One morning, I completely fell apart. I told my husband I wanted to die and he rushed me to the emergency room. I was prescribed an antidepressant and things immediately started improving.
I was suffering from major postpartum depression, which in my experience was like living in a completely different world from everyone I loved. I could see them laughing and smiling, but I couldn’t participate despite how hard I tried. I felt cut off, cut out, and on the verge of being discarded. I was completely convinced that I would keel over at any moment.
Still, I was very much a part of my son’s life. I played with him, breastfed, cleaned house, walked my dog, exercised, ate healthy, and generally attempted to enjoy life.
My moods oscillated between nervous trepidation and complete despair. My friends noticed that I was very sensitive and didn’t laugh the way I used to, but just assumed it came with the territory of new motherhood. My family noticed that I had lost my confidence, but couldn’t decipher any real problem.
It started almost immediately after giving birth. I was wholly unprepared to be a mom; totally unprepared for the overwhelming feeling of love and joy my son would bring me. Unfortunately, he suffered from colic, which despite everything I tried continued until he was four months old. Then, at four months, he stopped sleeping. My husband and I would manage two hours of sporadic sleep throughout the day. It was sheer torture. After a month of this I had lost myself. My husband said I would wander around the house mumbling under my breath.
We finally decided to hire a pediatric sleep specialist. She was a godsend. At six months, he would take two solid naps and sleep 10-12 hours a night. I finally had the opportunity to sleep. We thought things would improve for me too.
I slept better, certainly, but not well. My son still cried occasionally, like any normal baby, but to me it was agonizing. His occasional fits would cause me to breakdown. I would sob and shake until he stopped crying. We went on like this for two more months.
After eight months of this I’d become a different person. My son was healthy, happy, and sleeping well, but I couldn’t see it. I had somehow convinced myself that he wasn’t doing well, and that it was my fault. I had convinced myself that he had suffered from colic and sleep issues because of me, and that if he’d had a better mother he would have been happy and healthy from the very beginning.
And so, that one morning (described above), my husband took me to the ER and I got help.
Things have continued to improve. I’ve read hopeful and helpful stories on coming back from postpartum depression. My therapist cleared me a few months ago, and I see a psychiatrist every two months. I admit I was afraid taking antidepressants would make things worse, but it has truly helped. I never expected treatment to be this rewarding. Life is completely wonderful and I have the tools and support to enjoy it with my family. Getting help was the best thing I could have done.
My hope in writing this is that it encourages you, or someone you know, to get the help they need. No one should have to be afraid of treatment. Always consult your family physician when seeking any kind of medical care. The most important thing to remember with postpartum depression is that your well being is essential to the health of your child. Your baby needs you, everything else is secondary.
Howard County Library System has loads of books on parenting and mental health. I personally loved Pamela Druckerman’s Bringing up Bebe : One American Mother Discovers the Wisdom of French Parenting.
Woman Consoling Man [Credit: Monkeybusinessimages] / [Dreamstime]
April is Defeat Diabetes month and we thought we’d write about a subject that isn’t often written about, how friends and family can provide emotional support to loved ones who have diabetes.
A diabetes diagnosis can be overwhelming emotionally for loved ones as well as the person with the disease. Friends and family don’t always know the best way to help. Licensed psychologist Lisa Hoffmeyer, Ph.D., a diabetic herself, gives friends and family the following advice:
Offer to Help
Ask what kind of help the diabetic needs and wants, and take a collective approach, “What can we do together to make sure you are healthy in the future?” Newly diagnosed diabetics wrestle with the notion that their life will be terribly different moving forward. They often feel their body has failed them. They might be angry. They need support as they make the necessary lifestyle adjustments to manage the disease.
In addition, the patient should also ask their family, “What are you scared of? How can I help you understand my disease? How can you feel safe and know that I am going to be OK?”
If someone with diabetes is open to it, attend doctor visits and educational classes together, but respect their independence. If your loved one has hypoglycemia (low blood sugar), you should know what signs indicate a possible emergency and what to do if your loved one loses consciousness. Family and friends should learn everything the patient does, with one caveat, they should not be the experts—the patient should.
Plan for the Future
Seniors with diabetes may face many challenges and they are twice as likely to get dementia versus non-diabetics. It is important that caregivers be prepared should the diabetic not be capable of managing their care. Have conversations about managing diabetes before it becomes an issue.
It is important for friends and family to realize the patient needs to own their disease and, unless impaired, they must be in charge of managing it. A lot of family members become the ‘diabetes police,’ and that’s not helpful. Instead of asking, “Are you sure you should be eating that?” a better way to help a loved one with diabetes is to ask, “What can I do to support you and help you succeed?”
Many patients with type 2 diabetes will become insulin-dependent or choose to go on insulin pumps. It isn’t a sign that they are doing anything wrong. Insulin may be the best treatment for some people and not necessarily a sign of worsening health. My recommendation is that the diabetic does what it takes to be healthy in the moment.
For more information about diabetes, view:
Do you have other support tips? Share them with us and our readers.
August 20, 2016 is a date that will forever be in my memory. I received a very serious concussion, due to a cycling accident, that changed my life. My fiancé and I were participating in a charity cycling event, on a closed course, in Howard County. We’re not sure what happened, but I crashed – hard. I could not have been luckier because I crashed in front of a police officer who was able to get me help quickly. I was unconscious for three minutes. First responders rushed me to a shock trauma facility.
I haven’t been able to remember the two weeks that I spent in the shock trauma hospital. My family accounts for that time though, reminding me of the exceptional care I received. The trauma team performed a wide range of assessments and determined that I had broken my clavicle, my temporal bone (in multiple places), had two brain contusions, and a large laceration on the outside of my head that required staples to close. The doctors were very clear with my family – the helmet I had been wearing saved my life. The team treated me with various medications, trying to get the swelling in my brain down. For several days, it was touch-and-go as to whether or not I would need surgery to reduce the swelling. Thankfully, I didn’t need it.
When I was moved to a rehabilitation and orthopedic hospital I saw physical therapists, occupational therapists, and speech therapists, in addition to a neurologist. The specialists called my progress “astounding,” and released me after a week. I continued for outpatient OT (occupational therapy) for my broken clavicle and only needed two sessions with the speech therapist. My progress took everyone by surprise, given the severity of my injuries.
I returned to work at the end of October 2016 and my progress continues to astound my family (and me) on a daily basis. I’m slightly more than six months passed my accident and I am so grateful for the ongoing progress. The lessons I’ve learned from this experience have been life-changing! My concussion has been tough on me and my family, but it’s taught me to ask for, and accept, help (which is something I’ve always struggled with).
My doctors tell me that I’ll encounter some challenges this year – a weaker immune system, getting fatigued more easily, etc., but I am learning to listen to my body. Recovery isn’t perfect, but it’s better than the alternative. My long-term prognosis is excellent and my doctors expect a full recovery in a year. They’ve also told me that I will be back doing triathlons before I know it!
I choose gratitude everyday for all the progress I’ve made.
Posted by hcgh_md on Mar 28, 2017 in Health | 0 comments
Woman Eating a High Blood Pressure Friendly Meal
Everyone loves a delicious dish, including yourself, right? Though when you suffer from high blood pressure (hypertension) you’re likely to think you’ve got two choices when it comes to eating: eating incredibly tasteless bland food for the rest of your life or continue eating the way you typically do and see where it takes you, after all, there’s medication.
The problem with the latter is it can contribute to taking more medication or worse yet, lead to heart disease and stroke.
But, there’s good news, you can take care of your blood pressure and be a foodie at the same time, you just have to be a smart foodie. Start being a smart foodie with these six simple tips.
- Understand how to read food labels
The nutrition facts label is a key tool when making healthier food choices. The most important number on food labels … serving sizes. According to Johns Hopkins Exercise Physiologist, Kerry J. Stewart, Ed.D., “a lot of people don’t pay attention to serving size when they read nutrition labels, so they wind up getting double, triple or even quadruple the amount of calories, carbs, fats and so on.” Once you know the serving size, you can better measure calories and choose your nutrients wisely – taking in more fiber, potassium and vitamins A and C and reducing cholesterol, sodium, sugars, saturated fats and trans fats, which can also be found in hydrogenated and partially hydrogenated oils.
- Stay hydrated
It is important for the body to have adequate fluids, especially water. Water helps prevent dehydration, flushes out excess sodium, assists with weight loss, and helps with the digestion and absorption of key nutrients. Your water intake doesn’t always have to be straight out of the tap, try spring water or add a twist of lemon or lime for some added flavor. Unless you’re advised otherwise by your physician, you can still have your favorite beverages, though you’ll want to limit your intake of them because of their added sugars or salt. Make these an indulgence rather than an everyday occurrence.
- Reduce your sodium intake
Too much salt or sodium can cause your body to retain fluid, which can increase blood pressure. To reduce your sodium intake eat fresh produce, use herbs and spices for flavor and choose low- sodium or no-added-salt “convenience” foods.
- Include a variety of colorful vegetables
Vegetables add important heart-healthy nutrients and fiber that help you feel satisfied and full. If you’re a vegetable lover, try eating more vegetarian meals. Vegetarian diets tend to be higher in potassium, magnesium and calcium. You can find loads of vegetarian recipes online. Experiment, try new dishes and see what you like.
- Eat fresh, in-season fruit
It’s healthier, more refreshing, and best of all, requires very little prep work from you. Though, if you like creating in the kitchen, try various fruit salad combinations and add it to other foods for extra pizazz. Either way, fruit is a good multi-purpose food; you can start or end your day with it or snack on it in the middle of the day and on the go. According to the United States Department of Agriculture, the following fruits are available during the following seasons:
- Choose nuts and seeds for fun snacks
Nuts and seeds make for great snack foods. They’re rich in sources of energy, magnesium, protein and fiber. But, if you’re going to snack on these, remember to choose salt-free. The National Institutes of Health’s (NIH) National Heart, Lung and Blood Institute recommends eating almonds, hazelnuts, mixed nuts, peanuts and sunflower seeds.
With these six tips, you now have a starting point for eating delicious dishes with a healthy twist.
For more help on managing high blood pressure, enroll in our Living Health with Hypertension class.
What are your favorite high blood pressure friendly foods? Share with us and our readers.
We’ve all heard of someone getting a concussion. Typically, it’s just an unfortunate event that doesn’t take terribly long to recover from. However, this isn’t always the case. I didn’t know how life changing a concussion could be until I experienced it myself at the end of August 2016.
I randomly fainted one day. Knocked unconscious for about 10-15 seconds; it felt like several minutes when I came to. I had no idea what had happened. I went to urgent care where I was told that I had experienced a traumatic brain injury (TBI) or a concussion. I returned a couple days later to check up on the injury. When I realized I couldn’t really read the forms I had to sign, I knew this wasn’t going to be a quick recovery.
After being essentially bed ridden for 3 weeks, I slowly started to introduce myself to the world again. I would go on very short walks at night, in order to be kind to my light sensitivity. I could walk about halfway around the smaller loop of the neighborhood before feeling dizzy and completely drained. Now, I can do several laps around the larger loop with ease and confidence.
Time alone can’t heal a concussion. Your brain and body has to heal and sometimes, re-learn how to act like it used to. For instance, I had never experienced with car sickness while riding in the car. After my concussion, I couldn’t open my eyes while riding in a car without feeling sick and like my head was going to explode. And focusing on anything, much less performing research online or browsing the Internet, was practically impossible. So, I started physical therapy as soon as I was able. Physical therapy has helped me with my balance and relieving that lingering sensation of constant pressure in my head.
Starting in December 2106, I was able to drive to and from work (20mins) a couple of days a week. Half-way through January 2017, I was worked my way up to driving to work daily and running short errands like shopping at the grocery store around the corner. Now, I can even drive at night and run errands to places a little further away (and even more than one errand in a day if I’m feeling adventurous). I can focus enough to read picture books and graphic novels (looking forward to being able to read a novel soon), as well as research online and browse the Internet comfortably. I can sit through and enjoy watching movies and binge watch some of my favorite TV shows. Physical therapy and rest have been essential to my healing.
My experience has shown me some things that I didn’t expect about having a concussion (aside form the ambiguous healing time frame), like feeling alienated or anti-social. I have had trouble connecting to people in the same way, including friends and family. Some days I wonder if I will ever feel “normal” again. I still have a bit of a way to go in my healing process, but I become more and more confident as each month passes. I think of that first month and how I convinced myself that I would never heal and see how far I’ve come- and it feels great!
Concussions are a serious matter regardless of the severity. Whether you find yourself in a clumsy moment, a freak accident, faint for unknown reasons, or attain a major sports injury– always go to a medical facility. Concussions can happen at any age and require proper care and attention.
I am lucky to have met an amazing concussion specialist and physical therapist who genuinely care about my well being. In addition, I’m lucky to have the support of my loved ones as this journey has been one of the most difficult things I have ever experienced. This was a very random and unexpected occurrence. I am thankful every single day that this injury wasn’t any worse. I am thankful to be here to share my experience with all of you.
Posted by hcgh_md on Mar 14, 2017 in Health, Screenings | 0 comments
Colon Cancer Screening Ten Second Assessment
Between hearing the dreaded prep stories and the thought of having a device inserted into your bottom, it’s no wonder you’re probably questioning … is colonoscopy screening really necessary?
Yes, it is! According to Johns Hopkins Medicine, colorectal cancer is the second leading cause of cancer deaths in the United States and the third most common cancer in men and women. Yet, it’s one of the most curable types of gastrointestinal cancer, if detected early.
It all starts with a small polyp that grows in the colon’s lining. If untreated, the polyp grows larger and larger, to the point of becoming cancerous. When it’s at that point, the cancer starts to spread.
Now knowing why it’s necessary, let’s get to the truth behind the myths.
The prep drink tastes awful and you have to drink a lot of it.
While it might not taste like your favorite beverage, the good news is bowel prep has become easier. Products have greatly improved, as recently as within the last few years, and many physicians are prescribing a split dose – half the night before and half the morning of the procedure.
Expect to live in the bathroom.
To say you will live in the bathroom during your prep is an exaggeration, but you will visit it often, so it’s best that you spend your time in a comfortable setting with a bathroom close by.
No food the day before your procedure.
Not exactly, though you can expect to be on a limited diet. Physicians will typically instruct you to only eat a light breakfast and lunch before noon. After noon, you can expect to be on a clear liquids diet, but don’t worry, it’s not just water. You can drink your favorite juices, tea, coffee (without cream), soda and indulge your sweet tooth with jello, popsicles and Italian ices, so long as they don’t include pieces of fruit.
The goal is to have a clean colon so the physician can easily detect any polyps.
Having a device inserted in your bottom must hurt.
The device is a colonoscope. It’s a flexible camera that can easily move through the colon, allowing the physician to examine your colon and detect and remove any polyps.
While this may sound uncomfortable, you’ll be given a sedative before the procedure, so that you’re in a comfortable, drowsy, twilight sleep while this is happening. You probably won’t even remember the procedure when you wake up or feel any discomfort – most don’t.
No symptoms, no family history means no need for screening.
Colon cancer typically starts as precancerous growths. Precancerous growths don’t usually display symptoms, so feeling fine doesn’t exempt you from getting screened. And, if you think you can escape colon cancer because it doesn’t run in your family, think again. Everyone is at risk.
Screening should start at age 50 and younger if you do have a family history of colon cancer or if you are African-American or Eastern European Jewish decent.
Don’t let myths or fears stop you from getting screened. If you have additional question and concerns, speak with your physician. But if you’re ready to get screened, make an appointment with our physicians.
As winter slides into spring, I start to crave fresh fruits and vegetables. However, some members of the household can be more reluctant when it comes to this bounty.
Beautiful glossy photographs and simple rhyming text feature fresh, seasonal fruits and vegetables. Walking through the farmer’s market April Pulley Sayre in Go, Go, Grapes celebrates the familiar cherries and the unfamiliar rambutan. Even the pickiest of eaters will “Reach for peach. Fuzz is fine.” Rah, Rah, Radishes is an exuberant paean to the greens. Broccoli, bok choy, cucumbers, and fennel never looked so good!
Both of these books contain back matter for parents on the importance of whole fruits and vegetables in the diet and how to make them more appealing to a child. Sayre notes that “No vegetables were harmed or mistreated in the making of this book. Most, however, were later eaten.”
Take your child to the grocery store. Let them see the beauty of the produce department and encourage them to try ‘just a little bit’ of something new. Try different strategies with your reluctant eater. Just like reluctant readers they sometimes just need the right book (or fruit).
In Ciara Gavin’s third Bear book, she tackles the problem of the favorite food. Bear is a member of a duck family (read Room for Bear for a great story about blended families). When Bear discovers jam, he forgets to how to share, and won’t eat anything but jam. Mama is worried about Bear, and warns “no more jam until Bear eats vegetables.” There is the classic struggle. Refuses breakfast, refuses dinner. Bear’s siblings come to the rescue with classic food games (stick the peas to your nose and lick them off and corn as buried gold under the mashed potatoes). “Now Bear eats vegetables every night.”
Siblings can be great allies in the food wars. Just the idea that my brothers would eat it if I wouldn’t was enough to clear the plate.
Appreciation. Gratitude. “As we sit round this table, let’s give thanks as we are able, to all the folks we’ll never meet, who helped provide this food we eat.”
Another simple, perfect read aloud book about all that is has to happen before the meal that is in front of us can be enjoyed. Before We Eat: from Farm to Table, uses colorful woodcut prints to show the farmers, beekeepers, packagers, drivers, and finally grocery store workers who made this feast happen. Small children can still assist in small ways to prepare a meal. Being part of the process changes the child from a consumer to a creator. That creator may be much more willing to consume the fruits of his labor.
Try it, you’ll like it! And we have a book, DVD, e-resource that might help. See you at the library.