it gradually expands over a period of several days, reaching up to 12 inches (30 cm) across. The center of the rash may clear as it enlarges, resulting in a bull’s-eye appearance.  It may be warm but is not usually painful.  Some patients develop additional EM lesions in other areas of the body after several days. Patients also experience symptoms of fatigue, chills, fever, headache, and muscle and joint aches, and swollen lymph nodes.  In some cases, these may be the only symptoms of infection. 

Untreated, the infection may spread to other parts of the body within a few days to weeks, producing an array of discrete symptoms.  These include loss of muscle tone on one or both sides of the face (called facial or “Bell’s palsy), severe headaches and neck stiffness due to meningitis, shooting pains that may interfere with sleep, heart palpitations and dizziness due to changes in heartbeat, and pain that moves from joint to joint.  Many of these symptoms will resolve, even without treatment.

After several months, approximately 60% of patients with untreated infection will begin to have intermittent bouts of arthritis, with severe joint pain and swelling.  Large joints are most often effected, particularly the knees. In addition, up to 5% of untreated patients may develop chronic neurological complaints months to years after infection.  These include shooting pains, numbness or tingling in the hands or feet, and problems with concentration and short term memory.  

Most cases of Lyme disease can be cured with antibiotics, especially if treatment is begun early in the course of illness.  However, a small percentage of patients with Lyme disease have symptoms that last months to years after treatment with antibiotics.  These symptoms can include muscle and joint pains, arthritis, cognitive defects, sleep disturbance, or fatigue.  The cause of these symptoms is not known.  There is some evidence that they result from an autoimmune response, in which a person’s immune system continues to respond even after the infection has been cleared.

Compare Lyme Disease with Fibromyalgia.  They have alot in common.  But they have even more differences.  Let me know what you guys think.  By The Way, an Emergency Room Doctor gave her diagnosis.

Feel free to comment.  I would love everyone’s opinion.

Back To Top

May 30, 2007 Posted by Rachel Miller | Uncategorized | | No Comments Yet

Bible Verses

Let Us Humble Ourselves

Woe to those who call
evil good and good evil,
who put darkness for light
and light for darkness,
who put bitter for sweet
and sweet for bitter.
Woe to those who are wise
in their own eyes
and clever in their own sight.
Isaiah 5:20,21 

 
Brethren, if a man be overtaken in a fault, ye which are spiritual, restore such an one in the spirit of meekness; considering thyself, lest thou also be tempted.
Bear ye one another’s burdens, and so fulfil the law of Christ. For if a man think himself to be something, when he is nothing, he deceiveth himself.
Galatians 6:1-3

 

For it is not he who commends himself that is approved, but he whom the Lord commends.
2 Corinthians 10:18

 

Thanks be unto God for His wonderful gift:
Jesus Christ, the only begotten Son of God
is the object of our faith; the only faith
that saves is faith in Him.

May 23, 2007 Posted by Rachel Miller | Uncategorized | | No Comments Yet

Hell Just Got Nicer

An engineer dies and goes to heaven. St. Peter meets him at the gate and says, “What! An Engineer! You’re in the wrong place! Beat it!”
So, he goes down to Hell, and gets settled in. But he soon becomes dissatisfied with conditions there, and begins to make improvements. Before long, there’s running water, flush toilets, escalators, even air conditioning, and the engineer is a pretty popular guy.
One day God calls Satan up on the telephone and says with a sneer, “So, how’s it going down there?”
Satan replies, “Hey, things are going great. We’ve got air conditioning and flush toilets and escalators, and there’s no telling what this engineer is going to come up with next.”
God replies, “What! You’ve got an engineer? That’s a mistake — he should never have gotten down there. Send him up right away!
Satan says, “No way! I like having an engineer on the staff, and I’m keeping him.”
God says, “Send him back up here or I’ll sue your shiny red pants off!”
“Oh, yeah?” the Devil replies. “Where are you going to get a lawyer?!?”

May 21, 2007 Posted by Rachel Miller | Uncategorized | | No Comments Yet

Fifty-Six Things To Do In Walmart

1. Take shopping carts for the express purpose of filling them and stranding them at  strategic locations.
2. Ride those little electronic cars at the front of the store. 
3. Set all the alarm clocks to go off at ten minute intervals throughout the day. 
4. Run up to an employee (preferably a male) while squeezing your legs together and  practically yell at him ” I need some tampons!!” 
5. Try on bras over top of your clothes. 
6. Make a trail of orange juice on the ground, leading to the restrooms 
7. While walking around the store, sing in your loudest voice possible “sex and candy” 
8. Walk up to an employee and tell him in an official tone, “I think we’ve got a Code 3 in  Housewares,” and see what happens. 
9. Tune all the radios to a polka station; then turn them all off and turn the volumes to “10″.
  10. Play with the automatic doors. 
11. Walk up to complete strangers and say, “Hi! I haven’t seen you in so long!…” etc.  See if they play along to avoid embarrassment. 
12. While walking through the clothing department, ask yourself loud enough for all to hear,  “Who BUYS this shit, anyway?” 
13. Repeat Number 14 in the jewelry department. 
14. Try putting different pairs of women’s panties on your head and walk around the  store casually. 
15. Leave small sacrifices or gifts in the hands of the mannequins. 
16. Play soccer with a group of friends, using the entire store as your playing field. 
17. As the cashier runs your purchases over the scanner, look mesmerized and say, “Wow. Magic!” 
18. Move “Caution: Wet Floor” signs to carpeted areas. 
19. Set up a tent in the camping department; tell others you’ll only invite them in if they  bring pillows from Bed and Bath. 
20. Contaminate the entire auto department by sampling all the spray air fresheners. 
21. Nonchalantly “test” the brushes and combs in Cosmetics. 
22. Drape a blanket around your shoulders and run around saying, “…I’m Batman. Come,  Robin–to the Batcave!” 
23. Randomly throw things over into neighboring aisles. 
24. Play with the calculators so that they all spell “hello” upside down. 
25. When someone asks if you need help, begin to cry and ask, “Why won’t you people  just leave me alone?” 
26. When two or three people are walking ahead of you, run between them, yelling, “Red Rover!” 
27. Look right into the security camera, and use it as a mirror while you pick your nose. 
28. Take up an entire aisle in Toys by setting up a full scale battlefield with G.I. Joe’s vs. the X-Men. 
29. Take bets on the battle described above. 
30. While handling guns in the hunting department, suddenly ask the clerk if he knows where the  anti-depressants are. Act as spastic as possible. 
31. Leave cryptic messages on the typewriters. 
32. While no one’s watching quickly switch the men’s and women’s signs on the doors of  the rest room. 
33. Dart around suspiciously while humming the theme from “Mission:Impossible.” 
34. Attempt to fit into very large gym bags. 
35. Set up a “Valet Parking” sign in front of the store. 
36. “Re-alphabetize” the CD’s in Electronics. 
37. In the auto department, practice your “Madonna” look with various funnels. 
38. Hide in the clothing racks and when people browse through, say things like “the fat man walks  alone,” and scare them into believing that the clothes are talking to them 
39. While walking around alone, pretend someone is with you and get into a very  serious conversation I.e: 
“How could you do this to me? I thought you loved me! I knew there was another girl,  but I thought I had won. You kissed ME darling.” Then act as though you are being  beaten and fall onto the ground screaming and having convulsions.”
40. When an announcement comes over the loudspeaker, assume the fetal position and  scream, “No, no! It’s those voices again!” 
41. Go to an empty checkout stand and try to check people out. 
42. Drag a lounge chair on display over to the magazines and relax. If the store has a food  court, buy a soft drink; explain that you don’t get out much, and ask if they can put a little  umbrella in it. 
43. Get a stuffed animal and go to the front of the store and begin stroking it lovingly,  saying “Good girl, good Bessie.” 
44. Go over to the shoe department and try on every pair of shoes, not putting one pair back.  Take the paper from the boxes and throw it in various aisles. 
45. When someone steps away from their cart to look at something, quickly make off with it  without saying a word. 
46. Follow people through the aisles, always staying about five feet away. Continue to do this  until they leave the department. 
47. Ask other customers if they have any Grey Poupon. 
48. Test the fishing rods and see what you can “catch” from the other aisles. 
49. In the makeup department, spray yourself with every perfume there is, then walk up to a  boy who is with another girl and start flirting with him in that annoying, ditsy way. “hi!!!!  (giggle) What’s your sign? (giggle).” When the boy shows no interest, start hitting on the girl  the exact same way. “hi!!!! (giggle) What’s your sign?(giggle).” 
50. Re-dress the mannequins as you see fit. 
51.When there are people behind you, walk REALLY SLOW, especially thin narrow aisles. 
52.Relax in the patio furniture until you get kicked out. 
53.Challenge other customers to duels with tubes of gift wrap. 
54. Say things like, “Would you be so kind as to direct me to your Twinkies?” 
55. Ride a display bicycle through the store; claim you’re taking it for a “test drive.” 
56. Get boxes of Condoms and randomly put them in peoples carts when they don’t realize it!

May 16, 2007 Posted by Rachel Miller | Uncategorized | | No Comments Yet

Moving

I will be moving to Ripley, Tennessee in a few weeks. I will always be on the net but, if anyone that reads this lives in or near Ripley, Tennessee I would love to chat with you. I know no one there!!

May 15, 2007 Posted by Rachel Miller | Uncategorized | | No Comments Yet

Fibromyalgia

 

This is a topic that is very close to home for me.  I suffer daily from the effects of Fibromyalgia.  This is something that I would never wish on anybody not even my worst enemy.  It is very painful not to mention all the med’s you have to take on a daily basis. 

 

Introduction

You hurt all over, and you frequently feel exhausted. Even after numerous tests, your doctor can’t find anything specifically wrong with you. If this sounds familiar, you may have Fibromyalgia.

Fibromyalgia is a chronic condition characterized by widespread pain in your muscles, ligaments and tendons, as well as fatigue and multiple tender points — places on your body where slight pressure causes pain. Fibromyalgia is more common in women than in men. Previously, Fibromyalgia was known by other names such as fibrositis, chronic muscle pain syndrome, psychogenic rheumatism and tension myalgias.

Although the intensity of your symptoms may vary, they’ll probably never disappear completely. It may be reassuring to know, however, that Fibromyalgia isn’t progressive or life-threatening. Treatments and self-care steps can improve Fibromyalgia symptoms and your general health.

 

 

Signs and symptoms

Signs and symptoms of Fibromyalgia can vary, depending on the weather, stress, physical activity or even the time of day. Common signs and symptoms include:

  • Widespread pain. Fibromyalgia is characterized by pain in specific areas of your body when pressure is applied, including the back of your head, upper back and neck, upper chest, elbows, hips and knees. The pain generally persists for months at a time and is often accompanied by stiffness.
  • Fatigue and sleep disturbances. People with Fibromyalgia often wake up tired and unrefreshed even though they seem to get plenty of sleep. Some studies suggest that this sleep problem is the result of a sleep disorder called alpha wave interrupted sleep pattern, a condition in which deep sleep is frequently interrupted by bursts of brain activity similar to wakefulness. So people with Fibromyalgia miss the deep restorative stage of sleep. Nighttime muscle spasms in your legs and restless legs syndrome also may be associated with Fibromyalgia.
  • Irritable bowel syndrome (IBS). The constipation, diarrhea, abdominal pain and bloating associated with IBS are common in people with fibromyalgia.
  • Headaches and facial pain. Many people who have fibromyalgia also have headaches and facial pain that may be related to tenderness or stiffness in their neck and shoulders. Temporomandibular joint (TMJ) dysfunction, which affects the jaw joints and surrounding muscles, also is common in people with fibromyalgia.
  • Heightened sensitivity. It’s common for people with fibromyalgia to report being sensitive to odors, noises, bright lights and touch.

Other common signs and symptoms include:

  • Depression
  • Numbness or tingling sensations in the hands and feet (paresthesia)
  • Difficulty concentrating
  • Mood changes
  • Chest pain
  • Dry eyes, skin and mouth
  • Painful menstrual periods
  • Dizziness
  • Anxiety

 

Causes

Doctors don’t know what causes fibromyalgia. Current thinking centers around a theory called “central sensitization.” This theory states that people with fibromyalgia have a lower threshold for pain because of increased sensitivity in the brain to pain signals. Researchers believe repeated nerve stimulation causes the brains of people with fibromyalgia to change. This change involves an abnormal increase in levels of certain chemicals in the brain that signal pain (neurotransmitters). In addition, the brain’s pain receptors (neurons) — which receive signals from the neurotransmitters — seem to develop a sort of memory of the pain and become more sensitive, meaning they can overreact to pain signals. In this way, pressure on a spot on the body that wouldn’t hurt someone without fibromyalgia can be very painful to someone who has the condition. But what initiates this process of central sensitization isn’t known.

It’s likely that a number of factors contribute to the development of fibromyalgia. Other theories as to the cause of fibromyalgia include:

  • Sleep disturbances. Some researchers theorize that disturbed sleep patterns may be a cause rather than just a symptom of fibromyalgia.
  • Injury. An injury or trauma, particularly in the upper spinal region, may trigger the development of fibromyalgia in some people. An injury may affect your central nervous system, which may trigger fibromyalgia.
  • Infection. Some researchers believe that a viral or bacterial infection may trigger fibromyalgia.
  • Abnormalities of the autonomic (sympathetic) nervous system. Part of your autonomic nervous system — the sympathetic, or involuntary, system — controls bodily functions that you don’t consciously control, such as heart rate, blood vessel contraction, sweating, salivary flow and intestinal movements. It’s thought that sympathetic nervous system dysfunction occurs in people with fibromyalgia, particularly at night, which leads to fatigue, stiffness, dizziness and other signs and symptoms associated with the condition.
  • Changes in muscle metabolism. For example, deconditioning and decreased blood flow to muscles may contribute to decreased strength and fatigue. Differences in metabolism and abnormalities in the hormonal substance that influences the activity of nerves may play a role.

Psychological stress and hormonal changes also may be possible causes of fibromyalgia.

 

 

Risk factors

Risk factors for fibromyalgia include:

  • Your sex. Fibromyalgia occurs more often in women than in men.
  • Age. Fibromyalgia tends to develop during early and middle adulthood. But it can also occur in children and older adults.
  • Disturbed sleep patterns. It’s unclear whether sleeping difficulties are a cause or a result of fibromyalgia — but people with sleep disorders, such as nighttime muscle spasms in the legs, restless legs syndrome or sleep apnea, can also develop fibromyalgia.
  • Family history. You may be more likely to develop fibromyalgia if a relative also has the condition.
  • Rheumatic disease. If you have a rheumatic disease, such as rheumatoid arthritis, lupus or ankylosing spondylitis, you may be more likely to have fibromyalgia.

 

When to seek medical advice

See your doctor if you experience general aching or widespread pain that lasts several months and is accompanied by fatigue. Many of the symptoms of fibromyalgia mimic those of other diseases, such as low thyroid hormone production (hypothyroidism), polymyalgia rheumatica, neuropathies, lupus, multiple sclerosis and rheumatoid arthritis. Your doctor can help determine if one of these other conditions may be causing your symptoms.

 

 

Screening and diagnosis


CLICK TO ENLARGE

Illustration of fibromyalgia, showing body locations that may be tender
Fibromyalgia

Diagnosing fibromyalgia is difficult because there isn’t a single, specific diagnostic laboratory test. In fact, before receiving a diagnosis of fibromyalgia, you may go through several medical tests, such as blood tests and X-rays, only to have the results come back normal. Although these tests may rule out other conditions, such as rheumatoid arthritis, lupus and multiple sclerosis, they can’t confirm fibromyalgia.

The American College of Rheumatology has established general classification guidelines for fibromyalgia, to help in the assessment and study of the condition. According to these guidelines, to be diagnosed with fibromyalgia you must have experienced widespread aching pain for at least three months and have a minimum of 11 locations on your body that are abnormally tender under relatively mild, firm pressure. In addition to taking your medical history, a doctor checking for fibromyalgia will likely press firmly on specific points on your head, upper body and certain joints so that you can confirm which cause pain.

Not all doctors agree with these guidelines. Some believe that the criteria are too rigid and that you can have fibromyalgia even if you don’t meet the required number of tender points. Others question how reliable and valid tender points are as a diagnostic tool.

 

 

Complications

Fibromyalgia isn’t progressive and generally doesn’t lead to other conditions or diseases. It can, however, cause pain, depression and lack of sleep. These problems can then interfere with your ability to function at home or on the job, or maintain close family or personal relationships. The frustration of dealing with an often-misunderstood condition also can be a complication of the condition.

 

 

Treatment

In general, treatment for fibromyalgia includes both medication and self-care. The emphasis is on minimizing symptoms and improving general health.

Medications
Medications can help reduce the pain of fibromyalgia and improve sleep. Common choices include:

  • Analgesics. Acetaminophen (Tylenol, others) may ease the pain and stiffness caused by fibromyalgia. However, its effectiveness varies. Tramadol (Ultram) is a prescription pain reliever that may be taken with or without acetaminophen. Your doctor may recommend nonsteroidal anti-inflammatory drugs (NSAIDs) — such as aspirin, ibuprofen (Advil, Motrin, others) or naproxen sodium (Anaprox, Aleve) — in conjunction with other medications. NSAIDs haven’t proved to be effective in managing the pain in fibromyalgia when taken by themselves.
  • Antidepressants. Your doctor may prescribe antidepressant medications such as amitriptyline, nortriptyline (Pamelor) or doxepin (Sinequan) to help promote sleep. Fluoxetine (Prozac) in combination with amitriptyline has also been found effective. Sertraline (Zoloft) and paroxetine (Paxil) may help if you’re experiencing depression.

    Some evidence exists for a newer class of antidepressants known as serotonin and norepinephrine reuptake inhibitors or dual uptake inhibitors, which regulate two brain chemicals that may transmit pain signals. Studies have found that duloxetine (Cymbalta) may help control pain better than placebo in people with fibromyalgia. Small trials of venlafaxine (Effexor) suggest the same, though more study is needed to confirm these findings.

  • Muscle relaxants. Taking the medication cyclobenzaprine (Flexeril) at bedtime may help treat muscle pain and spasms. Muscle relaxants are generally limited to short-term use.
  • Anticonvulsants. Drugs approved to treat epilepsy have shown some effectiveness in people with chronic pain. Pregabalin (Lyrica) decreased pain and fatigue and improved sleep in people with fibromyalgia in trials.

Prescription sleeping pills, such as zolpidem (Ambien), may provide short-term benefits for some people with fibromyalgia, but doctors usually advise against long-term use of these drugs. These medications tend to work for only a short time, after which your body becomes resistant to their effects. Ultimately, using sleeping pills tends to create even more sleeping problems in many people.

Benzodiazepines may help relax muscles and promote sleep, but doctors often avoid these drugs in treating fibromyalgia. Benzodiazepines can become habit-forming, and they haven’t been shown to provide long-term benefits.

Doctors don’t usually recommend narcotics for treating fibromyalgia because of the potential for dependence and addiction. Corticosteroids, such as prednisone, haven’t been shown to be effective in treating fibromyalgia.

Cognitive behavior therapy
Cognitive behavior therapy seeks to strengthen your belief in your abilities and teaches you methods for dealing with stressful situations. Therapy is provided through individual counseling, classes, and with tapes, CDs or DVDs, and may help you manage your fibromyalgia.

Treatment programs
Programs that combine a variety of treatments may be effective in improving your symptoms, including relieving pain. These interdisciplinary programs can combine relaxation techniques, biofeedback and receiving information about chronic pain. There isn’t one combination that works best for everybody. Your doctor can create a program based on what works best for you.

 

Self-care

Self-care is critical in the management of fibromyalgia.

  • Reduce stress. Develop a plan to avoid or limit overexertion and emotional stress. Allow yourself time each day to relax. That may mean learning how to say no without guilt. But try not to change your routine completely. People who quit work or drop all activity tend to do worse than those who remain active. Try stress management techniques, such as deep-breathing exercises or meditation.
  • Get enough sleep. Because fatigue is one of the main characteristics of fibromyalgia, getting sufficient sleep is essential. In addition to allotting enough time for sleep, practice good sleep habits, such as going to bed and getting up at the same time each day and limiting daytime napping.
  • Exercise regularly. At first, exercise may increase your pain. But doing it regularly often decreases symptoms. Appropriate exercises may include walking, swimming, biking and water aerobics. A physical therapist can help you develop a home exercise program. Stretching, good posture and relaxation exercises also are helpful.
  • Pace yourself. Keep your activity on an even level. If you do too much on your good days, you may have more bad days.
  • Maintain a healthy lifestyle. Eat healthy foods. Limit your caffeine intake. Do something that you find enjoyable and fulfilling every day.

 

Coping skills

Besides dealing with the pain and fatigue of fibromyalgia, you may also have to deal with the frustration of having a condition that’s often misunderstood. In addition to educating yourself about fibromyalgia, you may find it helpful to provide your family, friends and co-workers with information.

It’s also helpful to know that you’re not alone. Organizations such as the Arthritis Foundation and the American Chronic Pain Association provide educational classes and support groups. These groups can often provide a level of help and advice that you might not find anywhere else. They can also help put you in touch with others who have had similar experiences and can understand what you’re going through.

 

 

Complementary and alternative medicine

Complementary and alternative therapies for pain and stress management aren’t new. Some, such as meditation and yoga, have been practiced for thousands of years. But their use has become more popular in recent years, especially with people who have chronic illnesses, such as fibromyalgia.

Several of these treatments do appear to safely relieve stress and reduce pain, and some are gaining acceptance in mainstream medicine. But many practices remain unproved because they haven’t been adequately studied. Some of the more common complementary and alternative treatments promoted for pain management include:

  • Acupuncture. Acupuncture is a Chinese medical system based on restoring normal balance of life forces by inserting very fine needles through the skin to various depths. According to Western theories of acupuncture, the needles cause changes in blood flow and levels of neurotransmitters in the brain and spinal cord. In a 2006 Mayo Clinic study, acupuncture significantly improved symptoms of fibromyalgia. Research on the benefits of acupressure — a similar practice that uses finger pressure on the skin rather than needles — is inconclusive.
  • Chiropractic care. This treatment is based on the philosophy that restricted movement in the spine may lead to pain and reduced function. Spinal adjustment (manipulation) is one form of therapy chiropractors use to treat restricted spinal mobility. The goal is to restore spinal movement and, as a result, improve function and decrease pain. Chiropractors manipulate the spine from different positions using varying degrees of force. Manipulation doesn’t need to be forceful to be effective. Chiropractors may also use massage and stretching to relax muscles that are shortened or in spasm. Because manipulation has risks, always go to properly trained and licensed practitioners.
  • Massage therapy. This is one of the oldest methods of health care still in practice. It involves use of different manipulative techniques to move your body’s muscles and soft tissues. The therapy aims to improve blood circulation in the muscle, increasing the flow of nutrients and eliminating waste products. Massage can reduce your heart rate, relax your muscles, improve range of motion in your joints and increase production of your body’s natural painkillers. It often helps relieve stress and anxiety. Although massage is almost always safe, avoid it if you have open sores, acute inflammation or circulatory problems.
  • Osteopathy. Doctors of osteopathy go through rigorous and lengthy training in academic and clinical settings, equivalent to medical doctors. They’re licensed to perform many of the same therapies and procedures as conventional doctors. One area where osteopathy differs from conventional medicine — but is similar to chiropractic medicine — is in the use of manipulation to address joint and spinal problems.

May 6, 2007 Posted by Rachel Miller | Uncategorized | | 3 Comments

Mini Moments With Angels

As you all know by now I am an avid collector of Angels and Butterflies.  Well I came across this book the other day called”Mini Moments With Angels”  it is written by Robert Strand.  I would like to post some things from the book in hopes that it will help someone that may need help but is afraid to ask for it.

A Little Bit About Angels

Practically everybody knows something about angels…at least on some level.  And it seems as if everybody is talking about angels today.  You’ll find boutiques dedicated to this subject, poetry  exalts them, songs are created about them, and lots and lots of books are devoted to angels.  Why?  I think there is a deep, underlying need for all of us to have a glimpse into the spirit world about us.  We are curious and hungry to learn more about this other world.

“The angels are near to us, to those creatures by God’s command they are to preserve.”   Martin Luther

Then I looked and heard the voice of many angels, numbering thousands upon thousands, and ten thousand times ten thousand.  They encircled the throne.”   {Rev. 5:11)

May 2, 2007 Posted by Rachel Miller | Uncategorized | | No Comments Yet

April 26, 2007

Entry for April 26, 2007
First of all I would like to sincerely Thank Everyone that sent me a Birthday Card, an email or however you may have wished me a Happy Birthday. You guys did more than my family did and I really needed that today.I went back to the Dr. today and was told that I have to have another Epidural Shot in my back on May 3, 2007 and Back Surgery in July. It just seems like everything is getting worse.

I hope everyone here has a wonderful year.

Luv Yall

April 27, 2007 Posted by Rachel Miller | Uncategorized | | No Comments Yet

Anger

Keep it in or spit it out?  Suppress it or ventilate it?  Slow burn or boil over?  Any way you phrase it, anger and its various forms of expression are part of everyone’s life.

But not until recently have women—-at least “polite” women—-had much choice in the matter.  Historically, girls have always learned that showing anger is not ladylike, that anger disrupts relationships, that it can ruin your chances of getting a man.  But that was yesterdays woman.

How does the woman of today express anger?  The same way as a man.  Recent research shows that women get angry as often as men, as intensely as men and for much the same reasons as men, says Sandra Thomas,R.N., Ph.D., director at the Center for Nursing Research at the University of Tennessee College of Nursing at Knoxville.  Unfair treatment, frustration in their homes and professional lives and unmet expectations in general are just a few of the things that can ignite anger.

And what do they get in return for venting anger like a man?  A bad bill of health.  Just like a man. 

According to research, women’s anger has been implicated in a variety of health problems, including depression, high blood pressure, heart disease, arthritis, stress, drug and alcohol abuse and obesity.  Women who extremely inhibit or vent their anger have higher rates of breast cancer than women who don’t.  Women who get angry also have unhappier marriages.

And it seems to be that extreme anger—-whether vented or suppressed—-is creating the problems for women.

“This goes against one commonly held belief that venting your anger will make you feel better,” says Dr. Thomas, one of the researchers.  But she found that expressing anger only creates more anger.  And suppressing anger isn’t necessarily good for you, either.  In a study that spanned 18 years, researchers found that women who suppressed their anger over a long period of time were two times more likely to die prematurely than those who directly expresses their anger.

 

Getting Your Cool

“Given the current state of science,” says Dr. Thomas, ” the best advice we can offer women is to get rid of their anger.  Reflect on the triggers that create anger.”

Instead of letting problems fester, she says to address anger-causing problems right away.  If it’s a person and you can’t approach the instigator, then at least discuss it with a trusted friend or relative.  Other advice from experts:  Keep an anger diary.  In other words, become an expert on your own anger.  Write down each episode and note what triggered it, who else was present, what you were thinking, how long it lasted and how you reacted, says Maureen Lassen, Ph.D., a clinical psychologist in Phoenix.  You also need to record how you were feeling before the event.  After a few weeks, look over your diary and see if any patterns emerge.

Keeping an angry diary also demystifies the emotion, showing you that it isn’t an uncontrollable force, adds Carol Tavris, Ph.D., a social psychologist and the author of Anger: The Misunderstood Emotion.

Count to 10.  Maybe even 20.  And then use a technique the experts call reflective coping—-trying to solve the underlying problem or source of anger.  If the problem can’t be solved, then other methods of coping should be used.

Reappraise the situation.  When we’re provoked by someone, we’re likely to inflame the situation even more by saying to ourselves, “What a thoughtless clod!” or “The nerve of that witch!”  Instead, try to empathize with the rude person or find justifications for her actions by thinking, “She must have some real problems to behave that way.”  This is what people who are slow to anger do naturally, says Dr. Tavris.

Sweat it out.  Vigorous exercise, says Dr. Thomas, is an excellent outlet for powerful emotions, including anger.

Cut your losses.  If there’s no possibility of effecting a change, then remove yourself from the anger-provoking situation.

April 25, 2007 Posted by Rachel Miller | Uncategorized | | No Comments Yet

Prescription Medications for Fibromyalgia

I have been asked on numerous occasions what medications I take to control my Fibromyalgia and what they are for.  I am gonna list my meds here with dosages, number of times I take each day and what they are for.

Hydroxyzine Pam 25 mg  1 Capsule 4 times daily Hydroxyzine is used for the short-term treatment of nervousness and tension that may occur with certain mental/mood disorders (e.g., anxiety, dementia). It is also used to treat itching from allergies and other causes (e.g., reactions to certain drugs). It may also be used to help you feel calmer before/after surgery, or to help certain narcotic pain relievers (e.g., meperidine) work better. Hydroxyzine belongs to a class of medications called antihistamines. It works by blocking a certain natural substance (histamine) that your body makes during an allergic reaction. Its other effects (e.g., calming, pain relief) may work by affecting other natural substances (e.g., acetylcholine, serotonin) or by acting directly on certain parts of the brain.rose_wilted

Cymbalta 30 mg 3 every morning Antidepressant medications are used to treat a variety of conditions, including depression and other mental/mood disorders. These medications can help prevent suicidal thoughts/attempts and provide other important benefits. However, studies have shown that a small number of people (especially children/teenagers) who take antidepressants for any condition may experience worsening depression, other mental/mood symptoms, or suicidal thoughts/attempts. Therefore, it is very important to talk with the doctor about the risks and benefits of antidepressant medication (especially for children/teenagers), even if treatment is not for a mental/mood condition.Tell the doctor immediately if you notice worsening depression/other psychiatric conditions, unusual behavior changes (including possible suicidal thoughts/attempts), or other mental/mood changes (including new/worsening anxiety, panic attacks, trouble sleeping, irritability, hostile/angry feelings, impulsive actions, severe restlessness, very rapid speech). Be especially watchful for these symptoms when a new antidepressant is started or when the dose is changed.smile_sad

Gabapentin 600 mg 3 tablets every night at bedtime Gabapentin is used with other medications to help control seizures in adults and children (3 years of age and older). It is also used to relieve nerve pain associated with shingles (herpes zoster) infection in adults. OTHER USES: Gabapentin may also be used to treat other nerve pain conditions (e.g., diabetic neuropathy, peripheral neuropathy, trigeminal neuralgia).  How to use Neurontin Oral  Take this medication by mouth, with or without food, as directed by your doctor. The dosage is based on your medical condition and response to therapy. During the first few days, your doctor may gradually increase your dose so your body can adjust to the medication. To minimize side effects, take the very first dose at bedtime. Use this medication regularly in order to get the most benefit from it. This drug works best when the amount of medicine in your body is kept at a constant level. Therefore it is best to take gabapentin at evenly spaced intervals throughout the day and night. Do not take this medication more often or increase your dose without consulting your doctor. Your condition will not improve any faster and the risk of serious side effects may be increased. Do not stop taking this medication without consulting your doctor. Some conditions such as seizures may become worse when the drug is abruptly stopped. Your dose may need to be gradually decreased. Antacids containing aluminum or magnesium may interfere with the absorption of this medication. Therefore it is best to take gabapentin at least 2 hours after taking an antacid. smile_thinking  I use this medication to treat Restless Leg Syndrome.

Lorazepam 1 mg  1 tablet twice daily  This medication is used to treat anxiety. Lorazepam belongs to a class of drugs known as benzodiazepines which act on the brain and nerves (central nervous system) to produce a calming effect. This drug works by enhancing the effects of a certain natural chemical in the body (GABA). OTHER USES: If directed by your doctor, this drug may also be used to reduce the symptoms of alcohol withdrawal, to prevent nausea and vomiting due to chemotherapy, and for sleeping trouble (insomnia). rose_wilted

Ophenadrine 100 mg 1 tablet by mouth as needed for back pain This one I take everynight, it just seems to help  This medication is a combination of orphenadrine, aspirin, and caffeine. It provides temporary relief of pain and discomfort from muscle injuries such as strains, sprains, and spasms. It is usually used along with rest, physical therapy, and other treatments (e.g., nonsteroidal anti-inflammatory medication).  Orphenadrine relaxes tight muscles and relieves pain, cramping, and stiffness so you can move around more and get back to doing your daily activities. Orphenadrine belongs to a class of drugs called muscle relaxants. Aspirin helps decrease pain and swelling. Caffeine may help increase the effects of aspirin on pain.  How to use Orphenadrine Compound Oral  Take this medication by mouth, usually 3-4 times a day or as directed by your doctor. Take with food or milk if stomach upset occurs. Take this medication with a full glass of water (8 ounces or 240 milliliters) unless your doctor directs you otherwise. Do not lie down for at least 30 minutes after taking this drug. The dosage is based on your medical condition and response to therapy. Take this medication exactly as prescribed. Do not increase your dose, take it more often, or take it for longer than prescribed. Your condition will not improve any faster, but the risk of side effects may be increased. smile_sniff

Requip .5 mg 2 tablets at bedtime  This medication is used alone or with other medications to treat Parkinson’s disease. It can improve your ability to move and decrease shakiness (tremor), stiffness, slowed movement, and unsteadiness. It may also decrease the number of episodes of not being able to move (“on-off syndrome”). Ropinirole is also used to treat restless legs syndrome (RLS). It may improve your sleep by decreasing the urge to move your legs and decreasing uncomfortable/unpleasant feelings in the legs. This medication works by helping to restore the balance of a certain natural substance (dopamine) in the brain.  How to use Requip Oral  Read the Patient Information Leaflet provided by your pharmacist before you start taking ropinirole and each time you get a refill. If you have any questions regarding the information, consult your doctor or pharmacist. If you are taking this medication for Parkinson’s disease, take this medication by mouth with or without food, usually 3 times a day as directed by your doctor. Taking this medication with food may reduce nausea. To decrease the risk of side effects (e.g., drowsiness, low blood pressure) when you first start taking ropinirole, your doctor will slowly increase your dosage until the best dose for you is reached. If you are using this medication for RLS, take this medication by mouth, usually once daily with or without food, 1-3 hours before bedtime or as directed by your doctor. Use this medication regularly in order to get the most benefit from it. To help you remember, use it at the same time(s) each day. Take this medication as prescribed. Do not increase your dose or take it more often than directed. If you stop taking this medication for several days, you may need to increase your dose slowly back to your previous dosage. Talk with your doctor about how to restart the medication. Do not stop taking this medication without your doctor’s approval. If you suddenly stop taking this drug, withdrawal reactions may occur. Such reactions can include fever, muscle stiffness and confusion. Report any such reactions to your doctor immediately. When stopping extended, regular treatment with this drug, gradually reducing the dosage as directed will help prevent withdrawal reactions. Consult your doctor or pharmacist for more details. The dosage is based on your medical condition and response to therapy. It may take a few weeks for this medication to take effect. Inform your doctor if your symptoms do not improve or if they worsen.  I use this medication to treat Restless Leg Syndromeheart_broken

Naproxen 500mg 1 tablet twice a day with food  This drug may infrequently cause serious (rarely fatal) bleeding from the stomach or intestines. This side effect can occur without warning at any time during treatment with naproxen. The elderly are at increased risk for serious stomach/intestinal bleeding. Drugs related to naproxen have rarely caused blood clots to form, resulting in serious (possibly fatal) heart attacks and strokes. This medication might also rarely cause similar problems. The risk of these serious side effects may increase if you have heart disease and with longer use of this medication. Talk to your doctor or pharmacist about the benefits and risks of treatment, as well as other possible medication choices. Stop taking naproxen and seek immediate medical attention if you notice any of the following rare but very serious side effects: black stools, persistent stomach/abdominal pain, vomit that looks like coffee grounds, chest pain, shortness of breath, weakness on one side of the body, sudden vision changes, slurred speech. This medication should not be used right before or after heart bypass surgery. smile_sick

Fentanyl Patch 50 mg change patch every 72 hours  This medication is a strong narcotic pain reliever. It should only be used for patients who have been using moderate-to-large amounts of a powerful narcotic medication (e.g., morphine) regularly. Use of this medication by someone who is not regularly taking narcotic pain relievers can cause serious (possibly fatal) breathing problems (e.g., very slow and shallow breathing). This medication should not be used for the relief of acute pain, pain after surgery, or mild pain that lasts only for a short time. Fentanyl patch should be used only for ongoing pain that requires strong narcotic pain medications at all times for an extended period and for pain that cannot be relieved by quick-acting narcotics (for use as needed) or non-narcotic pain relievers. Although it is very unlikely to occur, this medication may result in abnormal drug-seeking behavior ddiction/habit-forming). You may be at higher risk for addiction if you have abused alcohol or drugs in the past or have a history of mental problems. Do not increase your dose, use it more frequently or for a longer time than prescribed. Properly stop the medication when so directed. This will lessen the chances of becoming addicted. Be sure to store your fentanyl safely to prevent others from taking it. Do not cut or damage the patch. Broken, cut, or damaged patches may release large (possibly life-threatening) amounts of medication into your body. This medication is not recommended for children under 2 years of age. Children 2 years of age and older should use this medication only if they have been taking narcotic pain medications regularly. Make sure your physician knows all the medications you are taking especially, drugs that affect liver enzymes that remove this medication from your body such as azole antifungals (e.g., itraconazole, ketoconazole), macrolide antibiotics (e.g., erythromycin, clarithromycin, troleandomycin), certain HIV medications (protease inhibitors such as ritonavir, nelfinavir), and nefazodone. Your physician will want to monitor you more closely or may decrease the dose of your medications. Do not stop or start any medications without talking with your doctor. (See also Drug Interactions Section) Now keep in mind that Fibro is treat by the symptom not as a whole.  This means that each time there is a new symptom there is also a new medicationsmile_embaressed

 

Kindly keep in my mind that I would not be taking these meds unless I truly needed them.

April 8, 2007 Posted by Rachel Miller | Uncategorized | | No Comments Yet

Fibromyalgia 101

 by
Miryam Williamson, author of Fibromyalgia: A Comprehensive Approach(Walker & Co., New York, 1996.) 
Originally published by Self Help and Psychology Magazine Fibromyalgia, a disorder of brain chemicals characterized by chronic muscle pain, stiffness, fatigue, and nonrestorative sleep, is an illness that frustrates physicians as much as patients. It can be associated with many symptoms: irritable bowel, urinary urgency, and headache are among the most common that laboratory tests fail to confirm, often causing doctors to wonder if the patient is not just an attention-seeking hypochondriac. Presenting symptoms can come and go with such rapidity that even the patient herself may wonder if she is imagining things, although her suffering is real enough.  More properly referred to as the fibromyalgia syndrome (FMS), because it is in fact a collection of symptoms without a known cause, it affects an estimated 5 percent of the population, women outnumbering men by about eight to one. The classical diagnostic criteria for FMS are a history of pain in all four quadrants of the body with a duration of more than three months, and exquisite pain when pressure is applied to certain specific places on the body, known as tender points, each at a spot near a muscle’s attachment to bone.  Fibromyalgia is not new, although awareness of it is now growing rapidly. Hippocrates described it. In Victorian times it was known as neurasthenia. More recently it was called fibrositis–a misnomer, because the suffix “itis” suggests inflammation. FMS is not an inflammatory condition, unlike lupus, and polymyalgia rheumatica. Nor is it degenerative, like multiple sclerosis. Yet fibromyalgia’s symptoms often mimic these diseases, leading to erroneous and frightening misdiagnosis. Fibromyalgia is not progressive, it is not life-threatening, but it is as yet incurable. However, with proper care, it can be managed, although about one-third of the people with fibromyalgia are partially or totally disabled. Thus, its economic cost to society as a whole is considerable.  People with fibromyalgia are often depressed, but depression does not cause fibromyalgia. Indeed, if one is in constant pain and unable get a decent night’s sleep, depression may be a rational response. Additionally, blood studies have suggested a deficiency in serotonin among people with fibromyalgia. Since serotonin modulates mood, among its other functions, low levels of this neurohormone might well cause depression.  FMS most commonly appears in adults, but it is also present in children. A study of school children in
Israel found FMS in 8 percent of the sample. Children who have difficulty sleeping and complain of pain should be evaluated by a physician familiar with fibromyalgia. So-called “growing pains” are often a sign of FMS in children. The youngest child reported to have FMS so far was four years old at the time of diagnosis. A small child who is told that pain is normal may grow to adulthood believing that everyone is in pain all of the time. 
Fibromyalgia tends to run in families, although the precise genetic mechanism is not yet known. The taut, ropy muscles of people with fibromyalgia were found in one study to be present in family members who had no chronic pain. It is thought by most fibromyalogists that the syndrome can be triggered by illness or injury, indeed by anything that robs one of sleep, which may account for the preponderance of females in the affected population, since women more often than men have their sleep disturbed by the need to care for infants and small children. Sleep apnea, the sudden, involuntary, and momentary cessation of breathing during deep sleep, is the leading cause of FMS in men. Treating this problem often results in remission of symptoms.  Conventional treatment for fibromyalgia consists of low doses of a tricyclic antidepressant or serotonin reuptake inhibitors, which serve to increase the availability of serotonin; the institution of habits that improve sleep; proper nutrition; and daily aerobic exercise. The need for exercise is a significant issue for most people with fibromyalgia; muscle pain may increase after exercise, and repetitive motions of any sort make most fibromyalgics hurt more.  But most experts agree that exercise is the single most important factor in a fibromyalgic’s well-being. It need not be strenuous: Riding a stationary bicycle and walking are the two most often recommended forms of exercise. People with fibromyalgia may have to start with two or three minutes of exercise and work up from there a minute at a time, but without exercise FMS can indeed seem to be a progressive disorder, as unused muscles stiffen and atrophy, causing more pain and muscle damage.  Copyright ©1997,
Miryam Ehrlich Williamson – ALL RIGHTS RESERVED

June 30, 2006 Posted by Rachel Miller | Uncategorized | | No Comments Yet

The Geography of a Woman

Between the ages of 15 – 18 a woman is like China or Iran.  Developing at a sizzling rate with a lot of potential but as yet still not free or open.

Between the ages of 18 -21 a woman is like Africa or Australia.  She is half discovered, half wild and naturally beautiful with bushland around the fertile deltas.

Between the ages of 21 – 30 a woman is like America or Japan. Completely discovered, very well developed and open to trade especially with countries with cash or cars.

Between the ages of 30 – 35 she is like India or Spain. Very hot, relaxed and convinced of its own beauty.

Between the ages of 35 – 40 a woman is like France or Argentina. She may have been half destroyed during the war but can still be a warm and desirable place to visit.

Between the ages of 40 – 50 she is like Yugoslavia or Iraq. She lost the war and is haunted by past mistakes. Massive reconstruction may now be necessary.

Between the ages of 50 – 60 she is like Russia or Canada. Very wide, quiet and the borders are practically unpatrolled but the frigid climate keeps people away.

Between the ages of 60 – -70 a woman is like England or Mongolia. With a glorious and all conquering past but alas no future. After 70, they become Albania, or Afghanistan.  Everyone knows where it is, but no-one wants to go there.

June 10, 2006 Posted by Rachel Miller | Friends | | 1 Comment

My Baby Graduated from the 8th grade!!

Well my baby girl Graduated from the 8th grade today. Can’t believe that she’ll be a freshman in High School next year!!  She has worked hard to pass and she finally made it!!! She’ll be attending Independence High for the 2006/2007 school year.

She was very worried about the leap exam but she passed it with flying colors.  We wish her the best in her new School!!

We Love You Mandy!!!!!

May 30, 2006 Posted by Rachel Miller | Uncategorized | | No Comments Yet

Janice Faye Martin Williams

Janice Faye Martin Williams  60 years old of Hammond, Louisiana, died Saturday, May 20, 2006 at her residence.

Janice was born Thursday, May 31,, 1945 in Albany, Georgia.  She worked as a restaurant manager at the Iron Skillet at Petro Truck Stop for 20 plus years.

Surving are her son and daughter-in-law Earl and Carol Kliebert Bennett; son Vance Bennett; Brother, Edward Griffin; four grandchildren, Kelsi and Nikole Bennett, Ashton turner, and Kyleigh Bennett.

She was preceded in death by Parents; Nesom Alfred Bennett and Pearl Hubble Martin. Brother Gordon Martin.

Friend’s will be received at The Harry McKneely & Son Funeral Home in Hammond, on Tuesday, May 23, 2006 from 9:00 am until services at 1:00 p.m.

Services will be held in the funeral home Chapel, Tuesday, May 23, 2006 at 1:00 p.m. with Rev. Ken Bowman officiating.

Interment will follow in  Parklawn Memorial Gardens, Hammond, Louisiana.

In lieu of flowers, please make donations to the Richard Murphy Hospice Foundation -16013 Halbert Lane, Baton Rouge, Louisiana or to St, Jude’s 1-800-351-5174.

Email condolences to: hmckneely@i-55.com  subject line should read Williams

May 23, 2006 Posted by Rachel Miller | Friends | | No Comments Yet

Janice faye Martin Williams

Janice Faye Martin Williams  60 years old of Hammond, Louisiana, died Saturday, May 20, 2006 at her residence.

Janice was born Thursday, May 31,, 1945 in Albany, Georgia.  She worked as a restaurant manager at the Iron Skillet at Petro Truck Stop for 20 plus years.

Surving are her son and daughter-in-law Earl and Carol Kliebert Bennett; son Vance Bennett; Brother, Edward Griffin; four grandchildren, Kelsi and Nikole Bennett, Ashton turner, and Kyleigh Bennett.

She was preceded in death by Parents; Nesom Alfred Bennett and Pearl Hubble Martin. Brother Gordon Martin.

Friend's will be received at The Harry McKneely & Son Funeral Home in Hammond, on Tuesday, May 23, 2006 from 9:00 am until services at 1:00 p.m.

Services will be held in the funeral home Chapel, Tuesday, May 23, 2006 at 1:00 p.m. with Rev. Ken Bowman officiating.

Interment will follow in  Parklawn Memorial Gardens, Hammond, Louisiana.

In lieu of flowers, please make donations to the Richard Murphy Hospice Foundation -16013 Halbert Lane, Baton Rouge, Louisiana or to St, Jude's 1-800-351-5174.

Email condolences to: hmckneely@i-55.com  subject line should read Williams

May 23, 2006 Posted by Rachel Miller | Uncategorized | | No Comments Yet

Death of a VERY DEAR FRIEND

Janice died at 8:30 p.m tonite. She is no longer suffering and is in a happier place. Her sons and her daught-in-law seem to be handling it fairly well. However, my mom is not. This has hit her really hard. My 14 , 12 and 4 year old kids are not handling it well either. As for me, I am holding up. I will miss her dearly but I have to be the strong one for my mother and my kids.

Explaining things to my 4 year old was hard. I told him that his Aunt Janice was now resting in the arms of GOD her Lord Savior. This seemed to kind of help him, or at least I hope it did.

If you have lost someone near and dear to you, be it a mother, a father, a brother, a sister, a child, a cosin or even just a very dear friend and need to talk IM me I will listen. I have lost my father, my brother, my grandfather and severl very dear friends. I know that just having someone there to listen helps.

my yahoo id is allurfantasies2000 My yahoo email is allurfantasies2000@yahoo.com

my aol id is allurfantasies20 my aol id is allurfantasies20@aol.com

my MSN id is rachelsoriginalcreations@hotmail.com or rachel_walker_1971@hotmail.com

Plz im me or email me I will be there for you .

May 21, 2006 Posted by Rachel Miller | Friends | | 1 Comment

Hello Everyone!!

My name is Rachel and I love to talk!!   You can get me on YAHOO @ allurfantasies2000, AIM @ labayougirl33, MSN @ rachelsoriginalcreations and Skype @ allurfantasies2.  Hope to hear from you soon!!!

April 9, 2006 Posted by Rachel Miller | Friends | | No Comments Yet