Severe Morning Sickness

When I was pregnant, I didn’t experience any morning sickness.  I have heard of some women who experience it with the one pregnancy but not the other.  Some, like Kate, the Duchess of Cambridge, however, suffer from severe morning sickness known as Hyperemesis Gravidarum.

What is Hyperemesis Gravidarum?  It literally means “excessive vomiting in pregnancy”. Hyperemesis starts early, usually before week five of pregnancy.  

Signs and symptoms of hyperemesis gravidarum:

• Severe nausea and vomiting
• Food aversions
• Weight loss of 5% or more of pre-pregnancy weight
• Decrease in urination
• Dehydration
• Headaches
• Confusion
• Fainting
• Jaundice
• Extreme fatigue
• Low blood pressure
• Rapid heart rate
• Loss of skin elasticity
• Secondary anxiety/depression

In some cases it is so severe that the woman has to be hospitalized.  Hospital treatment may include:

• Intravenous fluids (IV) – to restore hydration, electrolytes, vitamins, and nutrients
• Tube feeding:
  • Nasogastric – restores nutrients through a tube passing through the nose and into the stomach
  • Percutaneous endoscopic gastrostomy – restores nutrients through a tube passing through the abdomen and into the stomach; requires a surgical procedure
• Medications – metoclopramide, antihistamines, and antireflux medications*

Some women might require bed rest but not too much.  My cousin’s wife needed bed rest for both of her pregnancies.  Other treatments include herbs such as ginger and peppermint; homeopathic remedies prescribed by your doctor;  hypnosis and Acupressure.  The pressure point where you can reduce nausea is located at the middle of the inner wrist.  It’s three finger lengths from the crease of the wrist between the two tendons.  When you locate it, you press one wrist firmly at a time for three minutes.  Sea bands can also be used and are available at the drugstore.

Before trying anything, always consult your doctor. For more information on hyperemesis gravidarum you check out HER (Hyperemesis Education & Research) Foundation.

Two things you ought to know:  your baby isn’t at risk.  William and Kate are parents of three beautiful, robust children.  In a post, a woman suffering from HG, gained only 12 pounds by 41 weeks pregnant gave birth to a 7.5 boy which is average.   She cautions mothers not to assume that because the Duchess of Cambridge suffered from HG during all three of her pregnancies, it means that you will every time you’re pregnant.

Studies vary, but most find that women have a good chance of experiencing HG in future pregnancies. Statistics suggest over 50% will have it with each pregnancy and those with more than one experience of HG have a greater risk of experiencing HG in future pregnancies. It also seems to occur in similar patterns and severity, though it is not always consistent. Those who have mothers, grandmothers, or sisters who have had HG will often have at least some nausea and vomiting during pregnancy – HER Foundation

Don’t let these studies discourage you, Moms.  Hang in there.

Sources:  American Pregnancy; Baby Center

The Worst News

The worst news for a woman to hear is that she will never be able to have children.

Before I watched the episode of Greenleaf where Sophia had a medical emergency which turned out to be Ovarian Torsion, I had no idea that condition even existed.  What is it?  It is a condition which occurs when an ovary twists around the ligaments that hold it in place. This twisting can cut off blood flow to the ovary and Fallopian tube. Ovarian Torsion can cause severe pain and other symptoms because the ovary is not receiving enough blood.

The symptoms are:

• an adnexal or pelvic mass
• nausea
• severe pelvic pain
• vomiting
• fever
• abnormal bleeding

For Sophia, it was a sharp pain in her side.  She first experienced it when she was out jogging then twice on another occasion.  The third time was very severe and she was rushed to the hospital where she was prepped with surgery because she was diagnosed with Ovarian torsion.  While on an anesthetic drug, she was talked about how her boyfriend, Roberto wanted to marry because at lunch he told her that he respected her boundaries and could see a future with her. Before going under, Sophia was dreaming about weddings, houses with mailboxes, puppies, and babies.

In Sophia’s case, the cause of the torsion were two large ovarian cysts interfering with Sophia’s organs. The doctors fixed the problem but couldn’t preserve the ovaries. Sophia will never be able to have kids of her own.  Her mother, Grace had to give her the terrible news which she did.  The scene was heart-wrenching when Sophia broke down and cried.  Grace tried to comfort her telling her that she could have children another way-meaning adoption and said something to the effect that God’s got her back.  Sophia’s response was to wonder why God would let that happen to her.

As with any unexpected and painful life changes, a person’s faith will be tested and Sophia is no different.  It will be interesting to see how this plays out.  Will she turn away from God or will she cling to Him?  And how would her condition affect her relationship with Roberto?  Hopefully, he will stand by her.

My heart ached for Sophia, a young, lovely girl whose dreams of becoming a wife and mother one day were crushed.  How many Sophias are out there living with the painful reality that they will never be able to have kids of their own?  What do you say to someone who found out that she can never have children?  You don’t tell that this was God’s will.  Let God tell her that Himself.  Just tell her that you’re sorry and be there for her.  If she gets angry with God, let her.  He can handle it.  Don’t quote scriptures to her, don’t try to explain why this has happened to her.  Don’t be like Job’s friends.  They were more comforting to him when they were silent.  Just be there for her.

Sometimes, the best way to help someone is just to be near them – Veronica Roth, Divergent

Sources:  Medical News Today; We are the 94 Percent

Mark’s Letter

“You need to sign for this, Seth,” Lucy said as she handed the registered letter to her boss.

He took it and swallowed hard when he saw who the sender was.  It was sent a week after Mark’s death.  His funeral was two days ago.  He still couldn’t believe it.  Mark was only twenty-five.  He had finally lost his battle with Muscular Dystrophy which he had since he was born.  It was when he was six that he began to slow down.  It was hard watching his younger brother confined to a wheelchair in his latter years, unable to shoot hoops like he used to.

He picked up the pen and signed for the letter.  After she left, he opened it. He leaned back in this chair and slowly read the words on the single sheet.

Dear Seth, I had my nurse write this letter as it would take too long for me to do it myself.  Besides, her writing is far better than mine.  I know that I don’t have much time so I wanted to tell you what has been on my mind for a very long time.  It has to do with Gabrielle.  You know that I am in love with her and wanted to marry her but she turned me down.  She cares for me but she isn’t in love with me and she didn’t think it would be right for her to accept my proposal.  And she was aware that our parents didn’t approve of her for obvious reasons and she believed that you had your own objections but for different reasons.  I know what those reasons are, Brother.  You are in love with her.  I may be slow now but, I’m not blind.  I saw the way you tried not to look at her every time the three of us were together. 

“I still remember the first time I brought her to meet you.  You had just returned from a spin on your new boat.  In your get up you looked like a sea captain minus the cap.  I could tell that Gabrielle was impressed though she tried not to show it, for my sake, I guess.  We were on our way to the hospital and I suggested that we stop by the marina and see you.  I wanted her to meet my incredible brother whom I have looked up to my entire life.  It didn’t take long for me to realize that the two of you were attracted to each other.  At first I was miffed but then when I thought about it, I figured that if she were to have feelings for someone else, I would rather it be you.   When I’m gone, I want you to go to her and tell her how you feel.  Don’t pass up a chance for happiness out of a sense of loyalty to me.  Nothing would please me more than to knowing that the two people I love most in the world have found happiness with each other.  What I’m saying, Seth, is that you have my blessing. 

Please take care of yourself.  And tell Gabrielle, that best thing that ever happened to me was knowing her.

Your loving brother and best friend,

Mark

Seth carefully folded the letter and slipped it back into the envelope before breaking down.

Gabrielle looked at the beautiful pendant Mark had given her as a birthday present a couple of years ago.  Tears ran down her cheeks.  She couldn’t believe that he was gone.

She missed him so much.  He was such a beautiful person, so full of love and goodness.  She felt blessed for knowing him and knew she would always cherish their friendship.  There were times when she wished that she loved him the way he loved her but she couldn’t force something that wasn’t there.  And when he proposed she had to turn him down.  She couldn’t marry a man she didn’t love.  It wouldn’t have been fair to him at all.  His family was probably relieved when he told them that she had rejected his offer of marriage.  Even Seth was probably relieved too.  Seth…Not a day went by when she didn’t think about him.  She hadn’t expected to fall in love with him but when they met she knew she was in trouble.

At the funeral, she had sneaked glances at him as he stood there, tall, well-built in his expensive black suit with his head bowed and his hands clasped tightly in front of him.  His parents stood beside him.  His father had his arm around his weeping mother’s shoulders.  She wanted to go over and offer her condolences but wasn’t sure of the reception she would receive.  After they laid Mark to rest, she was about to leave when Seth approached her.

“Thanks for coming,” he said quietly, his expression drawn.

“I had to come,” she replied.  “He was my friend.”

“He cared very deeply for you.”

“And I cared deeply for him too.  I will miss him.”

“Yes, we will all miss him.”

A pause and then, “Please offer my condolences to your parents.”

“I will.”

Their eyes lingered on each other’s face before she said, “Goodbye, Seth.”

“Goodbye.”

She turned and walked slowly away, tears welling up in her eyes.  She was crying not only because of losing Mark but at the prospect of never seeing Seth again.

The ringing of the doorbell jolted her from her reverie and she put the pendant back in its box and in the top drawer of the bureau before leaving her bedroom.  On her way to answer the door, she glanced at the clock on the wall.  It was eight-fifteen.  It was dark outside. The sun had set over an hour ago.

She peered through the keyhole, her heart lurching when she saw who it was.  Taking a deep breath, she opened the door.  Seth towered over her, looking extremely handsome in a black silk shirt and black pants.  His hair was slicked back.  “I hope I’m not calling you at a bad time,” he said, his eyes restless on her face.

She shook her head.  “No, you’re not,” she assured him as she stepped aside so that he could step into the foyer.  “I didn’t think I would see you again.”

After he removed his shoes, he followed her into the living-room.  Instead of sitting down on the sofa, he went over to the window where he could see the CN Tower. She joined him and stood watching him, thrilled to see him but couldn’t help wondering why he was there. After a few minutes of silence, he turned to face her.  “I received a letter from Mark this morning,” he told her.  “It was mailed a week after he died.”

Her eyes widened.  “A letter?” she repeated.  “He didn’t write it himself, did he?”

“No, he had his nurse write it. Would you like to read it?” he asked.

“If you don’t mind.”

“I don’t mind.”  He reached into his shirt pocket and took out the envelope.  He pulled the letter out and handed it to her.

She took it, unfolded it and began to read.  Seth watched her, his expression tense.   When she was finished, she looked up at him, her eyes wet.   “He knew,” she said.

“Yes, he knew how we felt about each other even if we didn’t.”

“And he wants us to be together.  That’s why he wrote this letter.”

“He has given us his blessing.”

“Yes.” She folded the letter, slipped it back in the envelope and held it out to him.

He took it, his eyes never leaving her face and put it inside his shirt pocket.  “What about you, Gabrielle?” he asked tightly.  “Do you want us to be together?”

“Yes.  Is it what you want?”

“Yes!” he muttered thickly and reached for her.  “It’s what I’ve wanted ever since we met.”

“Me too,” she managed to say before they kissed.

Mark got his wish.  Two years later, they got married and named their first child, Mark.

Source:  ABC News

The Check Up

Take care of your body. It’s the only place you have to live – Jim Rohn

Women, I urge you to encourage the men in your lives to go for their annual checkup.  I wish someone had urged my father who now has prostate cancer which has spread to his backbone.  If only it had been caught early.  He hadn’t been for his annual check up for years.  And recently, he complained of back pain but it wasn’t until it was really bad that he went to the hospital.  Now, he is in a serious state although my sister has told me that people in his condition live for ten years.  His brother had prostate cancer but it was caught in time and now he’s fine.  My father is the youngest of four siblings.

I have been reminding my husband to call and make an appointment to see the doctor for the longest time and I hope that after sharing with him the bad news of my father that he will be motivated now to go for his annual check-up.

Why don’t men like going for annual check-ups?  The top three excuses are:

Too busy – Twenty-two percent of the men surveyed said that being too busy would stop them from going to their annual checkups.

Fear – Twenty one percent of the men surveyed said they would avoid a checkup out of fear that the doctor would find something seriously wrong with them.  One guy put off seeing the doctor about a lump in his testicle and when he eventually went, it turned out that he had testicular cancer.  He received treatment and is now cancer free.  Facing his fear and seeing the doctor saved his life.

Discomfort – Eighteen percent of men say they would avoid an annual checkup in order to get out of an uncomfortable body exam like a prostate check.  No one likes invasive examinations–for women, it’s the pap smear but like it or not, we have to do it every two years.  The little discomfort lasts but a few seconds and it could save your life.

When it comes to our health or that of someone we love, we must never procrastinate getting symptoms checked out.  Don’t let fear or make excuses.  Your health matters and should never be taken lightly or for granted.

Sources:  Men’s Health;  Brainy Quote

National Native HIV/AIDS Awareness Day

Courtesy:  Indian Country Today

It was just few days ago when I learned that March was designated as Women’s History Month.  Well, today, an identical thing happened to me which prompted me to put this post together in a hurry.  I found out just a few minutes ago that today is National Native HIV/AIDS Awareness Day.  I also discovered that my ignorance of the day is not surprising given that it is a little known observance day.  NNHAAD is a day geared toward drawing attention to and building support for HIV prevention, testing, treatment and care among American Indian, Alaska Native, and Native Hawaiian populations.  Here are some facts, according to the Centers for Disease Control (CDC):

• Among American Indians and Alaska Natives (AI/AN), women account for 29% of the HIV/AIDS diagnoses. 
• For Native Hawaiian and Pacific Islander (NH/PI) populations given a diagnosis, 78% were men, 21% were women, and 1% were children (under 13 years of age) in 2005.
• From 2007 to 2010, new HIV infections among AI/NA populations increased by 8.7% (CDC).

While these percentages may seem low, one must remember to take into account the size of these populations compared to more populous races and ethnicities in the U.S. For example, according to the CDC, in 2005 American Indians and Alaska Natives ranked 3rd in rates of HIV/AIDS diagnosis, following blacks and Hispanics. To put this into numbers, the rate of new HIV/AIDS infections in 2008 per 100,000 persons were:

• 73.7 Black/African American
• 25.0 Hispanic/Latinos
• 22.85 Native Hawaiians and Pacific Islanders 
• 11.9 American Indian and Alaska Native 
• 8.2 Whites
• 7.2 Asians

Given that many of these populations live in rural areas, access to health care services can be difficult. Not to mention other roadblocks to obtaining needed services such as language and cultural barriers. Native communities have some of the shortest survival times after diagnosis of HIV/AIDS of all race and ethnicity groups in the U.S.

The report also showed that Native communities are not accessing the much needed care and attention after being diagnosed with HIV.  I also learned that about 26% are living with HIV and don’t even know it.  So, this means that since they don’t know that they have it, they wouldn’t seek medical help.  On the other hand, those who know that they have it, take steps to protect their health and take action to prevent spreading the virus to others.

Thankfully, there are public services like the IHS (Indian Health Service), an agency whose mission is to raise the physical, mental, social, and spiritual health of American Indians and Alaska Natives to the highest level.  Our goal is to assure that comprehensive, culturally acceptable personal and public health services are available and accessible to American Indian and Alaska Native people.  The IHS operates within Department of Health and Human Services.

The IHS National HIV/AIDS Program is committed to partnering with communities to create lasting change in the HIV/AIDS epidemic. We provide programs to assist individuals, families, communities, and health care providers to:

• Understand how HIV is spread, and share knowledge about HIV with others
• Get tested for HIV
• Put policies and procedures in place to offer a HIV testing as a routine part of all health care
• Improve access to care, treatment, and prevention services needed by people living with HIV and AIDS

IHS providers throughout the country are offering screening more often, collaborating with communities to increase education, and offering care or referrals where direct care is not available. We can all help to reduce the stigma within our culture and among health care providers regarding HIV/AIDS.

I was shocked to learn that March 20, 2016 was the tenth anniversary of this annual awareness day.  I wonder how many people out there who even know that it exists.  Awareness, education and access are key.  And I applaud the many dedicated organizations that are currently working hard within the Indigenous communities to break down barriers and to promote HIV/AIDS prevention and treatment.   

The theme for 2016 was:  “Hear Indigenous Voices: Uniting the Bold Voices of American Indians/Alaska Natives (AI/AN) and Native Hawaiian/Other Pacific Islanders.” Last year’s was:  theme is “Unity in CommUnity, Stand Strong to Prevent HIV.” On this day, we recognize the impact of HIV/AIDS on American Indian, Alaska Native, and Native Hawaiian communities.  The theme this year is “Unity in CommUNITY: Stand Strong for HIV Prevention.”

It is my hope and prayer that long after this year’s National Native HIV/AIDS Awareness Day passes, that more people will find ways to stand strong for the Native communities.  We have heard the Indigenous voices, stood with them as we recognized that they are impacted by HIV/AIDS and now we must stand strong for prevention.  We have heard the voices, now it is time to be united in the fight to change the tide in this epidemic which discriminates against no one.  The HIV/AIDs is not one group’s or community’s fight but everyone’s fight.

Sources:  Humanitas Global Development; Indian Country Today; Indian Health Service

Bundles of Joy

For with God nothing will be impossible – Luke 1:37

As she sat by the window, looking out, she recalled those turbulent years when Mark and she were trying in vain to have children.  They have been married for twelve years.  They met through a mutual friend and it was love at first sight.  They dated for a year and the following year they got engaged.  It was a small Spring wedding and after returning from their honeymoon in Montego Bay, they decided that they would buy a town house at Bayview Village.

After settling into their new home and adjusting to married life, they decided that it was time to try having a child.  She was late twenties when they got married and was hoping to have at least two children before she turned thirty.  A teacher at a Christian daycare, she loved children and longed for the day when she would have her own.  She knew that Mark would be a wonderful father.  She had seen him with his nieces and nephews.  They adored him.  Her friends were having children so she attended many baby showers.  As she had shopped for onesies and other gifts for their babies, she dreamed of one day buying for her own children.

Her heart yearned to hold her own baby when she held her friends’ babies.  At first, she was excited as she and Mark tried to conceive but as time went by and she wasn’t able to get pregnant, hope turned to despair.  Her faith began to waver and she questioned why God would deny Mark and her children.  Mark was her rock during those tough times, encouraging her not to give up and that God had a plan.

At night when he was asleep, she would lie awake and think about other women who had trouble conceiving.  She thought of Sarah, Hannah and Elizabeth who were barren but were blessed with sons.  Was it possible for the same thing to happen to her?  As she lay there one night, she was impressed to pray as Hannah did.  Sliding quietly out of the bed so as not to disturb Mark, she knelt at the side of the bed and prayed.

Like Hannah, she poured her heart out.  She ended the prayer by saying, “Lord, I know that nothing is impossible for you.  Thank you for hearing my prayer and for answering it.”  A peace that she had never felt before came over her and she climbed back into bed, believing that God had finally come through for her.

She was in very high spirits after that and waited patiently for God to do His part.  When she missed her period, she went to the drugstore and bought a home pregnancy test.  While Mark waited anxiously in the living-room, she went into the bathroom and took it.  Minutes, later, she emerged.  She showed him the results and he hugged her.   She made an appointment with their doctor who was happy to give her tests just to make sure.  And when the results confirmed that she was pregnant, she couldn’t prevent the tears of joy from falling.  She raised her eyes heavenward and gave thanks to God.

That night, Mark and she hugged and held each other for a while.  They were finally going to be parents.  Family, friends and church members were delighted for them and the next baby shower she attended was her own.  At the age of forty, exactly ten years after she had planned to have children, she gave birth to twins–a boy and a girl.  They named the boy, Jaden (Jehovah has heard) and the girl, Eliana (My God has answered).

And as she held the girl and Mark held the boy, she mouthed the words, “I love you.”

“I love you too,” he said, before he leaned over and kissed her.

 

The Little Star

The sparkle in a grandmother’s eyes

the first time she sees and holds

her first and only grandchild.

 

He is nine years old now and

the sparkle is still there in her eyes

when he visits her in the  nursing

home.

 

The Parkinson’s  has her confined her

to a wheelchair  now but it cannot take

away the joy she feels every time she sees

the little boy she had once held in her arms,

silently thanking and praising God

for blessing her with a grandchild.