QUOTE FOR TUESDAY

Lifestyle changes are not always easy to make, but they can have a big impact on depression. Lifestyle changes that can be very effective.

Center for disease and control

Depression

The normal ups and downs of life mean that everyone feels sad or has “the blues” from time to time. But if emptiness and despair have taken hold of your life and won’t go away, you may have depression. Depression makes it tough to function and enjoy life like you once did. Just getting through the day can be overwhelming. But no matter how hopeless you feel, you can get better. Understanding the signs, symptoms, causes, and treatment of depression is the first step to overcoming the problem.

Sadness or downswings in mood are normal reactions to life’s struggles, setbacks, and disappointments. Many people use the word “depression” to explain these kinds of feelings, but depression is much more than just sadness. Some people describe depression as “living in a black hole” or having a feeling of impending doom. However, some depressed people don’t feel sad at all—they may feel lifeless, empty, and apathetic, or men in particular may even feel angry, aggressive, and restless. Whatever the symptoms, depression is different from normal sadness in that it engulfs your day-to-day life, interfering with your ability to work, study, eat, sleep, and have fun. The feelings of helplessness, hopelessness, and worthlessness are intense and unrelenting, with little, if any, relief.

Are you depressed?

If you identify with several of the following signs and symptoms, and they just won’t go away, you may be suffering from clinical depression.

  • you can’t sleep or you sleep too much
  • you can’t concentrate or find that previously easy tasks are now difficult
  • you feel hopeless and helpless
  • you can’t control your negative thoughts, no matter how much you try
  • you have lost your appetite or you can’t stop eating
  • you are much more irritable, short-tempered, or aggressive than usual
  • you’re consuming more alcohol than normal or engaging in other reckless behavior
  • you have thoughts that life is not worth living

What are the signs and symptoms of depression?

Depression varies from person to person, but there are some common signs and symptoms. It’s important to remember that these symptoms can be part of life’s normal lows. But the more symptoms you have, the stronger they are, and the longer they’ve lasted—the more likely it is that you’re dealing with depression. When these symptoms are overwhelming and disabling, that’s when it’s time to seek help. Signs and symptoms of depression include:

  • Feelings of helplessness and hopelessness. A bleak outlook—nothing will ever get better and there’s nothing you can do to improve your situation.
  • Loss of interest in daily activities. No interest in former hobbies, pastimes, social activities, or sex. You’ve lost your ability to feel joy and pleasure.
  • Appetite or weight changes. Significant weight loss or weight gain—a change of more than 5% of body weight in a month.
  • Sleep changes. Either insomnia, especially waking in the early hours of the morning, or oversleeping (also known as hypersomnia).
  • Anger or irritability. Feeling agitated, restless, or even violent. Your tolerance level is low, your temper short, and everything and everyone gets on your nerves.
  • Loss of energy. Feeling fatigued, sluggish, and physically drained. Your whole body may feel heavy, and even small tasks are exhausting or take longer to complete.
  • Self-loathing. Strong feelings of worthlessness or guilt. You harshly criticize yourself for perceived faults and mistakes.
  • Reckless behavior. You engage in escapist behavior such as substance abuse, compulsive gambling, reckless driving, or dangerous sports.
  • Concentration problems. Trouble focusing, making decisions, or remembering things.
  • Unexplained aches and pains. An increase in physical complaints such as headaches, back pain, aching muscles, and stomach pain.

 

Continuation of Depression

Depression and suicide

Depression is a major risk factor for suicide. The deep despair and hopelessness that goes along with depression can make suicide feel like the only way to escape the pain. Thoughts of death or suicide are a serious symptom of depression, so take any suicidal talk or behavior seriously. It’s not just a warning sign that the person is thinking about suicide: it’s a cry for help.

Warning signs of suicide include:

  • Talking about killing or harming one’s self
  • Expressing strong feelings of hopelessness or being trapped
  • An unusual preoccupation with death or dying
  • Acting recklessly, as if they have a death wish (e.g. speeding through red lights)
  • Calling or visiting people to say goodbye
  • Getting affairs in order (giving away prized possessions, tying up loose ends)
  • Saying things like “Everyone would be better off without me” or “I want out”
  • A sudden switch from being extremely depressed to acting calm and happy

If you think a friend or family member is considering suicide, express your concern and seek professional help immediately. Talking openly about suicidal thoughts and feelings can save a life!

 Depression is a loaded word in our culture. Many associate it, however wrongly, with a sign of weakness and excessive emotion. This is especially true with men. Depressed men are less likely than women to acknowledge feelings of self-loathing and hopelessness. Instead, they tend to complain about fatigue, irritability, sleep problems, and loss of interest in work and hobbies. Other signs and symptoms of depression in men include anger, aggression, violence, reckless behavior, and substance abuse. Even though depression rates for women are twice as high as those in men, men are a higher suicide risk, especially older men.Rates of depression in women are twice as high as they are in men. This is due in part to hormonal factors, particularly when it comes to premenstrual syndrome (PMS), premenstrual dysphoric disorder (PMDD), postpartum depression, and perimenopausal depression. As for signs and symptoms, women are more likely than men to experience pronounced feelings of guilt, sleep excessively, overeat, and gain weight. Women are also more likely to suffer from seasonal affective disorder.
The difficult changes that many older adults face—such as bereavement, loss of independence, and health problems—can lead to depression, especially in those without a strong support system. However, depression is not a normal part of aging. Older adults tend to complain more about the physical rather than the emotional signs and symptoms of depression, and so the problem often goes unrecognized. Depression in older adults is associated with poor health, a high mortality rate, and an increased risk of suicide, so diagnosis and treatment are extremely important.
Depression comes in many shapes and forms. The different types of depression have unique symptoms, causes, and effects. Knowing what type of depression you have can help you manage your symptoms and get the most effective treatment.
Major depression is characterized by the inability to enjoy life and experience pleasure. The symptoms are constant, ranging from moderate to severe. Left untreated, major depression typically lasts for about six months. Some people experience just a single depressive episode in their lifetime, but more commonly, major depression is a recurring disorder. However, there are many things you can do to support your mood and reduce the risk of recurrence.
Some illnesses have a specific medical cause, making treatment straightforward. If you have diabetes, you take insulin. If you have appendicitis, you have surgery. Depression, however, is more complicated. Depression is not just the result of a chemical imbalance in the brain, and it’s not simply cured with medication. Experts believe that depression is caused by a combination of biological, psychological, and social factors. In other words, your lifestyle choices, relationships, and coping skills matter just as much—if not more so—than genetics. However, certain risk factors make you more vulnerable to depression.
Causes and risk factors for depression
  • Loneliness
  • Lack of social support
  • Recent stressful life experiences
  • Family history of depression
  • Marital or relationship problems
  • Financial strain
  • Early childhood trauma or abuse
  • Alcohol or drug abuse
  • Unemployment or underemployment
  • Health problems or chronic pain

Lifestyle changes are not always easy to make, but they can have a big impact on depression. Lifestyle changes that can be very effective include:

  • Managing stress
  • Practicing relaxation techniques
  • Challenging negative thought patterns

Make the move and help yourself before it gets to the point you can’t handle anymore and feelings of suicide come on and it becomes successful. IN HONOR OF ROBIN WILLIAMS There really are no words to describe the loss of Robin Williams. He was immensely talented, creative, and will be greatly lost for the unique entertainment he brought to us on the stage, in the movies and on our T.V.’s in our living rooms. Depression is like a disease but you have to be strong and choose fight over flight. Robin won many battles but today suicide unfortunately won the war. Robin thank you for all your show’s, movies, comedy performances on stage and my deepest condolences to his family, friends, and colleagues. You will be greatly missed! 🙁

Check out part 1 of ADHD in children on Wednesday.

QUOTE FOR MONDAY

“A stent is placed in an artery as part of a procedure called percutaneous (per-ku-TA-ne-us) coronary intervention (PCI), sometimes referred to as coronary angioplasty (AN-jee-oh-plas-tee). PCI restores blood flow through narrow or blocked arteries. A stent helps support the inner wall of the artery in the months or years after PCI.”

National Heart Lung and Blood Institute Logo

Go to striveforgoodhealth.com and learn about stents; a common savor in minor cardiac surgery for post blockages removed and to remain open.  Learn more about what a stent is!

What are STENTS?

A stent is a wire mesh tube that is used to help hold open an artery. To simple understanding this concept think of a plumber or a mechanic. With a plumber sometimes they have to replace a certain area of a pipe that connects the water or like a mechanic replacing a certain area of piping (like the muffler piping connected infront of the muffler than can either can be replaced or just welded with piece of piping welded just to save money. Well a stent opens the artery that was clogged and its put in that place to reinforce that area of the artery to remain open to allow blood to get to that heart from that coronary artery and it will stay there life to keep the artery permanently patent to prevent the blockage from happening again with the synthetic mesh piece. Description Stents are used to hold open diseased coronary arteries (these arteries supply blood to the heart), as well as diseased arteries of the peripheral vascular system (PVS). Peripheral means away from the heart the PVS is the arteries that supply blood to the rest of the body (again away from the heart all the way down to the hands and feet). There are variety of stents currently available. For a surgeon to find out if you even need one, first usually a angiogram is performed and this is a catheter simply from the femerol artery or from your arm to the coronary arteries. If the MD sees you show a blockage 80% or more an angioplasty is performed which is a balloon at the end of this catheter that blows up and decompresses to give the effect like punching gloves. The balloon inflates and deflates over and over again till the blockage breaks open free and then a stent is put in that area to help keep it open permanently (patent). Some stents have been compressed onto the outside of an angioplasty balloon catheter and delivered by inflating the balloon in the desired location. Other stents are “self- expanding” spring-loaded devices, which expand automatically upon deployment. Stents remain in arteries permanently. The tissue lining the arteries actually grows over the metal mesh to cover the inner lumen of the stent. Stent procedures have become very common like tonsillectomies were in childhood. Stents are sometimes used as an alternative to coronary artery bypass surgery, if the patient is a candidate. Stents are often used in combination with balloon angioplasty. One leads to the other depending on what the angioplasty displays for the surgeon on the T.V. in when they are doing the procedure and if the come up to a blockage high enough to perform the angioplasty followed with a stent it will be done. Stents are used in cases of “restenosis”, which refers to the re-closing of arteries after balloon angioplasty. In carefully selected patients, the use of stents can dramatically reduce restenosis following balloon angioplasty or other catheter-based procedures. Stents are used frequently to hold open the arteries that have been damaged, torn, or dissected by balloon angioplasty or other catheter-based procedures. Like plumber or mechanic, get it. Stents allow angioplasty to be done in patients with severe and long-segment obstruction of coronary arteries. As soon as the I initial part of the block is widened, a stent is place, which holds it open allowing further opening to proceed. Stents have also allowed angioplasty to be performed in patients with blocks of multiple vessels, and in multiple blocks in a single artery. Risks Risks include the standard risks of an interventional, catheter-based procedure, which should be specifically discussed with your doctor. Lesions treated with stents can “restenosis” (re- narrow with in weeks to months after the procedure) similar to restenosis associated with angioplasty. This is why patients after having a stent put in they are on a medication for example like Plavix for life to prevent this occurrence from happening. It is a anti platelet medication, meaning it doesn’t allow clotting to happen in the stent so blockage doesn’t reoccur through clotting. Many new technologies are being tested to reduce the problem of restenosis. These technologies include coating and coverings for the stent, new materials, and radiation. These new technologies are primarily experimental at this point and will reach soon to the market if not already. Technology allows the medical field to continuously expand and this will be replaced at one point but isn’t yet. Just give it time. At one point we had no CABG (coronary artery bypass) but now the stent in certain cases is replaced by angiograms to further expanding to angioplasties and stents furthering allowing the surgery to take place 1x hopefully if the patient is compliant in diet, exercise, and following the doctors orders with meds, activity and follow up visits (which are so vital).   A lot is up to the patient in caring or themselves to prevent having this take place again. Follow up Instructions Your doctor will recommend blood thinning medications following your stent procedure. These agents are usually given for one month post procedure along with aspirin and then continued indefinitely. Your doctor may also prescribe antibiotics for a period of time after the stent procedure, to be taken anytime you have a medical or dental procedure. Preventing infection. MRI tests should not be done for at least eight weeks without your doctor’s approval. Metal detectors do not present a problem. Stents appear to be safe in the long-term; there are no long-term complications associated with a permanent stent.

QUOTE FOR WEEKEND

“When young men and women do marry, they typically smoke less, drink less, and use illegal drugs less. For example, single men drink almost twice as much as married men of the same age. In a recent national survey, one out of four young single men (ages 19 to 26) say their drinking causes them problems at work or problems with aggression, compared to about one in seven married guys the same age.”

Maggie Gallagher serves as Director of the Marriage Program at Institute for American Values and co-authored The Case for Marriage with Linda J. Waite

Marriage and Health

Want to live a long life? Get married. Study after study has shown that married people, particularly married men, live significantly longer than their single friends. Some of the research is overall correlation, while other studies look at specific diseases and possible mechanisms. Doctors at Harvard tossed some more data on the pile last month, showing that married patients were more likely to identify cancer in its early stages and less likely to die from the disease than their unmarried peers. Epidemiologists refer to the well-established correlation between marriage and longevity as the “marriage protection hypothesis.”

 

The marriage protection hypothesis isn’t entirely surprising. Unlike the connection between alcohol and longevity, which still lacks a fully coherent explanation, there are a handful of intuitive and attractive reasons why marriage might extend your life. Having a family gives people something to live for, which may discourage risky behaviors like smoking and riding a motorcycle. Married men commit suicide at lower rates than singles, possibly for the same reason. Your spouse may urge you to get a mammogram, wear sunscreen, or have that worrisome mole checked out. A life partner provides an outlet to discuss personal stresses. (One medical argument in favor of legalizing same-sex marriage is that gay people have significantly lower stress levels when married.) Married people may remain more intellectually engaged with others, which helps avoid dementia. And healthy people may be more likely to attract a mate and marry than unhealthy people.

It’s not all good news for married people, though: Marriage also increases obesity rates. Getting married raises the risk of a woman becoming overweight by 3.9 percentage points compared to peers who did not marry, and marriage increases her risk of obesity by 1.4 percentage points. The effect is more pronounced for men. Married men see a 6.1 percentage point rise in the risk of becoming overweight and a 3.3 percentage point increase in the risk of obesity.

Obesity likely takes a sizable cut out of any longevity benefits of marriage. More than one-third of Americans are obese. It is a major risk factor for the leading cause of death, heart disease. The number of Americans living with diabetes, another illness linked to obesity, doubled from 1998 to 2013.

The proportion of adults who are obese increases with age; obesity can be caused by the cumulative effect of years of eating just a little more than we should. While less than 33 percent of us are obese between the ages of 20 and 39, nearly 40 percent of Americans older than 60 are obese. It’s a bit of a paradox that marriage is connected to both longevity and obesity, one of the primary contributors to early death.

The nature of the connection between marriage and weight gain is a matter of conjecture. One plausible explanation is the “marriage market hypothesis”: Single people remain thin for no other reason than to attract a mate. Once you’ve legally obligated someone to stick with you through sickness and health, there’s no compelling reason to eat right and exercise. But that theory flies in the face of the overall marriage protection hypothesis. If people quit smoking, wear sunscreen, and eschew suicide for the sake of their families, why would they allow themselves to become obese? (It’s important to note that mere age is not the explanation for the link between obesity and marriage. Researchers control for our tendency to gain weight as we get older, and the correlation is still easily detectable.)

There may be a simple explanation: People eat more when they’re together. A 1992 study that asked participants to record their food consumption for a week found that eating with one companion increased meal size by 41 percent compared with eating alone, while breaking bread with six or more people increased an individual’s caloric intake by a whopping 76 percent. Other studies have found somewhat more modest increases, but the effect is remarkably consistent.

Why do we eat more when we eat with others? It may be a result of social norms. Communal meals tend to last longer than eating solo, and people who sit in front of food can’t resist eating it. Another possible explanation is our habit of mimicking our dining companions: When they take a bite, we take a bite. More people means more cues to eat. The habit may, alternatively, lie deep in evolutionary history. Chimpanzees and marmosets spontaneously share food, probably to help form social bonds. From the innocent, altruistic act grew a regrettable human custom. Perhaps you feed (and feed, and feed) your spouse to strengthen your marital bond, even if you’re ultimately shortening its duration.

Sharing food may be a harmless gesture of friendship for marmosets, and it may have made sense for our hunter-gatherer ancestors, who were far more likely to die from scarcity than from the sequelae of diabetes. Our social customs, however, must evolve with us. There are better things to share with your spouse than dessert.  If that is all your sharing your definitely missing something in your marriage.

Marriage protects against mental illness and psychological distress. One study following young adults for seven years found that, even after taking into account the mental health of people prior to marriage, marriage boosted the mental health and reduced depression among young adults. Another study investigating the mental health of 13,000 men and women in older middle age (51 to 61 years), found that after controlling for race, education, family structure, income, and living arrangements, married people were less depressed and emotionally healthier than comparable singles.

References; Brian Palmer is Slate‘s chief explainer. He also writes How and Why and Ecologic for the Washington Post.  2.)Michigan Family Forum

QUOTE FOR FRIDAY

“The perception that this outbreak is an African problem is troubling. Many Americans have been vocal online about their belief that the U.S. should shut down its borders until the outbreak is under control and others have expressed their fear about people coming from that area of the world.  Certainly, the physicians who deal with global epidemics are not worried about the potential for a problem here in America.”

Dr. Manny Alvarez serves as Fox News Channel’s Senior Managing Editor for Health News.

What is Ebola Virus Disease& how does this virus spread?

Ebola virus disease (EVD) or Ebola hemorrhagic fever (EHF) is the human disease caused by the Ebola virus. Symptoms typically start two days to three weeks after contracting the virus, with a fever, sore throat, muscle pains, and headaches. Typically nausea, vomiting, and diarrhea follow, along with decreased functioning of the liver and kidneys. At this point, some people begin to have bleeding problems.[1]

The virus may be acquired upon contact with blood or bodily fluids of an infected animal (commonly monkeys or fruit bats).[1] Spread through the air has not been documented in the natural environment.[2] Fruit bats are believed to carry and spread the virus without being affected. Once human infection occurs, the disease may spread between people as well. Male survivors may be able to transmit the disease via semen for nearly two months. In order to make the diagnosis, typically other diseases with similar symptoms such as malaria, cholera and other viral hemorrhagic fevers are first excluded. Blood samples may then be tested for viral antibodies, viral RNA, or the virus itself to confirm the diagnosis.[1]

Prevention includes decreasing the spread of disease from infected monkeys and pigs to humans. This may be done by checking such animals for infection and killing and properly disposing of the bodies if the disease is discovered. Properly cooking meat and wearing protective clothing when handling meat may also be helpful, as are wearing protective clothing and washing hands when around a person with the disease. Samples of bodily fluids and tissues from people with the disease should be handled with special caution.[1]

There is no specific treatment for the disease; efforts to help persons who are infected include giving either oral rehydration therapy (slightly sweet and salty water to drink) or intravenous fluids.[1] The disease has high mortality rate: often killing between 50% and 90% of those infected with the virus

A Nigerian nurse who treated a man with Ebola is now dead and five others are sick with one of the world’s most virulent diseases, authorities said Wednesday as the death toll rose to at least 932 people in four West African countries.

The growing number of cases in Lagos, a megacity of some 21 million people, comes as authorities acknowledge they did not treat Patrick Sawyer as an Ebola patient and isolate him for the first 24 hours after his arrival in Nigeria last month. Sawyer, a 40-year-old American of Liberian descent with a wife and three young daughters in Minnesota, was traveling on a business flight to Nigeria when he fell ill.

Ben Webster, a Red Cross disaster response manager in London, said it is “critically important” that people displaying symptoms are identified quickly.

“It’s impossible to say whether this specific situation could have been avoided, but there is certainly more likelihood of travelers coming from an Ebola-affected country in the region and authorities need to be aware, even if the infrastructure and situation is challenging.”

In Saudi Arabia officials say a man who was being tested for the Ebola virus has died. The 40-year-old returned on Sunday from Sierra Leone, where at least 286 people have died from Ebola, and was then hospitalized in Jiddah after showing symptoms of the viral hemorrhagic fever.

There have now been at least 1,711 cases of Ebola this year, which has no proven vaccine or treatment, according to new figures released Wednesday by the World Health Organization. More than 932 people have died in Sierra Leone, Guinea, Liberia and Nigeria as of Aug. 4, WHO said. In announcing the new deaths, WHO noted in particular that “community resistance remains high” in Liberia. Many fearful family members are refusing to bring sick relatives to isolation centers, preferring to treat them at home and pray for their survival as no proven cure or treatment exists for Ebola.

The difficulties in quarantining sick people are complicating efforts to stop Ebola’s spread.

Fear of the unknown is what creates a culture of fear and prejudice surrounding a health crisis – much like outbreaks of other diseases we’ve seen in countries around the world.

It would be doing the medical community, who are working so diligently to find a solution — as well as the world at large — a disservice to let the same sort of ignorance and misinformation cloud the Ebola crisis.

The perception that this outbreak is an African problem is troubling. Many Americans have been vocal online about their belief that the U.S. should shut down its borders until the outbreak is under control and others have expressed their fear about people coming from that area of the world.

“There has even been noticeably fewer international flights to these countries, leading to lower revenues and financial inflows,” the World Bank said this week.

a multitude of independent voices to relay all kinds of misinformation about the virus on social media. It’s actions like these that are putting America in harm’s way.

Panic is what has caused many people in African villages to have limited access to health care workers who can help contain this outbreak.

We don’t want a panic to make Americans lose sight of what is important. Let’s keep using our technology and science to help find a cure for Ebola and continue to help our brothers and sisters in Africa.

This is why it’s more important than ever to make as much information about screening and outcomes as we can available to the American public.