Take the Pledge

[T]he more I traveled and met with girls and learned from experts about this issue, the more I realized that the barrier to girls’ education isn’t just resources. It’s also about attitudes and beliefs – the belief that girls simply aren’t worthy of an education; that women should have no role outside the home; that their bodies aren’t their own, their minds don’t really matter, and their voices simply shouldn’t be heard – First Lady Michelle Obama

Last night, I watched the CNN Documentary: We Will Rise with First Lady Michelle Obama and was inspired and moved when I heard the stories of the girls in Liberia and Morocco who were to meet her.  It made me think of how some of our children take education for granted.  These girls long to be in a classroom, learning but sadly, they are denied this because of child marriage, pregnancy and poverty.  If a family has a boy and a girl, the boy will go to school while the girl stays at home.  And there’s belief that girls belong at home not in schools.  Those who are fortunate to get an education have to walk a long way to school in areas that are not safe.

One girl lived with her uncle and aunt because her mother wanted her to have an education.  She worked hard, keeping the home, taking care of her cousins before going to school.  At night, from 9-11pm she studied her books using a flashlight to see in the dark room while everyone else was asleep.  Her education helped to save her uncle’s life.

When the Ebola broke out in Liberia, she recognized that her uncle had the symptoms of the disease.  At first he dismissed what she was saying because she was a girl but she insisted and he was quarantined and then nursed back to health.  She had learned the symptoms in her Biology class.  Her favorite subject is Science.  Perhaps, one day she will become a scientist.  Another girl dreamed of being a journalist while another wanted to be an engineer, a discipline that was predominantly male.  You can watch her story here.

In Morocco, girls were missing school for five days.  Meryl Streep discovered why.  Here’s the clip.

http://www.cnn.com/videos/tv/2016/10/09/we-will-rise-film-meryl-streep-morocco.cnn/video/playlists/cnn-films-we-will-rise/

Girls need to know that they are valued and that they deserve to have an education. Educating a girl will change not only her life but the lives of many.  Take action today and sign the petition for more girls to receive education.  Help their dreams to become reality. Education is key to success, quality life and opens the door to so many opportunities.  No one should be denied a basic right such as education.  Take the pledge and give a girl the opportunity to have an education.  TOGETHER, WE CAN LET GIRLS LEARN!

 

We’re in this together.  Because these girls are our girls.  They are us.  They each have the spark of something extraordinary inside of them just like our daughters – and our sons – and their fate is very much our responsibility – First Lady Michelle Obama

Source:  CNN.com; Girl Up

Mental Health Crisis in India

More than 50 million people in India suffer from a mental illness.  In 2011, India recorded the highest rate of major depression in the world at 36 per cent.  According to doctors, roughly 10 per cent of India’s population suffers from depression – MGMH

 

Women with mental illness are treated as less than human.  They are dumped, abandoned and abused.  If there are any signs of mental illness, a woman is put in a mental hospital with no chance of getting out.  Men can go back home while women are there for life.  In the following video, we meet a woman whose husband had her institutionalized although she had no history of mental illness.  Here’s a story of a mentally ill woman whose husband built a case against her so that he could get custody of their children after divorcing her.

It is not surprising that women suffer from depression at higher rates than men.  They have to deal with gender inequality, violence, lack of paid employment, lack of education, excessive spousal alcohol use and poverty.  Mothers are blamed for the birth of a female child and many face pressure to have male children.  Women are diagnosed with schizophrenia later in life, oftentimes, following the birth of their children.  The children are often removed from the ill mother’s care and this results in further distress for her. Indian women have higher rates of suicide than women in most developed countries and a higher rate of suicide compared to men in India.  Depression is one of the most common reasons for suicide among Indian women.

Mental health in India carries with it a stigma, especially if the person suffering from mental illness is a woman.  According to MGMH (Movement for Global Mental Health), in rural India, it is common to see people taking their children to temples and faith-healers instead of hospitals and doctors, especially in cases of mental health.  Mental health was something that was talked about in hushed tones.  Thankfully, it is no longer being swept under the rug.  People are coming forward.  Deepika Padukone stunned her fans last year when she admitted that she suffered from anxiety and depression.

At the time the news broke, she was one of the most sought after actresses in Bollywood. It took tremendous courage for her to disclose her illness, especially since people diagnosed with mental illness face discrimination.  Deepika has since launched the Live Love Laugh Foundation to raise awareness about mental health issues and as a result many celebrities were inspired to come out in the open and address the need to talk about mental health.  Varun Dhawan admitted that he was depressed during the making of Badlapur and Honey Singh revealed that he has been undergoing therapy for bipolar disorder.

Sadly, those living with mental illness are victims of a cruel fate.  They are often locked away and stripped of their basic human rights in state-run institutions that are under-staffed. In an article, titled Mentally Ill Suffer a Horrible Fate in India posted on the site for Deutsche Welle (DW), most state run mental hospitals are in deplorable conditions. The National Human Rights Commission (NHRC) reported that out of the 43 government mental hospitals in India, less than half a dozen are in a “livable” condition”.

There are doctors in charge of these hospitals who have no business being there.  “These doctors don’t understand the intricacies of a psychiatric illnesses and the comprehensive care the patients require,” said a psychiatrist working in a state-run mental hospital in Uttar Pradesh.

And in the midst of the crisis of hospitals not providing the conditions and care the patients need, are quack healers who are profiting from this.  According to a study by Dr. Shiv Gautam, former superintendent of Jaipur Mental Hospital, 68 per cent of the mentally ill are taken to faith healers before a psychiatrist.  “The reason, besides superstition, is that most general medicine doctors fail to diagnose psychiatric illness,” Gautam said. “A mentally ill patient displays symptoms which superstitious people believe are paranormal,” he added. “Such patients are tortured, chained and used for extracting money from their families.”  Hema, who was suffering from Schizophrenia was believed to have an evil spirit.  Her family took her to Datar Sharif Dargah where she spent a year locked up.  It wasn’t until her condition deteriorated that she was brought to Dr. Gautam.  In 15 days, she began to improve and a month later she was normal.

In other cases, the mentally ill are subjected to one of these horrific ordeals:  whipping, caning, inhaling burnt chili smoke, having their eyes smeared with chili paste or having their eyes branded with red, hot coins.  There are laws banning this practice, however, many dargahs and temples keep the patients chained.  Some of them spend the rest of their lives like this.  In 2001, 26 patients perished in a fire at a dargah in a coastal village because they couldn’t escape the blaze since they were chained.  What a horrific and senseless tragedy.

Families of mentally ill people opt for dumping them.  This means that they are dumped into an asylum where the conditions are not fit for a human.  When an illegal asylum was raided, they found thirty-five men and six boys living in inhuman conditions.  The stench from their unwashed bodies and the excrement drove neighbors to alert the health department.  Naked and chained inmates were discovered, dumped there by their families after they paid the asylum owner.  Some of these poor souls were found crawling in their excrement, some even consuming it.  On their bodies were marks of torture.  Some had surgical scars on their backs, leading to allegations that the asylum had links to kidney theft.  78 patients had entered the asylum but only 41 were found during the raid.

Other patients are dumped in jungles or forests ranges.  Their families pay lorry drivers to drop them.  Women and children are among these victims and in some cases, the females are raped by the drivers before being dumped.  Social activist Murugan S. who has rescued countless mentally ill people from the streets, cautions us not to judge the families by calling them cruel.  Instead we are to examine what forced them to take such extreme measures.  He believes that system needs to change.

Part of the solution is raising awareness.  The suffering of the mentally ill has been brought to our attention. It is out in the open.  The next thing that needs to be done is to show the superstitious and fearful society that mental illness is nothing to run away from or to be ashamed of.  The person suffering from mental illness needs love, support and most importantly, proper care so that he or she can live a normal life.

The government needs to put something place to ensure that patients are placed in reputable, sanitary facilities that will provide the care that they need and to ban the operation of illegal asylums and the practice of dumping.  Quack healers should be banned from profiting from other people’s suffering.  Husbands should not be allowed to institutionalize their wives if there is no record that they have mental illness.

No one wants to be mentally ill but it is a reality for many people and what they need is to know that they have a platform where they can talk about what is happening with them. Here in Canada, we have Bell Let’s Talk, a wide-reaching, multi-year program designed to break the silence around mental illness and support mental health all across the country. It has done so much to fight the stigma of mental illness and encourage people to get involved in educating themselves and others.

It is my sincere hope and prayer that something will be put in place in India so that attitudes toward mental illness would change and those suffering from it will have a platform where they would not be judged, dumped, abandoned or discriminated but supported and be treated with dignity and open minds.  In the meantime, let’s keep talking and raising awareness.

Talking is the best way to start breaking down the barriers associated with mental illness – Bell, Let’s Talk

 

Sources:  Vice News; Movement of Global Mental Health; Wikipedia; Deutsche Welle

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.

 

493x335_psoriasis_ra_and_shingles

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:

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:

 

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.

 

shingles-s16-photo-of-woman-receiving-vaccine

 

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

Mother In Nursery Suffering From Post Natal Depression

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

Mature woman gives solace to crying adult daughter

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

Brain Aneurysm

A few moments ago I read the news about Lisa Colagrossi, the WABC Eyewitness News reporter who died from a brain aneurysm.  She was only 49 years old.  She had just finished from covering a story Thursday morning when she realized that something was wrong.

Lisa Colagrossi Dead: WABC Eyewitness News Reporter Dies of Brain Aneurysm While on Assignment at 49

As I read this story, I was alarmed.  She was just one year older than me.  And she was a wife and mother.  I had to find out more about brain aneurysms and here’s what I learned:

What causes a brain aneurysm?

A person may inherit the tendency to form aneurysms, or aneurysms may develop because of hardening of the arteries (atherosclerosis) and aging. Some risk factors that can lead to brain aneurysms can be controlled, and others can’t. The following risk factors may increase your risk for an aneurysm or, if you already have an aneurysm, may increase your risk of it rupturing:

  • Family history. People who have a family history of brain aneurysms are more likely to have an aneurysm than those who don’t.
  • Previous aneurysm. People who have had a brain aneurysm are more likely to have another.
  • Gender. Women are more likely to develop a brain aneurysm or to suffer a subarachnoid hemorrhage.
  • Race. African Americans are more likely than whites to have a subarachnoid hemorrhage.
  • High blood pressure. The risk of subarachnoid hemorrhage is greater in people who have a history of high blood pressure.
  • Smoking. In addition to being a cause of high blood pressure, the use of cigarettes may greatly increase the chances of a brain aneurysm rupturing.

What are the symptoms?

Most brain aneurysms cause no symptoms and may only be discovered during tests for another, usually unrelated, condition. In other cases, an unruptured aneurysm will cause problems by pressing on areas in the brain. When this happens, the person may suffer from severe headaches, blurred vision, changes in speech, and neck pain, depending on what areas of the brain are affected and how bad the aneurysm is.

Symptoms of a ruptured brain aneurysm often come on suddenly. If you have any of the following symptoms or notice them in someone you know, call 911 or other emergency services right away:

  • A sudden, severe headache that is different from past headaches.
  • Neck pain.
  • Nausea and vomiting.
  • Sensitivity to light.
  • Fainting or loss of consciousness.
  • Seizures.

If you want to find out how Brain Aneurysms are diagnosed and treated, visit this link.  You cannot prevent a brain aneurysm but you can reduce your risks.  Read here to find out how.

Notes to Women‘s thoughts and prayers are with Lisa Colagrossi’s husband, Todd and their two sons, Davis and Evan.

Source:  WebMD

Kishori’s Story

leprosy-wld-banner“Today, the diagnosis and treatment of leprosy is easy and most endemic countries are striving to fully integrate leprosy services into existing general health services. This is especially important for those under-served and marginalised communities most at risk from leprosy, often the poorest of the poor” (WHO:  Leprosy Today).

I learned about leprosy from reading the Bible and watching the movie “Ben Hur” but always believed that it was a disease of those times.  After watching Leprosy Mission, I realize that it is very much a reality.  I never saw how disfiguring it was until I watched the faces of men, women and children who were living with it.

I was touched when I read the story of Kishori, a woman who was diagnosed with leprosy during her second pregnancy.  Unable to take medications that would restrict the sickness from spreading she watched as the disease disfigured her arms and legs.

For years the leprosy racked her body with pain.  The medication she took hardly reduced her symptoms and the one hour walk to the hospital where she hoped to find relief took four hours because of the excruciating pain in her feet.  The treatment she received brought some relief but the pain returned when the sores did and Kishori found herself sinking into emotional despair.

Kishori was not abandoned by her husband, Manit but their neighbors were cruel and unfeeling and demanded to know why he kept her with him and didn’t send her home to her parents.  Manit insisted that he would not abandon Kishori and reaffirmed his love for her even though she sided with the neighbors and told him that she would go and live with her parents.  She wondered why he was still married to her.  The words of her neighbors cut her deeply and she shied away from being with others.  She lived in emotional and physical agony, feeling neglected and unwanted.

After decades of living the emotional and physical pain of leprosy, Kishori found relief in an most unexpected way.  Visitors came to her door and offered to clean her sores.  She gladly received Pastor Jiva and another missionary into her home and she saw them everyday as they returned to minister to her.  Her feet and arms soon began to heal.

Kishori and her family listened as the missionaries shared how Jesus could completely heal her.  No doubt they shared the story of the leper who went to Jesus and imploring Him, kneeling down to Him and saying to Him, “If You are willing, You can make me clean.”  Then Jesus, moved with compassion, stretched out His hand and touched him, and said to him, “I am willing; be cleansed.”  As soon as He had spoken, immediately the leprosy left him, and he was cleansed (Mark 1:40-42).

After years, decades of pain and despair, hope became alive in Kishori.  She learned about Jesus who could heal her.  She was encouraged to pray for healing.  She received kindness from Pastor Jiva and the missionaries who continued to visit her and clean her sores. They assured her of Jesus’ love.  As a result of this outpouring of love and compassion, Kishori placed her hope in God.  She and her family are now attending a local church.

This story ends on a very positive note.  Kishori is completely healed of leprosy because of the God in who she had placed her hope and the Jesus whom she had trusted to heal her.  God continues to care for her through the Gospel for Asia’s Leprosy Ministry.  Thanks to this ministry Kishori has received a pair of shoes specially designed for her and other gifts such as mosquito nets, blankets and daily meals.  Life is better for Kishori now.  She is able to care for her family instead of begging on the streets for help.  Her home which was once a place where she hid from society and life, is now filled with laughter and love.

God healed Kishori in body and mind.  He brought hope, love and healing into the life of a recluse.  He showed Kishori that there is a God who cares for her.  Just as her husband could not abandon her because he loved her, God did not abandon her because He loved her.  He sent Pastor Jiva and the missionaries to care for her.

Kishori’s story inspires me.  It reminds me that God cares.  He cares for the neglected and unwanted.  And no matter how long it takes, He will always come through for us.

Help Gospel For Asia to bring hope and God’s healing to another person living with leprosy by visiting their Leprosy Ministry webpage at:  http://www.gfa.org/leprosy.

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Sources:  http://www.who.int/lep/en/; http://www.gfa.org/news/articles/healing-for-the-sores-on-her-soul/

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