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Bicycle lights, bicycle lights Riding with friends from the neighborhood after dark With the crisp spring air and the sounds of the night Getting that last lap in before bedtime My boys have those lights on their scooters and bikes And I wish they were around in my day But I recognize that feeling they give anyway It's a feeling we have all felt A Swagger; a JuJu A pep in our step and a smile from the rearview Remember being a kid? No worries, no stress No finances or relationships that need to be addressed I wish we, as adults, spent more time having fun and left more cleaning to wait more dishes undone If we all had bicycle lights and the feeling they give us We would dance more in the kitchen We would not be so serious We would tell those around us that we love them and that we need them We would sing and act silly Do you remember that freedom? Bicycle lights, bicycle lights Can I borrow you for a while? I need an hour of smiles and giggles I need the energy of a child I want the confidence of youth I ache for the ease of those years The innocence, the imagination Before all these doubts, hurts, and fears Let's go play in the neighborhood Until the street lights come on Let's soar on our bikes down a hill And remember where we came from
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A nurse's heart is broken and whole at the same time She mends, she soothes, she uplifts, and she primes She is a buffer, a translator, a fetcher, and a bridge Has anyone ever asked about her deepest wish? A nurse's mind is sharp and fast She intakes and outputs while completing her tasks She stores all the info and processes all the scene Has anyone ever asked about her hopes or dreams? A nurse's shoulders are steadfast and strong She carries your weight, she hums to your song She catches the emotions of all in her path From the doctors, to the families, to the new undergrad A nurse's feet are swift and on demand She will get it, she will do it, she will continue to stand They may ache, they may swell, they may beg for relief But she knows how many benefit from the work of her feat A nurse's back is used all day long By the weak, by the broken, by the scared and alone She can do it, she will help you, she will lift all she can Have you ever thought to ask her if she needed a friend? A nurse's hands are skilled and attuned They can hold you and heal you and clean up your wounds They don't waiver, they don't hesitate, they are always there She swells when she realizes all who have gained from their care A nurse's heart is broken and whole at the same time If you love a nurse, or you are a nurse, know that we are our own kind. We take love and transport it from our insides to yours. We take healing. We take knowledge. And we deliver unforced. Please share this with the nurses in your life. I see her. I am her. Our work matters. Godspeed. follow my nursing content on TikTok
These are just a few of my favorites lately- I hope you enjoy!
For more of what I love, follow me on Instagram! I post to my stories daily. If you have a pet of any kind, you know the joy that pets bring into our lives. While they do come with a certain level of commitment and work, they offer benefits that far outweigh what they require of us. Now that I am six years into my primary chronic illness, sarcoidosis, I feel like I can discuss pet therapy with conviction. Prior to becoming "sick," I always had a pet - from childhood on. It wasn't really until I became ill, however, that I realized what my dogs had done for my mental health. My physical health has also improved thanks to being a pet-owner. Here are 10 ways owning a pet can help you with your chronic illness:
Charlie the Dachshund is always there for me. He will wait on me wherever I go and follow me no matter what. He needs my help to get his food, water, and to let him outside. It feels good to be needed by someone or something that doesn't really expect much in return, ESPECIALLY with a chronic illness. I can be sick, tired, or both in front of him and not feel self-conscious. I can tell him all my thoughts and fears, and he won't judge me. I can even moan out loud in pain or cry at my medical misfortune and he doesn't flinch. Instead, he meets me with loving kindness and is a steady force of calm in my daily life. One of the most common questions I am asked during a wellness visit (routine physical) is "when should I get a colonoscopy?" . I was not asked this question as often 10 years ago or even 5 years ago, but there has finally been an increased awareness among the general population with colorectal cancer. As a former med/surg nurse, I took care of countless patients after their colonoscopy or even their colon resection for colon cancer. I helped care for their fresh colostomy site and stumbled to find the "right" words to give them comfort. I have one patient etched in my heart who lost his battle to CRC (colorectal cancer) at age 27. I was only 23 or 24 myself at that time. His young wife and 2 year old son stayed with him as much as they could. He had a suprapubic catheter (one that came out of his abdomen directly from his bladder to drain his urine) because the cancer had eaten through his entire pelvic cavity. I cried on my way home every time I took care of him. But I wanted to take care of him. I wanted him to see someone close to his age. Someone that didn't pity him like a child "poor dear" and all the other patronizing words I heard some of our senior nurses mumble. He and I would talk about TV shows and popular songs, whatever we could that would help him feel a little more "normal." This post isn't about him, it's about all of my patients. That said, I couldn't write this post without mentioning him because his life mattered and my time with him touched me forever. I could not write this post without telling you about another dear friend who lost his 6-year battle with CRC in 2020 at the age of 44. Out of love for his family, I will leave his story at that but HE MATTERED and MATTERS and cancer statistics are NOT just numbers my friends! They are mothers, fathers, sisters, brothers, sons, daughters, friends, employees, bosses, lovers, neighbors, coworkers, and beyond. The next time you see a cancer statistic on the news, I hope you pause and remember reading this post. So the question remains: When should I get a colonoscopy? In the words of my beloved GI colleague, "45 is the new 50!". The earlier CRC is found, the better the 5-year survival rate. We can easily remove a 5mm or smaller polyp in the colon and prevent it from ever becoming a malignant tumor. Yes there are some other screening tests on the market that have their place and time, BUT nothing beats a visual inspection by a well-trained eye looking for colon cancer. Direct visualization - there is nothing better!
The prep is not always "a gallon of nasty stuff" anymore either. There are a variety of prep techniques, so please don't let a colonoscopy prep prevent you from possibly saving your own life. You are NOT awake during the procedure. I have had one and I can tell you with certainty that I do not remember any of it AND I had zero soreness after the procedure. It was honestly a much-needed fantastic nap and a day off work. I urge you to see your PCP for a colonoscopy referral from a GI specialist if you are 45 years old or older and have never had one. If you have certain risk factors or family history, you should have a colonoscopy before age 45. Your PCP should be able to guide you. Any bright red rectal bleeding or alternating constipation and diarrhea needs to be worked up by your medical team. Please do not hesitate to seek care for those issues! I hope this answers your questions about colonoscopy screening. If polyps are found on your colonoscopy, your GI provider may want to repeat your scope in 2 years, 3 years, or 5 years depending on they type of polyp (per pathology diagnosis). If your colonoscopy is clear and there is no family history of CRC (or other extenuating risk factors), you will probably receive a 10-year pass. Most insurance companies pay very well for colonoscopy screening, BUT most insurances have a certain deductible each year that enrollees must meet, so do not be surprised when the procedure is not 100% free like your mammogram or pap smear was. Do not let cost stop you, though! It is well worth your insurance deductible. You can always call ahead to find out what your out-of-pocket expense will be, and most healthcare facilities offer payment arrangements. Please comment below if you have any other specific questions. I distinctly remember a conversation I had with an acquaintance when I was a brand new NP in my late 20s. I did not have children yet, but I had made some poor money decisions (traveling and shopping outside of my means mostly). The woman chatting with me (who was 10-15 years my senior) said "Oooooooh, I can only imagine how much money you make. You're a nurse practitioner!" She added "If I were you, I would go get a Starbucks every day! I would pay someone to clean my house! I would buy whatever I wanted." What she didn't know:
What I didn't know:
So - what does any of that have to do with me taking my lunch to work every day as an adult? The truth is, everything. Every. Single. Thing. My plans for this post were to include healthy lunch tips. I was going to post pictures of a variety of healthy lunches I have made and taken (those don't happen during baseball season). I was going to calculate the money I have saved over the past 12-15 years I have been brown-bagging my lunch. But here's the truth. This is why I take my lunch every day. Are you ready?
And I guess me laying all that out to you, friends, is the point. I like the truth. I like the real WHY. I see through the frivolities in life and I shudder at the brand-chasing and label-seeking that drives so many. There is no dollar amount one could pay me to give up my kindergarten-style lunches. It's what I need at this moment right now, and it keeps me sane. Time is my Starbucks - freedom is my housekeeper. To write, to think, to create, to build something from nothing. That's what I chase. Until then, there's homework and practice and rehearsal and charts. Laundry and dishes and puberty and a tired Mom pouring her heart out on the internet. Find your "lunch" --- figure out what keeps you off the edge and what you really want to chase. Godspeed. ❤️ In my 24 years of nursing / NP work, I have seen countless cardiac events either in action or the ramifications of such events. On a personal note, three of my four grandparents had strokes. I lost my paternal grandfather when I was only 4 and he was 55 due to a massive stroke. My paternal grandmother had stents in cardiac and non-cardiac arteries as well as "open heart surgery" CABG (coronary artery bypass graft). I have been affected by heart disease on a personal and a professional level, and I want to help patients understand the true risk of death and debility associated with cardiac events. Here are the top 10 reasons I refer patients to the cardiologist:
Let's talk a little more about each of these 10 conditions and how a patient may actually present to my office with these symptoms.
I have had patients in their thirties suffer from strokes and heart attacks. I have seen heart failure, cardiac arrhythmias, and high blood pressure in patients from childhood, young adulthood, and beyond. I doubt there is anyone in America who does not personally know someone who has been affected by heart disease. In honor of America's Go Red for Women Month (every February), I encourage you to schedule your wellness exam with your primary care provider and to start paying more attention to your heart rate, blood pressure, water intake, weight changes, and dietary choices. Your heart matters to me! Godspeed. When was the last time I felt challenged? I wake up, sip my coffee, trudge through my morning routine. Mouthful of medicine for my chronic illness. I write, I pray, I listen (to a book, podcast, or music). I chew my breakfast while I drive to my same place of employment for 14 years. I continue to listen (to the book, podcast, or music) OR I stare off into space while I drive. I get out of my car, unlock my office door, log into my work computers, and it begins. I get back in my car, return a million missed texts, phone calls, and emails as safely as I can using Apple Car Play / Siri Safe Drive. I pull into the garage and count down the hours until bedtime. I chew my supper while I try to remember my name. I chat with my family and aging parents about mostly-trivial but sometimes-important details. Another mouthful of medicine for my chronic illness. I look at my beautiful children in awe, and I wonder what kind of men they will be. I sit with my husband for an hour (if we are lucky) before he leaves for his night shift job. Bedtime routine for kiddos, occasionally a TV show that makes me think, and then I'm staring at my palm-sized demon looking for answers it does not contain. Is this it? Is this the peak or the valley? The joy or the pain? The calm or the storm? I don't know anymore. It all feels the same. Yes, yes a global pandemic has stripped me of some of my best days. It has calcified my heart and further thickened my skin. My eyes grow both weak and clouded. My soul is but an echo of its youthful GLOW. My mind, once invigorated and eager... my mind sits solemnly in the corner silently daring someone or something to call upon it. Goodnight, my once-lively darling. I have tucked you in every night for almost 2 years now. Your light is weak now, sweet darling. I see a glimmer. A flicker of promise. Can life wake you and shake you before your final flame burns? That is the challenge. No one else will save us or light our fire. We must find the spark, the ignition, the catalyst. Find a mirror, sweet darling - and DIG. DIG DEEP my darling. She is in there. Let us LIGHT HER ON FIRE again. That is the challenge. I wrote this for any person anywhere who feels like they are sleep-walking through life. You are not alone. We are all struggling. I stand with you. Let us find our fire again. Please help support my fellow hope*writers by visiting their work: Writing Consistently is a Challenge by Regina Marcazzo-Skarka https://reginamarcazzoskarka.wordpress.com/2022/02/15/writing-consistently-is-a-challenge/ The Motherhood Penalty Challenge by Ashley Olivine https://www.ashleyolivine.com/the-motherhood-penalty-challenge/ Insomnia With Anxiety and How to Overcome the Challenge by Epigen Wellness Group https://www.epigenwellness.com/insomnia-with-anxiety-how-to-overcome-challenge/ Challenging Times and 3 Ways to Endure the Struggle by Lindsey Gibson https://lindseygibson.com/2021/02/21/challenging-times-3-ways-to-endure-the-struggle/ Jar Full of Manna 31 Day Discipleship Challenge by Kelly Heath https://jarfullofmanna.blog/2021/03/01/31-day-discipleship-challenge-how-to-follow-jesus/ It can start any day, any time, anywhere. It can begin without warning. The overwhelm. It's like a net that covers me and I struggle to break free. Whenever I feel my heart start to race and my mind going in a million different directions, I know it’s time to do a brain dump. This often happens when I’m driving or in the shower or - even less convenient- when I put my head on the pillow at night. It is very tempting to let those thoughts go, but I have learned to capture them when I can. If I am in bed and the lights are off, I will grab my phone and voice text whatever is in my mind into the notes section of my phone. If there is a reminder I need to set, then I do that in the reminder app that comes standard on an iPhone. For those of you who are not tech savvy but you have an iPhone, you can use Siri to set a reminder or to create an event in your calendar. If lights are still on, I often jot it down on the notepad I keep next to my bed. I have the kind of brain that remembers better if my hand physically writes it down. This is why I still use a paper planner in 2022. If I am driving, I use Apple CarPlay and Siri to do what I mentioned above. I talk into the notes section of my phone or set reminders or create events... all hands-free with my steering wheel and my iPhone. I do not hate technology at all in this capacity. If I am in the shower, I could still use Siri, but she usually doesn’t understand me over the shower. In that situation, I just write down as much as I can remember as soon as I step out of the shower. Yes, I keep a notepad and pens in my top bathroom drawer. I am THAT person. Speaking of the shower, I try not to think of things. I try to use the shower for mindfulness. Mindfulness sounds fancy and woo-woo, but it’s really just being aware of your body in the moment. One example is thinking “I feel the hot water touch the back of my head. It is running down my back and onto the shower floor. I see the water pooling at my feet. I hear the water as it hits the tile. I taste the toothpaste minty and clean in my mouth. I smell the shampoo I am rubbing into my hair. I am thankful to be alive. Today is a blessing.” If I am practicing mindfulness, it is hard for my thoughts to race elsewhere. photo credit: www.atrapamente.com Another way I center myself is the butterfly tapping technique (linked below), deep breathing exercises (inhale through nose 4 seconds, hold 4 seconds, exhale through mouth 5 seconds). I have used both of these with my entire family when my kids have been off the rails and I needed to get us back on track mentally and emotionally. It takes practice, but it works! Once the kids realized they HAD to do it, they actually got into it. Now, let’s talk about how to actually do a brain dump effectively. I just did one since I was feeling overwhelmed with a busy week ahead, so feel free to reference the picture below. The most effective way I have brain dumped over the years is to separate my random thoughts into categories. I base the categories on grouping similar tasks:
The below picture is just a quick 2-3 minute brain dump. When I use the aforementioned categories, that type of brain dump is a 20-30 minute all-inclusive, major brain dump. Those are the BEST ways to brain dump and my body leans toward doing them on Sundays as I am planning for the week ahead. If I miss a Sunday, my brain and body know it. David Allen is famous for his Getting Things Done book and method. He touts that our brains are not meant to carry information and task lists, they are meant to THINK. That feels very true for me. If my brain is full of a to-do list, I am usually unable to write or create. Once I unload all those tasks I've been juggling on trays in my brain like an overworked restaurant server, I can actually let my brain "breathe" and creativity ensues. I also included a recent monthly meal plan for December 2021. Planning meals one month at a time has GREATLY reduced my overwhelm. I linked the way I actually meal plan down below. Once we have emptied our minds via the brain dump, now we can face the actual overwhelm. Sometimes the overwhelm was just that, carrying too many tasks and to-dos around in our minds. The mental overload of life in 2022. Sometimes it's emotional overwhelm. Grief. Sadness. Loneliness. Disappointment. Regret. Shame. Longing. Anger (which someone somewhere said that Anger is Fear Dressed Up and that resonates with me). Envy. Comparison. Greed. Sometimes it's physical overwhelm. Exhaustion. Physical pain. Illness. Injury. Anxiety or depression manifesting as physical symptoms (headaches, abdominal pain, joint or muscle aches). No matter what TYPE of overwhelm we are feeling, the spiral is the same. Sometimes sleep or a healthy meal can provide relief. Often silence and solitude are the answer for me. Just know that YOU ARE NOT ALONE. I am fighting the fight with you. Godspeed. When I sat down to do my YEARLY REVIEW at the end of 2021, I was literally drained. I was exhausted: mentally, physically, emotionally, and spiritually. I could barely even form a sentence in my head. As I started PLANNING MY YEAR AHEAD as I usually do each holiday season, I started to see just how many things were already on my calendar. I am not sure if I felt disbelief, disgust, or disenchantment. "That will be cancelled. That won't happen. I doubt we actually do that." After two years of cancelled, postponed, and rescheduled plans, I almost reached for a pencil instead of a pen. I am eternally optimistic, but I am TIRED. You know those days where you sit down in the evening and you feel like you've been to DisneyWorld with 2 toddlers and 2 strollers and a newborn? Those days where you are driving home from a busy day in family practice and you aren't even exactly sure what your own name is (much less a disease or dosage of medication)? I feel like we've all had TWO YEARS of those days. So I decided to just boycott goals altogether for 2022. I wasn't going to make goal(s) for Health, Finance, Education, Personal Growth, Career, Family, Marriage, Spirituality, Home, etc like I usually do every year. The thought of doing that after I wrote my GOAL SETTING post was just as insurmountable as climbing Mount Everest (for this girl who already battles a chronic lung disease). Choosing a word for the year? Meh. And usually I am ALL OVER THAT!. But the only words that have come to mind lately (that don't include mild profanity) are flexibility, change, resiliency, and stamina. And I realize all of those words are entrenched in what I have LEARNED FROM THIS PANDEMIC as a frontline family NP. So I haven't chosen a word just yet. And I'm not sure that I will choose one for 2022.
And what I'm finding is that wearing ACTUAL CLOTHES (no scrubs, no standard mom "leggings and a tee" uniform) makes me feel better. It makes me feel better about myself, my life, my marriage, my work, and my day. I never thought I would be typing this, but it's TRUE. I choose healthier foods and move more when my pants have a zipper and a button. 👖 I try to have healthier emotional reactions when I don't look like I just rolled out of bed. 🧘♀️ I am reminded of my passion for medicine when I am dressed the professional part. 👩⚕️ I am even nicer to my husband when I like my reflection in the mirror. 👩❤️👨 I feel better about spending all the money I have spent on clothes now that I am actually wearing them. 😜 So there you have it. I set one goal for 2022. It is simple and it used to be automatic. What happened to the girl who loved shoes and purses and dressing up? Where did she go? Who and what took her from me? I feel her trying to emerge again. She is ready for this new year. She has no idea what's going to happen and no control over any of it. But she is showing up. And she looks and feels AMAZING. 👗 *** most of the time
*** except on Mondays *** or on days when her kids are off the chain *** but she is trying ☀️ After I complete my yearly review, I try to set goals for the next year. I also look at my list of what added and what subtracted to my life and I keep all of those in mind as I set goals and plan events. To do this, I have several supplies at my fingertips AND several hours (sometimes spread over a few days) to complete this process. I recommend the following supplies:
Goal Setting 101:
I have 8 areas in which I set goals each year:
Here's an example of a SMART goal: Read 10 books in one year. It is Specific. Measurable. Achievable (I allow 2 months without a book at all). Relevant and realistic (education or entertainment is always good!). Time bound. I have a start and an end date. I can also easily track the goal throughout the year (I keep a "books read" in the back of my planner). Selecting your word of the year. This is optional, but I enjoy the process each year and it does help me try to maintain a central theme or focus each year. Some of my previous years' words have been:
Now the hard part. Actually planning out your year and setting goals for the year. These two steps are intertwined and can truly be life-changing if you take the time to do BOTH. If perhaps you are reading this in March or August or on a random Tuesday in November, that's OKAY. Your "year" can start at any time. You may be home with a new baby or off work for a health flare-up or surgery and you're just now having time to even remember your name. Sometimes these unexpected pockets in time are goldmines. Use this downtime to evaluate and future-plan. As I've hit this midlife bubble of feeling young and old all at the same time, my goals have changed. My expectations are lower for myself and others (thank you, therapy). My drive is more internally-based but is now redeemed by others just as much as it is myself. In short, my years of people-pleasing are behind me, BUT following my true self has led to a more community-focused and family-focused mindset. The cool part is that me, myself, and I benefit from that mindset shift as much or more than my loved ones and my community. Kinda hard to explain, but the moral of the story is to follow your heart. Everyone wins when we do that. Godspeed.
We all have basic human needs as individuals. Most of us would agree that we need food, sleep, and water and some agree we need love and friendship. I would venture to guess that beyond those basic needs, many people are sleep-walking through life without ever giving pause to what THEY or WE actually need from each other. Lots of therapy has helped me realize that other people in my life don't automatically KNOW what I need or expect from them. I must let them know what I need. I have also come to realize that no ONE person in my life could possibly fill or meet all of my needs. It is humanly impossible to meet all the needs of another human by oneself. It truly does take a village. Once we have identified our needs, we can start to look at the players on our team and realize who is filling which need in our life. Some fill multiple needs. Others fill one need or don't fill a need at all, but instead may be causing stress or toxicity. Perhaps "trimming the fat" is in order when it comes to our circle of loved ones. I have also learned that not all of us are CAPABLE or WILLING to meet certain needs of others, and that too can be a painful process of acceptance and growth. So, let's roll up our sleeves and look closely at the basic human needs of each person roaming around this earth. Let us make a list of the members of our circle and try to identify who fills which need(s). There are several reasons this is important:
This is real adulting. Grown up stuff. Hard stuff. Deep stuff. So get ready. photo credit: childhoodtraumarecovery.com Let us look at Maslow's hierarchy of needs from a current-day real-life perspective and add the context of relationships and connection to those needs:
I don't have many patients that walk into my office and tell me they have needs. Instead, they tell me they are sad. They are withdrawing from friends or family. They can't sleep. They don't feel good. The have mood swings or anger outbursts. They are no longer excited about life. Medication cannot "fix" some of these painful circumstances we are all facing in our lives. An SSRI (most commonly used class of anti-depressants) cannot make your spouse SEE you or try to meet your needs. It cannot heal decade-old wounds from your narcissistic mother. It cannot jump into your best friend's mind and tell her that she is hurting you with her words or actions. Nor can it walk into your adult child's house and announce that YOU are a person, too, and that you need love and respect. So many of these issues have been around so long in your life that you don't know where to begin to address them. I encourage you to seek counseling if and when you can. A good therapist really can change your life. In the meantime, write down YOUR needs. List what needs are being met and which are not being met. Jot down WHO is helping to meet those needs and make a mental note of who you really can count on in which needs department. Use your resources - your people - when you are in crisis. Learn to NOT go to the ones who have not or cannot meet certain needs so that you avoid further hurt and disappointment. And consider having a conversation with your loved one if the opportunity ever arises and the setting and timing are conducive to growth. We cannot read minds, and we are all flawed. This relationship and self-evaluation work isn't easy, but it is worth it. Godspeed. A popular book in the field of marriage and relationships is Gary Chapman's The Five Love Languages. In his book, Dr. Chapman discusses the five core languages used to give and receive love. Knowing your love language and that of your partner is quite beneficial as you navigate various scenarios and frustrations throughout your relationship. I will link the quiz below. The 5 Love Languages according to Dr. Chapman are:
Originally written in 2004, the book has now sold over 6 million copies. I read it when it was originally released, and I read it again when I remarried. I knew the importance of speaking the same love language (or at least being aware of my partner's love language) . I think it is helpful to know your close friends' love language and the language of your children or other close family members. If you are not familiar with the concept, I will use this brief example: Amy (acts of service, physical touch): " I am so tired. Ugghh I have so much to do. I don't know how I'm going to get it all done." Husband thinking to himself (words of affirmation, quality time): Amy is so tired. She should go to bed. Maybe if I keep encouraging her to go to bed, she will. Amy thinking to herself: If he would fold this laundry, then maybe I could go to bed. But instead he's just telling me I should go to bed. Husband thinking to himself: Why is she folding that laundry when she is so tired? If I offer to fold the laundry, she may lash out at me since she's so tired, and (needing words of affirmation) that would ruin the night, so I will just stay with her (quality time) and gently encourage her to go to bed. Amy fuming at this point (acts of service, physical touch): If he's not going to fold the laundry, he could at least rub my back. Then maybe I could relax enough to go to bed. But husband doesn't rub my back because he wants the words of affirmation and reassurance to do so and the spiral continues. Neither spouse did anything WRONG, but remembering each other's love language might have made for a much more pleasant evening. Pleasant evenings bleed into smooth mornings and so forth. This example is just one of many. It can apply to family, friends, coworkers. You may be trying to show appreciation with a gift or money but they WANT / NEED to hear you say why you appreciate them. They may be doing all the little chores and acts of service to get your attention, but you WANT / NEED them to stop running around and spend the afternoon with you without any distractions. It really is fascinating once you know the love language of your partner or best friends. You can spend an entire afternoon dissecting why one situation went south based on love language miscommunication alone. But back to PHYSICAL TOUCH, I think this love language is often overlooked and misunderstood. For obvious reasons, it's viewed with caution, and while that is good... it is also robbing us of a basic human need. With the surge of technology and virtual everything, many of us go days or weeks without touching another human, particularly these last 2 years. Throughout my career, I have used touch as a means to reassure and connect with my patients. Since I received touch as a child and infant in a safe, healthy environment, I have been able to give touch easily. I know that is not true for everyone I encounter, and I acknowledge that. Here are some ways I have used touch in my practice:
Here are some ways I have used touch in my home with my children:
My challenge to you, wherever you are, however old you are, whatever childhood you had, whatever love language you prefer, however many times you've been hurt, is to THINK about physical touch in the setting of a newborn baby. I have linked an article below touting the science behind touch and neurological growth and development. If you're old enough to find this article, then you have been a child yourself. You may have children or be involved in a child's life. We all know that a crying baby or toddler is often soothed by the touch of a loved one or caregiver. Animals are the same way. I dare say, adults are ALSO the same way. If you love someone (your child, your partner, your mother, your close friend), touch them. HUG them. Incorporate safe and healthy touch into your daily routine. We have grown generations of adults now who are not used to being touched. Those untouched adults are now having more untouched children. Those untouched children are looking for affection in ways that a simple "cuddle session" (what we call it at our house) may have averted. It saddens me when I shake a teenager's limp and nervous hand or attempt an appropriate side-hug with someone and am greeted with surfboard-stiff awkwardness. I see the physical and emotional effects of the untouched in my office each week, and it breaks my heart. Pat Harris was my first grade teacher. She had a Hug-Me-Spot right by the door to her classroom. No student could enter her room in the morning or leave her room in the afternoon without hugging Miss Harris on the Hug-Me-Spot. This world needs a Hug-Me-Spot. This world needs an army of Miss Harrises. The rules and restrictions have created a generation of kids that don't know what touch is actually appropriate, and adults that are too glued to their phones to use their hands to rub their child's back or snuggle on the couch. These touch-starved kids marry each other and are LONELY and starving for affection that was never modeled for them. And here we are. I challenge you to touch someone today. And tomorrow. And the next day. Hug. Cuddle. Kiss your partner. Squeeze your child. Hold hands. Make touch a part of your day every day. We may really change the world. 🌎 Let's try it. ☀️ Godspeed. Happy + Happy = Happy I was listening to a podcast the other day, and the speaker said he thinks we are all happier when we make others happier. Agreed. Then he said we are all happier when we are around other happy people. Also agreed. I went along my merry way and was strolling through the aisles of Home Goods, aimlessly looking at mugs and throw pillows, and those 2 thoughts kept resonating with me. Making others happier and being around other happy people makes US happy. What does it mean to make others happy? I know for a fact I've made some people happy in my lifetime. And yes, that made me happy. But did I even know what I was doing? Was me being happy by making them happy even my agenda? Do people even think about that? Can a person be happy as "an island?" What about people who choose to remain single or just haven't found a life partner? Those who live in solitude? Are they doomed to a life of unhappiness? What about solopreneurs and those whose jobs involve them working alone? Does that mean they are unhappy? I used to have a sign that says "happiness is a decision made ahead of time." I had another one that said "some people pursue happiness while others create it." While I do think that "our input determines our output" and "we are what we eat" (both in terms of food and the digital content we consume), I just don't think it's that simple anymore. You see, I can wake up, set my intention for the day, stay as happy as I "want" to be and in the course of one single day I can have the following conversations:
And those are just work examples. What about life examples?
So, how do I continue to make others happy in the above situations? How do I maintain my positive outlook? Aren't there times when happy ISN'T the right answer or attitude and staying positive just feels WRONG? In some situations, making others happy devalues their pain and suffering which honestly makes them feel even more isolated and unhappy. I realize not everyone has a job in the healing field, the medical field, or with the public. But we are all HUMAN. Almost all of us have friends, coworkers, neighbors, church members, family members, SOMEONE at some point in each day that is going to confide in us and lean on us. Do we lean in and choose to be a present fencepost or lighthouse for those that need us or do we back off all in the name of HAPPINESS and choosing joy? Can we even enjoy the good things without seeing the bad? I don't think we can.
I am REALLY starting to pay attention to my body when I meet new people. I don't always count them out if my first impression is less than stellar, but I do remember it. I take note so that I'm not surprised down the road.
And here's another disclaimer to Mr. Podcast's 2nd claim. Sally may make me feel good but I can't ever see her because our schedules are opposite and she's not good at reaching out. She struggles with depression and anxiety, so I have to let her reach out when she has the emotional space to do so. Bobby may make me feel like crap, but he's my brother and I love him, so then what? Susie might put me on edge every day, but she's my boss and I spend several hours a week with her. So yeah, Mr. Podcast, I like your ideas and they sound great, but then there's life. And after living and working and being in a few families now, I know that we can't always choose who we are around. And maybe that's why I stopped putting my 2 happiness signs out. I realized that I can keep a positive mindset and try to limit the time I spend with people who either make me feel bad or suck the life out of me, BUT... I also realized it takes the bad to see the good. It takes the ugly to see the beautiful. It takes all those things my patients tell me every day- that are really happening to people I care about- to make me slow down, sip my coffee, exhale at that stoplight, glance at my kiddos in the rearview, pump up the volume, and sing at the top of my lungs with my sunroof open. It takes being knocked down, run over, and slowly picking yourself up to smile at the exploring, coy toddler vying for your attention at your son's ball game. It takes losing something you love to look at a tree that's been standing outside your window for years and silently thank it for never leaving you. It takes holding someone you love while they shake in fear or agony to appreciate each and every piece of laundry you fold for the 400th time. The mundane is where the magic is... the daily can be the delight. Today, I choose to live... pretty, ugly, hard, easy, funny, scary, joyful, and unthinkable. Happiness will work itself out. She will make her appearance. And I will nod in recognition each time she does. To read some of my friends' thoughts on happiness, please click below and support their work. We all belong to a writer's group and I have learned and grown from each of these special women's work and words.
Chasing Happiness By Sharla Hallett www.sharlahallett.com/chasing-happiness/ Finding True Happiness and Keeping It By Lisa Granger https://lisamarcelina.net/finding-true-happiness-and-keeping-it/ Mom Burnout and How to Be Happy By Ashley Olivine https://www.ashleyolivine.com/mom-burnout/ 3 Days By MelAnn https://graceandrapture.substack.com/p/3-days Seeing Happiness Right in Your Life By Dianne Vielhuber https://simplewordsoffaith.com/2021/10/01/seeing-happiness-right-in-your-life/ The Summer of Happiness Recap of Summer 2021 By Jessica Haberman https://storytellerfarm.com/the-summer-of-happiness-recap-of-summer-2021/ When a patient presents with hair loss, I obtain a thorough history:
I then perform a thorough physical exam and order the following tests:
That may not “answer” your question but I hope it helps you know what a clinician will be looking for with this presentation of hair loss. 🩺👩⚕️ Personally, I have dealt with hair loss from taking Methotrexate for my sarcoidosis.
It started coming out in clumps in the shower and then in my brush. I soon had very patchy areas of hair loss all over my scalp. My hairdresser advised me to stop applying heat to my hair when possible, to wash my hair less frequently, to avoid ponytail holders when possible, and to avoid any hair color or harsh chemicals. I usually got some blonde highlights in the spring put in my naturally red hair, but I went without those for 4 years while I was on Methotrexate. My rheumatologist increased my Folic Acid dose from 1 mg to 2 mg daily, and I ordered Biotin off Amazon Subscribe and Save. I took the Biotin daily to help with hair growth. I am finally off Methotrexate and on Humira and am seeing hair growth again. Losing my hair was very emotional for me. My bright red hair has defined me for so long. I now knew what all of my patients struggling with hair loss from chemo or other medical reasons were feeling, and boy was it a wake up call. My heart goes out to anyone struggling with hair loss. Much love to you and I hope this helps. Taking multiple medications multiple times per day can be overwhelming at best. Remembering to take them, remembering to refill them with the pharmacy, remembering to contact the provider if you run low, and remembering to purchase or pick them up can be stressful, time-consuming, and somewhat depressing. I hate filling my 2 pill boxes each month (one for morning, one for evening). It is a reminder that I am living with a chronic illness and that my body has "failed me." My rheumatologist told me 5 years ago at the onset of my sarcoidosis diagnosis, "Amy, my goal is for us to get your treatment regimen in line to the point that you only think about having an illness when you see me every few months and when you take your medication. Otherwise, I want you to feel so good that you don't even think about it." I did not know then how important those words would be to me five years later. I have FINALLY recruited my husband to help me fill these PITA boxes (they are- I spill meds every month and lose count without fail). Now we turn on Ted Lasso or Bloodline and he fills one while I fill the other. It is depressing to accept that my body depends on the very THING I shell out every single day in my profession. I can truly empathize with my patients who say "but I don't want to be reliant on a pill." A few times I have shown them a picture of my med boxes, and sometimes it has provided comfort. One patient asked "oh my goodness- what is wrong with you?" so I decided I might share a little less. Vulnerability is hard. My best advice is to have a system for managing your medications if you have a chronic illness.
As a family nurse practitioner, I see moms, dads, grandparents, and kids every day in my office. One of the most common questions I encounter with my pediatric patients comes from frustrated, defeated parents or grandparents. HOW CAN I GET MY CHILD TO EAT VEGETABLES? Here is the tried-and-true method I've used with my own children to get them to eat vegetables (and other healthy foods):
Let's discuss each tip in more detail. There are some things you need to know before you begin.
If you are reading this article thinking that I am judging you, I am not by any means. I think all mothers and fathers are doing the best they can when they can where they are in life. You decided that you want to work on Johnny's diet, and you looked for help. I decided I could not lie to you and give you what you wanted to read. You need the truth! These tips have worked in my house and in HUNDREDS of homes of my patients throughout my career. Good luck Mom or Dad! You can do this!!! I am cheering for you! I'm waving broccoli and carrots at you from Georgia!
Here are 10 easy ways to support someone with a chronic illness:
I have been living with a chronic illness for 5 years now. My family and friends have been a huge source of support. Even as they've tried to love me, I've witnessed their looks of "what can I do?" or "what should I say?". Most chronic illnesses are unique and involve multiple appointments with various specialists, countless medications, and years of simply managing one's health. These concrete examples can really help your loved one and make them feel important.
Healing people is wonderful. It’s challenging and rewarding and exhausting and sad and scary and exciting and mundane. It’s refills and phone calls and charts and labs. It’s insurance authorizations and having the same conversations with the same patients over and over and over again.
But it’s also seeing progress and growth and determination. It’s witnessing families come together and sometimes fall apart. It’s being a steady presence in the lives of what starts as strangers and ends as friends. Can we be friends? Am I your friend? I like you. I’m cheering for you. I want you to do well! I think of you and I pray for you. I laugh and I cry with you. I love seeing your pictures of your babies and your successes. My heart hurts when you hurt. Where are the boundaries? I don’t want you to have my cell number, but I want you to tell me when you need me. How does that work? What are the rules and who makes them? I don’t want to think of you as just a name or a number. I am invested in you and you in me. Working in a small town feels like home. It’s likely that I know your mom, your neighbor, your hairdresser, and your child’s teacher. I wouldn’t want it any other way. At the end of our time together, I want you to smile when you think of me. I will always smile when I think of you. Even if you didn’t heed my advice. Even if you missed too many appointments. Especially then, because you made me work harder. I want you to know I looked forward to walking in your room and seeing you just as you are, whatever you were going through. I am thankful you put your trust in me. I know you made me laugh at least once. I saw you, all of you. I think you saw me too and I’m okay with that. |