Transformation of Body, Mind and Spirit

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Monday, October 31, 2011

Pivotal Points


Why did I have to increase my ring size?  After 35 years of marriage my rings had to be resized from 5 3/4 to 7, and now a 7 is snug. My shoe size is another issue.  I used to wear a size 8.  I now need a 9, and a 9.5 in athletic shoes.  This is not right.  What is going on...

The year 2010 was a turning point for learning more about me, how history was pivotal in defining what was happening to my health and a whole new world of opportunities. 

January 2010 delivered two TIAs (trans ischemic attacks); one on a Monday, the next on Tuesday.
My primary physician immediately sent me for a CT scan which revealed a tumor that appeared to be non-malignant but required an MRI.

The MRI revealed a larger pituitary macroadenoma and a battery of tests followed which ultimately led to a transsphenoidal resection in May 2010.

Many things can happen with a pituitary macro adenoma and I developed Acromegaly.

Acromegaly is the same thing aa ‘gigantism’ in children; only it is the adult form.  Let me share information about Acromegaly by supplying the link that describes it well.  Please click on the link and view the symptoms, treatments and other comments about this rare disorder.

If you took a moment to read about Acromegaly, then you recognize symptoms noted in previous post excerpts from the period 2008 – 2009.  Hormone symptoms can be common across conditions.  In this case, a missed diagnosis led to a rare -Acromegaly. 
Symptoms and signs may include:
  • ·         Soft tissue thickening of the palms of the hands and soles of the feet
  • ·         Enlargement of hands (ring size), feet (shoe size) and head (hat size)
  • ·         Enlargement of forehead (frontal bossing) and jaw (prognathism) with pronounced under- or overbite, spreading teeth, and enlarging tongue
  • ·         Carpal tunnel syndrome
  • ·         Arthritis
  • ·         Oily skin and excessive sweating
  • ·         Tiredness, fatigue, depression
  • ·         Impotence, loss of libido
  • ·         Interrupted menstrual cycle (amenorrhea)
  • ·         Lactation (galactorrhea)
  • ·         Heart disease and heart enlargement (cardiomegaly and left ventricular hypertrophy)
  • ·         Hypertension
  • ·         Diabetes mellitus
  • ·         Sleep apnea
  • ·         Loss of vision
  • ·         Headaches
  • ·         Colon polyps and colon cancer
I ‘bolded’ the symptoms that I personally experienced and now realize could have been related to Acromegaly, not hypothyroidism.  This is where it is extremely important to report all your symptoms to your physician.  So many conditions can be similar in nature but very distinct when you get to the root.
If you read the information link further, you found that 6 out of a 100,000 people are diagnosed with Acromegaly.

Health risks increase for cardiovascular disease, diabetes and colon cancer, therefore, it is important to have your health assessed by an endocrinologist, cardiovascular specialist and your primary care physician.  There are pivotal symptoms to recognize so be diligent in communicating with your primary care physician.


Watch for future posts as I will update details about the physical changes that I personally have experienced.


Wednesday, September 21, 2011

Recollection


“Dad – Mom, I am so cold,” I would say. 

“How could you be cold,” they would remark.  “You have on a down coat, wool gloves and snow boots.  I suppose you could put on thermal underwear.”

This was a common experience for me when I was young.  I always enjoyed being outdoors with dad, but after a few minutes I would be freezing and miserable.  I would help shovel snow (at least thought I was helping), and do whatever little tasks he would ask of me.  Before too long however, I would retreat to the house.

We had an oil heater and I would sit in front of it until I got warm.  I would stand in front of the oven if mom was baking.  I just remember that when my hands and feet got cold, I hurt all over.  

Snow mobiles were popular when I was in my early teens.  One of my neighbors would come get me and we would go riding.  I bundled tightly but still, oh so cold.  He would let me drive the snow mobile not because he trusted me but because I needed to get near the engine and thaw out my feet.

I liked playing outside in the summer too.  I don’t remember to many heat issues when I was younger but when I was in my late teens and early twenties, I started having a few minor issues with heat.  I had problems with not being able to perspire thus could not cool down. As a result I would over heat very quickly.  Once in the shade and a drink of cold water, I would be fine.

The next significant experience was after I had my second child.  One evening I was standing over the sink rinsing dishes to put into the dishwasher.  The next thing I knew I did a face plant into the sink.  Now one simply asks themselves, “What in the world are you doing?”  You feel very silly and question where your mind was, what were you thinking, did you stumble.

I had a few more strange occurrences mostly when I was walking.  I distinctly remember walking down the hallway and feeling like someone picked me up and slammed me against the wall.  Clearly I was dizzy, light headed and not in control. 

Another development that occurred over time was my irritability meter.  I am sure that my husband questioned why he married me.  The change was gradual and I thought I was normal.  Now I ask, “What is normal about someone who is constantly irritable?”

Irritability is different from impatience.  I was a naturally impatient person and over time had to learn how to manage my character trait.  However, and in all fairness to the ‘condition’, impatience will happen after long periods of discomfort.

I was twenty-eight when my doctor finally diagnosed me with low thyroid.  He was an elderly gentleman, kind but did not put much credit into thyroid issues.  I remember him telling me that too often people ‘use thyroid as an excuse’ and refuse to address other more pressing issues.

Nevertheless, he started me on a low dose thyroid which did not help initially and gradually increased the dosage until we got it right.  This was a process that occurred over many weeks with regular blood tests to monitor the results.  I remained on thyroid for five years and then we moved to another location. 

After a couple more years on thyroid my new doctor decided, “Since, your thyroid is normal let’s cease the dosage.”

I questioned his actions but as he put it, “I am the doctor and I know what I am doing.”
Who am I to question.  BIG mistake!

The symptoms gradually returned and once again I became moody, irritable and otherwise a very miserable person to be around.  I didn’t like me so who else could.  

Have you noticed how we tend to turn on a different switch when at work or at a social gathering, but at home around the people we love we are or can be a horrible person. 
Life Point:  You may not realize what you are doing.   Pay attention.  Observe how your family is responding to you.  How are other people acting around you?  Are they avoiding you, using a snappy tone back at you or do they seem at ease?    Be alert.  Let this be a caution to anyone who finds they treat friends and acquaintances one way and family another.

During the next twelve years, under the same medical care, I encountered a couple more issues that ultimately involved the need to use hormone replacement therapy.  Not once would the physician consider that my thyroid was posing a problem. 

Taking HRT helped tremendously but it too had/has certain side effects.  Nonetheless, I was a pleasant person, felt great and was more like the person my spouse married.

Fast forward, we moved to another city and being an independent sort of person, I took it upon myself to stop taking HRT.  I made the decision to stop the medication about two months before a study came out from the University of Texas San Antonio Health Science Center suggesting the potentials for increase risk of cancer.  Whew!  I was glad I stopped.  Until one day one of my coworkers came up to me and said, “You need to visit the doctor.  You are tearing into people and not acting like yourself.”  I called my husband and asked how I was acting at home.  “Not bad,” he said.  I took that to mean, “not good.”  I called my physician.

She ran a series of tests to determine that in fact my TSH, T3 and T4 levels were out of balance.  She started me on thyroid, Zoloft® and Ambien®.  I really opened up to her and did I mention that I had also dealt with what she diagnosed as chronic insomnia? 
A short note about my insomnia;  I would fall asleep at night and then approximately two hours later wake only to remain awake for four or five hours.  I had been this way since I was a teenager.  Naturally once exhausted I would fall asleep for many hours.  Again, I thought this was normal for me.

I paid attention to my health, my physical health.  I exercised regularly.  I was an aerobics fanatic for many years, turned to weight lifting then ultimately turned to yoga.  I studied to be a personal trainer and taught yoga privately.  I found great peace and strength from yoga.  (Today I have fallen away from yoga but look forward to returning to the practice.  This is another story during another blog post).

In wrapping up this section I have shared excerpts from my life, the symptoms I had and the medical advice I was given.  Now, I think it is import for you to evaluate your situation.  

Consider, is what you are feeling coming from physical or emotional health or is it environmental?  Maybe the answer is all three.  Sometimes we become blurred in our thinking and analyzing.  Discuss your situation with your health care provider.

To your health...

Friday, September 16, 2011

Hypothyroid References

I have chosen to begin this blog by providing reference sites for hypothyroidism, what I consider key sites to visit and a simple commentary.

There are many medical information sites including colleges and universities dedicated to medical studies, however, the links listed below will certainly provide enough information about the definition, symptoms and directives that can help guide an understanding into what I still believe is a confounding disorder.  

What is hypothyroid? Simply, the thyroid gland does not make enough thyroid hormone enabling your body to function properly.

How do you know if you have a hypothyroid condition? Read the information provided in these links and then discuss with your health care provider.

I know people that do have a known thyroid disorder but do not take it to heart as to the side effects, the overall impact on one’s health and how it can impact the quality of life. They either don’t accept that the disorder is real and can be treated, or they don’t consider it serious. How do I know this?  

I was one of these people. I have had a hypothyroid condition for twenty-eight plus years. I make reference in this context because it is believed that I likely had this condition as a child. Unfortunately it went undetected and thus undiagnosed. I will describe the now known symptoms I had as a child and young adult and what led to the discovery in a future blog.

In the meantime, I implore you to take responsibility for your own well-being and visit these sites. If you suspect a condition, thyroid or any other health issue, please consult your health care provider. Just remember that there is so much information available on the internet that it will be easy to get bogged down, overwhelmed and misinformed. Avoid diagnosing your condition and trying to self-treat when the condition could be quite serious. We are not discussing a common cold. We are focusing on a major gland that plays a key role on your ability to maintain good health.


To your health...

Thursday, September 8, 2011

Blog Site Changes

Thanks to those of you who read my past blogs and my apologies for the long delay between posts.

However, TipsByDebbie is taking a new approach and focusing on the many issues surrounding Acromegaly.

Acromegaly is a rare, misunderstood and often undiagnosed condition. I want to create exposure, understanding and hopefully formulate more research toward this disease.

As time progresses, you will find information links, support groups, blogs, feedback and more.

In the meantime, thank you again.

To your good health...

Monday, February 21, 2011

Make Another Trip Around the Mountain and Find the Golden Gem

Today it is time to revisit the ways in which we (you and me) choose to enjoy life. For many people this is a difficult assignment, and sometimes this includes yours truly.

We have so many things to do, places to go and people to see. There is the daily routine of getting up in the morning, going to work-school-or both and coming home at the end of a long day. There are chores to do, hobbies to pursue and the continual development of personal relationships. We make on-the-spot decisions, ponder for hours the impact of decisions, and make plans for future events.

In the end these activities, plus our actions and reactions to given situations, shape who we are, how we function and further defines our legacy and contribution to society.

So, what does all this aforementioned – well-intentioned ‘stuff’ mean? The answer begs another question:
Are you doing what you love and do you love what you are doing?

After spending a fantastic weekend with family, observing their behavior and seeing firsthand what brings them joy, I realize how boring and dull I may have become.

On the drive home I asked myself, “Does my husband see me in the same light I see myself? Do my grandchildren see me as a grumpy old person? Have I become a product of mundane character by making boring choices?”

As a person who lives inside their head, it is easy to clutter the mind and not be able to see the beauty which lies before one’s very eyes.

I, like many ‘boomers’, am at the very age where introspection is common. Time is spent evaluating options, re-evaluating one’s values and searching for that ‘one-thing’ which will make the second half of life even more exciting! It is common to ponder where to live; what hobbies to undertake. These thoughts roll over and over in one’s mind – it’s another trip around the mountain. Frankly, I find it exhausting!

But, here we go. Because it became a topic of conversation I want to hone in on the subject of hobbies. I asked myself what hobbies do I have? A comparison and contrasting analysis follows:
•After my sister retired gardening became her passion and she has beautiful
gardens! Yes PLURAL! (I like to play in the dirt, but I don’t have her green
thumb).
•She and I were musicians, but rarely play the piano anymore. (I play once in a
while and only for my enjoyment - sort of a hobby)
•My husband is a collector and has some worthy items. (I collect dust).
•My daughters are very talented in art, sewing, writing and other creative works.
(Not my strong suits).

I think I have figured out my hobby and it is not the first time this thought has occurred to me. It’s just that I tend to forget. (It’s an age thing).

Here it is and it is simple: I like to work.

But there is more:
•I like to help other people.
•I like to have quiet time.
•I like to paint walls when it fits my mood.
•I like to write.
•I like to sit and stare at the ocean.
•I like to hear the birds singing.
•I like to read.
•I like to golf.
•I like to travel.
•I like to spend time with family.

Here’s the key: if you are stuck in a rut and can’t find a hobby…try listing out all the things that bring you pleasure.

You will soon realize that your hobby is the Golden Gem reflecting the ways in which you enjoy life.