Tuesday, July 15, 2008
Tuesday, July 8, 2008
Wordle
This meme comes to you thanks to my chum from anutha mom, CrazyCath across the ocean. Do drop by her site and say hi -- she is an amazing photographer as well as having a soft heart and a good cat lady starter kit happening.
LOL. I appear to be a "Bearded Mother" and an "Attached Lop-Eared Single". Hehe.
Here is one generated from my foot care post. I like this one especially; it's busy like I am and describes me well:
Wordle "is a toy for generating “word clouds” from textHere is my Wordle, based on my Profile:
that you provide. The clouds give greater prominence to
words that appear more frequently in the source text.
You can tweak your clouds with different fonts,
layouts, and color schemes.
The images you create with Wordle are yours to use
however you like. You can print them out, or save them
to the Wordle gallery to share with your friends."
LOL. I appear to be a "Bearded Mother" and an "Attached Lop-Eared Single". Hehe.
Here is one generated from my foot care post. I like this one especially; it's busy like I am and describes me well:
It's fun to throw the text from different blog posts
in there and see what comes up.
Or you could just dump text in from your blog friends
and see what weirdoes they are (be like
Diane... shrink your friends!)
I did my pictures as screenshots, but Wordle has a
little link that you can paste into your blog from
any saved word clouds.
I'm tagging:
- Diane of StellarLife
- Carolyn of Laughing Alone in the Dark
- Shauna, aka The Insect Whisperer of
Bugs, Bikes, and Brains
- My BearNaked friend. Edit: Dingadangit I see you've
already got wordle posted on your site!! Missed you
by THAT MUCH!
Link back to me and let me know what you come up with!
Link to Wordle
Monday, July 7, 2008
Out out dang spots!!
Thank you to everyone who sent hugs and advice. So what am I doing on my self-imposed days off?
Pulling up carpet from my hallway. It's about 15 years old and so stained underneath that the fibers have dissolved in places. The foam underlay crumbles when it's pulled.
No wonder I couldn't convince it to get clean!!!
Pulling up carpet from my hallway. It's about 15 years old and so stained underneath that the fibers have dissolved in places. The foam underlay crumbles when it's pulled.
No wonder I couldn't convince it to get clean!!!
YUCK
Friday, July 4, 2008
Life's a Beach...
...and I'm caught in a Rip Current...
Nature is fickle, and she has a way of sweeping us off our proverbial feet. Take the rip current, for example. Far out to sea, strong winds and storm forces create ocean swells. These swells travel to land, and strike the coastline with powerful, breaking waves.
These breaking waves form the shoreline, creating an irregular sea floor with channels, holes, and varying sand formations. When angled waves meet these sand formations, the flow of water is diverted out to sea, in a swift and powerful rip current.
See example below. Note that I am smiling, and also skinny-dipping.
Playing on Life's Beach is Dangerous, and MS throws unpredictable waves and currents into the picture. Forget to pay attention for one moment and WHOOOOP! Swept away in a relapse.
When you notice you are moving away from the shore and making no progress when trying to swim in, then you have likely been caught in a rip current (Welcome to my Day!).
Fighting a Rip Current will cause distress, fatigue, and likely drowning. To get back to the beach, swim parallel to shore until you are out of the seaward current, then swim into shore. If you are having trouble, just relax and wave for help (hence me waving above... Need HELP!!).
Remember: Rip currents pull you out to sea, not underwater.
When you notice you are moving away from the shore and making no progress when trying to swim in, then you have likely been caught in a rip current (Welcome to my Day!).
Fighting a Rip Current will cause distress, fatigue, and likely drowning. To get back to the beach, swim parallel to shore until you are out of the seaward current, then swim into shore. If you are having trouble, just relax and wave for help (hence me waving above... Need HELP!!).
Remember: Rip currents pull you out to sea, not underwater.
Hang tight... It all comes back around...
I'm not sure whether I am in a pseudo-relapse or a realapse right now. It's HOT, and I don't do hot well (although I am getting by with a little help from my friends!! See here.)
While swimming yesterday, my right leg cramped up and sent me running for the hot tub. Hot tub was sweeping me rapidly toward unconsciousness, so out I hobbled from there and limped my way to the cool showers. My right let continued the game, playing "Dancing Feet" all night last night. I couldn't sleep, felt all wrong, couldn't stop twitching and wiggling. Bladder kaput. Digestion a mess.
Today, I went to the funeral of one of my patients, and ended up out in the sun too long. On the way home, I told my right foot to move to the brake pedal for upcoming red light.
BETRAYED! My leg disobeyed, deciding instead to cramp firmly from thigh to toes. Lucky, lucky, lucky -- there were no cars going through the other way.
Heart pounding, I realized that I can handle the gas and brake with my left foot. It was a long drive home!
I am exhausted, and had to phone in and cancel tonight's shift at work. I think that the red light was some sort of cosmic sign.
While swimming yesterday, my right leg cramped up and sent me running for the hot tub. Hot tub was sweeping me rapidly toward unconsciousness, so out I hobbled from there and limped my way to the cool showers. My right let continued the game, playing "Dancing Feet" all night last night. I couldn't sleep, felt all wrong, couldn't stop twitching and wiggling. Bladder kaput. Digestion a mess.
Today, I went to the funeral of one of my patients, and ended up out in the sun too long. On the way home, I told my right foot to move to the brake pedal for upcoming red light.
BETRAYED! My leg disobeyed, deciding instead to cramp firmly from thigh to toes. Lucky, lucky, lucky -- there were no cars going through the other way.
Heart pounding, I realized that I can handle the gas and brake with my left foot. It was a long drive home!
I am exhausted, and had to phone in and cancel tonight's shift at work. I think that the red light was some sort of cosmic sign.
Stop, Rest, Wave to some Friends, or Drown Trying too Hard!
Info on rip currents pinched from here.
Labels:
beach,
dancing feet,
ms,
relapse,
rip currents,
sink,
stop,
swim,
tides
Tuesday, July 1, 2008
Feeling Licked
"A new study shows that licking the sweat off a frog can cure depression. The down side is, the minute you stop licking, the frog gets depressed again."
- Jay Leno
It's HOT, I'm twitchy and exhausted, and my kids have gone away to their dad's for the month of July.
BUT, I am happy. Today was nice.
- I bought new shoes (Birkenstocks!!! ouch$$$) for work at the recommendation of colleagues. I have to replace my nursing shoes every 6 months or I get such cramps in my feet and legs. How often do others of you have to replace your work shoes? And what do you wear?
- I got my hair cut. Short. Ahhhhhhh
- I found a sale at the Children's Place and got each of the kids (4 of them!) 2 new pants and 3 shirts for school for $160. A head start!
- I had a lemonade and read more of the captivating "Judas Strain" at Starbucks.
- Ate green beans with chili and coconut rice for summer. YUMMMMY
How do you all manage to keep your body temperature down? I need suggestions for this heat!!
Labels:
heat,
nursing shoes,
recipes,
school shopping,
shoes
Wednesday, June 25, 2008
Like a bonsai tree...
As a lover of all things haiku, the following caught my attention:
Like a Bonsai Tree
Your terrible posture at
My dinner table
Your terrible posture at
My dinner table
Stolen from here. Click to read the brief but excellent blog article by Dr. Bookspan: "Is Your Drinking Hurting Your Neck?
Just one little thing that we can do to help avoid the neck pain that plagues more than a few of us! Or you can try this:
Wednesday, June 18, 2008
Happy Feet
I want to tell you about one of my passions...
Yuppers, I like feet. Have always liked them. There's just something wonderful about a perfect pair of feet with all the little pinkies.Then there's the not so perfect ones... But I can't help but care for them, too. How else to care for a person's soul (pun intended :) than to wash the feet that carry them through the troubles and joys of life?
I used to sit up late and do foot care for my dad while we watched the Irish Rovers on TV. Those are some of my best memories.
A couple of years ago, the unit where I was working offered a VON FootCare Advanced Training Course for the RN's. Only a handful of us were interested (surprisingly? LOL), but those of us who did had a blast practicing on each other.
Now that I work in End-of-Life Care, I'm finding this skill to be invaluable. My favorite part of care is when I'm able to get my kit out and spend an hour cleaning, massaging, cutting nails, and filing. I hear every story in the book while I'm working. I get a much bigger picture and assessment of my patients when they feel relaxed in a non-threatening therapeutic moment. It's a blessing for us both, and for the families as well. I get more thanks for this simple care than for all the challenging, mind-numbing skills and decisions that I perform each shift.
The picture below is not for the faint-of-heart. I didn't take it.
But, yes, I do cut nails like this, and often! Can you imagine walking on these feet? Or trying to pull up socks or blankets without snagging?!
These are the tools of my trade. I feel like part dentist, part woodsman :)
HAH! Just kidding.
Any volunteers? I promise not to tickle!
Saturday, June 14, 2008
Nurse.... or Boxer??
Once again, time has managed to slip away from me and I have no clue where the last week has gone (I think I saw Time's tail peeking out from my laundry pile downstairs. My laundry is a hungry hungry beast and it eats everything in its path).
Speaking of hungry beasts and time slipping away, I know that at least 8 hours of time went into reading "The Ruins" by Scott Smith. Ugh. I don't do horror well, and now I'm deathly afraid of the hops vine that takes over my back deck each summer.
I had an incident at work last week that I refrained from posting on till I had time to work it over and recover a bit. Besides, I had already complained to high heaven about my bladder and I think that it's unfair to unload more than one major complaint per week here :) .
We got a new patient on the unit with end-stage cancer that had metastasized to everywhere... he was coming from home, where his wife was playing around with his meds "just a bit" to make him sleep (he was not a jolly green giant sort).
Any of us would have drifted happily off to the Celestial Discharge after the first dose of narcotics that she was administering...
Well, we got him onto our unit, on an evening shift, on a weekend. We gave him his meds on a schedule. His body wasn't used to that, and threw an all-out psychosis. Into other patients' rooms, mad as h-e-dubblehockeysticks. I got in his way. He punched me, then aimed for my face. I blocked, he grabbed my wrists and twisted. Dr was phoned, refused to certify, wanted to try a few sedatives first. Security guard came up, got pounded, nurse on nights got hit... pt finally went to sleep after the family came in and convinced him that this was not a "homosexual place" and that we weren't out to recruit him...
Long and short -- Dr. Oncall should have got his butt in to assess his pt. Let him face the wrath.
Our team of nurses was wonderful. I had awesome support and hugs and chocolate. I had to fill out an incident report for worker's comp if there ends up being damage (just 3 big bruises... hopefully no wrist nerve damage). My manager was amazing the next day and raised a royal pile of sh!+ for me.
But I tell you, after that night, if I could figure out any other way to pay off my student loans, I would not have gone back to nursing.
It's better now. I've had a few good shifts to remind me of why I love my job. The patients and families on our unit (end stage cancer symptom treatment, comfort care in death) are for the most part amazing and fascinating. It's such a privilege to help with this stage of life. And we do laugh a lot along with the tears.
So all in all, it's all good and I'll be fine. As long as the vine on my back deck doesn't eat me.
Speaking of hungry beasts and time slipping away, I know that at least 8 hours of time went into reading "The Ruins" by Scott Smith. Ugh. I don't do horror well, and now I'm deathly afraid of the hops vine that takes over my back deck each summer.
I had an incident at work last week that I refrained from posting on till I had time to work it over and recover a bit. Besides, I had already complained to high heaven about my bladder and I think that it's unfair to unload more than one major complaint per week here :) .
We got a new patient on the unit with end-stage cancer that had metastasized to everywhere... he was coming from home, where his wife was playing around with his meds "just a bit" to make him sleep (he was not a jolly green giant sort).
Any of us would have drifted happily off to the Celestial Discharge after the first dose of narcotics that she was administering...
Well, we got him onto our unit, on an evening shift, on a weekend. We gave him his meds on a schedule. His body wasn't used to that, and threw an all-out psychosis. Into other patients' rooms, mad as h-e-dubblehockeysticks. I got in his way. He punched me, then aimed for my face. I blocked, he grabbed my wrists and twisted. Dr was phoned, refused to certify, wanted to try a few sedatives first. Security guard came up, got pounded, nurse on nights got hit... pt finally went to sleep after the family came in and convinced him that this was not a "homosexual place" and that we weren't out to recruit him...
Long and short -- Dr. Oncall should have got his butt in to assess his pt. Let him face the wrath.
Our team of nurses was wonderful. I had awesome support and hugs and chocolate. I had to fill out an incident report for worker's comp if there ends up being damage (just 3 big bruises... hopefully no wrist nerve damage). My manager was amazing the next day and raised a royal pile of sh!+ for me.
But I tell you, after that night, if I could figure out any other way to pay off my student loans, I would not have gone back to nursing.
It's better now. I've had a few good shifts to remind me of why I love my job. The patients and families on our unit (end stage cancer symptom treatment, comfort care in death) are for the most part amazing and fascinating. It's such a privilege to help with this stage of life. And we do laugh a lot along with the tears.
So all in all, it's all good and I'll be fine. As long as the vine on my back deck doesn't eat me.
Friday, June 6, 2008
Dazed and Confused
Oh Drat, and Bother, as my favorite silly ole' bear would say... I've entered the twilight zone of the mind on the heels of a bladder infection.
I remember during my "spells" last summer (when new symptoms would hit), that I kind of "lost my mind" (was it ever really mine?? :-) ) I would head out on errands, and forget where I was going, or lose my way on a familiar drive. I would wander drunkenly around stores, staring at the shelves in wonder and confusion. Sensory overload would hit me hard in the presence of more than one color, sound, or fellow human being.
I started only going on errands when I had my kids to be my "brains" for me. They all thought that it was hilarious. Uh, not so much.
I made the mistake this morning of going to Wal-Mart (my very least favorite store, for another post) to get some carpet shampoo (shouldn't have bought the darn carpet cleaner there in the first place... it's the only place I can get shampoo that works right which means that I actually have to go BACK! Argh). Anyhoo, to make a long story short too late, I left Wal-Mart 2 hours later, dazed and confused. I did eventually wander across the vacuum cleaners, and actually remembered to get my carpet shampoo.
I think that most everything else in the store went home with me, too...
It's an awful feeling, knowing that somewhere in the recent storage boxes of my mind, I have had a thought, but just can't find it. I wanted to just stand in the middle of the store and cry for my Mommy. I felt so lost, so overwhelmed, so drunk without the fun.
Is it just me, or do any of you have mind-less moments??
I would be more concerned if I wasn't getting a flare up of bowel, bladder, leg pain, breathing pain, and fatigue with this silly bladder infection. I would be worried about manic depression...
But it all fits. As much as MS fits any patterns.
Silly me. I was thinking to myself the other day "I'm so glad that my bladder has gotten better. No spasms, no accidents, no running to the bathroom all shift/all night." Then I realized (too late) that I was going 10 hours at a time with no bladder signals *at all*. And getting overflow. And getting lower back pain and fever.
It never rains but it pours!!
I remember during my "spells" last summer (when new symptoms would hit), that I kind of "lost my mind" (was it ever really mine?? :-) ) I would head out on errands, and forget where I was going, or lose my way on a familiar drive. I would wander drunkenly around stores, staring at the shelves in wonder and confusion. Sensory overload would hit me hard in the presence of more than one color, sound, or fellow human being.
I started only going on errands when I had my kids to be my "brains" for me. They all thought that it was hilarious. Uh, not so much.
I made the mistake this morning of going to Wal-Mart (my very least favorite store, for another post) to get some carpet shampoo (shouldn't have bought the darn carpet cleaner there in the first place... it's the only place I can get shampoo that works right which means that I actually have to go BACK! Argh). Anyhoo, to make a long story short too late, I left Wal-Mart 2 hours later, dazed and confused. I did eventually wander across the vacuum cleaners, and actually remembered to get my carpet shampoo.
I think that most everything else in the store went home with me, too...
It's an awful feeling, knowing that somewhere in the recent storage boxes of my mind, I have had a thought, but just can't find it. I wanted to just stand in the middle of the store and cry for my Mommy. I felt so lost, so overwhelmed, so drunk without the fun.
Is it just me, or do any of you have mind-less moments??
I would be more concerned if I wasn't getting a flare up of bowel, bladder, leg pain, breathing pain, and fatigue with this silly bladder infection. I would be worried about manic depression...
But it all fits. As much as MS fits any patterns.
Silly me. I was thinking to myself the other day "I'm so glad that my bladder has gotten better. No spasms, no accidents, no running to the bathroom all shift/all night." Then I realized (too late) that I was going 10 hours at a time with no bladder signals *at all*. And getting overflow. And getting lower back pain and fever.
It never rains but it pours!!
Tuesday, June 3, 2008
Thursday, May 29, 2008
These boots were made for walkin...
WOOT WOOT! I did the Supercities Walk to End MS!
MS ---> "One-a these days these boots are gonna walk all over YOU."
...if I can get my feet to move forward one at a time and without kicking each other over... and if I can get my hands uncramped... and when the dizziness lets up a bit... and once I warm up from a day in the drizzle...
My two oldest daughters (12 and 10) and my Mom and Dad walked with me. I was so proud of them all! None of them are crowd people, and this was a 2000 person show. We had a blast :) I think that we all look pretty darn happy up there ^^^
Check out my very pretty walking stick. Pincherry wood from the local market last year. I still can't handle the idea of a cane, but sometimes I just have to have something.
Wouldn't have made it without her!! She was my balance and my extra foot and an unending source of strength. I need a name for my stick. Any ideas???
We did a whole 5 kilometres (OK, Shauna, I need you to help me convert this for our Southern pals...) Would that be about 2 miles?? Mental block here.
These are my good buddies, Melanie and Patrick. They live in the same housing co-op as we do and they have done the walk for years now, raising tons of $$ each year. Love them. And they make most excellent wine. Of which, despite goofy grin above, I had not been partaking before said picture.
I walked because *I still can*, and even if I don't see changes in time to benefit me, it was a most excellent supportive day with friends and family and wonderful people. I walk, with Hope for MY KIDS.
But I's pooooped now.
Monday, May 26, 2008
Friday, May 23, 2008
Thursday, May 22, 2008
I Ain't Nuts!
For my dear friend, Linda, at Brain Cheese, for her amazing sense of hope in the midst of temporary insanity...
All the best to you, Girl!!
Wednesday, May 21, 2008
Seven Dwarves of Menopause
Hehehehehehehehe. I think that I work with all these fellows -- only they are female and wear Scrubs :)
Actually, I am getting hot flashes quite often these days and I'm wondering if I have entered the Wonder Years, myself. I'm (Shhhhhh!) 37 now and my own mom started with peri-menopause at my age.
My temperature fluctuates all over the place. It's never "normal" for the environment I'm in. Is this MS or Menopause?? Whatever it is, I despise it.
Of course, my moods are pleasant as can be. No mood swings here. Just an angel at your service!
(Uh huh)
Wish me and my family luck. I have 2 daughters with new hormones, an 8yo on the way there, and me with whatever the heck is going on... periods are bad enough without throwing curve balls in there! We are headed for the rapids in the river of life!
It's raining today and I am bored. And lazy. And tired. And I have to head in to work again in a couple of hours. Somebody kick me!
Tuesday, May 20, 2008
Dirt Diggin'
I am lucky to be able to participate in a Co-operative Garden and today was a Work Bee day. We plant late here... most put in their gardens today after digging and fixing and working things up. I still have to think about what's going in ours this year.
I am sooooo burned -- a lovely farmer's burn with the lower half of my arms and the back of my neck pink as can be. Silly me. I knew I was forgetting *something*.
But I am happy because I tolerated the sun really well, even if I was out for only a couple of hours. Last summer I did NOT do well with heat.
I suppose all the rest of you gardeners are all planted already? Any suggestions?
I am sooooo burned -- a lovely farmer's burn with the lower half of my arms and the back of my neck pink as can be. Silly me. I knew I was forgetting *something*.
But I am happy because I tolerated the sun really well, even if I was out for only a couple of hours. Last summer I did NOT do well with heat.
I suppose all the rest of you gardeners are all planted already? Any suggestions?
Wednesday, May 14, 2008
Crazee Daze
Ahhhh, Spring. The special time of year when the family's agendas head madly off in all directions.
This week in simple form:
12yo daughter: hormones, mood swings, voice lessons, biking, babysitting, swimming, Jordan Sparks at midnight, camping weekend with best friend, straight-iron lessons, make-up practice, phone calls phone calls phone calls, foot rubs, SHOPPING, the dog ate my bras again Mom, Gr.6 Provincial Achievement Tests, stomach aches, working on an ulcer...
10yo daughter: drama drama drama, back aches, guitar lessons, MayDay celebrations, bake choco chip cookies, read, read some more, avoid housework at all costs, homework, trip to the mountains with Auntie, boys are stupid, teachers are stupid, all the kids in my class are stupid, baseball games with Hugo, anything gross, if i ain't happy ain't nobody happy...
8yo daughter: bugs, mud, math homework, bike bike bike, but i'm not dirty!, barbeques, candles, shells, cuddles, can I sleep with you Mom?, the water hose, flowers, can we go shopping for stuffies?, hoola hoops, scooters, duck ponds, fruit by the truckload, awww, but they're my favwit pants -- why can't I wear them all week?
6yo son: 3 sisters to bug, one dog to tease, one cat to torment, water sprayer, chocolate handprints, ice cream, new bike, soccer, road hockey, flowers, watering Mom's plants (the more the merrier), bruises, cuts, 5 neighbour girls the same age to make tree forts with, freezies, big sisters cookies, hugs, Mom's wattle, food food food, wet kisses, stinky hands, warm heart...
I'm exhausted... and that doesn't even include any of MY agenda for the week!
Check out this site for more fun women's cartoons.
This week in simple form:
12yo daughter: hormones, mood swings, voice lessons, biking, babysitting, swimming, Jordan Sparks at midnight, camping weekend with best friend, straight-iron lessons, make-up practice, phone calls phone calls phone calls, foot rubs, SHOPPING, the dog ate my bras again Mom, Gr.6 Provincial Achievement Tests, stomach aches, working on an ulcer...
10yo daughter: drama drama drama, back aches, guitar lessons, MayDay celebrations, bake choco chip cookies, read, read some more, avoid housework at all costs, homework, trip to the mountains with Auntie, boys are stupid, teachers are stupid, all the kids in my class are stupid, baseball games with Hugo, anything gross, if i ain't happy ain't nobody happy...
8yo daughter: bugs, mud, math homework, bike bike bike, but i'm not dirty!, barbeques, candles, shells, cuddles, can I sleep with you Mom?, the water hose, flowers, can we go shopping for stuffies?, hoola hoops, scooters, duck ponds, fruit by the truckload, awww, but they're my favwit pants -- why can't I wear them all week?
6yo son: 3 sisters to bug, one dog to tease, one cat to torment, water sprayer, chocolate handprints, ice cream, new bike, soccer, road hockey, flowers, watering Mom's plants (the more the merrier), bruises, cuts, 5 neighbour girls the same age to make tree forts with, freezies, big sisters cookies, hugs, Mom's wattle, food food food, wet kisses, stinky hands, warm heart...
I'm exhausted... and that doesn't even include any of MY agenda for the week!
Check out this site for more fun women's cartoons.
Sunday, May 11, 2008
D-ficiency
Quick test: What do the following conditions have in common: Osteoarthritis, multiple sclerosis, diabetes, fibromyalgia, high blood pressure, heart disease, inflammatory bowel disease, gum disease, mental illness, and cancer?
Part of the Answer: Experts suspect that insufficient levels of Vitamin D raise your risk of getting these diseases.
Vitamin D is a steroid hormone which regulates cells all over the body, influencing insulin production, regulating immune function, and preventing inflammation and cancer.
Unfortunately, many of us are likely Vitamin D deficient. We are meant to produce Vitamin D via our skin as a result of sun exposure. Live in the North, like me, and those winter months don't exactly encourage Vitamin D production. You won't be seeing my bare booty soaking up the rays as the snow falls (Lucky for me, but more for you!) On top of that, when the summer sun does actually hit, we pile on the hats and sunscreen for protection. But according to Dr. Holick of the Boston University School of Medicine, sunblock as low as SPF 8 reduces the skin's vitamin D production by 95% !
The good news? For those of us with neuropathic pain related to MS -- Brand new research results have been published in March of '08 which point to Vitamin D as an effective "analgesic" in relieving diabetic neuropathic pain. As an end-stage palliative cancer nurse, I see every day how incredibly difficult it is to treat neuropathic pain. Wouldn't it be wonderful to be given the option of something as simple as Vitamin D to diminish burning, stinging, buzzing, numbness, and throbbing?
Of course, it won't be the drug companies funding any future research. No, Vitamin D is too inexpensive to be worth their time. Dang.
So what do we do?
The answers are D-cidedly easy.
1) Sun yourself! Spend 10-15 minutes outdoors without sunscreen at least twice per week.
2) Eat D-licious foods. Very few foods contain much Vitamin D. Rich foods include the following: Cod liver oil; oily fish such as salmon, sardines, and mackerel; eggs, and fortified milk, soy milk, and orange juice.
3) Take a daily supplement of cholecalciferol (Vitamin D3), which is the form naturally occurring in our bodies. The Canadian Cancer Society (June, 2007) recommends 1,000 IU of Vitamin D daily during the fall and winter months.
No one has done studies at this point in regards to how much Vitamin D is too much. However, toxicity is very rare. The U.S. Food and Nutrition Board sets the upper level for daily dietary intake at 2,000 IU. It's interesting to note that a "young, fair, and scantily clad person hanging out near the equator produces 20,000 IUs of Vitamin D in 10-15 minutes of peak sunshine". That's 100 times higher than the upper level set by the FNB! The Journal of Expert Opinion Pharmacotherapy in 2008 points out that in order to reach toxic levels of Vitamin D, which would cause organ damage due to high calcium levels, most adults would have to take well in excess of 10,000 IU/day for many months or even years.
I'm all for a supplement which has been proven in the medical field to prevent a host of diseases, and which is used in the treatment of many more. And I'm selfish enough to champion anything that will reduce pain and decrease functional impairment!
It's D-lightful news!
Part of the Answer: Experts suspect that insufficient levels of Vitamin D raise your risk of getting these diseases.
Vitamin D is a steroid hormone which regulates cells all over the body, influencing insulin production, regulating immune function, and preventing inflammation and cancer.
Unfortunately, many of us are likely Vitamin D deficient. We are meant to produce Vitamin D via our skin as a result of sun exposure. Live in the North, like me, and those winter months don't exactly encourage Vitamin D production. You won't be seeing my bare booty soaking up the rays as the snow falls (Lucky for me, but more for you!) On top of that, when the summer sun does actually hit, we pile on the hats and sunscreen for protection. But according to Dr. Holick of the Boston University School of Medicine, sunblock as low as SPF 8 reduces the skin's vitamin D production by 95% !
The good news? For those of us with neuropathic pain related to MS -- Brand new research results have been published in March of '08 which point to Vitamin D as an effective "analgesic" in relieving diabetic neuropathic pain. As an end-stage palliative cancer nurse, I see every day how incredibly difficult it is to treat neuropathic pain. Wouldn't it be wonderful to be given the option of something as simple as Vitamin D to diminish burning, stinging, buzzing, numbness, and throbbing?
Of course, it won't be the drug companies funding any future research. No, Vitamin D is too inexpensive to be worth their time. Dang.
So what do we do?
The answers are D-cidedly easy.
1) Sun yourself! Spend 10-15 minutes outdoors without sunscreen at least twice per week.
2) Eat D-licious foods. Very few foods contain much Vitamin D. Rich foods include the following: Cod liver oil; oily fish such as salmon, sardines, and mackerel; eggs, and fortified milk, soy milk, and orange juice.
3) Take a daily supplement of cholecalciferol (Vitamin D3), which is the form naturally occurring in our bodies. The Canadian Cancer Society (June, 2007) recommends 1,000 IU of Vitamin D daily during the fall and winter months.
No one has done studies at this point in regards to how much Vitamin D is too much. However, toxicity is very rare. The U.S. Food and Nutrition Board sets the upper level for daily dietary intake at 2,000 IU. It's interesting to note that a "young, fair, and scantily clad person hanging out near the equator produces 20,000 IUs of Vitamin D in 10-15 minutes of peak sunshine". That's 100 times higher than the upper level set by the FNB! The Journal of Expert Opinion Pharmacotherapy in 2008 points out that in order to reach toxic levels of Vitamin D, which would cause organ damage due to high calcium levels, most adults would have to take well in excess of 10,000 IU/day for many months or even years.
I'm all for a supplement which has been proven in the medical field to prevent a host of diseases, and which is used in the treatment of many more. And I'm selfish enough to champion anything that will reduce pain and decrease functional impairment!
It's D-lightful news!
Saturday, May 10, 2008
Top 10 list -- Carnival of MS Bloggers
The Carnival of MS Bloggers is up! This week, Lisa has given us a list of "the 'Top 10' list of absolutely the most necessary tools and armor any MSer must have on this journey called Multiple Sclerosis".
I'm proud to have a part in this week's Carnival. Thanks, Lisa, for all the work you do with these!
I'm proud to have a part in this week's Carnival. Thanks, Lisa, for all the work you do with these!
Friday, May 9, 2008
Thursday, May 8, 2008
Monday, May 5, 2008
Sunday, May 4, 2008
Tis or Tain't?
This has been a frustrating week and I'm guessing (hoping?) that some of you can relate and that I'm not too wayyyy out in LaLaLand. Probable MS... do I or don't I????
First, I had my yearly with my Primary Doctor. She did a very thorough exam and pointed out deficits/abnormals as she went. I'm OK with that. I knew what they were anyway. She reminded me to be careful on the stairs, advised cranberry juice to prevent UTI's due to bladder issues, agreed with my bowel routine to keep things moving along, renewed clonazepam for night-time leg spasms. She listened, advised, didn't make me feel crazy. She said "your MS may continue to give you problems with {insert countless weird symptoms here}" and instead of making me feel like a victim, she encouraged me to be proactive. I'm fine with not knowing for sure what is going on neurologically, as long as there she recognizes *something*.
Then, my 3-month follow-up with my Neurologist (which fell in the middle of one of my nastiest days at work, as fate would have it). Pompous a$$. 5 minutes, no eye contact, a barely minimal neuro exam that ONLY tested cranial nerves (I was a stroke nurse, *I* could have done this to me... and I don't have problems with my tongue deviating or my eyebrows raising evenly... how about testing my reflexes and balance??). I told him about falling down the stairs last month and my leg buckling at least once/wk leaving me catching myself or on the floor. He says "may be seizures or black-outs". What should I do for follow-up/safety? "Less stress". Hmm, I'm right on that, Doc.
Bladder problems: "You have four children, of course you will have bladder problems". Well what about the 5 years after last child/before bladder problems began?? I was once the queen of the Kegels before I became the queen of the numbum last fall. He said "you need to see a urologist/gyne and they will test you and teach you exercises. But I don't know any good ones to refer you to, so ask your primary doctor. Here is a prescription for Detropan in the meantime" (bladder infections, here we come!!!) He says "We don't know what is going on, but stress and depression can be very psychosomatic" (uhhhh, what if I am not depressed, and my greatest stress right now is dealing with two pre-teen daughters?? LOL -- sure that IS stressful, but it's very doable :)
He left me feeling a little insane, imaginative, and problematic. The joys of the Specialists -- if they can't immediately nail something, it's hard on their ego's and they will rather abandon it than wait and see. I don't want an immediate diagnosis. I don't want a bunch of prescriptions. I just want to be safe, and I just want to know that I'm not imagining myself into numbness, electric zaps, tripping, weak legs, and bowel incontinence.
I know that they see some really creative patients... but that is not me. I don't have time for that. And I wouldn't have picked elimination failure as my symptom of choice if I did!!
Rant, rant, rant. Maybe I *do* have something to prove...
First, I had my yearly with my Primary Doctor. She did a very thorough exam and pointed out deficits/abnormals as she went. I'm OK with that. I knew what they were anyway. She reminded me to be careful on the stairs, advised cranberry juice to prevent UTI's due to bladder issues, agreed with my bowel routine to keep things moving along, renewed clonazepam for night-time leg spasms. She listened, advised, didn't make me feel crazy. She said "your MS may continue to give you problems with {insert countless weird symptoms here}" and instead of making me feel like a victim, she encouraged me to be proactive. I'm fine with not knowing for sure what is going on neurologically, as long as there she recognizes *something*.
Then, my 3-month follow-up with my Neurologist (which fell in the middle of one of my nastiest days at work, as fate would have it). Pompous a$$. 5 minutes, no eye contact, a barely minimal neuro exam that ONLY tested cranial nerves (I was a stroke nurse, *I* could have done this to me... and I don't have problems with my tongue deviating or my eyebrows raising evenly... how about testing my reflexes and balance??). I told him about falling down the stairs last month and my leg buckling at least once/wk leaving me catching myself or on the floor. He says "may be seizures or black-outs". What should I do for follow-up/safety? "Less stress". Hmm, I'm right on that, Doc.
Bladder problems: "You have four children, of course you will have bladder problems". Well what about the 5 years after last child/before bladder problems began?? I was once the queen of the Kegels before I became the queen of the numbum last fall. He said "you need to see a urologist/gyne and they will test you and teach you exercises. But I don't know any good ones to refer you to, so ask your primary doctor. Here is a prescription for Detropan in the meantime" (bladder infections, here we come!!!) He says "We don't know what is going on, but stress and depression can be very psychosomatic" (uhhhh, what if I am not depressed, and my greatest stress right now is dealing with two pre-teen daughters?? LOL -- sure that IS stressful, but it's very doable :)
He left me feeling a little insane, imaginative, and problematic. The joys of the Specialists -- if they can't immediately nail something, it's hard on their ego's and they will rather abandon it than wait and see. I don't want an immediate diagnosis. I don't want a bunch of prescriptions. I just want to be safe, and I just want to know that I'm not imagining myself into numbness, electric zaps, tripping, weak legs, and bowel incontinence.
I know that they see some really creative patients... but that is not me. I don't have time for that. And I wouldn't have picked elimination failure as my symptom of choice if I did!!
Rant, rant, rant. Maybe I *do* have something to prove...
Wednesday, April 30, 2008
To laugh often and much
This post is for the sole purpose of moving the stool chart down the page and out of sight :) And it's a nice thought for a rainy spring day when I am blessed with the use of only one hand and half a back...
Have a good one!
Have a good one!
Tuesday, April 29, 2008
The Scoop on Poop
Nasty, hey? :) We had the Official Version of this chart posted in our Report Room on the Stroke Rehab Unit where I worked last year. Every morning, it stared me in the eye. We were encouraged to use the "types" in our documentation of patient's bowel movements so that we would have objective descriptions.
It wouldn't be so bad if it didn't talk about FOOD at the same time!
Good golly, I don't miss that unit.
So for all of you who keep daily diaries to show your neurologists/doctors, I proudly pass on the chart for your personal use :) Won't your docs be pleased?!
Monday, April 21, 2008
Cause I'm a W.O.M.A.N.
Friday, April 18, 2008
Streakin' (for MS!)
I'm going to have lots of explaining to do... I'm wearing a bright new color for MS.
It's kind of scary for me, actually. I can either tell people it's a mid-life crisis or actually explain that it's in support of the Walk to end MS. Some will know that I am struggling with neurological issues, others will be left to think that I am just a "participant". In for a inch, in for a mile!
It was a fun afternoon at the mall, though. Good to see old friends and make some new!
My kids are teasing me... we heard on the news a while back about how Montreal was having problems with rabies outbreaks in the wild animals of the city. The city would capture the wild animals, check them for rabies, and if they were clean, they would be spray painted with a pink stripe and released.
"I am officially rabies-free!"
Now the MS, on the other hand...
I guess, other than the hair, the limp from the 3-day muscle spasm (spasm seems like such a *gentle* way to describe this ) in my calf and foot might give it away... ouch. I have so much respect for those of you who have been dealing with MS joys for years...
But at least I'm still smiling!
It's kind of scary for me, actually. I can either tell people it's a mid-life crisis or actually explain that it's in support of the Walk to end MS. Some will know that I am struggling with neurological issues, others will be left to think that I am just a "participant". In for a inch, in for a mile!
It was a fun afternoon at the mall, though. Good to see old friends and make some new!
My kids are teasing me... we heard on the news a while back about how Montreal was having problems with rabies outbreaks in the wild animals of the city. The city would capture the wild animals, check them for rabies, and if they were clean, they would be spray painted with a pink stripe and released.
"I am officially rabies-free!"
Now the MS, on the other hand...
I guess, other than the hair, the limp from the 3-day muscle spasm (spasm seems like such a *gentle* way to describe this ) in my calf and foot might give it away... ouch. I have so much respect for those of you who have been dealing with MS joys for years...
But at least I'm still smiling!
Wednesday, April 16, 2008
Another silly nursing cartoon
OK, I know that's not funny to anyone who doesn't spend their days assessing breath sounds and looking at hospital gowns and openings of all sorts :)
It's been a busy week at work. 3 patients on my team passed away, and one ended up with paralysis from spinal cord compression. I am caring for a wonderful lady who is the mother of one of my children's school-mates. She is very strong, but her diagnosis is horrible. It's hard some days to leave work at work. I really connect with the patients and families on the unit. Others drive me absolutely up the wall, lol. I am so glad to work with such a great team where we can laugh and cry together every shift...
It seems like I was the "go to nurse" for family emotional issues this week at work. I need to recharge my batteries...
Maybe it was the fact that I was operating left-handed due to a dead arm (nerve stuff)... I think that I appeared half-human to other people who know suffering.
At least what I see at work makes my life seem pretty darn cooshy!!
It's been a busy week at work. 3 patients on my team passed away, and one ended up with paralysis from spinal cord compression. I am caring for a wonderful lady who is the mother of one of my children's school-mates. She is very strong, but her diagnosis is horrible. It's hard some days to leave work at work. I really connect with the patients and families on the unit. Others drive me absolutely up the wall, lol. I am so glad to work with such a great team where we can laugh and cry together every shift...
It seems like I was the "go to nurse" for family emotional issues this week at work. I need to recharge my batteries...
Maybe it was the fact that I was operating left-handed due to a dead arm (nerve stuff)... I think that I appeared half-human to other people who know suffering.
At least what I see at work makes my life seem pretty darn cooshy!!
Sunday, April 13, 2008
The Valley
Our music therapist at work was singing this song to a palliative patient and his partner the other day. It's a beautiful song with wonderful words, and I wanted to share it. So here's to my Blogging Friends and to anyone else who just needs it! The song is "The Valley" by Jane Siberry (another one of our Great Canadians).
I live in the hills
You live in the valleys
And all that you know
Are these blackbirds
I love the best of you
You love the best of me
Though it is not always easy
Lovely? Lonely?
We will walk in good company
c. 1989 Wing-It Music
I live in the hills
You live in the valleys
And all that you know
Are these blackbirds
You rise every morning
Wondering what in the world
Will the world bring today
Will it bring you joy
Or will it take it away?
And every step you take is guided by
The love of the light on the land
And the blackbird's cry
You will walk in good company
Wondering what in the world
Will the world bring today
Will it bring you joy
Or will it take it away?
And every step you take is guided by
The love of the light on the land
And the blackbird's cry
You will walk in good company
The valley is dark
The burgeoning holding
The stillness obscured by the judging
You walk through the shadows
Uncertain and surely hurting
Deserted by the blackbirds
And the staccato of the staff
And though you trust the light
Towards which you wend your way
Sometimes you feel all that you wanted
Has been taken away
You will walk in good company
The burgeoning holding
The stillness obscured by the judging
You walk through the shadows
Uncertain and surely hurting
Deserted by the blackbirds
And the staccato of the staff
And though you trust the light
Towards which you wend your way
Sometimes you feel all that you wanted
Has been taken away
You will walk in good company
I love the best of you
You love the best of me
Though it is not always easy
Lovely? Lonely?
We will walk in good company
c. 1989 Wing-It Music
Thursday, April 10, 2008
My Secret Super Hero
To our Garage Sale Queen and Secret Super Hero... Shauna at bugs, bikes, and brains gets the award of the day!
Tuesday, April 8, 2008
I'll Show you Mine!
Catz Mews has tagged me with the "I'll Show You Mine" meme where I have to take a screenshot of my desktop for you all... So here goes!
I love this duck Momma's crazy hair do -- she looks just like me on any given day ;-) And all those little ducklings riding along...
I am tagging:
I love this duck Momma's crazy hair do -- she looks just like me on any given day ;-) And all those little ducklings riding along...
I am tagging:
Saturday, April 5, 2008
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