Showing posts with label health. Show all posts
Showing posts with label health. Show all posts

Tuesday, September 27, 2011

The Crone

      To start this post off, I would like to refer you all to a blog that is listed at the bottom of my posts. This particular writing expresses perfectly one of the stages of womanhood that I am going to describe today in this post -- the stage of motherhood.  Read this post and then read on in mine. http://writingloud.blogspot.com/2011/09/how-to-jump-in-deep-end.html

     The Stages of Womanhood.
This is the symbol of the Roman goddess Venus and is often used to represent the female gender.


     Years ago I read about these stages of womanhood. I am now recalling them and would like to list them for you. I may have modified what I have read and included some of the information that I learned as a physician about child and adolescent behavioral stages. But I think these stages are illustrative for all of us human females. And particularly I would like to dwell on the final stage, The Crone.

     Stage One:  Childhood. This stage can be subdivided into all of the stages of child development. These might include infancy, toddler hood, school days, the so called Latency period, and pre-adolescent years. Certainly all of these stages differ for girls and boys and so they should. A girl who is raised like a girl will have different interests than a boy who is raised like a rough and tumble boy. And yet, I feel that both genders should be allowed to develop their own interests which will affect the adult that they become. Psychologists have written that various influences in the home determine the achievements that the child, young adult and eventually mature adult reach in their lives. It is said from psychological studies that the first born girl child who has no brothers will be guided by her father. The father feels no threat from this oldest girl as he might feel from an oldest son. Therefore he non judgementally invests strong encouragement in this girl to become what she wants to become, perhaps as a career woman for example. I feel strongly that my father did invest such encouragement in me subliminally and was therefore responsible in many ways for my being a tom girl, interested not in dolls but in trucks as toys, in science and later in going to medical school.

     Stage Two: Maidenhood. This is the time in a woman's life when she becomes interested in boys. Whether she can attract a boyfriend and keep him becomes very very important to her. During this time she is learning much about her self, her sexuality and the opposite sex and his desires and dreams. She invests much time and energy into looking nice, being cool, and developing social friendships with other girls and also with boys. Yet during this time, the virgin girl wrestles with what society and her peers allow her to do sexually. She has pressures from her parents and their culture as well as from the boy in whom she is interested. This stage is pictured romantically in books and movies and TV shows. It is often idealized. And yet it is a time of difficult choices for the young female. I personally did not reach this stage until college. All through high school, through no choice of my own at the time, I did not date. This lack of dating, I think, allowed me to pursue my studies and to excel. It allowed me time to have dreams that most girls my age did not have. I dreamt of college and later of being a doctor. But during the college years, I did date and reached one episode where I felt I needed to choose between a young man and going to medical school. I think fortunately the decision was taken out of my hands. The young man who was failing college at the time chose and disappeared from my life. Had he stuck around, I really don't know which way I would have gone. I am certainly not sorry how things turned out, but at the time, it was difficult.

     Stage Three: The Married Woman. This stage can be long or short. I define it as the time between when a woman commits to a partner (significant other or spouse) and when children of the union are born. It is a time when a woman learns about this commitment and what it means and about her spouse and his dreams. The couple adapts to each other and makes decisions that determine how both treat their work, the finances of the union, and even the chores that managing a home require. Ideally, this time will be enough to work through these decisions so that there is a framework for the family in the future. But some marriages or unions do not have much time for this stage because children arrive. Without the luxury of working out some of these issues, they may need to be worked out later in the face of also raising children.

     Stage Four: Motherhood. I think if you read the blog post that I cited above, you will have a feeling of the strength of this stage of womanly development. Motherhood is one of the strongest stages in a woman's life. Whether she works outside the home or not, she is devoted to her children. She almost can not help but have that devotion. It is in her genes and in her protoplasm as a woman. I think that having nurtured the child in her womb, having born that child through childbirth which every woman never forgets,  and then having played a major role in raising that child and participating and guiding its development results in a love that is incomparable to any other form of love. Therefore this stage of womanhood is a major stage. Yet, there are issues as all of us mothers know. Sometimes we feel resentful about this 24/7 job that we have undertaken. It is not an easy task and none of us ever are fully prepared for it. It helps if we had a mother and a father who succeeded in raising us, but still it is difficult. Yet I would not have skipped it for the world. It is a wonderful stage of life. However, it is a stage of life that fades. Our adult children stay in contact and we love them and worry about them and their children, our grandchildren. But once they have left the nest, we are not as involved. This stage fades -- it doesn't end exactly, but it fades.

     Stage Five: Menopause. I put this stage in because it is a time in a woman's life which demands its own consideration. There are definitely physical symptoms that need to be dealt with. Every one of us mature women knows the suffering that goes with hot flashes and sometimes the mood swings of the lack of hormones. We can mitigate these symptoms now with hormone replacement but real concerns about increased risk of breast cancer have led these hormone replacements to only be safe for a very short time. Therefore, there will be some degree of symptomatic menopause for most women. Also at this time various other changes occur in a woman's life. Her children are growing up and leaving the home. She may have been a stay at home Mom and now what will she do to fill her time and to feel productive. She may have to take on a new career or a volunteer life that will replace her sense of fullness and productivity. She also has reached a point of life when no more small children will be possible. In recent times, women have been delaying their families so she may still be raising small children at the menopausal stage of life. This tendency combines the stresses of motherhood with the bodily stresses of the menopause which again can create difficult issues. Still most women are able to move through this time of hormonal change and reach a point of well being.

     Stage Six:  The Crone. Now comes a discussion of my favorite time of life. First we need to deal with the term Crone. Unfortunately, the origin of our English word, crone, is in Old North French and it means frightening, cantankerous, ugly old woman. But the Latin origin is related to the base carn or of the flesh.  In America and in Europe, this term has always had a negative connotation. When we think of a crone, we think of  the negative image of a witch, a term that also has an unearned negative connotation. For both terms, we picture the Halloween witch, or the Wizard of Oz Bad Witch of the West -- a long nose, pinched face, black costume and yes maybe even a pointed hat. And we certainly include the short tempered behavior and even wickedness in this view of the crone. However, other cultures such as the Native American culture, and the far Eastern and Indian cultures have goddesses and elder female archetypes that have positive attributes. In their cultures, the crone archetype represents the wisdom of the elder woman.  Our good friends the  neopagan Wiccans have developed a softer and more moderate view of the crone. In fact the Wiccans are primarily responsible for using this term to name this stage of a woman's life. We need to adopt this positive image for this stage of life because it is truly a wonderful stage of life for us. This more positive view has resulted in a hand full of magazines with the name Crone in their title. The purpose of this more positive image is to allow our elder women who now have many more years of life to live after menopause to serve as wise elders to guide our young women through the stages that we have viewed above.  
      This stage might be my favorite because it is the time that I am in. It is a time when the menopausal symptoms are gone.. Our bodies have adjusted to this lack of estrogen and the menopausal symptoms are gone. We have finished raising our children and hopefully they are successful young adults with children of their own. They might need us as grandparents or they might ask our advice, or for our babysitting services at times, but we are much out of their daily life pictures. We may still be working or we may be retired which is even better. But we definitely have more time for ourselves. Maybe we have become travelers seeing the world for the first time without commitments back home. For the first time we have time to devote to interests and hobbies long neglected. For the first time in our lives we can do what WE want to do. WE can further our own education just for the fun of it. We can take up new interests and hobbies that broaden us and at this stage in life make us more interesting and fulfilled women. We can choose to give back to society but we can also choose to take what society has to give us. There are multiple programs for seniors that are available from multiple sources -- from NGOs, from government agencies, from religious organizations, from college campuses, from medical schools, from all levels of school systems.  Also we now have a strong need for exercise to keep our bodies active and our joints healthy. We may not have had time for sports and exercise programs during our motherhood stages, but now we have time and we must make time in order to stay healthy.
     Therefore, the positive stage of womanhood, the Crone, can do anything for herself. She has passed and succeeded in all the previous stages and now she can relax, love, and enjoy. I think it is one of the best stages of life. What do you think?



Sunday, August 1, 2010

Laughter, good for your health!

     There have not been a lot of studies but there are some that suggest that laughter might have some health benefits. The problem is that studies on this subject are difficult to do to provide complete reliability. Even if laughing people enjoy better health or feel better or more happy, deal better with disease, etc, it is difficult to tell whether it is the laughter that has this benefit or whether these are just people who deal more cheerfully with life's challenges, or have a more positive attitude. Also since laughter usually occurs while with other people, it is difficult to attribute benefit only to the laughter, when it might be the presence of a strong support group that really provides the better health.
     However there are some baseline studies that seem to indicate benefit.
     Studies have shown that we raise pulse slightly and blood pressure and stretch muscles, and breath faster with laughter, sending more oxygen to our tissues. Laughter is like a short and mild workout but granted it would take a lot of laughter to approach the workout we get when we exercise aerobicly.
     Another study has shown that blood vessels contract and expand normally when the person is laughing while watching tense drama restrict blood flow. Some studies suggest that the ability to use humor might raise infection fighting antibodies in the body and increase immune cells that produce antibodies. Another study showed that a group of 19 people who watched a tedious lecture after eating had higher blood sugars than when the same group watched a comedy after eating the same meal.
     Sounds like there could be some benefit, and we all know that we feel better when or after laughing.

Bacon in the Makin


     I included the photo of "Makin' the Bacon" above to provide a sample of my father's sense of humor.  When Mom and we two daughters were getting Mom ready to move to town and cull some of both she and my father's collections from a lifetime, we found a number of funny items in Dad's office. This tiny room was built onto the barns where he weighed the hogs that he purchased for Patrick Cudahy Packing Plant in Cudahy, WI. He usually needed to do some paperwork there to ensure that the farmer got his proper payment for the hog shipment. I know that often Dad and the farmer would sit in the office and "chew the fat" a little bit. I am sure that these farmers provided Dad with some of the humor that we found tucked away in the drawer of the old roll top desk that sat against one wall in this room. I think that desk is where we found the ceramic pictured above, called "Bacon in the Makin". I suspect also someone gave Dad this ceramic of pigs as a gift to the hog buyer.

     Dad always had a strong sense of humor. He was a practical joker. When he was a teenager in high school in 1934, and he got his first wheels, being already a handyman and mechanic, he wired the car as a practical joke so that anyone who touched it got a mild electric jolt. He loved his birthday on July 4 and setting off fireworks to celebrate. Every Fourth of July morning we girls awoke to the sound of his homemade cannon going off. He had taken a thick walled pipe with a small bore, about 10 inches long and drilled a place for a fuse at the bottom. He packed this full of gun powder, rocks and cottons. He had welded a spike to the bottom and he pounded this into the ground out in the middle of our truck yard. Then he lit the fuse and ran and a few seconds later his cannon woke us up. Once he set the cannon off at his friend's farm, but failed to notice that there was an electric wire above his site. He shut down the electricity at that farm for a day before repairmen could get out there. I am not sure how this loss of power was explained.

     In spite of all this, Dad, being the Deacon of the Congregational Church and Sunday School Superintendant, we ladies of the family seldom heard a curse word from him. In fact I am told that he once almost fired a hired man because that man had cursed in front of me as a young girl. You never heard any risque or off color jokes emerge from Dad's mouth in mixed company or among family. Still I think he enjoyed those types of humor in private or amongst the men who came to the office. The following slightly off color or scatological humor items were found typed up and stored away amongst many of the papers, old cards, letters and accounting papers in boxes stored away by Dad and Mom and found years later when discarding things and going through things to make sure there were no treasures hidden away. A few days ago I read these papers to 93 year old Mom and she laughed out loud as we all would at these items and then just shook her head and said, "That's awful."

     Here are some examples of humor we found in that old office desk. I can only presume that various farmers brought these typed out jokes into that office and they all had a good gaffaw over them.

     When tourists drive through Columbus on their way to Kansas City, and stop at the local gas station, the following conversations are typical.
     Cadillac drives up. Driver says, "How far is it to Kansas City?"
     Answer: One hundred and forty miles.
     "Give me twenty gallons of gas and gallon of oil."

     Buick drives up, driver says, "How far is it to Kansas City?"
     One hundred and forty miles.
     "Give me ten gallon of gas and 1/2 gallon of oil."

     Ford drives up, driver says, "How far is it to Kansas City?"
     One hundred and forty miles.
     "Give me two quarts of water and a can of three-in-one oil, and hold this son-of-a-gun 'til I get in."


The following scatological writing would have definitely prompted a pig farmer to bring this in to the office for MJB, the pig buyer, to read and laugh. 

     If a pig drinks a quart of buttermilk before he starts
     And runs a mile before he farts
     And the faster he runs the farther he gets
     How far can he run before he Shits?

     Now in order for me to win this bet,
     I must take you to where the fart was let.
     The farmer by the road saw the pig pass,
     With the buttermilk squirting out of his ass,
     Now the farmer was a mile from where the pig started,
     And the pig passed the farmer just as he farted.
     It was so funny that the farmer had to laugh
     While the pig ran nearly a mile and a half,
     If the pig is lucky and can hold his gas
     And run a mile with a puckered ass
     It seems to me if he holds his wits,
     He can run five miles before he shits.

Read this one out loud to get the full affect.

                             MIXED UP
     The Hotel Aster hired a new bus driver and instructed him to meet all of the incoming trains at the Pennsylvania Station and announce in a loud voice, "Free bus to the Hotel Aster"
     Enroute to the station the new driver kept repeating to himself to practice, "Free bus to the Hotel Aster"
     Upon arrival of the first train, he became a bit confused and suddently started yelling------
     "Free ass at the Hotel Buster  -- I mean bust your ass at the Hotel Freezer --- I mean Freeze your ass at the Hotel Bastard, Free Hotel Ass Buster --- I mean kiss my ass you Bastards and take the street car!!!

My favorite is still Arkansas Mother to Arkansas Son, which should also be read out loud. I have already posted it on 4/5/2010. Find it and read it out loud  in order to laugh out loud.    

Back to seriousness about laughter: How can we help ourselves to see the lighter side of life and enjoy some of the likely health benefits of laughter? Well number 1) Laugh at yourself. Be willing to share some of your embarassing moments. We can take ourselves less seriously by letting times we took ourselves too seriously be the source of others laughter a well as our own. Even look at the humor in bad situations and the irony in daily life. 2) Surround yourself with reminders to lighten up. Keep a toy on your desk or in your car, or collect them like I do. Put up a funny poster in your office. Choose a computer screensaver that makes you laugh. Frame pictures of you and your family and friends laughing and having fun.   3) Keep life in perspective. Let's face it -- many things in our life are out of our control especially the behavior of other people. Don't let what others do bring you down. 4) Pay attention to children and emulate them. They are the experts at playing, taking life lightly and laughing. Have you recently heard the giggling of a year old child? If not seek it out and I guarantee laughter will occur.

Sunday, May 30, 2010

"When It Rains, It Pours"

For me the title applies to my current medical condition.
I have been battling with achy muscle, sometimes very significant, interfering with sleep and certainly with quality of life. I had thought it was due to my cholesterol medication because the strength of that medication had been changed recently. I had spent some time stopping and starting that medication to see if it made any difference with my symptoms and it did seem to me to help. My blood tests that might show the muscle damage that can occur with cholesterol medication were normal. Since I have recently been treated and cured from giant cell arteritis, a blood vessel inflammatory condition tht requires high dose prednisone to supress, I have a risk of a complication of that disease called polymyalgia rheumatica. This is a small vessel inflammation that involves the muscles of the proximal extremities that cause achiness and fatigue. But we had thought of this and the blood test that would help confirm this had remained normal. All through our trip to Eastern Europe I was very achy, and had difficulty sometimes getting around the castles and ruins that we explored on this trip. It made this trip very difficult for me and fraught with suffering. We arrived back in town on May 27 and I went through with my preop testing and exam as planned. My internist suggested I contact my rheumatologist about these aches. Id did and even over the phone he agreed that I did have polymyalgia rheumatica -- the complication I referred to above. He told me it occurs 60% of the time when patients are coming off prednisone for treatment of giant cell arteritis. He suggested I go back on prednisone but in low dose. In two days of 10 mgm per day my symptoms are about 70 % better, though not gone. So again my blood sugars are out of control due to even the low dose prednisone. I am told none of this should have any negative affect on my melanoma surgery planned for June 2 so that will proceed next week on June 2.

Even though I myself was (am) a physician, I never liked going to see a physician as a patient myself. I always went when I had to, but strangely enough I got nervous, my blood pressure would go up (so called white coat hypertension), and I experienced some dread about the visit ahead of time. As I have gotten older, I have had to go to the doctor more frequently to check my diabetes, my cholesterol, my blood pressure and then of course the giant cell arteritis, so I have become some desensitized to these visits and my blood pressure no longer goes up. But lately I am getting an idea that life is being unfair to me. There should be a rule that says any individual patient only needs to be struck with one life threatening illness at a time. Alas, there is no such rule. So I just plod along and do what I have to do to treat each individual condition but it ain't easy. As a physician, sometimes I have felt great compassion toward patients who are going through cancer treatment just because of all the tests, and treatments, repeat status checks etc -- constant visits and procedures. I wondered how these people keep going through all these machinations of their bodies. When an obituary says: "After a battle with cancer, so and so died of the disease..." I truly realized that indeed that person was in a battle, maybe more of a war with repeated battles won and lost against the cancer. I can see under some circumstances where the patient would just get tired of this battle and decide not to proceed with the next recommended treatment or testing procedure. Of course, I am not at that point; I will do what needs to be done. But the classical question: "Why Me?" and this feeling of unfairness, and "Enough is enough." are upper most in my mind right now. Again stay tuned.

Wednesday, May 26, 2010

Our Travels + Melanoma

After the last post, anyone accessing this site might be wondering what is going on. Well, we decided with the support of my surgeon, and my oncologist partner, my son the surgeon, and another surgeon partner of mine, that we would go ahead with the planned trip. Everyone agreed that it would not make any difference to postpone the definitive surgical removal and the sentinel node biopsy for 4 weeks so we could take this trip. I have spent some time off and on checking the lesion that still remains on my right upper arm. It will be nice to get it off though the trip of course has kept me occupied to block most of these thoughts.


Here's our trip itinerary. You may read here and there in my future postings about some of these sites: Prague, Czech Republic in off and on rain showers; Budapest in a gorgeous sunny day with this time a visit to the interior of the Great Synogogue, the second largest in Europe; a cruise with Avalon down the Danube from Budapest to the Black Seas past the Iron Gates of the Danube, and a high light visit to Veliko Tornovo, a lovely medieval town in Serbia; then Bucharest, Romania; a tour of northern Romania including the Bran Castle of Vlad the Impaler fame, the stimulus for Dracula; finally a tour through Moldova to seek out the villages of Amos parents' birth and other important sites for the family history. We have been traveling since May 3 and return home tomorrow.

We are staying tonight at an interesting litte hotel at Schiphol Airport in Amsterdam, Netherlands. We didn't want to pay the $300 a night to stay at the Airport Sheraton. At this point in our trip as we are travel weary and wending our way home, we didn't want to go into Amsterdam. We have seen it quite well on past trips. This little hotel is called CitizenM; the M stands for Mobile. It is certainly meant to house the mobile citizen. The rooms are almost like a small river cruiser stateroom. A king sized bed stretches from wall to wall and up to the window which overlooks the tarmack of Schiphol with its KLM planes coming and going, yet you do not hear the planes. The shower is open in the room as is the toilet with circular clouded glass enclosures that can be closed for some degree of privacy. The luggage is intended to be put in a drawer under the bed but ours was too big and too heavy to do that, so we stacked them by the door making it a little difficult to get in and out of the room. There is a remote control to alter the lighting, the background music, the temperature, and what is played on the large TV on the wall to the left over the bed. You can watch movies, TV, or play games, or you can just watch all the instructions and demo videos for the various assets of the room. The decor downstairs is very avant garde. There is a large internet cafe, and two small libraries, as well as a canteen where you can purchase any item 24 hours a day and heat it up or eat it cold. We also spent sometime exploring Schiphol while staying at this hotel. We have been through Schiphol numerous times but were always just following signs to get to another aisle of gates, or to get to the exit to get into the city. This time we explored the shopping mall and we ate a lunch at a very large Burger King. We even went up to the viewing terrace where children were going crazy at the sight of all the airplanes landing and taking off.  I recalled what my two boys would have thought when they were small. They would have been excitedly screaming as well. I think I will head back up to the room and try out some of that technology.

One day and I am home. Will fast on the airplane the last meal so I can immediately go and get my fasting blood drawn for preop labs. Also will get my chest xray and EKG done in preparation for surgery on this melanoma in 6 days. Ah, it is all coming back to me now. Back to reality. So that is what happened. I committed to living my life as planned and going on this trip as long as it was not foolish to do this. Now I must start to practice my meditation and my mindfulness training to get through the next couple weeks of procedures and of waiting for the results of the sentinel node biopsy. Stay tuned!