Rescued

She came from Niger, a place notorious for child marriage.

Her name is Abayomi which means “she brings me joy”.

She was only 14 when her parents insisted that she got married

Abayomi was filled with horror.  She had heard stories of  girls

as young as seven years  old being sold into marriage.

She didn’t want to get married–yet.  And when she did she

wanted it to be her decision.  She wanted to go to school and

study to be a doctor.   Her pleas fell on deaf ears.

 

A year passed and she was set to marry a man twice her age.

She had a wedding dress and the dreaded day was approaching.

There seemed to be no hope.  She thought of running away but where

could she go?  She couldn’t stay here.   She  thought of the horrible stories

she heard of young girls losing their lives when their parents married  them

of because they were having children when they were too young.  She didn’t

want to end up like them.  She didn’t want to die in childbirth.

 

No.  I’m going to fight this, she resolved.  She continued to refuse the

arranged marriage until her father cancelled it.  And to her surprise,

he encouraged her to join UNFPA’s Action for Adolescent Girls programme.

When Abayomi went to the programme, she met other girls who had left

school to marry and some were even pregnant.  She was happy that she had

escaped the same fate.  She had her father to thank  for that.  What had made

him  change his mind after he had been so adamant?

 

She learned that he had met a Christian who told him about Jesus.   Curious, she

asked him what he knew about Jesus.  He explained that Jesus would not have

wanted him to force her into doing something against her will.  Then, he gave

the Gospel of John booklet the man had given him.  After everyone else had

gone to bed, she read stayed up to read the Gospel.

 

As Abayomi read how Jesus rescued the woman caught in adultery from

being stoned to death, she realized that she too had been rescued from a

terrible fate.  She felt the tears spill down her cheeks and sliding off the

bed , she knelt on the floor.  “Thank You, Jesus,” she prayed.  She decided right

there and then to give her heart to One who had seen her plight and had come

to her aid.

 

Abayomi continued with her education and is currently in medical school.  She

is also encouraging other girls to say no to child marriage.  And her parents have

changed their views of forced marriage.  They believe that she should have the

right to choose her own husband and to marry when she is ready.

 

Sources:  UNFPA; The Telegraph; BBC

Broken Heart Syndrome

“You can die of a broken heart — it’s scientific fact — and my heart has been breaking since that very first day we met. I can feel it now, aching deep behind my rib cage the way it does every time we’re together, beating a desperate rhythm: Love me. Love me. Love me.”
― Abby McDonald, Getting Over Garrett Delaney

I recently learned about broken heart syndrome when Dr. Marla Shapiro was talking about it on TV. She mentioned that it was first described in 1990 in Japan as Takotsubo Cardiomyopathy.  Takotsubo is a Japanese term for an octopus trap because of the ballooning shape of the heart during an attack. What is broken heart syndrome?  It is a temporary heart condition caused by an extremely stressful event.  It is a recently recognized heart problem and it can strike you even if you are healthy.

People with broken heart syndrome think that they are having a heart attack when they have a sudden chest pain.  In broken heart syndrome, there is a temporary disruption of the heart’s normal pumping function while the rest of the heart functions normally or with more forceful contractions.

There may be shortness of breath, irregular heartbeats (Arrhythmias) or cardiogenic shock can occur. Cardiogenic shock occurs when a suddenly weakened heart can’t pump enough blood to meet the body’s needs.  This can be fatal it it is not treated right away.  In fact, Cardiogenic shock is the most common cause of death among people who die from heart attacks.  Any time you experience chest pain, you should call 911 and get emergency medical care.  All chest pain should be checked by a doctor.

Women are more likely than men to have broken heart syndrome.  It can be brought on by the death of a loved one, divorce, a break-up, physical separation, betrayal or romantic rejection, a frightening medical diagnosis, domestic abuse, natural disasters, job loss, asthma attack, car accident or major surgery.  It can even occur after a good shock such as winning the lottery.  It is more commonly seen among post-menopausal women. Research is ongoing to find out what causes this disorder and how to diagnose and treat it.

As mentioned before the most common symptoms of broken heart syndrome are chest pain, shortness of breath and very rapid or irregular heartbeat.  WebMD mentions two other symptoms, arm pain and sweating.  It is usually treatable.  Most people who experience it have a full recovery within weeks and and the risk of it happening again is low although in some rare cases it can be fatal.  The only way you can be certain if you have broken heart syndrome is for you to have some tests.  These tests used include the following:

• Medical history and physical exam
• Electrocardiogram
• Chest x-ray
• Echocardiogram
• Blood tests
• Coronary angiogram

If you have any questions about Broken Heart syndrome, please visit Seconds Count and download their PDF file.

A broken heart is a real condition.   In 2010 the Wall Street Journal wrote an article of a 63 year old woman named Dorothy Lee who lost her husband on night when they were driving home from a Bible Study group.  He had suffered from a heart attack.  At the hospital after she learned of his death, Dorothy began to experience sudden sharp pains in her chest, felt faint and went unconscious.  An X-ray angiogram revealed that she hadn’t suffered a heart attack.  There was no blood clot and her coronary arteries were completely clear. Dorothy had suffered from broken heart syndrome.  It was triggered by the sudden loss of her husband of 40 years.  She was literally heartbroken.  Thankfully, she was at the hospital when she had her symptoms and she didn’t die although the episode severely weakened her heart.  She required a special balloon pump to support her left ventricle during the first couple of days in the hospital.  Five days later she was discharged.  Despite being cautioned by doctors, she attended her husband’s funeral. She was able work through her grief positively and spiritually.   To date she has had no effects of the heart episode.

It is extremely important that if you or someone else experience any chest pain that you don’t ignore it or feel embarrassed to call for help.  At the first sign of symptoms, get help. This can save your life or someone else’s life and limit the damage to the heart.

A broken heart is not just something out of a romance novel.  It is a reality.

 

 

 

Sources:  American Heart Association; Mayo Clinic; National Heart, Lung and Blood Institute; Wikipedia; Women Heart; WebMD; Uptodate

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

Driven for Change

All I did was ask for rights. I didn’t attack anyone. I didn’t harass anyone. I didn’t oppose the system or the country or the authority. All I said is, ‘Why can’t I drive?’

I was born and grew up in a country where it was nothing out of the ordinary for women to drive.  My mother drove.  My aunt drove her own car.  And now I live in a country where women drive cars, buses and vans.  Imagine not being about to drive to work, drop your kids off to school or run errands.  This was the reality for women in Saudi Arabia and it was the ban on women driving which drove Manal al-Sharif to help to help start a women’s right to drive campaign in 2011.

Manal was filmed driving a car as part of the campaign.  In May 2011, she was detained and released but was arrested again the following day.  Her arrest helped rather than defeated her cause.  It showed that no matter what the cost, she was determined to stand up for what she believed.

Watch Manal share her story and try to imagine what it would be like to receive death threats because you dared to get behind the wheel of a car and have the video of this posted on Facebook.

In the video Manal declared what the purpose of the campaign was. “This is a volunteer campaign to help the girls of this country [learn to drive]. At least for times of emergency, God forbid. What if whoever is driving them gets a heart attack?” These were valid points.  The other day one of my co-workers had to go leave work for a doctor’s appointment.  Imagine if she were living in Saudi Arabia.  She would have to call her husband to go and pick her up from work, take her to the doctor’s office.  The husband would either have to wait until the appointment was over or if this wasn’t an option, he would have to go back to work and then back to the doctor’s office.  What an inconvenience!

Read this personal experience of a woman who currently lives in Saudi Arabia.  Not being able to drive is just one of the restrictions women face.  Under Saudi law, all females must have a male guardian such a father, brother, husband or son.  Girls and women are forbidden from travelling, conducting official business, or undergoing certain medical procedures without permission from their male guardians.  Depending on the guardian, women may also need permission to marry, divorce, to get an education, get a job or open a bank account.

Mandal is working to have male guardianship annulled.  And I hope that she succeeds.  Women are not children.  They are adults, capable of making their own decisions.  Women and girls should not have to get permission to be educated. Education is a privilege that everyone should have a right to enjoy.  And women should have to right to employment, earning their own money and opening a bank account where they can deposit their earnings.

There as some women, however, who defend male guardianship.  One such woman was Noura Abdulrahman, a female employee of the Saudi Ministry of Education. In a 2010 interview with the New York Times, she declared that male guardianship provided protection and love.  

In Saudi culture, women have their integrity and a special life that is separate from men. As a Saudi woman, I demand to have a guardian. My work requires me to go to different regions of Saudi Arabia, and during my business trips I always bring my husband or my brother. They ask nothing in return—they only want to be with me.

The image in the West is that we are dominated by men, but they always forget the aspect of love. People who aren’t familiar with Shariah often have the wrong idea. If you want stability and safety in your life, if you want a husband who takes care of you, you won’t find it except in Islam.

Men can love and protect women without taking away their rights to be independent, free-thinking individuals who should be treated as equals.  God created women in His image and never intended them to be treated as second class citizens with no rights.  Opponents of male guardianship cite cases in which women’s careers were ended by their guardians or they lost their children due to a lack of custody rights.  In 2009, there was the case of a father who vetoed several of his daughter’s attempts to marry outside their tribe and punished her by sending her to a mental institution.  Activist Wajeha Al-Huwaider agrees that while most Saudi men are caring, “it’s the same kind of feeling they have for handicapped people or for animals. The kindness comes from pity, from lack of respect.” She compares male guardianship to slavery.

The ownership of a woman is passed from one man to another. Ownership of the woman is passed from the father or the brother to another man, the husband. The woman is merely a piece of merchandise, which is passed over to someone else—her guardian … Ultimately, I think women are greatly feared. When I compare the Saudi man with other Arab men, I can say that the Saudi is the only man who could not compete with the woman. He could not compete, so what did he do with her? … The woman has capabilities. When women study, they compete with the men for jobs. All jobs are open to men. 90% of them are open to men. You do not feel any competition … If you do not face competition from the Saudi woman … you have the entire scene for yourself. All positions and jobs are reserved for you. Therefore, you are a spoiled and self-indulged man – Wajeha Al-Huwaider

Notes to Women would like to recognize Manal, a fearless woman who is continuing to fight for the rights of Saudi women. She remains an active critic of the Saudi government.  She started a Twitter campaign called “Faraj” to release Saudi, Filipino and Indonesian women prisoners in the Dammam women’s prison who “are locked up just because they owe a small sum of money but cannot afford to pay the debt”.  She tweeted about the lack of elections for the Shura Council, and the murder of Lama al-Ghamdi.  Her work has been recognized by Foreign Policy, Time, and the Oslo Freedom Forum.  Hers is a voice that refuses to be silenced until there is change.

Today, let us stand with Manal and the women of Saudi Arabia.  Let us take action.  Let us raise our voices and call for change.  And let us be thankful that we live in countries where we have access to education, employment, our own bank accounts and have a say in matters that concern us.

We won’t stop until the first Saudi license is issued to a woman.

When women break that taboo and they’re not afraid to drive that car by herself – that’s it. Now she has the guts to speak up for herself and take action.

Women tell me they are different since 21 May – the day I was arrested – it’s a positive change, they believe now.

Sources:  Wikipedia; TED; Brainy Quotes; Women’s Rights

The Cruel Cut

Photo:  The Guardian

FGM is recognized internationally as a violation of the human rights of girls and women. It reflects deep-rooted inequality between the sexes, and constitutes an extreme form of discrimination against women. It is nearly always carried out on minors and is a violation of the rights of children. The practice also violates a person’s rights to health, security and physical integrity, the right to be free from torture and cruel, inhuman or degrading treatment, and the right to life when the procedure results in death.

When I read the article in The Daily Mail on Female genital mutilation, I was incensed.  I couldn’t believe the reasons behind this barbaric practice.

• In some cultures, it is seen as a right of passage into womanhood and a condition of marriage.
• Some believe that the genitals will be unclean if the female does not have the procedure.
• There is also a common belief that women need to have FGM to have babies.
• Religous reasons

Egypt has one of the highest rates of female genital mutilation in the world and even thought the practice was criminalized in 2008, it still remains widespread.  Up to 92 percent of married women have undergone FGM and most females have the procedure between the ages of nine and 12.  Some have it done earlier than nine years old.  Can you imagine a five year old girl having part or all of her external genitalia removed?  There are no anaesthetics and antiseptic treatments used and FGM is performed with knives, scissors, scalpels, pieces of glass or razor blades.  This can lead to severe bleeding and infections which can last a woman her entire lifetime.  And it is estimated that 3 million girls are subjected to this barbarism every year in the UK, parts of Africa, Middle East and Asia.  And believe it or not, the procedure is usually done by a woman with no medical background.

Girls are going to grow up believing that their genitals are unclean and only a cruel cut can make them clean and fit for marriage.   What about the infections that they get or what about those who die from the procedure like the 13 year old Sohair el-Batea?  The doctor responsible for her death was convicted of manslaughter and sentenced to more than two years in jail.  This was a victory for women but more needs to be done.  FGM is still being practiced.

According to Egyptian Streets, statistics showed that 30% of married women believe that FGM should be banned but more than half were in favor of the procedure for religious reasons.  It’s hard to accept that women would be in favor of such a practice.  It is even harder to accept that they would force their daughters, granddaughters, nieces to go through what they themselves had gone through.  As a mother, I could never subject my daughter to this.  As a woman, I could never bring myself to do this horrible thing to another female.

And which religion would condone this?  God created the human body and He put everything in its place for a reason.  No one has the right to tamper with nature.  How could anyone use religion as an excuse to mutilate young girls and in some cases, babies?  And as far as FGM being necessary in order to have babies, that is ludicrious.  The reality is that FGM can cause infertility and increase the risk of complications in childbirth.

FGM, known as the “cruel cut” needs to be banned the regions of Africa and countries where it is still common.   According to the World Health Organization (WHO), it is estimated that more than three million girls in Africa are at risk.  Something needs to be done to stop girls and babies from is done in ignorance and in the name of tradition.  Girls should not see the parts of their bodies that is unique to their gender as unclean.  No where in the Bible is female circumcision practiced.  God never intended for girls and women to be circumcised.  It is a man-made procedure and it needs to be outlawed.

I encourage you to watch the video of Leyla Hussein, the founder of Daughters of Eve as she talks to her mother about FGM.    You can visit Leyla’s website to find out more information about FGM and see what you can do to stop this cruel and inhumane practice.

 

 

 

Source:  WHO; The Daily Mail

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 Heart Disease

Believe it or not, the number one killer of women is heart disease, formerly thought to be a “man’s disease”.

What is heart disease? 

Your heart is a muscle that gets energy from blood carrying oxygen and nutrients. Having a constant supply of blood keeps your heart working properly. Most people think of heart disease as one condition. But in fact, heart disease is a group of conditions affecting the structure and functions of the heart and has many root causes. Coronary artery disease, for example, develops when a combination of fatty materials, calcium and scar tissue (called plaque) builds up in the arteries that supply blood to your heart (coronary arteries). The plaque buildup narrows the arteries and prevents the heart from getting enough blood (Heart & Stroke Foundation).

Why does heart disease affect women?  Women are more likely than men to have coronary MVD. Many researchers think that a drop in estrogen levels during menopause combined with other heart disease risk factors causes coronary MVD.  The disease affects women differently than it does men.  This can cause many women to be misdiagnosed.  Here are the differences:

• For women, heart disease symptoms may be subtle – but when a heart attack
  strikes, women are more likely to die than men. Women are also at twice the risk
  of death following open heart surgery, compared to men
• Heart damage is more likely to occur in women when the small blood vessels become obstructed from plaque.
• Women are also more likely to maintain heart function after a heart attack, unlike men whose heart muscle becomes weaker; 38 percent of women die from heart attack, making heart attack more lethal for women than men.
• Women are also more likely to have a second heart attack within six years of their first one, unlike men.
• Women are also less likely than men to have obstructive coronary artery disease.

Women are also more likely than men to have a condition called broken heart syndrome. In this recently recognized heart problem, extreme emotional stress can lead to severe (but often short-term) heart muscle failure.  Broken heart syndrome is also called stress-induced cardiomyopathy (KAR-de-o-mi-OP-ah-thee) or takotsubo cardiomyopathy.

Doctors may misdiagnose broken heart syndrome as a heart attack because it has similar symptoms and test results. However, there’s no evidence of blocked heart arteries in broken heart syndrome, and most people have a full and quick recovery.  Researchers are just starting to explore what causes this disorder and how to diagnose and treat it. Often, patients who have broken heart syndrome have previously been healthy.

Women’s College Hospital in Canada where I go offered the following differences between the sexes and the effects of heart disease:

Women Tend to Develop Heart Disease at a Later Age

Women tend to develop heart disease later in life because they are often (though not always) protected by high levels of estrogen until after menopause. Men’s risk of developing heart disease increases in their 40s. A woman’s risk of heart disease becomes similar to a man’s risk about 10 years after menopause.

Women Experience More Silent Heart Attacks

Women experience more silent heart attacks than men. That is, a woman may not know she has had a heart attack. Women are also more likely to have a single artery narrow whereas men tend to have multiple arteries narrow.

Women Are More Likely to Be Suffering from Other Health Problems

Women are more likely to be suffering from other health problems, such as diabetes and high blood pressure, when they have heart problems.

Women Do Not Always Get the Health Care They Need

Heart disease is under-detected in women. Once women do seek treatment, doctors do not always recognize their symptoms as the symptoms of heart disease. Women are also less likely to be referred to a heart specialist, to be hospitalized, to be prescribed medication or other treatment, or to be referred for exercise testing. As a result, women do not always get the health care they need.

I find it unsettling that women are not always getting the health care they need when they seek treatment for heart disease.  They should receive the same considered as men.  They should be referred to a heart specialist or hospitalized or given whatever care they should be entitled to.  It’s time for women to stop being under served and under treated.  In the mean time, educating women about their risk of the disease and how to take control of their health so that they can reduce that risk.  Whenever I go for my annual checkup, my doctor always orders an ECG for me.  Although I just read that ECG tests are not recommended by a government backed panel.  Read article.  Heart for Life has information on screening and heart tests on their website.  Check them out here.

I read that young women can have heart disease too.  Even though heart disease among women becomes more common after menopause, it affects younger women.  Every year in the U.S., heart disease kills about 16,000 young women and accounts for 40,000 hospitalizations in young women, according to the American Heart Association.  Young women may experience symptoms of a heart attack and fail to recognize them as such for the following reasons:

• They thought they were too young to be having a heart attack.
• They had atypical symptoms that lasted for more than a day.
• They chalked up their symptoms to other conditions, not to a heart attack.

African American women are more at risk for heart disease than Caucasian women. And, if an African  American woman has a heart attack, she is 69 percent more likely to die of that  heart attack than a Caucasian woman.

Don’t be discouraged.  The Heart & Stroke Foundation assures us that heart disease is preventable and manageable.  They say that our defense is controlling the risk factors that could lead to coronary artery disease, such as high blood pressure, high cholesterol, diabetes, smoking, stress, excessive alcohol consumption, physical inactivity and being overweight.  Here are healthy heart steps we need to follow:

• Be smoke-free.
• Be physically active.
• Know and control your blood pressure.
• Eat a healthy diet that is lower in fat, especially saturated and trans fat.
• Achieve and maintain a healthy weight.
• Manage your diabetes.
• Limit alcohol use.
• Reduce stress.
• Visit your doctor regularly and follow your doctor’s advice.

Let us take action today.  Let us keep our hearts healthy.

Women tend to think that breast cancer is their biggest health threat. And while it’s important, heart disease remains the No. 1 killer of women, even young women. But that message just hasn’t been fully recognized – cardiologist Nicea Goldberg, MD, director of the Women’s Heart Program at NYU Medical Center and author of the new book Complete Woman’s Guide to Women’s Health.

Sources:  http://www.womensheart.org/content/heartdisease/heart_disease_facts.asp; http://www.webmd.com/heart-disease/features/women-and-heart-disease-key-facts-you-need-to-know; http://womenshealth.gov/publications/our-publications/fact-sheet/heart-disease.cfm; http://www.oprah.com/health/Facts-About-Heart-Disease-for-Women; http://www.reuters.com/article/2012/07/30/us-ecg-heart-idUSBRE86T1EE20120730; http://www.nhlbi.nih.gov/health/health-topics/topics/hdw/; http://www.emaxhealth.com/1020/heart-disease-affects-women-differently-men; http://www.womenshealthmatters.ca/health-resources/heart-health; http://www.modernmom.com/article/women-and-heart-disease-getting-the-right-health-care;  http://www.webmd.com/heart-disease/news/20080502/younger-women-miss-heart-attack-signs; http://www.heartandstroke.on.ca/site/c.pvI3IeNWJwE/b.4007287/k.4ACF/Heart_Disease__What_is_heart_disease.htm