diseases

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Self-Care: What is it and Why Aren’t You Doing It?


Self-care is a very simple concept. As it says, it is all about taking care of yourself. But most Americans, and probably others around the world, are not do much.

To be in good health is that you are doing three things: a mind not cluttered, a body in good health, and a spirit that thrives.

You would think the first thing would be the easiest, but it is not. Many people do not get an annual physical. Young people are especially guilty of this. They think they will live forever and since they feel good then everything must be good. Not true. First, you must look at your family history and see if there is any medical or psychological history of disorder. For example: my father had heart disease which killed him at a young age, 57. At age 49 I nearly had a heart attack too. But did I even consider it before that? No! In fact, after I left the army, I was guilty of not having physicals. I was most fortunate on the day of my “almost” heart attack, I was very close to Massachusetts General Hospital. That ended in surgery, a cardiac catheterizing when a stent was place in the problem area. Since that incident, I have had a physical every year and seen a cardiologist regularly. Two years ago, I needed a second surgery and last year a third. My heart is strong and heathy.

You say you are 20-somthing and what could be wrong? Cancer, heart disease, kidney issues, lung issues, and other problems which show up in simple blood tests. All doctors who are in primary care always want your history and that of your family. It helps them when they consider possible issues.

If there is a history of mental illness in your family, make sure that you are in strong psychological health. Simply put, if you have periods of depression, that is not normal. If you have fears you find impossible to overcome, that is not normal. These too are things to discuss with your primary care physician. Oh, you must get a primary care physician.

Do you find your mind racing? Do you feel weighted down by problems? This is something which needs attention. Sometimes talk it out with a friend will do the trick. But many times, it is time to call in a professional of some kind. It could be a financial professional, a lawyer, or even a psychologist. There are times when we have lived with some feeling that is uncomfortable, we come to believe it is normal. It is not. If you are known to say or thing that you have no friends, it is time to get help.

Finally, there is the spiritual portion of your life. Spiritually is not owned by churches or synagogues, it is a state of being when you are comfortable with yourself, know how to deal with your own problems, know how to reconcile with people in your past where harsh words were exchanged. This calls for a personal inventory. It is simple in concept but difficult in execution. You have to go through your whole life, look at your shortcomings, look where you have wronged somebody, and focus entirely upon what you have done to people or institutions, and not what they have done to you be it real or imagined.

You can be neither too young nor too old to start doing these things. It all comes down to desiring a better life. If you think your life is as good as it is going to be, do the things about and you will probably find that your life could be better.

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Coronavirus and American Hysteria


It is a quiet Saturday morning. My wife got out of the house at 6AM to hit the grocery stores before the crowds did. She reported that paper products, meat, and cleaning products were totally absent. We laugh about it because there is just the two of us and we feel we’ll do just fine, even if one of us gets the virus.

Now for me getting the virus is, according to the CDC and NIH, a reason for great concern. I am 71 and have heart disease. I am in their “high risk” group. But why am I laughing about all this?

To start with, I am in excellent health. A recent stress test of my heart showed it to be in excellent shape. I survived chicken pox, measles and mumps. Remember, the was no vaccine for those diseases in the 1950s when I got them as a child. The only thing we got, twice, was the vaccine for polio.

In the US Army in 1969, I was stationed in Korea, north of Seoul, in what was an active war zone. At one point we were two hours from a large scale war breaking out. Did this immunize me to certain fears? Maybe.

The CDC estimates that about 50,000 people each year die from the flu or flu-like diseases. I would read into that that they get pneumonia. And there we are. Top doctors have told us that people over 60 being in the high risk group is no different than any flu season. The exact same rules apply. I got my flu shot last fall and got the flu anyway. Medicine is an extremely non-exact science. Much of it is best educated guess.

According to the U.S. Census bureau about 40 million Americans are over 60 years of age. And that is out of about 320 million Americans or about 12.5% of the total population. What all this means is the 40 million Americans over 60 plus those under 60 with what is referred to as “underlying health conditions” need truly to be worried.

The CDC has said that the high end projection of those Americans who could get the virus is about 50% of the total population. But that is just a guesstimate. The reality is that they just don’t know. And it is that “don’t know” portion of the equation that, I believe, has so many Americans in a tizzy.

It is projected that the high end mortality rate will be about 2% of those who contract the virus. But that’s about the same rate as with the annual flu. My wife and I discussed how we stand right now if both of us were to contract the virus and we believe we have enough food and other items to see it through. We have not done any special shopping, no extra sanitizers, no stockpile of toilet paper and paper towels, nothing out of the usual.

What Americans are not doing to sitting down and figuring out just how much toilet paper and towels they use on a daily basis. I believe had they done this, the run on such articles would have been much smaller. Where food is concerned, people can easily make soups and other freezable items that would take them through two weeks. My point being that a little prior planning would greatly reduce this panic buying that is presently going on.

It is my belief that this virus will peak sometime about mid-April in the U.S. and that it will not be anything close to what happened in China. Yes, this disease spreads almost unnervingly easily but we all already have the best protection against it, our immune systems.

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Bring Mental Illness Out of the Closet


What is mental illness? “Mental illnesses are health conditions involving changes in thinking, emotion or behavior (or a combination of these). Mental illnesses are associated with distress and/or problems functioning in social, work or family activities.” (https://www.psychiatry.org/patients-families/what-is-mental-illness) This definition is what the American Psychiatric Association declares.

 
But mental illness has yet to gain full acceptance among the general population and, of course, insurance companies. People fear going to see a psychiatrist, psychologist or social worker because to the stigma attached. That is the thinking, but it is incorrect, and I will speak on it a bit later.

 
I suffered from depression for most of my childhood and adult life. Several times I had to be hospitalized because of it. This, of course, allows me insight into the disease. I venture to say that every person on earth has at one time or another suffered from mental illness. Many have not recognized it as such because they fully recovered in reasonable time.

 
When the words “mental illness” are proffered, people tend to go to the extreme and think the suffering person likely is schizophrenic or psychotic. But in truth, most mental illnesses are a much more benign form. Chief among these is depression. I think everyone struggles with a bout of depression at some point in their life, sometimes caused by death of a parent or friend, extraordinary stress in the work environment, or financial problems. These sorts of depression can be easily dealt with by short term therapy. And many times, without the necessity of medication.
But when depression causes a person to stop doing normal things for a long term, months, it is likely that the person will need a heavy dose of psycho-therapy combined with medication. Such depressions present in women after birth, post-partum depression, after the death of a child, after rape, incest, attack on the person’s life and so forth. And as funny as it may sound to hear, these depressions are rather normal reactions to traumas. Be assured, the road to recovery from these situations varies but is quite frequently long-term.

 
Then there are two psychiatric illness which most of the public fails to recognize as such: alcoholism and drug addiction. These diseases, however, are the outward manifestation of more serious illnesses. People frequently use alcohol to get rid of the fear they have when entering either a very stressful situation or a social situation. Alcohol does the job, quite well too. And since it works, the person uses it more and more both for the original reasons and then for other reasons their mind says that alcohol would be useful. This is generally referred to as self-medication. The problem, of course, it that the individual is failing to deal with the root problem. And by not dealing with those problems they, like most other illnesses, only get worse and require more “medication.” The person finally gets to the point when he is using alcohol daily because it makes him feel good, until is doesn’t. The, “until is doesn’t” happens when the person gets fired from a job, loses a spouse, becomes overwhelmingly in debt, and many other situations. It is basically the same for the drug addict.

 
It is important to recognize that these are not bad people who need to get good but are sick people who need to get well. But where? A person is declared in need of a detox but when the advocate, usually the person’s physician, calls around looking for a bed is such a facility they find there are no beds to be had. There, of course, are the detoxes where a person has to pay but most people cannot afford the out of pocket expense.
Alcoholics and addicts need a minimum of 90 days in a detox, but most detoxes push these people out after two weeks. Some, state run facilities, allow for longer stays. At the heart of these problems is the insurance companies which refuse to pay for more than a 2 week stay. The likelihood of a person staying clean and sober after a two-week stay is near zero.

 
There is a common theme here. Every one of the various types of mental illnesses I have brought up, the person involved has a feeling of not being worthy, feeling useless, of having something deep within themselves which feels so horrible that they feel shameful and cannot find it within themselves to share their deep dark secrets. And in the end, it is one of these deep dark secrets, their demons, that turns the person either suicidal or alcohol and/or drug dependent.

 
The bottom line is that we are doing a horrible job in helping these people. We must remove the stigmatism attached to mental illness. We must get all insurance companies to treat mental illness the same way they would treat any other illness. We must insure that there are sufficient facilities to deal with those who sick and suffering.