Hanging by a Thread

Posted on December 19, 2018December 19, 2018 by Michelle Fritsch, Pharm.D.

Do you ever feel like you’re barely hanging on by your fingernails? All might even look right when people look at you, but you’re really enduring a great struggle? I think that is true of many people. In this case, knowing you’re not alone doesn’t help the current situation.

What leads to this situation?

Wow, the number of ways someone can find him/herself in this situation is large and diverse. Here are a few:

Loss of a loved one, friend, dear colleague
Loss of a job
Major life transition
Financial pressures
Unrealistic expectations
Isolation
Constant negativity
Not finding a source of hope
Situation that seems endless

What are the signs?

Sometimes people find themselves at this point and are surprised. The loss or life change might have come out of nowhere. Or, the slope to hanging by a thread might have been gradual and barely noticeable.

Some of the signs I hear clients talk about include:

Waking up with anxiety during the night
Loss of energy
Changes in appetite
Thoughts that are hard to quiet
Worry
Stress
Depression
Hopelessness
Decreased sense of self worth

There are physical effects of being in this dark place. Blood pressure and blood sugar are harder to control. When sleep patterns change, risk of depression, pain, and anxiety go up. Productivity declines, so there are lost days of work or decreased work getting done (and that can further increase the stress). Relationships can suffer.

Taking the next steps forward

The first step in recovery is to recognize the signs. Realize you are in this place.

The next step is to realize you don’t need to walk this path alone. If you have trusted family or friends, let them help you. Call your doctor and explain the situation and how you are feeling. Reach out!

The step that is most important is to find your source of hope and meaning.

Finding and focusing on hope and things beyond yourself

Life contains many struggles. That is true for everyone no matter their occupation, the country where they live, their religion, their political beliefs, or their hair color.

People really struggle to handle the ups and downs of life alone. The tendency is to get more and more focused on yourself and your situation. This is a deep, dark, downward spiral. We have probably all found ourselves on that dark path at least once. Some people live in this vicious cyclone of self.

If you’re there now, make a real effort to reach out the do something for someone else today. It can be something as simple as holding a door or giving them a place in front of you in line. Small and large acts of kindness toward other people is one of the best remedies for our own difficult times. Try it and see!

The other is finding your source of hope. Hope is what gets us through the tough times. It is what changes our perspective beyond ourselves and our current situations. It is liberating!

Hope through Christ is central in the Christian beliefs.

Hope is a critical element of the Jewish tradition.

Hope is integral in the Muslim faith.

Hope is a common theme in Buddhism.

If you aren’t sure of your source of hope, I encourage you to invest some time to reflect on this area of your life.

Retirement Wellness Strategies

A growing number of retirees are finding themselves disgruntled, disillusioned, and hanging by a thread. Startlingly, the suicide rate is rapidly escalating. One of the primary purposes of Retirement Wellness Strategies is to facilitate finding meaning, relevance, and peace in retirement.

You can reach us at www.retirewellness.com, michelle@retirewellness.com, or call at 410-472-5078.

BIBLICAL APPLICATION

When have you last been, or why are you now ‘hanging by a thread’? We’ve all been there. Throughout the Bible, we are assured we will have trouble.

John 16:33 ESV

I have said these things to you, that in me you may have peace. In the world you will have tribulation. But take heart; I have overcome the world.”

Romans 12:12 ESV

Rejoice in hope, be patient in tribulation, be constant in prayer.

1 Peter 5:10 ESV

And after you have suffered a little while, the God of all grace, who has called you to his eternal glory in Christ, will himself restore, confirm, strengthen, and establish you.

These verses tell us trouble is just going to happen. You are definitely not the only one enduring trouble. You are not being specifically punished while the rest of the world goes on their merry way.

[Side note, the world you see people portray on social media is not all reality. Those are the super great moments of people’s lives. They have ugly, messy, stinky, troubling moment, too – just like you.]

These verses also tell us God knows we are living through difficult times. God knows we struggle. And, God has not left us alone. He loves us! He is looking out for us! He is here to help us!

James 1:12 ESV

Blessed is the man who remains steadfast under trial, for when he has stood the test he will receive the crown of life, which God has promised to those who love him.

Philippians 4:6-7 ESV

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.

1 John 5:14 ESV

And this is the confidence that we have toward him, that if we ask anything according to his will he hears us.

Jesus was born to offer the ultimate sacrifice to save us. It is in this HOPE that we can endure difficult times and rest assured of His unconditional love!

Jeremiah 29:11 ESV

For I know the plans I have for you, declares the Lord, plans for welfare and not for evil, to give you a future and a hope.

Romans 15:13 ESV

May the God of hope fill you with all joy and peace in believing, so that by the power of the Holy Spirit you may abound in hope.

I’m praying you take the time in your busy-ness and struggles to reach for God and His promises. May you find that peace that surpasses understanding!

Blessings,

Michelle

Thanksgiving – Gratitude keeping you Healthy

Posted on November 22, 2018 by Michelle Fritsch, Pharm.D.

Make your top 10 gratitude list

On this Thanksgiving, praying you take the time to reflect on your many blessings. What a day to remind us of how our areas of gratitude!

Gratitude, grateful, thankful, thanksgiving, appreciation

What do these words mean to you? What role do they play in your everyday life?

Wow, I am amazed how much information is available on this important link between gratitude and health. Just search for these two terms and see what all you will find.

What is gratitude?

This is being aware of all of the good things in your life. And it is being thankful for those things. Have you considered being grateful for:

A safe place to sleep
Food to eat
Clothes to cover yourself
Having a friend to call
Your job – current or past
A beautiful day

This simple awareness of and being thankful for these ‘little’ things can boost your health.

Note, it doesn’t have to be the biggest house or the softest bed or the tastiest food or the latest fashion clothing to be grateful. Gratitude focuses on what you have – all of the good things – rather than what you don’t have.

Expressing gratitude can:

Boost your spirits and sense of well-being
Boost your immune system making you less likely to get sick
Decrease your chances of heart disease
Improve your performance (grades, work productivity, concentration)
Bust your stress

There are many ways you can make gratitude part of your life. Here are a few recommended in a Harvard Mental Health newsletter:

Write a thank-you note
Go up and thank someone
Keep a gratitude journal
Pray
Meditate
Keep a list of your thanks = count your blessings

See your day and your health improve by focusing on the positive.

Even therapy for mood disorders and approaches to negative thinking know this truth. I am quoting this from Rick Warren, “When you change the way you think, it changes the way you feel. And when you change the way you feel, it changes the way you act.”

On this Independence Day weekend, as a country, we have much reason for gratitude!

For more information on gratitude and health, contact us at www.medsmash.com.

BIBLICAL APPLICATION

We have so many reasons to be grateful!

Have you ever been in a ‘funk’ having a bad day and then remembered to be grateful? I have done this so many times. When all looks dark and gloomy, make yourself think about all of the things that are good and right.

1 Thessalonians 5:18 ESV

Give thanks in all circumstances; for this is the will of God in Christ Jesus for you.

I’ll quickly admit I don’t always think to do this. I stay in that dark place far too long. Later, once I’m out I realize I had the ‘magic potion’ to leave that darkness behind. It was given to us by Christ when he died to erase our sins. It was given to us by God who maintained His love and focus on the good in the Jews through centuries of missteps (just as we live a series of missteps).

Lamentations 3:23 ESV

They are new every morning; great is your faithfulness.

I don’t even know where to begin selecting Bible verses to draw us closer to the benefits of gratitude. There are so many!!!

Psalm 118:24 ESV

This is the day that the Lord has made; let us rejoice and be glad in it.

Colossians 3:17 ESV

And whatever you do, in word or deed, do everything in the name of the Lord Jesus, giving thanks to God the Father through him.

Psalm 136:1 ESV

Give thanks to the Lord, for he is good, for his steadfast love endures forever.

Ephesians 1:16 ESV

I do not cease to give thanks for you, remembering you in my prayers,

James 1:17 ESV

Every good gift and every perfect gift is from above, coming down from the Father of lights with whom there is no variation or shadow due to change.

I feel energized, positive, and excited just reading these verses full of hope and promise! I am thankful for each person who takes the time to read this. May you be blessed by these assurances from God!

I pray you can stay focused on the many good things in your life this week and that can keep you out of the dark, gloomy places.

Blessings,

Michelle

Retirement and the Rising Rate of Suicide – plan to avoid this outcome

Posted on July 26, 2018July 26, 2018 by Michelle Fritsch, Pharm.D.

You have had tremendous success in your career. Perhaps you started the company yourself. You at least had a major impact on its success.

For years you have been planning for retirement. Your financial portfolio is ready. Your succession plans are in place. Your family is excited to have more of your time.

Or, maybe retirement has come before you are ready. A buy-out or lay-off situation seemed to come out of nowhere.

Any of these situations can lead to the almost unthinkable outcome of suicide.

Rise in Suicide in the US

The Centers for Disease Control released new data in June 2018 about the rising rate of suicide in the United States. Over at least the last decade, the population with the most increase was men ages 45-59 followed closely by those over 60. All but one state has seen an increase in suicide from 1999 to 2016.

Note, during this time two key variables could be playing a role.

The Boomer generation has a different perspective on life and religion as compared to previous generations. This generation has explored a wider range of religions and a larger segment has moved away from traditional religion.
There was a recession that changed the economic portfolio for many people. Although age and health might indicate it is time to retire, the financial situation might have taken a hit from which it has not yet recovered.

Depression and Suicide in Retirement

Another factor for anyone who retires is the possibility of the post-retirement-blues. Those with hobbies and a broad social network seem to get through this the best. But, especially for those who spent most of their time working and had their social network primarily consist of work colleagues, retirement can feel like sudden isolation. So much planning has gone into getting to retirement. Then, once there, the sudden stop of the normal routine and the uncertainty about what comes next can have a big effect. In some cases it is mild disillusionment and an impetus to start creating new routines exploring new opportunities.

In some cases, it leads to a loss of self. A deeper, darker depression can erode confidence, meaning, and a sense of relevance. For some, this downward spiral can lead to suicide.

If you ever have a desire to end your life, or know someone who may be contemplating suicide, please reach out to a resource such as the National Suicide Prevention Lifeline Phone Number 1-800-273-8255.

Planning for Retirement

Much effort often goes into planning for the financial component of retirement and the succession at work. But, what about preparing mentally, emotionally, spiritually, and physically for the personal transition of retirement? This is at least as important as the other planning.

At Retirement Wellness Strategies, we have a unique mapping tool to help you plan for this next chapter. Retirement should be meaningful, active, sustained (for a good long time), and healthy. That is where we come in. Don’t leave your transition to chance.

You can reach us at www.retirewellness.com, michelle@retirewellness.com, or by calling 410-472-5078.

BIBLICAL APPLICATION

Life can be so stressful. Even during the transition to retirement, life stressors can overtake you.

Retirement is meant to be a time of new possibilities, adventure, relaxation, and no more rigid time rules. It is a reward that is earned through years of hard work.

Yet, many people, especially men in positions of leadership and great responsibility, struggle with this transition. It impacts every aspect of their being. It is too easy to get lost in the separation from work life to retirement life.

We are assured throughout the Bible that we will encounter difficult times.

John 16:33 NIV

“I have told you these things, so that in me you may have peace. In this world you will have trouble. But take heart! I have overcome the world.”

Romans 5:3-5 NIV

Not only so, but we also glory in our sufferings, because we know that suffering produces perseverance; perseverance, character; and character, hope. And hope does not put us to shame, because God’s love has been poured out into our hearts through the Holy Spirit, who has been given to us.

We are also assured throughout the Bible that we will not be left alone during these struggles.

Proverbs 3:5-6 ESV

Trust in the Lord with all your heart, and do not lean on your own understanding. In all your ways acknowledge him, and he will make straight your paths.

Jeremiah 29:11 ESV

For I know the plans I have for you, declares the Lord, plans for welfare and not for evil, to give you a future and a hope.

Psalm 34:17-20 ESV

When the righteous cry for help, the Lord hears and delivers them out of all their troubles. The Lord is near to the brokenhearted and saves the crushed in spirit. Many are the afflictions of the righteous, but the Lord delivers him out of them all. He keeps all his bones; not one of them is broken.

I encourage all who read this to consider how they can help those who are giving up to see these promises of Christ! Even Christians and successful leaders can fall into despair.

I often wonder if someone who chooses suicide could have held on for just another couple of minutes, if the outcome could have been different. Our deepest valleys do eventually dissipate into a more hopeful scenario.

Philippians 4:6-7 ESV

2 Corinthians 4:8-9 ESV

We are afflicted in every way, but not crushed; perplexed, but not driven to despair; persecuted, but not forsaken; struck down, but not destroyed;

How can you help decrease this rise in suicide in our country?

Blessings,

Michelle

Why is DIVORCE during and after retirement on the rise?

Posted on July 6, 2018July 6, 2018 by Michelle Fritsch, Pharm.D.

Protect your marriage from the stresses of divorce

Divorce around retirement – You’ve seen it in pop culture, in famous people. And, you’ve likely seen it in your own community. It won’t be surprising if you are seeing this trend in your own family, even your own marriage.

The incidence of divorce over age 50 is experiencing a sharp rise. It has nearly TRIPLED since 1990. (Interestingly, the divorce rate among younger adults under age 40 is declining). So, why are the Boomer’s divorcing at an unprecedented rate?

The role of RETIREMENT in divorce

Retirement is one of the top 10 biggest life adjustments. It is a time of huge transition ranking right up there with marriage, having children, moving, and loss of a loved one.

Many people enter retirement unprepared. They often haven’t thought about the daily changes, the sudden loss of routine, and the sudden increase in togetherness time with their spouse.

In a perfect, romantic world, more time together is exactly what each couple wants. Nothing in life is perfect, at least not for long.

That’s not to say that marriages can’t thrive in retirement. They absolutely can. But that usually requires some communication, compromise, and adjusted expectations.

A healthy marriage in retirement

Both partners have a lot of change to navigate with retirement. Time spent together usually increases. Either partner might find that restrictive. The more we are together, the more complicated communication can be as well. (It is much easier to say the wrong thing when you’re talking more).

The most important step to a healthy marriage in retirement is to talk about it before it happens, or at least before relations get very hurtful after retirement. Rarely do both partners have a clear picture of what retirement will really be like. But, both have some ideas of what they want it to be like. How much have you talked about this?
Until it happens, sometimes people don’t even know what might annoy, frustrate, or stifle them in retirement. Agree to be open with one another as these stumbling blocks present themselves. Recognize that they will occur, and before they are personal or hurtful, calmly talk about them.
Plan for how you will maintain some independent interests and activities. If you have had only a few hours in the evening and on the weekends together for decades, 24/7 togetherness can be overwhelming.
Talk about expectations. What are common aspirations, plans, and desires? Unmet expectations are almost always at the center of a divorce. Often, one doesn’t know what the other was expecting until the relationship is too far-gone. Don’t let that happen.
1. I’ve seen examples where one person wants to travel while the other wants to stay home.
2. Sometimes one has always dreamed of taking couples dance lessons and the other would rather do anything but that.
3. A big issue I’ve seen is one spouse wants a lot of togetherness going and doing things while the other wants to spend most time with the grandchildren.
Include the more intimate parts of your relationship in your planning. This is an area of frequent mismatch in expectations. There is NO truth that sex ends at a particular age. It is very helpful when partners can open discuss these expectations and honor what motivates the other partner to share the same desires.

Planning is key

Don’t leave your marriage to chance after retirement. Recognize that retirement is a major life transition. Respect the wide range of emotions and adjustments each partner will make.

Retirement Wellness Strategies is here to help! Let us help you preserve your health and strategically plan for all aspects of your retirement such that it is Meaningful, Active, Sustained, and Healthy!

Learn more at www.retirewellness.com, michelle@retirewellness.com, or call 410-472-5078.

BIBLICAL APPLICATION

Marriage is sacred. Marriage vows are committed in the presence of God and witnesses.

Yet, marriage can be very hard. Marriages go through good and bad times (as usually stated in the vows).

Today’s culture values feelings over commitment. Culture supports and sometimes even promotes greater focus on self than on a partner.

I know so many lovely people who have experienced the trauma of divorce. Know that you are deeply loved. God knows the details. Give the grief, disillusionment, and any other feelings over to him who can heal all wounds.

Where have you made mistakes in your marriage?

When have you put yourself above your spouse?

When have you been hurtful and unkind?

When have you taken your marriage for granted?

I believe all married people have done these things. We all have difficult days.

The commitment of marriage doesn’t mean sunshine and roses.

1 Corinthians 13:4-7 ESV

Love is patient and kind; love does not envy or boast; it is not arrogant or rude. It does not insist on its own way; it is not irritable or resentful; it does not rejoice at wrongdoing, but rejoices with the truth. Love bears all things, believes all things, hopes all things, endures all things.

There’s a reason these verses list all of the ways we mess up in marriage or any love relationship.

If you feel like you’ve done it all wrong, don’t give up hope. Love comes from God, and He can fill your love bucket at any time…just ask. Love is so much more than a mushy feeling.

Ephesians 5:33 ESV

However, let each one of you love his wife as himself, and let the wife see that she respects her husband.

1 John 4:7 ESV

Beloved, let us love one another, for love is from God, and whoever loves has been born of God and knows God.

I pray your love and marriage are resilient. If your marriage has officially ended, I pray you find healing, forgiveness, and hope for a bright new future. God is good!

Blessings,

Michelle

The best laid plans… When retirement is unnecessarily too short

Posted on June 5, 2018June 5, 2018 by Michelle Fritsch, Pharm.D.

I am sad.

I am surprised.

I am mad.

So, I need to take action.

Retirement is often not the golden age of happiness that is dreamed.

Retirement is a MAJOR life transition – up there with marriage, having children, and moving.

I have been researching more and more about retirement. As a healthcare professional, I have seen TOO MANY people lying in a hospital bed with their future retirement plans dashed. And, TOO MANY times, this event that led to the hospital could have been prevented. If only things had gone differently hours, days, months, or years earlier, this hospital visit could have been avoided.

Role of Medication Use

Medication use plays a part in these avoidable events at least 80% of the time. There are many ways medication can be part of the problem:

Not taking a medication that is prescribed.
Taking too much of the medication.
Taking too little of the medication.
Taking a medication for one thing that makes another problem worse.
Taking medications that are not safe together.
Having a severe side effect from a medication.
Not seeking medical care for a problem that should be treated with medication.
Taking a medication when no medication is needed.

And then there are multiple variations of each of these issues.

Medications are not benign.

Medications are not all bad.

Medications can save lives.

Preparing for the future

Sometimes the preventable problem is related to lack of planning for retirement.

Most people think of MONEY when they think of retirement planning. There are many professionals who dedicate their career to helping people secure the finances for retirement. Others focus on insurance and protection of assets.

Few have made plans for the enormous lifestyle transition that is retirement. Those who especially struggle with the transition are:

people who are very busy at work with a lot of responsibility,
those who always have people lined up to talk with them,
those who are the decision makers, and
those who run the company.

Work Withdrawal

The withdrawal from the daily demands of work can be similar to any other withdrawal from an addiction. Symptoms the first few days can include:

sense of loss
restlessness
frustration
anger
palpitations
sense of loss

Later withdrawal symptoms can be:

depression
despondence
loneliness
feelings of inadequacy or irrelevance
anger
lack of concentration
irritability

Planning for Retirement

Finding the retirement years of your dreams takes planning. How will you prepare for the first day the phone no longer rings, people are no longer lined up outside your office, and the big decisions are made without your input?

We dream of retirement practically from the time we start working. The thought of a break from the pressure sounds wonderful. Then it happens…

I have talked to many men, most thinking they had planned well for retirement, who are then surprised and disappointed when the realities of the transition hit. Others plan to never retire to avoid going through this.

A successful transition to many happy years and a long delay of functional decline is possible!!!

BIBLICATION APPLICATION

Retirement is a Biblical concept. We are designed for a period of rest from work, but not from ministry.

Going back to the Levites –

Numbers 8:23-26 ESV

And the Lord spoke to Moses, saying, “This applies to the Levites: from twenty-five years old and upward they shall come to do duty in the service of the tent of meeting. And from the age of fifty years they shall withdraw from the duty of the service and serve no more. They minister to their brothers in the tent of meeting by keeping guard, but they shall do no service. Thus shall you do to the Levites in assigning their duties.

And how wonderful to have a phase of life where you keep doing the joyous parts and let the hard work go!

Acts 20:24 ESV

But I do not account my life of any value nor as precious to myself, if only I may finish my course and the ministry that I received from the Lord Jesus, to testify to the gospel of the grace of God.

It might feel frightening to let go of a decades-long career and enter the unknown of retirement. Then again, that is right where you should be, and God can use you in amazing ways!

Jeremiah 29:11 ESV

For I know the plans I have for you, declares the Lord, plans for welfare and not for evil, to give you a future and a hope.

Philippians 1:6 ESV / 67 helpful votes

And I am sure of this, that he who began a good work in you will bring it to completion at the day of Jesus Christ.

Psalm 71:17 MSG

You got me when I was an unformed youth,
God, and taught me everything I know.
Now I’m telling the world your wonders;
I’ll keep at it until I’m old and gray.

Consider how God wants to use you in retirement. What blessings are just around the corner, when you give the part of your life completely over to His guidance?

Blessings,

Michelle

New Year’s Resolution, Remove Expired Medications

Posted on January 2, 2018January 2, 2018 by Michelle Fritsch, Pharm.D.

The new year is upon us. I hope your 2017 has been full of happy memories and joyous occasions. Now, as we move on to 2018, I have a New Year’s challenge for you. I challenge you to take only in-date medications; remove and properly dispose of expired meds.

WHY worry about the expiration date?

Sometimes we think expiration dates are just there to make us keep buying new medicine. But, in reality, there are TWO big reasons expiration dates are important. Extensive research is done when medications are created to determine for how long they are effective and safe. This date, when either changes, is the expiration date.

Past this date the medicine will not work as well. If you take a medicine to control your blood sugar that is expired, it might not lower your blood sugar as much. If you take an expired medicine for pain, your pain might not go away.

The other risk is a safety risk. Chemicals change over time. Have you ever opened an outdated bottle of aspirin? It smells like vinegar. That is because it changes into new chemicals over time, one of which is vinegar. Other medicines change into chemicals that can be extremely dangerous.

It is not worth the risk.

HOW do I check and dispose of expired meds?

Go through ALL of the medications in your house, cars, purse, etc. Check the expiration date on each one. If it is expired, put it in your discard pile. (But don’t throw it in the trash just yet, there are two more steps).

Next remove all labels that contain information about you or your family. Shred or cut up the label. If you can’t get the label off, scratch out your name and prescription number at least. This is one of many forms of possible identity theft.

Now comes the tricky part. What do you do with all of these medications? There is not an easy answer. In order of ‘best options’, dispose of them in one of these ways:

Take them to a ‘Medication Take-Back’ event sponsored by the Drug Enforcement Agency. Or call the DEA’s Registration Call Center at 1-800-882-9539
Talk with your local pharmacist to see if you pharmacy can dispose of medication. Check this link for participating pharmacies: http://disposemymeds.org/medicine-disposal-locator/ Or, your pharmacist should know who in your community does dispose of medication, if there is a source.
Follow the guidelines in this recently updated FDA directive: https://www.fda.gov/forconsumers/consumerupdates/ucm101653.htm
Dump them out of their bottles and put with kitty litter, coffee grounds, or something else that you can’t eat. Then, seal the container and put it UNMARKED in a garbage bag and out with the garbage.
1. DO NOT flush the medication or put it down the drain. This leads to it reaching the water supply. This used to be encouraged, and now many medicines/hormones/chemicals have been found in the water supply.
2. Ultimately, putting them in the trash can lead to them being in the water supply as the trash breaks down and leaches into the ground.
3. This is why an official ‘take-back’ event is the safest option.

REPLACE the medications you occasionally use

As you are sorting out your expired medicines, keep a list of those you use so you can replace them. If it is a prescription medicine, your can see on the label if there are refills remaining. Note, for non-controlled medicines, there are usually available for up to a year. For controlled medicines, the time might be shorter. If you are beyond that time, and you still need the medicine, call your physician to inquire about another prescription.

As you are replacing medicine, over-the-counter medicine, vitamins, and supplements, know that generic versions are just as good as brand. I purchase generic for my family. They have been carefully tested and regulated by the Food and Drug Administration to assure they contain the same key ingredients and work the same.

This is an important step in your New-Year’s fresh start. It is important for your safety and the safety of your family.

Happy New Year!

For more information about expired medication and proper disposal, contact us at www.medsmash.com/contact, call 410-472-5078, or e-mail michelle@medsmash.com.

BIBLICAL APPLICATION

We are entering a new year. It can be a time to think of fresh starts and hope for the future. It is a great time to reflect on how your life has been changed through your faith.

At the moment we give our life to Christ, we know that our old self is gone. We now live a NEW life in Christ.

Ephesians 4:22-24

To put off your old self, which belongs to your former manner of life and is corrupt through deceitful desires, and to be renewed in the spirit of your minds, and to put on the new self, created after the likeness of God in true righteousness and holiness.

Philippians 3:13-14 ESV

Brothers, I do not consider that I have made it my own. But one thing I do: forgetting what lies behind and straining forward to what lies ahead, I press on toward the goal for the prize of the upward call of God in Christ Jesus.

2 Corinthians 5:17 ESV

Therefore, if anyone is in Christ, he is a new creation. The old has passed away; behold, the new has come.

Philippians 3:13-14 ESV

Galatians 2:20 ESV

I have been crucified with Christ. It is no longer I who live, but Christ who lives in me. And the life I now live in the flesh I live by faith in the Son of God, who loved me and gave himself for me.

What a refreshing reminder! Bask in the glow of your new life in Christ as you enter this new year.

I challenge you to take a challenge I FINALLY took in 2015 and again in 2017. Read the Bible from cover to cover. I have read my Bible, participated in Bible studies, had several Bible-based lessons, but I had never actually read it start to finish. It has been so enlightening! So many things make more sense. And I hear from those who have done this several times, the insights are new and different each time.

I am praying you will be richly blessed in 2018,

Michelle

Finding true JOY this Christmas 2017

Posted on December 17, 2017December 17, 2017 by Michelle Fritsch, Pharm.D.

Joy — Find and experience the true joy that can be yours this Christmas and forever – no matter what 2017 has brought your way.

This has been a complex year; downright difficult for many people.

Yet this is a season of hope and joy. (Not the happy, exuberant, all is perfect kind of joy; the hope in the one-true-God type of joy).

Joy Defined

“Joy isn’t like happiness which is based upon happenings or whether things are going well or not. No, joy remains even amidst the suffering. Joy is not happiness. Joy is an emotion that’s acquired by the anticipation, acquisition or even the expectation of something great or wonderful. It could be described as exhilaration, delight, sheer gladness, and can result from a great success or a very beautiful or wonderful experience like a wedding or graduation but the definition of joy that the world holds is not nearly as amazing as biblical joy but joy is also gift.”

Why is Christmas so special? Christmas is the birth of the joy and a demonstration of God’s love for each of us:

For those who lost loved-ones who were senselessly murdered

His love endures forever

For those whose loved ones were killed in the hurricanes

His love endures forever

For those whose loved ones were killed in the fires

His love endures forever

For those who lost loved ones from any means

His love endures forever

For those whose lives were turned upside down by natural disasters

His love endures forever

For those who experienced major disappointments

His love endures forever

For those who are disillusioned by the political divide in this country and elsewhere

His love endures forever

For those who are disgusted by the reports of harassment

His love endures forever

For those who feel like they are spiraling out of control

His love endures forever

Romans 8:31-32, 38-39 NLT (I encourage you to read this whole chapter)

³¹What shall we say about such wonderful things as these? If God is for us, who can ever be against us? ³²Since he did not spare even his own Son but gave him up for us all, won’t he also give us everything else?

³⁸And I am convinced that nothing can ever separate us from God’s love. Neither death nor life, neither angels nor demons,^[p] neither our fears for today nor our worries about tomorrow—not even the powers of hell can separate us from God’s love. ³⁹No power in the sky above or in the earth below—indeed, nothing in all creation will ever be able to separate us from the love of God that is revealed in Christ Jesus our Lord.

We are going to face terrible trials in this life. No one is exempt. Yet we are given countless opportunities in this life to experience God’s never-ending love. That is where we find the peace and joy.

I pray you seek and find this JOY this Christmas!

Blessings,

Michelle

Attitude – the choice is yours and the impact is huge for your health!

Posted on November 13, 2017 by Michelle Fritsch, Pharm.D.

Is your attitude the RESULT of what is happening around you? Is it the RESULT of what others do to you? Is it the RESULT of your life circumstances? —-OR—-Is your attitude your CHOICE?

I propose your attitude is your CHOICE!

We live in such a blame society. People are called haters, shamers, intolerant, biased, and worse.

So often we try to claim that others made us the way we are – sullen, angry, withdrawn, hurt, rejected.

We give others and situations the power to determine how we are going to go through each day and how we are going to approach life.

If you are a balloon bouncing in the winds of circumstances, there is hope!

How to choose your attitude

What are your first thoughts in the morning? How do you approach your day? What music do you choose? What do you read, think about, and how do you plan for your day?

These aspects of your life are associated with maintaining health even in the midst of negative events:

friends to talk to
people who care about you
a sense of self-worth
forgiveness
security
conflict management skills
religion/spirituality

The items on this list have all been linked with improved health.

And I will add having a source of HOPE. I believe hope is powerful in the midst of difficulty.

Gratitude and attitude

Another way of thinking that improves your attitude and your health is gratitude. For what are you thankful? No matter how many bad things are around you, what is good? You’re still here if you’re reading this! What parts of your body work? What are you able to do? Who do you care about? Where are your safe places? Where is the beauty around you – pictures, nature, architecture, music, literature, videos, clouds, trees, or babbling water?

Find those good things and be thankful for them. Fill your bucket with all of the good in your life. It makes the bad much more tolerable.

Make it about someone else

Doing something for or being kind to someone else can be a real attitude adjuster. Rather than focus on yourself and your own needs, raise your head and look at the people around you. Find something small you can do to make someone else’s day. You will be amazed that you benefit from those actions at least as much as the person you blessed.

Health benefits of a good attitude

No one can choose your attitude except YOU! This is such a liberating concept. In the midst of and despite the difficulties of life, you can each day CHOOSE to have a GOOD attitude!

When you do, your physical health (blood pressure, breathing, kidney function); your mental health (calm, clearer thinking, more creativity); your emotional health (less reactive, more even emotions); and your spiritual health (happiness, hope, joy) benefit.

For more information about how you can choose your own attitude and the health benefits, please contact us at www.medsmash.com/contact, michelle@medsmash.com, or call at 410-472-5078.

BIBLICAL APPLICATION

Choosing and displaying a good attitude consistently is one of the best ways you can ‘let your light shine’. The world is craving examples of ‘good’ in the midst of the struggles of life.

Proverbs 15:30 NIV

Light in a messenger’s eyes brings joy to the heart,
and good news gives health to the bones.

Most people are pushed and pulled and slammed against the wall when events happen. It’s hard to catch your breath, let alone be positive, if you don’t have some anchor.

Hebrews 6:19 NIV

We have this hope as an anchor for the soul, firm and secure. It enters the inner sanctuary behind the curtain,

Psalm 112:7 NIV

They will have no fear of bad news;
their hearts are steadfast, trusting in the Lord.

John 16:33 NIV

“I have told you these things, so that in me you may have peace. In this world you will have trouble. But take heart! I have overcome the world.”

We have eternal hope and joy to hold onto in the midst of anything that happens. We have the assurances of God that we are never alone.

1 Thes 5:16-18 NIV

Rejoice always, pray continually, give thanks in all circumstances; for this is God’s will for you in Christ Jesus.

Romans 8 :28 NIV

And we know that in all things God works for the good of those who love him, who^[a] have been called according to his purpose.

If you haven’t heard Francesca Battistelli’s song, Where Were You?, I highly encourage you to listen.

Yes, the difficulties of life will keep coming at you. You know they will, but those are the very events that allow us to grow deeper in our faith and find that hope that keeps our attitude good in the midst of everything.

Romans 5:3-5 NIV

Choose your good attitude each day and let it shine for the world to see!

Blessings,

Michelle

Celebrating the Glory of Today – Gratitude and Love

Posted on October 23, 2017October 23, 2017 by Michelle Fritsch, Pharm.D.

We spend so much of our time thinking about tomorrow, planning for tomorrow, working for tomorrow, hoping and dreaming for tomorrow. But tomorrow is never here, and we’ve learned that over and over.

We’ve seen so many examples lately of the value of living in the moment. There is value in loving those around you each and every day. You never know which is that last day.

Rather than be depressed about that, we can claim the joy and the opportunities of each day that presents itself to us.

Seasons of Loss

We have lost a dear friend in the last couple of weeks. He was someone who was always thinking of and giving to others. He was a very strong-in-his-faith man. He died in a freak accident doing what he does best – helping others. He was building a Habitat for Humanity house. We will never know what happened. The freak accident occurred, and he was suddenly gone.

A tiny baby died in his sleep at two months. There was so much promise there. Why was that child taken at such a young age?

Then we see the news stories of people harming one another. It seems there are more and more stories of mass deaths and of people managing conflict with murder.

The tragedies of nature have taken even more lives and wreaked havoc in many parts of the world.

It’s been such a heavy season of so many people taken at a time no one would have expected.

How do we keep moving forward?

So with that in mind, how can we live each day to its fullest? The more we live in gratitude and love and recognize the joys that are around us in spite of the tragedies, the more healthy we are. It lowers our blood pressure and anxiety levels. It lowers our risk for heart attack and stroke.

Gratitude and Love

Gratitude and love allow us to think so much clearly. They take us out of that worry mode and in to a more creative space in our brain. We think more clearly, can be more rational, and recognize the good when our brain is fully functioning at calmer times. This calm allows our breathing to slow. It allows us to really see the things around us rather than be so focused on what’s ahead.

I encourage everyone to take a deep breath. Love on the people who are around you. Look around with joy and gratitude at the many blessings that you do have.

Remember with fond memories, and hopefully with some tears and laughter, those who we’ve lost.

Let this be a day of renewed health and joy and love.

At Meds MASH we would love to talk with you more about the benefits of gratitude and love. You can reach us at www.medsmash.com/contact; michelle@medsmash.com; or 410-472-5078.

BIBLICAL APPLICATION

As worshippers and faithful followers of Christ, we are instructed over and over the Bible to praise and worship and show our love through gratitude.

1 Thessalonians 5:18 ESV

Give thanks in all circumstances; for this is the will of God in Christ Jesus for you.

Have you tried making gratitude your very first morning event, before you even crawl out of bed? I find when I start my day in thanks it sets the tone for a much better day. I can be grateful for the fact that a whole new day is before me, and once I get started, there are SO many things to list. Even the warm bed and blankets are a gift that not everyone shares. It’s so easy to take home and family and jobs and clothes and food and friends for granted.

James 1:17 ESV

Every good gift and every perfect gift is from above, coming down from the Father of lights with whom there is no variation or shadow due to change.

Start your day with gratitude and joy and just see where it heads from there!

Psalm 118:24 ESV

This is the day that the Lord has made; let us rejoice and be glad in it.

When you are sad, overwhelmed, frustrated, or feeling your hope dampen, count your blessings.

Colossians 3:15-17 MSG

Let the peace of Christ keep you in tune with each other, in step with each other. None of this going off and doing your own thing. And cultivate thankfulness. Let the Word of Christ—the Message—have the run of the house. Give it plenty of room in your lives. Instruct and direct one another using good common sense. And sing, sing your hearts out to God! Let every detail in your lives—words, actions, whatever—be done in the name of the Master, Jesus, thanking God the Father every step of the way.

And finally, remember, His love endures forever!

Psalm 118:1-18 ESV

Oh give thanks to the Lord, for he is good; for his steadfast love endures forever! Let Israel say, “His steadfast love endures forever.” Let the house of Aaron say, “His steadfast love endures forever.” Let those who fear the Lord say, “His steadfast love endures forever.” Out of my distress I called on the Lord; the Lord answered me and set me free. …

Blessings,

Michelle

Fall Changes, Falls, and Your Changes

Posted on October 17, 2017October 17, 2017 by Michelle Fritsch, Pharm.D.

In Maryland, the leaves are turning beautiful fall colors. The air is crisp more often, and that fuzzy blanket feels good at night! The move from summer to autumn makes itself known in obvious and in subtle ways.

Throughout life, your body makes changes, too. Some are obvious. Some are subtle.

Many of these changes increase your risk for falls and/or injury with a fall.

Obvious changes

Joints get stiffer
Lung capacity gradually decreases – you might get short of breath easier
Skin gets drier as overall body water content decreases
Vision changes, especially your ability to see up close
Skin and tissues get looser

Subtle changes

These changes are usually caught when your doctor monitors your labs, your urine, or does a physical exam.

Kidneys slow down
Liver slows down
Bones get less dense (hard)
Reflexes aren’t as quick
Risk for urinary track infection goes up
Hormone production changes – for men and women

Association with falls

As we move slower, have more joint pain, lose some of our range of motion, and reflexes slow, the risk of falls goes up. As senses such as vision, hearing, touch, smell, and even taste change, these also increase the risk of falls.

The kidney and liver changes are especially important as we think about the impact on how our body handles medications. The liver is the key organ that breaks down medicines in our body. The kidney is one of the primary ways they are then removed. So, as our kidneys and liver slow down, for many medicines, we need lower doses. Sometimes, at some point in the decline of kidneys or liver, some medications should NOT be used at all.

Falls can lead to losing your ability to walk, run, climb stairs, and be as active as you would like to be.

Remember, with accumulated years we also grow in wisdom, in maturity, and learn to count the blessings in our lives! Graceful aging is a beautiful thing. I just don’t want you to fall!

Call us at Meds MASH for a thorough assessment of your current changes, your medications, and ways to decrease your risk of falls. This is one of our specialties! Michelle is one of the creators of a comprehensive falls risk assessment.

You can reach Michelle at michelle@medsmash.com; 410-472-5078; www.medsmash.com/contact.

BIBLICATION APPLICATION

Our bodies aren’t the only things that change with time. Our Christian walk is also a journey with twists and turns. Ideally it is an uphill climb to more maturity. But without practice and several bumps in the road, it can be a very flat journey.

Ephesians 4:14-15 ESV

So that we may no longer be children, tossed to and fro by the waves and carried about by every wind of doctrine, by human cunning, by craftiness in deceitful schemes. Rather, speaking the truth in love, we are to grow up in every way into him who is the head, into Christ,

Growing, learning, and changing take effort and dedication. Practice makes perfect. I don’t expect any of us will reach perfect until Heaven, but practice can certainly help us with improvement.

Hebrews 5:12-13 ESV

For though by this time you ought to be teachers, you need someone to teach you again the basic principles of the oracles of God. You need milk, not solid food, for everyone who lives on milk is unskilled in the word of righteousness, since he is a child.

To grow and change, we take risks, learn from our mistakes, and gain confidence as God sees us through each obstacle.

James 1:1-27 ESV

James, a servant of God and of the Lord Jesus Christ, To the twelve tribes in the Dispersion: Greetings. Count it all joy, my brothers, when you meet trials of various kinds, for you know that the testing of your faith produces steadfastness. And let steadfastness have its full effect, that you may be perfect and complete, lacking in nothing. If any of you lacks wisdom, let him ask God, who gives generously to all without reproach, and it will be given him. …

Romans 5:3-4 ESV

More than that, we rejoice in our sufferings, knowing that suffering produces endurance, and endurance produces character, and character produces hope,

Rather than avoid the changes that include hardship, know that God will get you through them, and you will grow and change in beautiful ways with each piece of the journey.

Blessings,

Michelle