Have you ever been tired to the point of tears? You feel the tears coming and you don’t even know why. You just need to cry. What a sinking feeling.
It happens all too easily when we get stretched a bit too far (or a lot too far).
Things that bring us to tears
From what is probably a much long list, here are the things I can think of that can bring us to tears when we are stretched too far:
Complex disease state
Chemo that seems like it just won’t end
Can you relate to any of these?
When we are faced with obstacles we don’t know how to get around or just too much of the same obstacle over and over, it’s easy to reach your tipping point. This is your tear tipping point.
I have a bucket analogy to share with you. Consider you have a bucket of energy, satisfaction, love, confidence, and all things good. Each difficult situation, difficult barrier, unkind word, negative situation sloshes water out of your bucket.
When you get tired to the point of tears, your bucket is empty. That bucket dries up while you’re busy doing all of the things that drain the water. It often dries up before you even know your supply is low. Then, the tears start to flow.
Keeping Water in your Bucket
So how do you keep water in your bucket? You can pick your favorite way; the one that brings you the most joy and peace. Here are some options patients and friends have told me about:
Quiet, alone time to meditate or pray
Walks or quiet sitting in nature
Time with friends who life your spirits
Time with family who fill you with love
Exercise (endorphins are great bucket fillers)
I’m sure that list could go on and on. The key is to fit these things (your best things) into your schedule on a regular basis. Fit them in before your bucket runs dry.
This blog was inspired when I heard of a woman who is always upbeat and joyful. Her first child was stillborn. Her second died at a few days of age. Her third was killed in a car accident in his first year of college. Her fourth was permanently injured in war. She certainly has reason to be tired to the point of tears. And yet she is upbeat and full of hope and joy. She certainly knows the secret to keeping her bucket full.
For more information about how to keep your bucket full, please contact us at Meds MASH at 410-472-5078 or www.medsmash.com/contact. We look forward to talking with you!
Do you find yourself always caring for others and not considering your own needs? So many people do. Most of us find ourselves in a caregiver role at some point in our life. For some, this is always true as they transition from the care of children to grandchildren to aging family members.
At some point, your ability to care drains. This happens when you haven’t paid attention to your bucket. Your bucket is dry.
Consider Jesus. Jesus is God in human form. So, he knows everything! He knows exactly how humans are made to function. He made us! And when he was in human form, he made his own bucket refilling a high priority.
Here are some of the passages where Jesus went off alone to pray.
Do not be anxious about anything, but in everything by prayer and supplication with thanksgiving let your requests be made known to God. And the peace of God, which surpasses all understanding, will guard your hearts and your minds in Christ Jesus.
Therefore, confess your sins to one another and pray for one another, that you may be healed. The prayer of a righteous person has great power as it is working.
I hope and pray this blog helps you recognize your need for self-care and for prayer. You can only do so much without taking the time to keep your bucket full. If you keep your bucket full, and you are in regular communion with God, there is no limit to what He can do through you!
Isolation is a growing issue in our society. Isolation is being chronically alone with no support.
Many cultures function as a family unit, and as family members advance in age, they are incorporated into the daily life of younger generations. Senior living, assisted living, and nursing homes are not options in those cultures.
For other families, members spread out to various parts of the country or even to other countries. Members no long live in the same community where they can care for each other. Or, members might live close together but have busy schedules that hamper time together. Then, there are instances when there are no family members to provide care. Perhaps friends have their own needs and are unable to be supportive.
Risks of Isolation
Isolation is sometimes a gradual situation, as it gets hard to get out and about. Other times, an injury or medical event rushes someone from an active lifestyle to a homebound situation.
Unfortunately, I have seen too many examples lately of medication changes that led to sudden isolation. These medication changes cause dizziness, sedation, nausea, diarrhea, incontinence, or some other side effect that made it hard to leave the house. Often people don’t recognize the link to the medication change. Many people try to ‘live with it’ and consider it a new normal.
Isolation is not good for your health. It is not good for your physical, mental, emotional, or spiritual health. Through many studies and experiences of people of all ages, the negative effects of isolation are many! Some of the most common are:
Increased blood pressure (due to more stress hormone production)
Higher reaction/perception of stress
Decline in thought processes
Changes in sleep patterns
Increased suicide rates
A concept considered in these blogs before is that we all need to be needed. Isolated people suffer from sensory deprivation, lack of social interaction, and that important concept of being needed. Total lack of interaction can actually play with your mind leading to loss of time perception and even hallucinations.
So, how do we help people avoid this isolation?
There are a number of different kinds of living communities for adults over 55. These include independent living, assisted living, dementia care, and more skilled care. All aspects of care are integrated into one community with a wide range of activities to engage all interests. These are designed to avoid isolation. If you are living alone and feeling isolated, consider the many senior living options in your area. [We can help you find a professional to show you the local options and help you through the process.]
If you don’t think your budget will allow a community option, or if you really don’t want to leave your home, there is another low-budget, high-reward option. You are not the only person feeling isolated. You have two primary responses.
Be resentful and hopeless ==> takes you down a negative, unhealthy path
Reach out to others ==> you and those you reach will both win!
There are SO MANY people feeling isolated. And, as our population ages and the culture continues to change, the numbers are rapidly growing. Finding someone else in a similar situation can be a solution for both. Calling to check on each other, remind each other to take medication, and just share life can be so healing.
I have been marveling at a member of our church. She had an accident riding a horse and is now paralyzed. She has very limited use of one hand, just enough to operate a special wheelchair. She can’t type, drive, dress herself, or fix her hair. So many in her situation would experience the symptoms listed above. She went from living life fully functional to loss of most functions in one incident. (Now, I’m sure she has had some very low moments.) Overall, she is hopeful and finding new ways to live a full, fulfilled life. One of the things she is pursuing is training as a ‘Stephens Minister’. This will put her in the first line to help other members of the church during a time of distress. The main pastors can’t always get there immediately, so the Stephens Ministers can be first responders. I’m sure she will encounter hurdles that she will need to overcome, but she is putting herself out there to continue to be needed and avoid the deep depression and isolation that could so easily consume her.
So, if you can make a phone call, answer a phone call, type a message, let someone in the door to visit, there are some important, exciting ways you can be fulfilled, needed, and avoid isolation.
We would love to help you figure this out. If you are feeling isolated and aren’t sure what to do, please contact us at www.medsmash.com or 410-472-5078 or email@example.com. Together we will help you avoid isolation in ways that inspire and fulfill you.
We are designed to be members of a community. Jesus surrounded himself with his disciples and many others. He regularly visited close friends, like Mary, Martha, and Lazarus. In Acts, the new church lived, worshiped, studied, and shared all things together.
There are even several verses in the Bible that emphasize these principles.
And let us consider how to stir up one another to love and good works, not neglecting to meet together, as is the habit of some, but encouraging one another, and all the more as you see the Day drawing near.
Two are better than one, because they have a good reward for their toil. For if they fall, one will lift up his fellow. But woe to him who is alone when he falls and has not another to lift him up! Again, if two lie together, they keep warm, but how can one keep warm alone? And though a man might prevail against one who is alone, two will withstand him—a threefold cord is not quickly broken.
As members of the church, I encourage each of us to especially aware of those in our community who might become isolated. It is amazing how much assistance you can provide with simple visits, phone calls, text messages, e-mails, or any outreach. Let those people know they are not forgotten. Help them find those opportunities to still reach out to others and find purpose in helping others avoid isolation.
For the body does not consist of one member but of many.
I will be praying for God to show me where I can be helpful others, especially those who are isolated. The negative impact of that is so great! And the remedy is so attainable. I pray the whole church finds those opportunities to reach out and keep all connected in the love and fellowship of community.
You’ve heard, ‘garbage in – garbage out’. Wow, that holds true with our health, too. I want to focus on three particular types of garbage in our lives.
I admit I am not the most healthy eater. But, I do try to make good choices most of the time. I have eaten enough healthy food to notice the impact of unhealthy food.
The other day I was at a meeting in an unfamiliar part of town. Time was tight as I left that meeting and went to teach a class. So, I opted for the fast food restaurant that I could see a couple of blocks down the road rather than search for some other quick food source. When I was growing up, and even earlier in our marriage, it was not uncommon to eat at this fast food chain. I had not eaten there now in a few years. I had a small burger and onion rings. It looked good, tasted, great, and went down easily. Then, within an hour, I felt queasy, bloated, and tired. I was surprised at how different I felt.
There is extensive evidence that our food choices impact our risks for diabetes, heart disease, high cholesterol, and maybe even dementia. Your brain, your veins and arteries, your heart, your kidneys, your liver, your eyes, your skin, your hair, your nails, and more parts of your body are impacted by what you eat.
If you have not seen it, I encourage you to watch the documentary, Super Size Me. I found it very eye opening about the dangers of frequent fast food.
Eating your largest portions with colorful fruits and vegetables, joined by a fist size piece of lean protein (e.g. meat such as lean chicken or fish), and some grains is ideal. You can find more detailed guidelines at Choose My Plate.
What you see and what you hear have a big impact on what you think. Media plays a big part in our lives! Music, television, video games, and social media are huge general areas of so much content. The choices we make about our media help shape how we think, how we view the world, our ability to concentrate, or attention span, and our mood.
If you’re interested in the science linking music and our thoughts and actions, see this interesting article by a known expert on the subject, Dr. Bernard Luskin.
Media that promotes negativity, hate, and crime promotes such thoughts and activities. Pornography changes thinking, desires, and satisfaction. There is even an addiction associated with social media.
On the other hand, spending time with uplifting people, positive music, and other positive media can really brighten your day!
Who in your life lets you know how valuable, appreciated, and loved you are? Keep those relationships!
If you have people in your life who feed you negative, demeaning, or other messages that kill your sense of self-worth and confidence, move away from those relationships. Surround yourself with the positive images of your immense value and lovability.
The messages you receive can impact how you see yourself. Stay around those who are the positive influences in your life.
Choose to replace your garbage with treasure
This is just a brief exploration of how garbage in can damage you. I encourage you to consider how you can replace the garbage. Consider the diet changes that will make you feel better, more energetic, less bloated, and give you more clear thinking. Consider how what you watch and hear could be more positive and uplifting. Consider how you could spend more time with people who lift you up.
To better understand how positive input will enhance your health, contact us at Meds MASH at 410-472-5078 or www.medsmash.com/contact.
Just like our physical and emotional health negatively respond to ‘garbage’, so does our spiritual health.
What are the sources of ‘garbage’ when it comes to our spiritual health?
We are repeatedly warned in the Bible about people who will look legitimate but actually be teaching false information.
For the time is coming when people will not endure sound teaching, but having itching ears they will accumulate for themselves teachers to suit their own passions, and will turn away from listening to the truth and wander off into myths.
For I fear that perhaps when I come I may find you not as I wish, and that you may find me not as you wish—that perhaps there may be quarreling, jealousy, anger, hostility, slander, gossip, conceit, and disorder.
Finally, brothers, whatever is true, whatever is honorable, whatever is just, whatever is pure, whatever is lovely, whatever is commendable, if there is any excellence, if there is anything worthy of praise, think about these things.
What are the key numbers in your life? I just turned 50. That is a number that seems like a real turning point. I like a viewpoint a friend shared with me: the first half-century is training and preparation for the better half!
Also, my daughter is graduating from high school. So, in her world the key numbers are GPA, SAT, ACT, and college fees.
Other numbers we keep close to us are phone numbers, bank balances, addresses, and birthdays.
Numbers and Health
Now I want to make sure you are aware of key numbers for your health. There is a reason for those labs at your annual physical. And there are goals for those numbers. When you see your lab results you will see your number and a range that contains all of the normal numbers. Ideally, your number falls in this range. If your numbers are little bit outside this ‘normal range’ for a little while, just talk with your doctor. If your numbers stay outside the range, your doctor will probably take action with medication, exercise changes, diet changes, or other plans.
Blood pressure – If you are under age 65, normal is less than 140/90. If you are over 65, some experts agree it’s ok for your systolic blood pressure (top number) to get as high as 150. Your blood pressure is one indicator of how hard your heart has to work. There are several medications that can be used to lower your blood pressure and protect your heart from having to work too hard. I am often asked about how low is too low for your blood pressure. That is not really determined by a number. It is found through symptoms. If you get really dizzy when you stand up, turn around, or try to walk faster, talk with your doctor. A little bit of this is expected with the medicines that are protecting your heart. If it is causing you to fall or keeping you from doing your normal activities, then let your healthcare team know.
Pulse – This is usually between 60 and 90 beats per minute. You can quickly check your own by touching the center of your neck and letting your fingertips slide to the soft area just to the side. Your carotid artery is there, and you can count the beats for 15 seconds then multiple by 4. The more you exercise, the more efficient your heart gets. So, really fit people tend to be at the bottom of this range. This should be measured when you are really at rest. If you are worried, in pain, stressed out, or in a conversation your heart rate will be higher. So, when this is measured, think quiet thoughts and don’t talk. If it gets and stays high, your doctor will order some more tests to check why. The same is true if your heart rate is slower than 60 beats per minute. Tests will be ordered to see what your heart is doing to cause the slow rate.
Cholesterol – We all have cholesterol, or fats, in our blood. This is normal. But there are healthy amounts and unhealthy amounts. These are the key numbers. For most people, your low density lipoproteins (LDL) number should ideally be under 100 mg/dL. If you have a strong history of heart disease, your doctor might have you try to reach an even lower goal. This is your ‘bad cholesterol’. Your high density lipoproteins (HDL) is your ‘good cholesterol’. Ideally you want this number to be over 40 mg/dL. Another cholesterol number is your triglycerides. This tends to go up if you have diabetes that isn’t well controlled. This number should be less than 150 mg/dL. Diet, exercise, and medications are all key in keeping these numbers in the goal range if you have high cholesterol (also called hyperlipidemia).
Blood sugar – Speaking of diabetes, this is a very important number for people with diabetes. It is important whether you have type 1 (requires insulin) or type 2 diabetes (can be treated with medicines you take by mouth, by inhalation, or by injection). Your blood sugar changes throughout the day. It is usually lowest before a meal and highest after. When you have not eaten for at least 8 hours, your blood sugar should be less than 100 mg/dL. (This is a ‘fasting blood glucose’.) Your healthcare team might ask you to measure your blood sugar at home. There are several types of monitors to do this. They might want you to check sometimes before you eat, sometimes after you eat, sometimes before bed, and sometimes when you first wake up. This will give them the best look at what your blood sugar does throughout the day.
Glycosylated hemoglobin (A1c) – This is another way to see what your blood sugar does over a period of time – about 3 months. It is a reflection of your average blood sugar over those months. People who do not have diabetes have an A1c under 6%. Current guidelines encourage a goal of less than 6.5% for people with diabetes. However, if someone is at risk for their blood sugar being too low your doctor might increase this goal closer to 7%. When people with diabetes also have other medical conditions, sometimes ‘tight control’ to under 6.5% is not possible or safe. Talk with your healthcare team for your specific goal and why that is the goal for you.
Body Mass Index (BMI) – This measurement is a reflection of your height, your weight, and your gender. It helps to define what is a healthy weight for you. The goal BMI is between 18.5 and 24.9. If your BMI is 25 to 29.9 you are overweight. If it is over 30 then you are obese. Your healthcare team will help you with a plan to get to a healthy weight and stay in that healthy range.
Blood Urea Nitrogen and Serum Creatinine (BUN and SCr) – These are important measures of your kidneys. They determine if your kidneys are clearing extra fluid, medications, and toxins from your body as they should. They can also tell your doctor if you are dehydrated from not drinking enough. As a pharmacist, I always look at these numbers when deciding if a medication is safe and at the right dose. When your kidneys are not working as they should, then it is hard to get some medications back out of the body. Another interesting numbers – Our kidneys start to very gradually slow down when we are in our late 30’s or early 40’s. This happens to everyone. So, with each birthday in our 50’s and beyond, these are important numbers to assess.
Aspartate aminotransferase and alanine aminotransferase (AST and ALT) – These are measures of how your liver is working. Many medications are metabolized (broken down) in the liver. If these numbers are very high, then the liver is not able to do its job to break down the medication. These are numbers I always look at when evaluating someone’s medication regimen. It helps determine what medicines should be avoided and what doses are best for you based on your liver.
Number of Medications – Sometimes several medications are needed to treat all of your medical conditions. Sometimes they are not. The more medications someone takes, the more risk of medications interacting and causing problems rather than helping them. There is no ‘magic number’, but most experts agree that taking more than 4 medications regularly means you need to have an expert very carefully evaluate your regimen. This is to double check that your medication regimen is providing optimal good with minimal risk.
An Evaluation of YOUR Numbers
Are you curious about your numbers? At Meds MASH we specialize in these evaluations, especially in anyone over age 60. Do you want to better understand your particular numbers? Do want to know that your medicines are providing optimal good and minimal risk? Call us today! We have found that over 50% of our clients need a medication adjustment once an expert evaluation is done. These adjustments come from your own doctor with our collaboration.
Have you read the entire Bible? I am on my second journey through the whole book. In the past I have read my favorite parts, read parts pertaining to Bible studies I was in, or read parts that others have recommended. After years of this focused reading, I thought I knew the Bible fairly well. But, here I am reading it all and learning so many new things!
I was recently working my way through the book of Numbers. I have to admit, I don’t find this to be the most exciting book. It can be downright hard to get through. But, I was hit by a new insight.
In Numbers God directed Moses through the exact, meticulous details of building the temple and the Ark of the Covenant.
He provided exact measurement for each aspect of the temple.
He described elements of the temple in extreme detail.
He gave exact specifications for each furnishing.
Each bowl and utensil was described in detail.
The role of each person in service to the temple was directed.
The clothing of each priest was designed to the last thread.
It hit me how incredibly precise is our God. Not any detail was left with precise design. God is perfect in every way.
Then, I thought about how sloppy I am in my communication with God. I pray, read my Bible, focus when I find the time. I squeeze God into the nooks and crannies of my day. Some days are much better than others. Even now as I am reading through the Bible in a year, I find myself rushing rather than deeply meditating on what I read.
Sloppy is NOT what God wants from me. He is more important than ANYTHING else in my life. My to-do lists, dirty house, and work schedule are not the priorities per God’s plan. They are the distractions. They are Satan’s best weapon to keep me away from a deep, life-sustaining life with my Creator.
How about you? Is your relationship with God truly all-in? What are your distractions?
Paul knew we would all face these distractions and temptations.
No temptation has overtaken you that is not common to man. God is faithful, and he will not let you be tempted beyond your ability, but with the temptation he will also provide the way of escape, that you may be able to endure it.
Paul also knew we wouldn’t do it just because anyone said so. Rather we are encouraged to stay focused on God to find and lead the life of peace and joy that is ours if we choose this path.