Mind-boggling – in all aspects

Mental illness…….I never thought I’d touch on this subject but it seems as though I can’t escape it.

There’s an increasing amount of people suffering from mental illness – whether it’s bipolar, schizophrenia, post-traumatic stress or some other type of mental illness that people are suffering from.  Health-wise, it is very apparent that the mental health department is elephantinroomvery broken in this country…..federal, state and local mental health departments are under-funded, under-staffed and just do not have the resources to try and help those suffering.  Everyone keeps ‘passing the buck’ and continues to sit with the elephant in the room in not talking about it, not trying to find a solution – so when that happens, many suffering from mental illness are either unnecessarily incarcerated, alone or homeless.

I know of a few parents who are trying to deal with this problem on their own and it is NOT working.  These parents are slowly creating a quick and early demise for themselves as they have nowhere to turn and are adding undo stress into their lives.  Yet, these parents are torn because that IS their loved one, and they think they can help.

I definitely have no easy answers, especially since I’m not a medical professional.  All I know is that some of these many federal, state and local agencies – especially in the African American community – need to join forces with the mental health system and help!  Stop having so many high-dollar fundraising ‘dinners’ and unnecessary meetings and wasting tax-payer dollars and put those dollars into the mental health department where there are more available group homes or some where for these individuals to go to.  Building more prisons is not a solution, it’s creating more of a problem.  Again, those dollars meant to build prisons should be at least considered to go towards helping and creating solutions for our broken mental health system.  Those suffering shouldn’t have to feel alone.  They do not need to continue to be a danger to themselves as well as others.  They too deserve the help they so desperately need even, if it means having 24/7 medical staff (when needed) where they can eventually learn to lead a better, more normal life!

– Defining words – 

Hyperglycemia (Hye per glye SEE mee ah) – Excessive sugar in the blood (or high blood sugar).

Hypovolemia (Hye poh voh LEE mee ah)  – Deficient volume of circulating blood (or low blood volume).

Antiemetics (An tye ee MEH tics) – Drugs that prevent or alleviate nausea and vomiting.  Some examples include:  Zofran (odansetron) and Phenergan (promethazine).

Total bilirubin (BILL lee roo bin) – Blood test to detect possible jaundice (yellowing of the skin), cirrhosis or hepatitis.

Cirrhosis (Sur OH sis) – Chronic degenerative disease of the liver, most commonly associated with alcohol abuse.

This week in black history 

Dr. Andrea Hayes-Jordan is this country’s first black female pediatric surgeon.  She is a graduate of Dartmouth College and Medical School. On furthering her education, she is one of few pediatric surgical oncologists in the United States – dedicating her life to finding cures for rare cases of cancer in children.

Marie Maynard Daly was the first African American woman in the United States to earn a Ph.D. in chemistry.  She also investigated the effects of sugar on the coronary arteries and later pioneered in studying the impact of cigarette smoking on the lungs.

Way back in 1822, James Hall was the first black to graduate from a U.S. medical college which was the Medical College of Maine.

When a patient is no longer able to speak for themselves in the healthcare setting, the question is asked of the families whether they desire DNI/DNR (DO NOT RESUSCITATE/DO NOT INTUBATE.  This topic is almost ‘taboo’ in some communities – especially with people of color and certain religions.  I transcribed a report the other day where a physician asked the patient’s family member about how they wanted to care for their loved one as it related to the code status of DNR/DNI.  The family emphatically stated that that was NEVER talked about in their culture.  I thought, wow – THIS is what makes it really hard for doctors to treat patients!  Some physicians,  especially emergency room physicians, wear so many different hats when it comes to patient care.  They already have tons of patients to see, have very crucial decisions to make at a moment’s notice – mainly for the critically ill , and they also have to play the role of patient advocate in critical decision-making when a patient’s healthcare proxy is not familiar with code statuses.pulse-trace-163708_640

The code status DO NOT RESUSCITATE is a medical order signed by a physician, nurse practitioner or physician’s assistant to give instructions to healthcare providers to not attempt CPR (cardiopulmonary resuscitation).  The DO NOT INTUBATE code status also is a medical order signed by a physician, nurse practitioner or physician’s assistant to give instructions to healthcare providers to not attempt intubation or artificial ventilation in the event of respiratory distress.

You may ask, well what does this have to do with empowering your health?  More than you know!  It’s a very critical conversation that we ALL should have.   A code status SHOULD at least be discussed among our families, attorney and/or healthcare proxies.

This DNR/DNI status is not for just for the elderly or permanently disabled people.  You never know when a traumatic event may occur to anyone at any age.  It’s enough having to contend with the trauma itself – we shouldn’t have the added burden of strife and confusion to go along with making  decisions for a loved one’s wishes when they can no longer communicate.

In my job as a transcriptionist, I notice that doctors, on a daily basis, notate in their records where there’s discord among patient’s, their families with regards to this issue – all because we are not educated on the terms of a DNR/DNI status.

I too am with you in becoming better educated and aware of the need for at least a real conversation and taking action when it comes to DNI/DNR statuses.  There’ so much on the internet regarding this topic and many handouts/pamphlets in your local physicians and/or public health offices regarding this, so let’s talk about it!

Straight from My Heart

rose-210072_640Happy Valentines Day to all.  Though there is no ‘special someone’ in my life right now, I do want to say thank you and I love ALL of my readers for supporting me and reading my blogs!

Fitting that this is Valentine’s Day, I thought I’d wait for this day to share with you that February is also known as American  Heart Month! I’m sure you’ve seen ads this month related to heart disease, heart problems and many other articles and organizations such as  “Go Red”, (an American Heart Association organization dedicated to bringing awareness to women) regarding sustaining a healthy heart.

With a previous blog I’ve written, “Matters of the Heart”, I touched a little bit about my experiences with the heart after suffering a heart attack in 2010.    There is so much more to the heart  outside of a heart attack – so many variations of heart disease and many other heart problems.  I will not delve into much more of that today as there are hundreds of articles written regarding the heart – especially this month, but I just wanted all to be aware, take charge in having a healthier heart – whether it’s taking very small steps in maintaining a healthy heart through better diet, exercise, etc. or whether it’s taking charge in very tiny increments after suffering some type of heart-related trauma, such as a heart attack, heart failure, heart surgery in regaining your strength, monitoring your blood pressure, etc.  Take charge of your health in living a longer, healthier life!!!

This week in Black History health……

Dr. Alexa Irene Canady – the first African-American woman to become a neurosurgeon in the United States.  Born in 1950 in Lansing, Michgan, Dr. Canady went on to college but almost dropped out as a result of her having trouble convincing herself that someone would give her a chance.  She was chief of neurosurgery at the Children’s Hospital of Michigan from 1987 until her retirement in 2001.  She now spends her time speaking and mentoring high school students in Pensacola, Florida.

Provident Hospital and Training School – in Chicago was the first black-owned and operated hospital.  Founded in 1891 by Dr. Daniel Hale Williams, Provident provided training for black nurses, interns as well as medical treatment for black patients.  It provided services for hundreds of African Americans for nearly 100 years until its closure in 1987.  It reopened in 1993 as part of Cook County’s Health services, providing services to Chicago residents, particularly  those who reside on Chicago’s south side.

William Augustus Hinton – was the first black professor at Harvard Medical School. Hinton finished college in just 3 years, receiving his M.D. in 1912.  He developed what is now known as the Hinton test for syphilis and later the Davis-Hinton test for blood and spinal fluids.  In 1936, Hinton published the first medical textbook by an African-American, “Syphilis and its Treatment”.

Doctors Paula R. Mahone and Karen L. Drake – made medical history when they, along with a team of 40 specialists, delivered the first septuplets born alive in the United states in 1997 in Des Moines, Iowa.

Defining words for the week:      

symptom:  A subjective report of a disease state (e.g., pain, itching, fatigue are considered symptoms).

sign:  An objective finding of a disease state (e.g., blood coming from the nose is a sign – something that is apparent to the physician, patient and others).

diagnosis:  Identifying the disease or condition by a healthcare professional after evaluating a person’s signs, symptoms, and history.

Imdur:  (EM der) – Generic name is isosorbide mononitrate (Eye so SORE bide mon no NYE trate):  This medicine is in a class of drugs known as nitrate which is used to treat angina (chest pain) in patients with certain heart conditions (coronary artery disease).  It will NOT relieve chest pain once it occurs (whereas nitroglycerin CAN relieve chest pain that is already occurring).

Winter storm tips

With all of the harsh winter weather we’ve had throughout the entire U.S. so far in 2014,  I wanted ice-97702_640to add a few tips that have all to do with your health by keeping well, safe and warm – especially throughout areas that are not quite so accustomed to brutal cold, ice and snow.

  • Be  prepared:  According to my local power company, their suggestions of some of the items you should have at home are flashlights,  heating fuel and for sure medications and/or medical kit.  With your local weather advisory prepping you for an upcoming storm, there should be a plan in place if at all possible to be sure that you have enough refills of your medications, pick them up and have with you in case of a power outage, being stranded, etc.  Also if at all possible, have  a flashlight, and a battery-powered radio with fresh batteries present.  They also suggest that you have a stock of nonperishable foods.  MY suggestions on that would be to be as healthy as you can in that manner.  If you have no allergens, then tuna, peanut butter, whole wheat bread, milk to your liking and plenty of soup (there’s plenty of soups out there now with 25% less sodium in them) would be a great start, along with your other nonperishables.  The power company also suggest that in case of a power outage, you should disconnect all appliances you were using when the power went off. Do leave one light (switch) on to tell whether your power has been restored.  Never plug a generator directly into your home’s electrical wiring.  Lastly but just as important would be to check on your neighbors, family, friends who particularly live alone (as well as pets).  Be SURE to help them in some way to find the appropriate help they need BEFORE a storm hits.
  • Stranded in a storm:   After our “Atlanta Snowmageddon” we had a couple of weeks ago – over 2 inches of snow…… well let’s just say that we ALL should take responsibility and learn to be as prepared as possible in case one is stranded!  First off, listen, learn, observe and most importantly, take HEED to your local weather when they tell you that it IS a storm watch and/or warning coming in your area – that way, you will NOT be caught off guard.  It’s better to be overly cautious, than under-prepared!
  • Learn to stay home!  If you’re not in a setting such as a nurse, doctor, healthcare provider or other emergency situations, then there is no need for you to be out .   If you are in a stranded situation, be prepared to have a blanket or two in the backseat of your car (preferably than the trunk as ice could form and you’d be unable to open the trunk), along with winter shoes/boots, pillows, warm clothing to include gloves, a pair of socks/feet warmers, a fully charged phone, full tank of gas, prescription medications/medicine kit, non-perishable foods,  energy bars, bottled water.  Have emergency numbers in your cell phone such as Red Cross, your department of transportation emergency number, shelters and yes hotels.  Again, it’s better to be prepared than not.  One last tip I forgot to mention which is very important – be sure to utilize an ATM machine prior to an ice storm.  Once there’s a power outage, you will not be able to use an ATM machine, credit card machines, etc., so be prepared to have cash on hand before the storm.

Empower YOUR health and stay prepared ahead  of the storm!

  • Patricia E. Bath  – Ms. Patricia E. Bath is an ophthalmologist and laser scientist who invented a new device and technique for cataract surgery known as laserphaco.  She is also the first woman to chair an ophthalmology residency program in the United States.
  • Charles R. Drew – Known for his innovations in blood transfusions, Dr. Charles Drew was also a surgeon and medical researcher.  With his innovative techniques for better blood storage, Dr. Drew helped to save many lives during World War II, so out of his works and accomplishments emerged the American Red Cross blood bank.
  • Percy Lavon Julian – Born in Montgomery, Alabama, Percy was a chemist who developed a drug that is used in the treatment of glaucoma called physostigmine.  His most notable invention was his chemical synthesis of cortisone/corticosteroids – his starting point for the steroid drug industry.

Having so much but knowing so little

addiction-71538_640How many of us get so busy with our families, our children, our jobs?  Times are so different now,  we can’t even keep up with what day of the week it is!  We should begin to keep up with things like our medications, the types of medications, even your family members’ medications.  This can be vital when it comes to you and your family’s health.

On a daily basis, I transcribe multiple patient reports and a lot of these patients do not have a clue as to what he or she is taking or why.   A study published in 2010 (study actually taken in 2007-2008) showed children 12 and under took 2 or more prescription medications whereas older adults (60 and over) are taking 4 or more prescription medications – an increase of 76%!   I do understand that it can get very overwhelming – having multiple medical problems and having to take a number of medications for those health problems, but we have to start somewhere in getting a handle on this.

Though I myself take medications for my health issues, I’m not here to advocate taking medications nor advocating for an individual to not taking medications.  I do feel though that taking 20+ medications is a bit much!  Even many doctors have indicated in their dictation that that is way too many medications to be taking.  This is where you come in to empower YOUR health!  For those taking multiple medications, there’s nothing wrong with getting with your doctors and saying hey, can there be some adjustments made to my meds?  Do I really need this or that?  Can taking a particular vitamin or even eating certain types of food suffice rather than taking this medication and risking side effects?

We have so much at our exposure these days – the internet, different devices, different apps where we can read, learn, etc. yet we know so little about our own health, our medications, our own family medical history.  Hospitals and clinics are now finally getting acclimated to the technology that is available to them as well as to you, the patient, by providing applications to download your health information to include your history, your labs, your medications, etc., most at no cost to you!.

Here at youempoweryourhealth.com, I’m hopeful that this will be a place where you can get just a slice of the pie and begin your journey to the wealth of information that is available to you by educating you on different medication names and its usage  with my weekly “say what/defining words” section (and other blogs and medical terms) and getting YOU to understanding your health, your body, your meds and begin to take action for a healthier you!