Loving the Unloved

For I am the LORD who heals you – Exodus 15:26

I read this story and was so touched by this young woman’s love and compassion for others who were experiencing what she once experienced.  When a leprosy patient cried out, “Don’t open my bandage!”, Sakshi revealed her own hands and feet which clearly showed traces of the disease.  She assured the patient the disease was not as result of some sin.  Many people who have leprosy believe that some sin in their lives is the cause.  Sakshi once believed this too.

Sakshi was a teenager when she found out that she had the disease.  As the eldest her younger siblings used to look up to her until she got leprosy.  They abruptly withdrew from her and wanted nothing more to do with her.  Friendless and rejected, Sakshi became depressed and hopelessness drove her to attempted suicide.  Thankfully, her father saved her and encouraged her.  He told her that she was a precious child and urged her to strengthen her heart through the pain and hardship.

“So my papa was becoming so much a comforter to me and he comforted me and even my brother and sister, they used to hate me, and they don’t want to talk with me, they were not in home at that time when I was doing all these things,” Sakshi shared. “So my father, he saw me and he pulled me from there, and he made me understand everything, and after that I became ok.”

After speaking to her father, she gave up trying to end her life but was still experiencing loneliness and it didn’t help that people were blaming her for contracting the disease.  This is similar to what Job himself experienced when he lost his livestock, possessions, servants and children and was covered in painful boils.  He was blamed for what happened to him.  His friends offered him no comfort and told him that he must have committed some evil for all these things to have happened to him.  He was all alone but he clung to his faith in God and God healed him and restored his losses.

Unlike Job, Sakshi had some support but it didn’t stop her from worrying or believing that she had done something to contract the disease.  As time went by, her condition grew worse.  One of her fingers bent in an awkward position and when she experienced terrible pain in one of her legs, the doctors encouraged her to amputate it but she was afraid to do so.  And it was around this time that she met a few Gospel for Asia supported missionaries who encouraged her and prayed for her.  They told her about the about the love of the Healer and Sakshi began to pray in faith and ask Jesus to heal her own body. And her prayer was answered.  Jesus healed her!

After she experienced complete healing, Sakshi decided that she would dedicate her life to serving the Lord and helping others.  She attended Bible college and served in leprosy ministry after graduation.  She made it her mission to reach out to the shunned and the rejected.  “Nobody is there to comfort [the leprosy patients] and to give any kind of encouragement. Nobody wants to love them, hug them or to come near to them to dress them.”

Blessed be the God and Father of our Lord Jesus Christ, the Father of mercies and God of all comfort, who comforts us in all our tribulation, that we may be able to comfort those who are in any trouble, with the comfort with which we ourselves are comforted by God – 2 Corinthians 1:3, 4

“By seeing them, I am thinking that I will fill the gap,” Sakshi said. “I will give that love, which they are not getting from their grandchildren and daughters… I will become their daughter, I will become their grandchildren, and I will help them and encourage them and I will love them.”  With the love of Christ flowing through her, Sakshi touched the untouchable and despised by doing simple things such as helping them with housework, giving them hugs, washing clothes and combing hair.  She showed them the love of God and how precious they were in His sight.  He has not forgotten them.  God used her testimony to give them hope.  He does not cast people aside because they have leprosy.  When Sakshi cried out to Him in faith, He heard her and answered.  He intervened when she wanted to end her life and through her father, He spoke “words of life into her weary soul”.

January 29 is World Leprosy Day.  You can make a difference in the lives of those who are suffering from this disfiguring disease by helping the Leprosy Ministry to share the love of Christ and the Gospel.  We hope to see more people like Sakshi dedicating their lives to serving Jesus and bringing others to Him.  Be a part of the ministry which reaches out to people who will hear, perhaps for the first time, about a kind and compassionate Savior who is not afraid to touch and hold them.  He loved the unloved.

Show mercy and compassion everyone to his brother – Zechariah 7:9

Source:  Gospel for Asia

Depression

Depression: Let’s talk

This month, WHO launched a one-year campaign Depression: let’s talk. The goal of the campaign is that more people with depression, in all countries, seek and get help.

Depression is an illness that can happen to anybody. It causes mental anguish and affects people’s ability to carry out everyday tasks, with sometimes devastating consequences for relationships with family and friends. At worst, depression can lead to suicide. Fortunately depression can be prevented and treated. A better understanding of what depression is, and how it can be prevented and treated, will help reduce the stigma associated with the condition, and lead to more people seeking help.

Depression is a common mental disorder that affects people of all ages, from all walks of life, in all countries.

Overcoming the stigma often associated with depression will lead to more people getting help.

Talking with people you trust can be a first step towards recovery from depression.

Perhaps you are suffering from depression or know someone who is.  Here are ways you can get involved:

Posters – WHO has developed a set of posters and handouts to get the campaign started.  The posters can be downloaded here

Handouts – WHO has handouts which provide information on depression to increase our understanding of the condition and how it can be prevented and treated.  The handouts can be downloaded here

Organize an activity – According to WHO, organizing an activity or event is a great way to raise awareness about depression and stimulate action, both among individuals, and on a wider scale. The organization recommends that if you decide to organize an event, to keep the following in mind:

• What are you trying to achieve?
• Who are you targeting?
• What would make your target audiences want to participate?
• When and where will your activity be held?
• Should you join up with other organizations?
• Who will you invite? Are there any well-known figures who could help you achieve your goals?
• Do you have the resources to achieve your goals? If not, how can you mobilize them?
• How will you promote your event?
• Can the media help you achieve your goals? If so, which media should you target?
• How will you share information about your activities after the event?
• How will you measure success?

WHO offers other examples of activities that you may want to consider such as: discussion forums, sporting events, workshops for journalists, art competitions, coffee mornings, concerts, sponsored activities ̶ anything that contributes to a better understanding of depression and how it can be prevented and treated.

Share information and materials on social media – Throughout the campaign WHO will be communicating via our social media channels Facebook https://www.facebook.com/WHO/, Twitter https://twitter.com/who @WHO, YouTube https://www.youtube.com/c/who and Instagram @worldhealthorganization

The primary hashtag that /WHO is using for the campaign is #LetsTalk but look out for posts using #depression and #mentalhealth as well.

You are encouraged to share WHO’s posts with your own networks, share your own materials and join discussions on issues related to the campaign.

Information about depression

If you are organizing an activity, or developing your own campaign materials, here are some facts and figures that you might want to use:

• Common mental disorders are increasing worldwide. Between 1990 and 2013, the number of people suffering from depression and/or anxiety increased by nearly 50%. Close to 10% of the world’s population is affected by one or both of these conditions. Depression alone accounts for 10% of years lived with disability globally.
• In humanitarian emergencies and ongoing conflict, as many as 1 in 5 people are affected by depression and anxiety.
• Depression increases the risk of other noncommunicable diseases, such as diabetes and cardiovascular disease. In addition, diseases such as diabetes and cardiovascular disease increase the risk of depression.
• Depression in women following childbirth can affect the development of new-borns.
• In many countries of the world, there is no, or very little, support available for people with mental health disorders. Even in high-income countries, nearly 50% of people with depression do not get treatment.
• Lack of treatment for common mental disorders has a high economic cost: new evidence from a study led by WHO shows that depression and anxiety disorders alone cost more than a trillion dollars’ worth of economic loss every year.
• The most common mental health disorders can be prevented and treated, at relatively low cost (WHO).

It’s hard to imagine that there are people out there who are suffering with depression but are hiding it.  They are putting up a brave front while they are hurting inside.  No one can see the sadness behind their smiles.  We must provide the atmosphere where people suffering from depression will feel safe and comfortable talking about their struggles.  Depression should be talked about and often.  Talking and just letting it all out can be therapeutic and can lead to early recovery.

Women and Shingles

I found out last week that my mother who suffers from Parkinson’s has Shingles.  From what I have seen of Shingles it looks very painful.  I wanted to find out more about it so I decided to surf the Internet and get as much information as I could.

What is Shingles?

Shingles, also known as herpes zoster or just zoster, occurs when a virus in nerve cells becomes active again later in life and causes a skin rash.

The virus that causes shingles, the varicella-zoster virus, is the same virus that causes chickenpox. It is a member of the herpes virus family. Once you have had chickenpox, varicella-zoster virus remains in your body’s nerve tissues and never really goes away. It is inactive, but it can be reactivated later in life. This causes shingles.

Doctors aren’t sure how or why the varicella-zoster virus reactivates, but they believe your immune system’s response to the virus weakens over the years after childhood chickenpox. When the virus reactivates, it travels through nerves, often causing a burning or tingling sensation in the affected areas. Two or three days later, when the virus reaches the skin, blisters appear grouped along the affected nerve. The skin may be very sensitive, and you may feel a lot of pain.

If you have had chickenpox, you are at risk of developing shingles. However, the virus doesn’t reactivate in everyone who has had chickenpox. Shingles most often appears in people older than 50 and in people with weakened immune systems. If you are having treatment for cancer, for example, you are more likely to get shingles. People with HIV commonly get shingles, which is often one of the first signs that the immune system is in trouble.  Your chances of getting shingles increase as you get older, although the disease can occur at any age. When shingles appears in children, which is uncommon, it usually is very mild. Up to 20% of people in the United States develop the disease at some point (Women’s Health).

None of my sisters nor I ever have Chicken Pox as a child but later when we as adults, my sister and I got it from our mother.  I still have the marks.  I am hoping that I am one of the people in whom the virus does not reactivate.

 

Recently I have seen a commercial where a person has Shingles and it looks painful.  The rash on one side of  the man’s body looked red and very painful.  When I browsed the Internet, I saw pictures that made me cringe.  How those people must have suffered.  I think of my mother and I hope and pray that she isn’t in much pain.

What are the symptoms?

Pain

Symptoms of shingles are similar in men and women. The first and most common symptom of shingles is usually pain. This pain typically occurs before any rash is present and is sometimes called the warning stage of shingles. Women often describe a tingling, burning pain or an area of intense sensitivity on their skin. This often happens in a small area that is on one side of the body only. The pain may be mild or intense enough to require treatment with painkillers. The pain may last for a few days, may come and go or may be constant. It may continue once the rash and blisters form and usually lessens when the rash disappears.

Rash and Blisters

Another symptom of shingles is a rash that turns into fluid-filled blisters. This usually appears a few days or a week after skin pain starts. The blisters form a crusty scab in about 7 to 10 days and typically clear up in 2 to 4 weeks. The difference between the rash of chickenpox and that of shingles is that shingles usually appears on one side of the body only. Shingles commonly appears in a belt-like band around the midsection, corresponding to skin along the path of one nerve. Sometimes the rash appears on one side of the face and follows the major facial nerve, or it can involve more than just a single area of skin. Some cases of shingles have only a few or even no blisters. A shingle diagnosis can be missed in this case. Shingles without any rash or blisters is called zoster sine herpete.

Other Symptoms

Once the rash appears, women sometimes report flu-like symptoms, such as headache, upset stomach, fever and chills. About half of the people who have rash along the facial nerve experience eye complications. These complications are generally seen as inflammation of different parts of the eye and may involve a mucus or pus-like discharge and sensitivity to light. Eye problems from shingles are very serious and should be evaluated by a doctor immediately. Some women experience a condition called postherpetic neuralgia. This condition is pain that continues even after the shingles rash is gone. The pain has been described as a constant burning that hurts to the touch or pressure from clothing. It usually resolves on its own, but resolution can take 6 months to a year or even longer (Live Strong).

 

Shingles and pregnancy

Pregnant women can get shingles, but it is rare. While chickenpox can pose a very serious risk to a fetus, there is almost no risk to the fetus if the mother gets shingles. The symptoms of shingles are the same in pregnant and non-pregnant women. Any area of skin that has pain, tingling, itching or burning — even without a rash or blister — should be brought to the attention of a doctor, as this could be the early stages of shingles (Live Strong).  Thankfully, I got chickenpox years before I got pregnant.

 

Does Shingles affect women differently from men? According to Centers for Disease Control and Prevention (CDC):

• Most, but not all, studies found that more women than men develop herpes zoster [1,2]; the reason for a possible difference between women and men is not known.
• Some studies conducted in the United States and elsewhere found that herpes zoster is less common in blacks (by at least 50%) than in whites.[3]

 

How is Shingles Treated?

Self-care

If you develop the shingles rash, there are a number of things you can do to help relieve your symptoms, such as:

• keeping the rash as clean and dry as possible – this will reduce the risk of the rash becoming infected with bacteria
• wearing loose-fitting clothing – this may help you feel more comfortable
• not using topical (rub-on) antibiotics or adhesive dressings such as plasters – this can slow down the healing process
• using a non-adherent dressing (a dressing that will not stick to the rash) if you need to cover the blisters – this avoids passing the virus to anyone else

Calamine lotion has a soothing, cooling effect on the skin and can be used to relieve the itching.

If you have any weeping blisters, you can use a cool compress (a cloth or a flannel cooled with tap water) several times a day to help soothe the skin and keep blisters clean.

It’s important to only use the compress for around 20 minutes at a time and stop using them once the blisters stop oozing. Don’t share any cloths, towels or flannels if you have the shingles rash.

Antiviral medication

As well as painkilling medication, some people with shingles may also be prescribed a course of antiviral tablets lasting 7 to 10 days. Commonly prescribed antiviral medicines include aciclovir, valaciclovir and famciclovir.

These medications cannot kill the shingles virus, but can help stop it multiplying. This may:

• reduce the severity of your shingles
• reduce how long your shingles lasts
• prevent complications of shingles, such as postherpetic neuralgia (although the evidence for this is uncertain)

Antiviral medicines are most effective when taken within 72 hours of your rash appearing, although they may be started up to a week after your rash appears if you are at risk of severe shingles or developing complications.

Side effects of antiviral medication are very uncommon, but can include:

• feeling sick
• vomiting
• diarrhoea
• abdominal (tummy) pain
• headaches
• dizziness (NHS Choices)

 

Can Shingles Be Prevented?

Currently, there is no way to predict an outbreak of shingles.  Researchers have shown that giving older people a stronger form of the chicken pox vaccine used for children can boost the type of immunity believed necessary to hold the virus in check. Zostavax, a shingles vaccine developed by Merck, has been approved by the FDA. An initial study in people with HIV showed that Zostavax was safe and effective (The Body).

 

Is Shingles Contagious?

Shingles is not contagious (able to spread) in the sense that people who are exposed to a patient with shingles will not “catch shingles.” Anyone who has already had chickenpox or has received the chickenpox vaccine, and is otherwise healthy, should be protected and at no risk when around a patient with shingles. However, people who have never had chickenpox and have not received the chickenpox vaccine are susceptible to infection by a patient with shingles. These susceptible people, if exposed to the shingles virus, will not develop shingles, but they could develop chicken pox. However, people who have never had chickenpox and have not received the chickenpox vaccine are susceptible to infection by a patient with shingles. These susceptible people, if exposed to the shingles virus, will not develop shingles, but they could develop chicken pox. Such susceptible individuals include babies, young children, and unvaccinated individuals, so people with shingles are actually contagious for VZV infections in the form of chickenpox. Consequently, these individuals may get shingles at a later time in life, as can anyone who has had chickenpox. Covering the rash that occurs with shingles with a dressing or clothing helps decrease the risk of spreading the infection to others. Pregnant women are not unusually susceptible to shingles but if shingles develops near the end of pregnancy, the fetus may be harmed (eMedicineHealth).

 

Vaccines for Shingles

The shingles vaccine (Zostavax) is recommended for adults age 60 and older, whether they’ve already had shingles or not. Although the vaccine is approved for people age 50 and older, the Centers for Disease Control and Prevention isn’t recommending it until you reach age 60.

The shingles vaccine is a live vaccine given as a single injection, usually in the upper arm. The most common side effects of the shingles vaccine are redness, pain, tenderness, swelling and itching at the injection site, and headaches.

Some people report a chickenpox-like rash after getting the shingles vaccine.

Although some people will develop shingles despite vaccination, the vaccine may reduce the severity and duration of it.

The shingles vaccine isn’t recommended if you:

• Have ever had an allergic reaction to gelatin, the antibiotic neomycin or any other component of the shingles vaccine
• Have a weakened immune system due to HIV/AIDS or another disease that affects the immune system
• Are receiving immune system-suppressing drugs or treatments, such as steroids, adalimumab (Humira), infliximab (Remicade), etanercept (Enbrel), radiation or chemotherapy
• Have cancer that affects the bone marrow or lymphatic system, such as leukemia or lymphoma
• Are pregnant or trying to become pregnant

The cost of the shingles vaccine may not be covered by Medicare, Medicaid or insurance.  Check your plan (Mayo Clinic).  One of my co-workers got the vaccine this year and recommends that I get one too.

 

 

Is there a Cure?

There is no cure for shingles, but treatment can help ease your symptoms until the condition improves. In many cases, shingles gets better within around two to four weeks.  However, it’s still important to see your GP as soon as possible if you recognize the symptoms of shingles, as early treatment may help reduce the severity of the condition and the risk of potential complications (NHS Choices).

 

Caring for Shingles

How to care for a Patient with Shingles

If you are helping to care for someone with shingles and particularly if they are elderly, then here are some ideas to make life more comfortable for them:

• As soon as the rash appears and has been diagnosed as shingles, start treatment. If treatment can be commenced within two or three days of the outbreak, the shingles will be less severe and there is less chance of the patient going on to suffer from postherpetic neuralgia.
• You cannot catch shingles by touching the sore skin or the bed or chair where the person has been lying or sitting so if wearing less clothing will make the patient more comfortable then encourage this. Some people with shingles are very sensitive to touch so try to touch only the side of the body that does not have the rash.
• You can catch chicken pox from a person with shingles blisters so keep anyone who has never had chicken pox away from the patient.  (This particularly applies to pregnant women where there is a danger to the unborn fetus).
• Relieve any discomfort with cool compresses unless your patient finds it makes the pain worse.
• Look for ways to relieve the stress of the pain for your patient such as meditation or listening to soothing music.
• Make sure your patient has a pain reliever if necessary and you may need a prescription for something to help insomnia if this is a problem. In some cases, the pain can be very severe and with such pain, it is hard to find a comfortable position whether sitting, lying down or walking around.  Your patient needs as much sleep as possible.
• Constant pain can affect your patient’s appetite – try to encourage your patient to eat well (you may need to provide extra tasty treats).
• Constant pain can also make your patient cross, sad or depressed – this will need extra patience and kindness on your part (Healing Natural Oils).

My mother is doing well.  She is on an anti-viral drug and not in any pain.  I was relieved to find out that her blisters are on her arm and not on her face.  She is frustrated because she is quarantined but the nursing home has to do what is best for all the residents.  I hope she gets better soon.  In the meantime, my family and I will do as she requested and stay away.

If you have a loved one who has Shingles, call them often.   Hearing from you may bring them some comfort.

 

Sources:  Live Strong; Women’s Health; Mayo Clinic; The Body; CDC; eMedicine Health; Healing Natural Oils

Women and Postpartum Depression

For 1 in 8 women, new motherhood is anything but joyous – Health.com

Postpartum depression is a very real and very serious problem for many mothers. It can happen to a first time mom or a veteran mother. It can occur a few days… or a few months after childbirth – Richard J. Codey

Recently on the news I saw that Drew Barrymore admitted that she suffered from postpartum depression after she had her second daughter.  It was a short-lived experience.  It lasted about six months. She was grateful for the experience because it was a constant reminder to stay present in the moment.  Her motto was, “one thing at a time.”

I have heard quite a bit about postpartum depression but this time I wanted to educate myself about it and my heart was touched by the experiences women go through.  First of all, I want to point out that it’s a real and serious condition.   I was appalled at how women with postpartum depression were treated.  Stigma, disbelief and lack of support from others prevent them from getting the treatment they desperately need.  So, they suffer in silence.  How terrible it is for a woman who has images of her child drowning in the bathtub or being smothered on his burp cloth, fearing for her sanity but is afraid to say anything so she keeps it from her husband for as long as she could. And how sad it is that a woman should feel judged for taking antidepressants for postpartum depression because of the mistaken belief that depressed mothers are self-centered and weak.

Women who have postpartum depression feel a triple whammy of the stigma reserved for people with mental illnesses.  Not only are they brought down by what many expect to be the happiest even in a woman’s life–the birth of a child–but also total honesty about their emotional state could invite scorn or even a visit from social services (Health.com).  

“We’re suffering from an illness that cannot be seen.  We don’t have a fever, swelling, vomiting, or diarrhea.  No open wounds that will not heal–at least not the kind you can see with the naked eyes.  So, many wonder if we’re really sick at all – Katherine Stone

Psychologist Shoshana Bennett, founder and director of Postpartum Assistance for Mothers endured two life-threatening postpartum depressions in the mid-1980s, at the time when help for women in her condition was hard to find.  “I was quite suicidal.  My doctor told me to go and get my nails done,” Bennett recalls.  Can you imagine going to your doctor because you are feeling suicidal and being told to go and get your nails done?  It didn’t help that she had an unsympathetic mother-in-law who, believe it or not, had been a postpartum nurse for years.  The mother-in-law had given birth to five children and had not suffered from baby blues with any of them.  When Bennett’s husband asked his mother what was wrong with his wife, her response was, “She’s spoiled.  It’s not just about her anymore.”

Bennett’s husband was angry, confused and upset with her.  Bennett hated herself and things got worse after her first child was born.   She was 40 pounds overweight and very depressed.  She went to her ob-gyn for help.  When she told him, “If life’s gonna be like this, I don’t wanna be here.”  His response?  He laughed and said that all women go through this.  So, there was Bennett, suffering from postpartum depression, with no support or help.  It was her own experience that motivated her to become a licensed therapist, specializing in postpartum depression so that she could counsel women who are going through what she did.

Sometimes women are given medications with terrible side effects.  Katherine Stone experienced this when the first psychiatrist she went to treated her with four or five medications.  She had to find a practitioner who specialized in the treatment of postpartum mental disorders.  She discovered the hard way that no all psychiatrists are experts in treating postpartum depression. “So many psychiatrists don’t understand the condition, don’t have the tools to treat this, and aren’t trained in varying ways in which women with this disorder need to be cared for,” she says.

It is recommended that you ask your ob-gyn, nurses and social workers if the hospital in which you delivered offers postpartum depression services or sponsors support groups for new moms. Ruta Nonacs, MD, Associate Director of the Center for Women’s Health at Massachusetts General Hospital in Boston, recommends, “Call Postpartum Support International (800-944-4773) to find a support group near you.  I also recommend seeing your family doctor.  They’re treating people with depression all the time and can also help with referral to a therapist.”

How can you tell that you have postpartum depression?  There are three postpartum conditions – baby blues, depression and psychosis.  Here are the symptoms outlined by Mayo Clinic:

Postpartum baby blues symptoms

Signs and symptoms of baby blues — which last only a few days to a week or two after your baby is born — may include:

• Mood swings
• Anxiety
• Sadness
• Irritability
• Feeling overwhelmed
• Crying
• Reduced concentration
• Appetite problems
• Trouble sleeping

Postpartum depression symptoms

Postpartum depression may be mistaken for baby blues at first — but the signs and symptoms are more intense and last longer, eventually interfering with your ability to care for your baby and handle other daily tasks. Symptoms usually develop within the first few weeks after giving birth, but may begin later — up to six months after birth.

Postpartum depression symptoms may include:

• Depressed mood or severe mood swings
• Excessive crying
• Difficulty bonding with your baby
• Withdrawing from family and friends
• Loss of appetite or eating much more than usual
• Inability to sleep (insomnia) or sleeping too much
• Overwhelming fatigue or loss of energy
• Reduced interest and pleasure in activities you used to enjoy
• Intense irritability and anger
• Fear that you’re not a good mother
• Feelings of worthlessness, shame, guilt or inadequacy
• Diminished ability to think clearly, concentrate or make decisions
• Severe anxiety and panic attacks
• Thoughts of harming yourself or your baby
• Recurrent thoughts of death or suicide

Untreated, postpartum depression may last for many months or longer.

Postpartum psychosis

With postpartum psychosis — a rare condition that typically develops within the first week after delivery — the signs and symptoms are even more severe. Signs and symptoms may include:

• Confusion and disorientation
• Obsessive thoughts about your baby
• Hallucinations and delusions
• Sleep disturbances
• Paranoia
• Attempts to harm yourself or your baby

Postpartum psychosis may lead to life-threatening thoughts or behaviors and requires immediate treatment.

For more information such as when to see a doctor, what your options are or how you can help a friend or a loved one, click on this link.

Why do some women suffer from postpartum depression while others don’t?  According to Marcie Ramirez, Middle Tennessee coordinator for Postpartum Support International, “People with a history of mental illness have a high risk, as do people on either end of the age spectrum–young mothers or older mothers.  If you have a history of minor depression, panic attacks, or OCD (Obsessive Compulsive Disorder), you are at a higher risk for postpartum depression.  A mother who experiences a traumatic birth is more likely to develop postpartum depression, as are new mothers who have a history of sexual abuse.  Bipolar disorder is a big indicator for postpartum psychosis, a very serious form of postpartum depression that affects about 1 to 2 out of every 1,000 new moms.”

Other predictors of postpartum depression are:

• marital difficulties
• stressful life events such as financial problems or loss of a job
• childcare stress
• inadequate social support
• having to are for a child with a difficult temperament
• low self-esteem
• unplanned or unwanted pregnancy
• being single
• lower socioeconomic status
• postpartum blues (Babycenter.com)

An article in the Daily Mail says that a woman’s risk of post-natal depression increases if she has a Caesarean section.  According to researchers, women were 48 per cent more likely to experience depression if they had a planned procedure rather than an emergency one.  Some women choose to have a Caesarean because they are afraid to give birth naturally, have had a previous childbirth trauma or want the convenience of a scheduled delivery.

Postpartum depression should be taken seriously.  Women are so overcome with fear and anxiety that they are afraid to be in the same room with their babies.  This affects them being able to bond with their babies which is vital to their development.  Women need to talk about their feelings, no matter how painful they are.  They need the support of their husbands and families.  “A functioning, healthy mom is vital to the family unit, and getting mothers with postpartum depression professional help can ensure that they avoid years of needless depression,” says Ramirez.

Advice for mothers who are experiencing depression is, “do what’s best for yourself so you can do what’s best for your baby” (Health.com).    Ann Dunnwold, PHD, a Dallas-based psychologist who specializes in postpartum depression, says, “The key is to have it on your own terms.  Sometimes the mother-in-law will come over to be with the baby, but what the new mom needs is for her to do the laundry.  To help, everyone needs to ask themselves what the mom really wants.”

There is hope for women suffering from postpartum depression.  The key is finding a health professional who specializes in treating it and who won’t brush you off or make light of it.  There are medications and treatments that can relieve or even reverse postpartum mood disorders. Don’t wait to get help.  Don’t suffer in silence.  Speak up.

If you know a woman who is going through postpartum depression or are married to one, please help out as much as you can.  Make sure that she gets enough sleep and encourage her to speak with her healthcare provider.  Encourage her to get some kind of support.

If you are suffering from postpartum depression, here is a list of postpartum depression support groups.  Perhaps reading stories of mothers going through what you are going may help. You’re not alone.   Help and hope are available for you.

Mature woman gives solace to crying adult daughter

Sources:   http://celebritybabies.people.com/2015/10/21/drew-barrymore-postpartum-depression-people-cover/?xid=rss-topheadlines; Mayo Clinic; Baby Center; Postpartum Depression Progress; Health.com; Daily Mail; Brainy Quotes; Healthscope

Baby Girls are not Celebrated

“Before I formed you in the womb I knew you; Before you were born I sanctified you – Jeremiah 1:5

 

 

Imagine as you hold your baby daughter in your arms for the first time or you remember the first time you looked into those big, innocent eyes, that there is another baby girl who is not wanted simply because she is a girl.  As you tell your daughter or grand-daughter how much you love her, imagine a little girl whose father doesn’t love her because she is not a boy.  As you reminisce about the day you brought your daughter home from the hospital and laid her in her crib, watching her lie there, surrounded by stuff animals, and pretty wallpaper, welcoming her to her new home, think about another little girl who is abandoned–with no home to go to or a pretty room to call her own.  Hard to believe, isn’t it?  However, this is the reality that many women and girls face in South Asia.  It is Mayuri’s reality.

After five years of barrenness, Mayuri finally got pregnant.  For nine months she and her husband Rafat were looking forward to the day their son was born.   This child would restore peace to a home that had been fraught with years of disappointments and bitter arguments.  He would be the pride and joy of his family.  Things were finally looking up.

The big day arrived.  Excitement filled the air as Mayuri went into labor.  However, when the baby boy turned out to be a baby girl, the celebration was over.  Hope turned to horror as Mayuri was to face what usually happens to a woman when she gives birth to a girl instead of a boy.  It is the same thing Mayuri’s mother no doubt faced when she had her.

Like most girls, Mayuri was not loved by her father.  In fact, he drank, gambled and chased after women while she and her mother worked everyday to earn enough money to feed the family of five.  When they refused to give their wages to her father, he beat them.  Sometimes he beat her mother for no apparent reason.

Life at home was terrible for Mayuri.  So much so that her mother, Olimani prayed to all the deities and local goddesses, hoping that her husband would change but her prayers went unanswered.  He remained the same.  As any mother does, Olimani wanted a better life for her daughter.  She wanted Mayuri to escape her father’s abuse so she married off her when she was 14 years old.

Sadly, Mayuri’s new life turned into a nightmare.  She escaped abuse at her father’s hands only to experience abuse from the man she was to spend the rest of her life with…

The abuse women face for bearing daughters is so great that many have resorted to gender-selective abortion and infanticide, resulting in millions of “missing girls” in Asia. Discover more about this and other issues facing South Asian women in Gospel for Asia’s new film documentary, “Veil of Tears.”

At first, life with Rafat seemed promising but that soon changed when they were unable to have children.  The couple’s infertility caused tension in their relationship.  Unfortunately, in South Asia, the woman is blamed for the couple’s inability to have children.  Mayuri bore this shame alone for more than four years.  How she must have suffered.  I can’t help but think of Hannah who was barren but had a husband who loved her dearly.  And of Abraham who didn’t love Sarah any less because she couldn’t conceive.  Yet women like Mayuri are blamed, scorned and mistreated because they have trouble getting pregnant.

And when Mayuri finally got pregnant, she gave birth to a girl.  She could not even celebrate having a child, regardless of the gender, after trying to get pregnant unsuccessfully for five years .  She is punished by her husband.  It’s unthinkable that the woman is blamed for the baby’s gender when it’s the man who determines the sex of the child.  Ultimately, it is God who decides the gender and in His eyes, a child, whether it is a boy or a girl, is a gift from Him.

God blessed Mayuri with a second daughter but this made life worse for her.  The abuse she suffered at the hands of her husband got worse.  She got no sympathy from her mother-in-law and her husband disrespected her in front of the family.  Things got to the point where Mayuri had to flee.

Furious at Mayuri for having two daughters after five years of infertility, Mayuri’s husband and mother-in-law abused her until she ran away.

Alone and with two daughters to raise there was nowhere for Mayuri to go except to her parents’ home.  It grieved Olimani to see that her daughter had suffered abuse at the hands of her husband just as she had herself.  Thankfully, Mayuri’s father was no longer living there.  He had left and remarried.  However, Mayuri’s problems were far from over.  After losing her money to a con artist, she had to find work and the only option she felt she had was to turn to prostitution in order to keep her daughters from starving.

Desperate to support her daughters, Mayuri became a prostitute, which meant being shunned by the entire community—except for a GFA pastor.

It’s heartbreaking to see the lengths a mother will go in order to take care of her children.  It’s also heartwarming to see the way God works.  It was when Mayuri had a health crisis that she came to know Him.  In search of healing she visited temples and offered sacrifices but her condition only grew worse.  Until one day, Gospel for Asia pastor Patakin offered her the chance to pray to a different God.  That meeting changed Mayuri’s life forever.  Through the prayers of the members of the church where she was invited to worship and fellowship, God healed her.  Today, Mayuri sees God’s faithfulness in her life and in the lives of her daughters as He has provided her with a respectable job and a school for them.

“Today, I am living; that is only by the grace of God.  I was totally healed from my sickness by the blood of Christ. … Now I am living by faith in Jesus Christ” – Mayuri

By His act of love and mercy, God showed through Gospel for Asia and their missionary work that every life is precious and cause for celebration.  If you are interested in helping other women and girls like Mayuri and her daughters, sponsor a woman missionary.  Find out how here.

I will praise You, for I am fearfully and wonderfully made;
Marvelous are Your works,And that my soul knows very well – Psalm 139:14

Source:  Gospel for Asia

Administering Medication to Parkinson Patients on Time

Lately, *Wendy is plagued with the fear of losing her mother.  Granted her mother *Marian had lived a long and happy life but Wendy was not ready to lose her.  Marian was in her seventies.  She celebrated her 75th birthday a couple of months ago.  Wendy and her sister *Lauren had taken her out for lunch to celebrate.  In the past, Marian celebrated birthdays, Christmases and every Mother’s Day at her home or at one of her daughter’s home.  However, everything changed when she was diagnosed with Parkinson’s.  She couldn’t remain in her home after she fell.  She was a widow and had been living on her own.  She had to sell her home and move into a nursing home.  It took time for her to adjust to living in a room and having to depend on nurses to change and bathe her and do the things she used to do for herself.  It was hard to give up her independence.

She was still able to go and spend time with her children and grandchildren but lately, it was becoming increasingly difficult for her to move around without the wheelchair.  She had gone from using a cane to a walker and now to a wheelchair.  She had fallen several times.  Once Wendy went to visit her and was horrified to see the ugly bruises on her arms.  Marian fell because she tried to do things on her own when she should have called for help.  The nurse would go into her room and find her on the floor.  Thankfully, she hadn’t had any serious falls but Wendy worried about her.  She had heard stories of elderly women breaking their hips and suffering other serious injuries from falls.

Just recently, Wendy received distressing news.  Her sister Lauren informed her that their mother was not responding well because she hadn’t been given her medication that morning.  The last dosage was the night before so she was supposed to get the next one around 7 in the morning but the nurse hadn’t given her.  When Marian’s regular nurse found out two hours later, she decided to wait until 11 to give her her medication.  Lauren was livid.  She demanded to know why the nurse waited instead of giving her mother the medication right away.  As Wendy listened to her sister, she felt sick in the stomach.  Their mother had been without her medication for 15 hours.  She was lying in her bed, with her eyes closed.  She was aware that her nurse was in the room and was responsive but she couldn’t do anything except lie there.  Her nurse kept checking on her to make sure she was okay.  She was relieved when Marian woke up.  Marian’s doctor told the nurse to try to get the medication into Marian which she kept trying to do until she succeeded. The doctor said that it could take 24 hours for Marian to recover as a result of not getting her first dosage that morning.

The Administration at the nursing home acknowledged that two gross mistakes had been made.  The first nurse should have given Marian her 7:00 a.m. meds and her regular nurse should have immediately given her the meds at 9:00 when she realized that she hadn’t been given her first set of meds instead of simply waiting for the next set.  The director assured Lauren that they were taking measures to make sure that this never happened again.  They plan to follow up with the first nurse who neglected to give Marian her morning medication.

Wendy was thankful to God for watching over her mother who is okay.  Tears came to her eyes as she imagined her mother lying there with her eyes closed, unable to do much else and how it could have been much worse…

How many other Parkinson’s patients like Marian do not receive their medication on time?  According to an article written on the National Parkinson Foundation website, hospitals can be danger zones for people with Parkinson’s.

Hospitals are usually a safe haven for people with serious illnesses, but for people with Parkinson’s disease (PD) going to the emergency room or being hospitalized can be a nightmare, because their condition is more likely to deteriorate due to inappropriate care and the anxiety of being in an unfamiliar environment.

Parkinson’s patients are often afraid to challenge a hospital’s medical staff, because they assume that they know what they are doing, but many may have little or no knowledge about how to care for someone with Parkinson’s, said Dr. John Morgan, assistant professor at Georgia Health Sciences University.

Three out of four people with Parkinson’s do not get their medication on time when they go to the hospital, which can cause serious complications even death, said NPF’s National Medical Director Dr. Michael Okun. Even more alarming is that research shows that the majority of hospital staff do not know which drugs are unsafe for Parkinson’s patients, and they do not understand Parkinson’s disease.

People with Parkinson’s must take their medication on time, especially those with moderate and advanced Parkinson’s who are taking frequent doses of levodopa, a common Parkinson’s medication, Dr. Morgan said. “If medication is not taken on time, they can become stiff, rigid, tremulous and unable to move and prone to falls, etc. Even one hour off of a scheduled time can make a big difference,” Dr. Morgan explained.

There is no cure for Parkinson’s, but medication helps control symptoms by increasing the levels of dopamine in the brain. Dr. Morgan emphasized that medications should be taken 30 minutes to an hour before meals or an hour or more after meals, because the protein in food can inhibit the absorption of the medication into the body. If a person eats too close to their scheduled medication time, Dr. Morgan said it is better to eat a low-protein meal rather than delay taking medication.

The article mentions that one hour off of a scheduled time can make a big difference.  Wendy’s mother had been 15 hours off her scheduled time.  Another article states, “Medications must be administered on time to promote consistent therapeutic blood levels and prevent disabling symptoms. A delay of even 5 minutes can cause the patient to suddenly lose the ability to move, walk, and speak^.”  If Wendy and Lauren wanted to, they could sue the nursing home for gross negligence and failing to administer the proper help.  Marian should not have gone through what she did.  She was in a facility that was supposed to take care of her.  Their negligence could have cost Marian her life.  For now, Wendy and Lauren are hoping that this doesn’t happen again.

Want to get involved in raising awareness for Parkinson’s?  Here’s how.

*These are not their real names.

Source:  http://www.parkinson.org/About-Us/Press-Room/NPF-In-The-News/2012/November/Hospitals-can-be-a-danger-zone-for-people-with-Par; http://journals.lww.com/nursing/Fulltext/2011/03000/Administering_medications_for_Parkinson_disease_on.24.aspx

Women And Infertility

I was watching General Hospital and one of the characters received the news that she could not have children.  Any child she carried would not be carried to full term.  She would lose the baby.  What heartbreaking news.  It hurts to see women who want to be mothers and who would be great mothers unable to have children while those who are unfit have children.  It doesn’t seem fair.  Lulu, the character wondered why this happened to her since there was no family history of infertility.  Before that she blamed herself for her condition because she had had an abortion when she was a teenager.

I have often wondered why are some women unable to have children or carry them to full term?  There was a time when I was afraid that I would not be able to have children.  In biblical times barren women were looked down upon by other women.  Sarah was despised by her servant Hagar because she was able to conceive while her mistress couldn’t (Genesis 16:4).  Hannah was tormented by Peninnah, her husband’s other wife and rival because the LORD had closed her womb.  She made Hannah’s life a living hell until God blessed Hannah with children.  Rachel rejoiced when she conceived her first child, saying, “God has taken away my reproach” (Genesis 30:23).

In developing countries women face ostracisim and see their infertility as a failing or a curse.  Newsweek ran a story in 2008 about women around the world who are coping with infertility.  One woman was uable to conceive for the first 13 years of her marriage.  She said that people would ask a woman her name—and then, “How many children do you have?” When the woman answered “none”, they don’t know what they can talk to you about.”

It must be so difficult for a woman to be surrounded by family members and friends who have children of their own or to see mothers where ever you go with their children and know that she would never have that experience.  It’s ironic. There are women who can have children but choose not to and there are women who would like to be mothers but are unable to have children.

What causes infertility in women?  Women’s Health Government has a fact sheet which answers these and other questions about infertility.

What is infertility?

Infertility means not being able to get pregnant after one year of trying (or six months if a woman is 35 or older). Women who can get pregnant but are unable to stay pregnant may also be infertile.

Pregnancy is the result of a process that has many steps. To get pregnant:

• A woman’s body must release an egg from one of her ovaries (ovulation).
• The egg must go through a fallopian tube toward the uterus (womb).
• A man’s sperm must join with (fertilize) the egg along the way.
• The fertilized egg must attach to the inside of the uterus (implantation).

Infertility can happen if there are problems with any of these steps.

Infertility among women is common.  According to  the Centers for Disease Control and Prevention (CDC) about 10 percent of women (6.1 million) in the United States ages 15-44 have difficulty getting pregnant or staying pregnant.

What causes infertility in women?

Most cases of female infertility are caused by problems with ovulation. Without ovulation, there are no eggs to be fertilized. Some signs that a woman is not ovulating normally include irregular or absent menstrual periods.

Ovulation problems are often caused by polycystic ovarian syndrome (PCOS). PCOS is a hormone imbalance problem which can interfere with normal ovulation. PCOS is the most common cause of female infertility. Primary ovarian insufficiency (POI) is another cause of ovulation problems. POI occurs when a woman’s ovaries stop working normally before she is 40. POI is not the same as early menopause.

Less common causes of fertility problems in women include:

• Blocked fallopian tubes due to pelvic inflammatory disease, endometriosis, or surgery for an ectopic pregnancy
• Physical problems with the uterus
• Uterine fibroids, which are non-cancerous clumps of tissue and muscle on the walls of the uterus.

What increases a woman’s risk of infertility?

Many things can change a woman’s ability to have a baby. These include:

• Age
• Smoking
• Excess alcohol use
• Stress
• Poor diet
• Athletic training
• Being overweight or underweight
• Sexually transmitted infections (STIs)
• Health problems that cause hormonal changes, such as polycystic ovarian syndrome and primary ovarian insufficiency

Check out the Women’s Health Government fact sheet to find out how age can affect a woman’s ability to have a child; how long a woman should try to get pregnant before consulting a doctor; how a doctor determines if a woman and her partner have fertility problems and treatments.  They also offer more information (links) on infertility that may help you or someone you know who may be having difficulty getting pregnant.

Glen Meade Center for Women’s Health outlines the ways in which women can be tested for infertility:

• Blood tests to check hormone levels, including progesterone and follicle stimulating hormone (FSH)
• Checking morning body temperature to determine if ovaries are releasing eggs
• Hysterosalpingography (a radiologic assessment of the uterus and fallopian tubes)
• Pelvic ultrasound
• Laparoscopy (inspection of pelvic region)
• Luteinizing hormone uterine test (ovulation prediction)
• Thyroid function tests

There is hope for women experiencing infertility.  Glen Meade offers the following treatment options depending on the cause of the infertility:

• Education and counseling
• Fertility treatments, such as intrauterine insemination (IUI) and in vitro fertilization (IVF)
• Medications that treat infections and clotting disorders
• Medications that help women grow and release eggs from the ovaries

Notes to Women wants to reach out to women facing infertily by encouraging them to read articles from women who are coping with it such as this one.  We hope that the tips for living with infertility will be helpful to you and give you some comfort.

Sources:   http://womenshealth.gov/publications/our-publications/fact-sheet/infertility.cfm; http://www.glenmeadehealth.com/ms_infertility.html; http://www.thedailybeast.com/newsweek/2008/09/14/what-it-means-to-be-a-woman.html