by Mary Claybon | Mar 7, 2019 | Health and Wellness |

“We see that harmony does not mean a balance -at -rest, but a vibrant, bi-polar energy force that urges on all other energy.” – Matthew Fox
“Blessings and Balance, Balance and Blessings, For from Balance comes all Blessings.” – Grandmother Keewaydinoquay, Ojibway Medicine Woman.
TAMING THE BULL
I’m a Taurus, and we bulls can have a lot of energy. I certainly do. Sometimes I feel like there are fireworks inside me ready to explode. I feel like running – usually I tone it down and take a long walk. Other times I have used up my energy and need a rest.
I think I have always had a vast amount of energy. I also have used it up to the point of fatigue. The challenge is learning to balance energy. You only have so much. The body produces energy all the time. We also use up energy. The good news is our bodies and minds were made to balance.
I once went to a therapist who noted the unbalanced and unhealthy way my energy would go up and down. He used an excellent analogy to explain the art of balance. He said to imagine that you have two clear cookie jars and in each of the jars are “gobnicks” of energy. You could picture the “gobnicks” as marbles for instance. Now imagine that one of the jars represents the gobnicks of energy you spend or use. There are days when that jar is full to the brim, and if it were popcorn on a burner, it would pop all over the place. Other days it is only half full, so there needs to be room for the conservation of energy. Other days, those days of low energy, fatigue – there are few or no gobnicks left.
What he pointed out is that when we use our gobnicks, we have to find a way to replace them. The other jar represents the gobnicks of energy that you pay back or restore. We restore our energy or pay back our gobnicks by relaxing, meditating, or taking a quiet walk in the woods. Some people gain energy when they do some invigorating exercise. A talk with a friend or reading a good book can help us gain perspective and energy. These activities restore energy and refuel the body and mind. Whatever it is that creates peace or happiness will restore energy. Activities that involve judgment, analysis, work that is not in line with one’s passion, running or racing against time with a sense of urgency will deplete energy. And there needs to be a balance. Energy in and energy out and energy in and energy out. Balance would be a cookie jar that is at least half-full always. At times life will take more gobnicks. At those times you may need more meditation or quiet time.
If you don’t replace gobnicks of energy with tools for physical, emotional and spiritual replenishment, you will likely suffer from “burnout.” If you stay burned out, you will likely slip into a depression. If you allow life to take you this far on empty, it will take more energy to get back to a healthy state of being.

The key is to listen to your body and watch how you are using your mind. Awareness of energy levels is essential.
It would seem that vacations would replace gobnicks, but instead often they take much of our energy. Sightseeing involves thinking. Packing and running to airports, figuring out flight times and hotel arrangements all take a great amount of energy. On your arrival, you hurry up to have a darn good time. No sooner are you unpacked, you run out and catch the sunshine at the beach or climb mountains or enjoy every minute. You are still racing and running with a sense of urgency to get it all in. After all, when will you be back to experience this place? On returning home from vacation often our bodies and minds feel tired. In fact, often we are more tired than when we left, and the cookie jar comes back drained.
The most relaxing vacations are those where you stay at a beautiful bed and breakfast or a retreat facility and let time and energy guide your activities and schedule. On a retreat it is relaxing to build in prayer and quiet time; eat healthy foods and take long walks around the accommodations or in the woods. I usually go to bed early and wake up early. I journal and enjoy where I am and every moment of my time.
If I am traveling with my husband, we usually stay in bed and breakfasts, travel at our leisure, keep our plans open and enjoy the time together.
We walk a lot. Our bodies love the exercise. We also eat more rich foods on vacation, especially at breakfast. We enjoy our host’s recipe specialties and the company of other guests. We usually do some shopping without a sense of having to buy. Sometimes we attend a lecture in the area where we learn something new or hear an author or speaker who we may never experience in our area. We also go to bed early and rise at our leisure. We avoid doing any business on our vacations and seldom watch television or listen to the radio. We sometimes read a daily newspaper, but if we miss a day, we don’t feel a need to catch up. We enjoy each other in all ways- physically, emotionally and even spiritually.
You know when you’ve overspent your energy. The throat gets sore; your ear may hurt, which is usually a swollen gland and the signs that the immune system is weak. You may catch a cold and have symptoms because the body could not fight it. You may feel more tired and sleep later. Despite it all we often keep going as much as we can.
I do try to take an afternoon nap and pace myself throughout the day. I should do more yoga and meditation, but I am more likely to take a walk or journal-it seems my make-up likes to be “doing something” rather than just sitting.
I have many tools for stress management and balance. For me, this is the key to not breaking down. In fact, what I usually have are “ nervous breakthroughs” instead of nervous breakdowns. Even since childhood, I have only let myself be down for a few days. Inside I would fight back at whatever was getting me down. There was always something to bring me through. I would think of everything positive or bake a cake or call a friend.
When I was a young adult in nursing school, and later when I started working at my first jobs, stress took a toll on my body. I was diagnosed with various psychosomatic illnesses, but then I was not aware of healing techniques to relax my body and mind. It was not playtime anymore. I was studying or working and under much pressure to complete education and career goals. Exercise was the first tool I learned, but I also learned to overdo it. Later I found journaling, meditation, and yoga to be helpful tools. I also learned more about vitamins and herbs and holistic healing.
Recently someone said he thought I had more energy than most people did and that he bet I never got down or lost it. I explained that I did get down and just like everybody else I could use up my energy. However, I have learned to use my stress management tools before I burn out.
Being a Taurus, I often feel the bull in me – running with those horns out – going forward without looking to see who is in my way – and determined to go until something in my path stops me. I need to remind myself to restore those gobnicks.
That analogy I learned years ago is one of those pieces of advice that has always made sense. I have shared it with others, and it is so simple.
by Mary Claybon | Feb 14, 2019 | Health and Wellness |
HAPPY VALENTINE’S DAY AND HAPPY HEALTHY HEART MONTH
February is Healthy Heart Month and Valentine’s Day is a great time to start healing your heart. You know from my last blog that laughter is healing. Here are 14 more tips for health and heart healing. They are not in any particular order. They are all important.https://themiddlewayhealth.com/a-new-years-resolution-you-can-keep-dont-forget-to-laugh/
If you do nothing else for your health-Buy a Pedometer.
Exercise and movement are the best medicine. Make it a goal to get 10,000 steps a day. You can get the steps by simply walking, going about your daily activities, shopping, or dancing. Yes-dancing. When I have to get more steps in my day, I will put on my favorite music or television show and dance around my family room. I might also add some running in place, marching, side steps or fast walking around the house. You would be amazed at how steps accumulate just from moving.
Eat Breakfast.
Research has shown that people who skip breakfast pack in more calories throughout the day. By starting your day with breakfast you are telling your body it is going to be well fed throughout the day and you needn’t binge at points of hunger. A great breakfast is fresh fruit especially berries, high fiber low sugar (less than 6 grams) cereal, live cultured plain yogurt (no sugar) and a cup of coffee or tea. A few times a week you may want to add an egg for additional protein. That’s great on days you are working out at the gym or getting heavy-duty exercise in.
Spices
Spice up your food. Indian spices like curry powder, cumin, turmeric and cardamom are very healthy. These spices have antioxidant and anti-inflammatory properties that help to prevent illness. These are especially important during cold and flu season. Garlic and oregano are also excellent additions to any recipe and both can have antibiotic properties.
Eat broccoli
several times a week. Broccoli is a great vegetable for fiber, vitamin C, and anticancer properties. Raw broccoli is great with low-calorie dips made with live cultured yogurt. Cooked broccoli is very beneficial as long as when you eat it, the bright green color is still there. Other heart-healthy veggies are asparagus, Brussel sprouts, and beets.
Include Wild Alaskan salmon
in your diet at least once a week. This salmon is a source of the fish oil that prevents heart disease. Salmon is a great source of protein and has the good fat that protects the heart. For heart health remember SMASH – Salmon, Mackerel, Anchovies, Snapper, and Halibut are the best fish choices for a healthy heart.
Drink red wine
Studies are showing that one glass of red wine (4-5oz) a day is good for your heart. The wine has a powerful antioxidant –resveratrol and also relaxes your body and mind to alleviate the stressors of the day. Stick with dry red wines. White wine can also add some benefit, but does not have the healthy -resveratrol.
Practice meditation
Meditation calms the mind, reduces stress, and with practice can aid in reducing blood pressure. Meditation does not have to be complicated-simply site, close your eyes, focus on your breath, and watch your mind without having to do anything about your thoughts. There are many apps you can download to your phone that help you to meditate. My favorite is Insight timer.
Practice Forgiveness.
Holding onto resentment and anger will only make you sick. Open your heart to how another feels and you may find yourself able to have compassion for the other side of the story. Forgiveness is the key to happiness and healing. The premise of A Course in Miracles is forgiveness. I have been studying and teaching the Course for over 30 years now and facilitate a monthly group meeting.
Eat Dark Chocolate
Steve and I eat two squares of dark chocolate almost every night after dinner. Dark chocolate has many healing properties. it not only tastes good but it is good for you. The darker the chocolate the better. it is rich in antioxidants and flavanols-powerful healing substances. Chocolate is also said to be good for the skin and because it supports keeping the blood fluid and flowing is helpful in preventing stroke and heart disease.
Garlic
is one of my favorite staples. Garlic is not only an antibacterial, antifungal, and antiviral natural antibiotic, but garlic also is very good for the heart. Garlic is thought to reduce blood pressure, cholesterol and inflammation. I travel with garlic and add it to my toast, soups, and whatever I can at the first sign of illness. Check out my garlic soup recipe.
No Smoking
If you smoke-QUIT. It goes without saying, smoking kills every organ of the body, especially the heart and lungs. I hate to admit that I smoked years ago and quit when I was 30. I am so glad I no longer smoke. It is not easy to quit. You have to see yourself as a non-smoker instead of an ex-smoker. Health has to be your top priority. Coaching can help.
Eat healthy fats.
Olive oil and Avacado are two of the best heart-healthy fats you can eat. I substitute olive oil for butter and oil in most recipes. I also love to have avocados cut up fresh or in my delicious guacamole. Avocados are also a delicious topping for toast. Make sure they are ripe enough. They should feel slightly soft to touch but not brown.
Drink lots of water
and avoid sugar and artificial sweeteners in soda pop and juices. Water is the purest beverage. Add a little lemon or even fresh cucumbers for flavor. Filtered water is best. We have an Aqua Pure filter under our sink and to our refrigerator. If you buy bottled water, buy filtered not spring as you have no idea how pure the spring water is. Most important is to drink water throughout the day.
Practice the Middle Way.
Keep your life balanced and joyful by following the path of moderation in all things. Avoid extremes and let go of judgment of yourself and others. If you need help along the way and are ready to change your life, coaching can be a helpful path to living life to the fullest. This blog and my coaching are dedicated to promoting health the Middle Way. Feel free to share any of my articles. I am forever grateful for my readers and welcome new subscribers.
by Mary Claybon | Jan 29, 2019 | Health and Wellness, Uncategorized |


DON’T FORGET TO LAUGH
Laughter is a release, a bonding agent, a prescription for health, a weapon and more. When someone laughs at your jokes today-not a polite laugh but an honest-to-goodness “I get you” laugh — it feels like love. (From my daily horoscope)
When was the last time you had a real belly laugh? A laugh where tears are rolling down your face, and your whole body is moving. In that moment you forgot everything around you. This is very healing-very important.
The average adult laughs 17 times a day. Humans are one of the only species that laughs. Have you ever seen your cat or dog laugh? They kind of just look at you like your nuts or maybe wag their tail.

Laughter is the best medicine!! While you’re at the pharmacy picking up your $ 500 worth of drugs or while you’re at the health food store buying mega dollar’s worth of supplements pick up a bottle of humor. At the end of my mother-in-law’s life when she was very sick, her doctor wrote on a prescription pad-Laugh!
The study of laughter is called gelotology. It is actually a science.
What really makes us laugh? There are a number of theories about laughter.
Incongruity theory – Jokes- We anticipate the end, which usually is something stupid, or something illogical –doesn’t fit-or fits in an abnormal way –it’s just funny. Hits us as funny. A good joke can be very clean. Knock knock jokes etc.
Superiority theory– laughing at the expense of someone else or someone’s culture etc. Not really helpful and can just be a cover up for prejudice and anger – not healthy.
Relief theory- Jokes in the middle of tension – just need a humor break in the middle of stressful situations.
Tickling – but you can’t tickle yourself because tickling needs tension and surprise.
Laughter is the rhythmic, vocalized, expiratory, and involuntary response of the body. When someone tells a joke, you need the left brain to analyze the joke, the frontal lobe activates (social emotional response), the right brain helps you “get” the joke, the back of the brain sends nerve signals that make you react.
Damage to any of these areas can prevent someone from having a “sense of humor”.
When you laugh, many things are happening in your body. 15 facial muscles contract. The respiratory system is upset enough to make you gasp. If you laugh hard enough the tear ducts are activated. The mouth opens and closes so you get enough oxygen. The face becomes red and moist from increased circulation. We create all kinds of noises – some dainty and some very loud.
There are two types of sound in laughter – ha ha ha or ho ho ho or both. Laughter Yoga uses these sounds while teaching deep breathing and laughter. It’s wonderfully healing:)
Laughter is contagious.
John Morreal, a philosopher believes that the first time humans laughed was after danger passed and they shared the relief-like wow! That was a close one! Ha ha ha.
It is something we share with others and usually you laugh with others when you trust them and feel like you belong. People are 30 times more likely to laugh in a social setting than when alone.
I was at the book store one day and was reading a book. Across from me was a young woman reading a book and every few pages would burst out laughing as if nobody was around. She made me laugh!! It’s like The Wonky Donkey video -a grandma having the best laugh as she reads the book to her grandson.
We laugh at different things at different ages and get jokes more as we mature.
We laugh at the things that stress us out!
We may not laugh if we don’t get the joke or we don’t find the joke funny or if we just lack a sense of humor.
If the boss laughs you can laugh or if the one in power laughs it is okay to laugh – tribal.
Laughter is sometimes used to cover up anger or sadness or fear. Nervous laughter!! There is laughter in those tears or tears in the laughter. Helps to release emotions. That is why funny movies or comedy clubs are so popular.
There is scientific research that shows that humor reduces stress, increases your ability to tolerate pain or even to forget about chronic pain, and boosts your immune system
In the book, The Anatomy of an Illness , Norman Cousins describes how he healed from his chronic illness by watching funny movies and television skits. Carl Jung believed that all Illness is mental illness and all mental illness is a spiritual disconnection.
Don’t take things so seriously. Anything we take seriously can be made fun of!!!
Laughter decreases stress and stress hormones that cause disease. Increases killer cells that kill cancer and viruses. Can clear the respiratory tract by causing coughing or hiccupping
Laughing 100 times is equal to 10 minutes on a rowing machine or 15 minutes on an exercise bike. Lowers blood pressure. Increases vascular flow. Assists in healing.
And when there is no chance of avoiding the end of life, live in the moment. I can remember when my Mom had pancreatic cancer. She was dying but still managed to laugh. We kept her alive with humor, chocolate, high fiber Vitamix smoothies, and a powerful use of denial. We laughed a lot and also shared tears together.
The world is a crazy place. Not one of us will ever be able to figure it all out. We cannot possibly judge because we are limited humans and lack all the facts. All we can do is watch ourselves play our parts in the movie. Grab some popcorn and raisinets and laugh. You would not tear apart the movie screen so don’t take your life so serious. Sit back and observe yourself and your relationship with others.
Figure out what makes you laugh and do it! Read funny books or watch funny movies.
Surround yourself with funny people. Don’t waste your time worrying.
Develop your sense of humor. Be funny. Coco Chanel said – You only have one life to live you might as well be amusing.
Have fun!! Enjoy!! What is preventing you from laughing right now? Whatever it is……
It’s all a silly mad Idea don’t forget to laugh!!!! (A Course in Miracles)
by Mary Claybon | Jan 22, 2019 | Health and Wellness |

Hiking in Arizona

Looking over Hoover Dam at the Nevada Border

Looking Out from our Cruise

Beautiful and Peaceful Meditation site at the Upaya Zen Center in Santa Fe New Mexico

Steve and Me in Vancouver

Group photon at the Natalie Goldberg Memoir Writing retreat
It’s a snow day here in Mason, Ohio. I love snow days when I have nowhere to go-just the time to catch up around the house, make final travel arrangements and sit here and blog to my readers. I hope you all had a great holiday. Here is our New Year’s letter that I send out in cards. Hope you enjoy it!!
As I reflect on our year, I want to thank you for your cards, letters, and photos. We enjoy hearing from friends and family. Hope your holidays were wonderful.
This was our second full year of retirement, and it has been a joy to be able to sleep in, travel, have time with our kids and grandkids, and all the things we do together and separately.
Steve continues to attend his weekly prayer group (minyan) and the Synagogue. I continue to write and teach my monthly Course in Miracles group. Steve also enjoys working out both physically and socially;) I enjoy taking long walks especially in Sharon Woods with friends. We enjoy watching our shows on Netflix (Breaking Bad, Ozark, and for fun The Marvelous Mrs. Meisel and The Kaminsky Method). Most of all we enjoy our travels-visiting family and friends around the globe. Time is always a commodity but when not in the routine of going to work every day, moments become even more precious, and life’s experiences can be savored.
Some of our most precious moments have been visiting my Godmother Helen and our 100-year-old frien
d Evvy -both in nursing homes. Sadly, Helen died in March, but the memory of our time together while she lived near us will remain.
This year we traveled to Los Angeles in January for a wedding and to visit friends, then to Chicago to babysit our Granddog Jax, while Marcie went with friends to Cancun, Mexico. In February we were in Phoenix for a Bat Mitzvah, and to spend time with a cousin and friends. In March during Spring break, our family embarked on a Caribbean Cruise where in Cozumel, the kids swam with the dolphins, and we explored the shops together.
Following the cruise, we visited Steve’s Aunt Peppy and some old friends in Boca Raton, then drove to Cape Coral to stay with very close friends but unfortunately, all the travel was too much, and Steve was diagnosed with Influenza B the day after we arrived. Thank goodness these friends are like family and made us feel at home – the four of us spent
ten days on Tamiflu and a week of convalescence. I was the only one who did not get the flu. Luckily, they have a beautiful home on the water with lots of separated living space, so we were able to be with each other in a healing environment.
In May, I attended a Natalie Goldberg memoir writing retreat in Santa Fe, New Mexico. Natalie is a practicing Buddhist and the author of Writing Down the Bones and several other books. I enjoyed daily meditation and writing while embracing the sunshine and warmth of Santa Fe.
Later in May, our family all attended our great niece’s Bat Mitsvah in the DC area. Hannah did a great job, and we enjoyed all the festivities of the weekend.
In August our youngest daughter Marcie and I traveled to London and Amsterdam, where we celebrated her 36th birthday. We loved walking London and visiting the many regal sites as well as the Churchill War Rooms, St. Paul’s Cathedral and more. While in London, we got theater tickets to The Book of Mormon, which we both enjoyed. Amsterdam was delightful. We visited the Anne Frank House after taking a guided tour of her neighborhood, which I would highly recommend. We also went to the Van Gogh Museum and enjoyed our hotel with its evening wine and cheese, and a room with floor to ceiling windows we could open to the air of the street and canal views below.
We took another trip to Chicago in September to celebrate my sister’s 60th birthday. She had a great party and being with family is always wonderful.
In October Steve and I took a memorable trip to the Pacific Northwest where we enjoyed our niece in Eugene, Oregon, a Dental buddy of Steve in Portland and a niece in Seattle. We also took the Amtrak train fro
m Seattle and went north to Vancouver, British Columbia where we spent time with our great niece who is a student at UBC and enjoyed the essence of this part of the world. Our Air BnB was across from the water with views of downtown and Stanley Park. While away, we ordered an organic bed in Seattle-so comfy.
Our Thanksgiving, Hanukah, Christmas and New Years holidays were spent here in Cincinnati. Our nephew and niece from Washington DC joined us for Thanksgiving this year which made that holiday extra special-lots to be grateful for.
Love to all and Happy 2019
Mary and Steve

by Mary Claybon | Dec 13, 2018 | Health and Wellness |

Thanksgiving Turkey
I hope you all had a great Thanksgiving. We did! I love watching the Macy’s parade, making my stuffing and roasting my turkey, then relaxing until the family arrives and it’s time to coordinate the dinner.
I do get to know turkey hotline reps for at least one phone call every year, but this year my worries were a little over the top. I made three calls to the Butterball Hotline (Even though I bought my turkey at Trader Joes). Three calls to the USDA, two calls to local cooking schools, and several calls to various Trader Joes to reassure me that the fresh turkey my husband bought on November 12 would be okay in the refrigerator (as directed by the Trader Joes manager) until I stuff it and roast on Thanksgiving Day. The fear of food poisoning from old or undercooked poultry is a reality I wanted to prevent, and I usually freeze my turkeys.
I was also concerned because my turkey got done too early. I love that we have so many opportunities to problem solve on Thanksgiving. I make at least one call a year for something about my turkeys. I got to know all the representatives I called and learned a lot, so let me pass it on.
#1 It will be fine. The turkeys ship fresh and are refrigerated at low temps and will stay fresh if the wrapping is intact and it remains in the frig until the expiration date, which in my case was Nov 25. It was fine. “It will be fine” were the magic words I heard over and over. I just needed to trust. It was fine. The turkey smelled fresh and tasted delicious.
#2 Oven Temps-You can start the oven at 400 and reduce to 325, but the best temp is 325 for the duration of cooking. Check for doneness by measuring your turkey in three places. The breast or white meat should be 165 degrees. The thigh or dark meat should be 170 degrees, and the stuffing should read at 165. I do stuff my turkey, so this is an important measure. It was almost 170 all over, but because I baste the turkey, it stayed moist and utterly tasty.
#3 Timing- You can safely plan that it will take about 15-20 minutes per pound, but if you baste like I do every hour, it will take longer.
Nevertheless, my turkey did get done earlier than I planned. If the turkey gets done too soon, cover it and keep in a warm oven that maintains the internal temperature of the turkey at 140 degrees. One of my neighbors puts hers in a 250-degree oven the night before at 11:00 PM, roasts until 8:00 AM and keeps it warm until dinner that evening. That was quite reassuring. My oven’s warm setting is 170 degrees. I put it in the oven for maybe two to three hours and guess what? “it was fine!”
#4 One additional tip: DON’T WASH YOUR TURKEY- Pat it with a wet paper towel to clean, and if you’re like me, you can tweeze the end of the feather tips left in the bird. Be sure to clean all surfaces to prevent cross-contamination.
The day after Thanksgiving we had our annual cookie baking day where I lay out every ingredient you could think of for a cookie. The grandkids come over and choose their recipes and bake. The kitchen was in chaos, but we had fun and then by 3:00 we have all had enough, and it’s time to clean up and transition the kitchen for “leftovers night,” our annual Shabbat dinner after Thanksgiving.

Hanukah came early this year. It was the week after Thanksgiving. This year I made dozens of potato latkes. The kitchen was a mess, but the latkes were delicious. I made homemade applesauce too. It was great. We celebrated a few days here and there with the grandkids and will have a Hanukah party at my daughter’s house. We lit our candles every night and turned on our electric menorahs for the windows.
Now we are looking are forward to celebrating Christmas, when my youngest daughter comes in from Chicago with our granddog. Christmas eve we will have my traditional spinach lasagna and Christmas day will wake up to stockings for all the grandkids thanks to “Santa” and stockings for our grown kids filled with an array of stuffers including gift cards to their favorite restaurants.
Our oldest daughter only has Hanukah in her home so she and my son in law and granddaughter will be with us, Christmas Eve and Christmas Day. Our son and daughter in law and their children celebrate Hanukah and Christmas and have their tree and family traditions as my daughter in law is not Jewish, and like me, Christmas was always an essential part of her life. They celebrate both holidays. For Christmas dinner, I make another turkey (yes- from Trader Joes but this one I put in the freezer) and stuffing and bring it to my daughter in laws mom’s house where our family gathers with her family and enjoy the spirit of the holidays.
HAPPY HOLIDAYS
I will share more about my Christmas memories in a future blog.
by Mary Claybon | Aug 3, 2018 | Health and Wellness, Uncategorized |

Florida Artist Rita Schwab is holding her beautiful glass mosaic that reflects journey, path, heart 🙂
This is a long post with a long story that begins with just a catch up on our travels including our experience with the flu, and then my cardiology journey and resistance to doctor’s orders. If you have ever felt you and your doctor were not communicating-read this post. Enjoy!!
This year we have done a lot of traveling-California in January, Nevada and Arizona in February, Florida in March and early April, and in May I went on a wonderful and writer changing retreat in beautiful and peaceful Santa Fe, New Mexico. Each of these trips have their own story and lots more to share.
It’s been both fun and exhausting and Steve has set his own boundaries around travel. “I can’t unpack and repack a suitcase without an at home for a while break. “It’s too much!” I, on the other hand have a hard time saying no to life and opportunities to travel, explore and experience everything. Steve reached his limit when after completing a delightful family Caribbean cruise, we embarked for a 10-day vacation to be with friends in Cape Coral, Florida and the second day there he was diagnosed with Influenza B. Poor Steve. For the first week of that trip he was either outside on their beautiful lanai or in the house wearing a mask. Although our friends were wonderful, “like family”, and we did enjoy many great conversations in between rest time, this did take a toll on all of us. Our dear friends hung in there with us and we all went on Tamiflu. I was the only one who did not have at least a day of the flu.
At the Urgent Care, it was noted that my blood pressure had climbed to 160/90 — yikes! I was stressed. I managed my stress by writing daily out in the Tiki Hut down on their deck and canal landing. It is a beautiful and serene place to reflect and write. Some days I would just rest in the hammock or sit and meditate and listen to the many sounds of nature. It helped that the weather was beautiful. I also enjoyed an evening glass of wine, which I noticed did lower my blood pressure. Toward the end of our stay we were able to go out and enjoy the last few days of our trip. One of our outings was an art fair in Cape Coral where I met and photographed the artist, Rita Schwab and her glass piece used with her permission as my photo for this post.
By the time we got home and to our own beds, Steve was exhausted and I was concerned about my heart. I purchased a new OMRON B/P monitor and made an appt with a cardiologist.I continued to monitor my blood pressure and it varied-sometimes high and other times normal. I really focused on my breathing and although I did not sit in formal meditation every day, I attempted to stay mindful of my thoughts and pace of living.
As I sat in the cardiologist’s waiting room, I felt a bit out of place. The room was filled with elderly people, some in wheelchairs, and the younger patients were very overweight. I “pride” myself in being as healthy as I can “the middle way” through exercise, a plant-based diet, and meditation, yet here I was. I have to admit I have a strong family history of heart disease—Mom, Dad, and siblings. But I thought I was different and was on top of controlling the risk factors, at least that’s what I thought. Yet now I realize how hard it is to control the biggest risk factor-underlying tension and anxiety.
My cholesterol is high but so is my good cholesterol. I used to smoke but quit 36 years ago, and I have not been overweight since nursing school. Why was I there? My primary care physician was okay with me going although he has never seen my blood pressure over 120/70. He takes my blood pressure every time I see him, and he carefully monitors my lipid profile every year.
Long story short, the cardiologist was not quick to put me on any medication (I liked that!) until I had some tests to determine if I, indeed, showed signs of heart disease. He ordered an echocardiogram and coronary calcium scan (CAT Scan of the heart and its major blood vessels). I was game. The heart scan took about 20 minutes and the echocardiogram took almost an hour.
The next day I got a call from the nurse who gave me the results of my tests—the echo was normal and the heart scan showed minimal heart disease, better than most for my age so the doctor would like me to take a daily 81 mg of Aspirin and 40 mg of Lipitor. Noooooooooooooo.You would have thought she told me the doctor wanted to do open heart surgery. I totally reacted with surprise, anger, sadness, and disappointment and asked that she have the doctor call me.
He did, and it did not go well. The American College of Cardiology recommends the aspirin and Lipitor for a patient picture like mine. Actually there are many cardiologists that feel we should all be on a statin. But that’s it! This doctor really does not know me and I am not a typical patient. I had only seen him one time, and we need to go beyond one size fits all medicine. My primary care physician is an MD with years of alternative medicine experience and for over 25 years has followed my health and prescribed the daily supplements I take. I take no prescription medicine and don’t want to start. On the other hand, I also don’t want to have a heart attack or stroke and would welcome a plan to prevent further heart disease. Heart disease is the leading cause of death in women.
When the cardiologist called, I let him know how disappointed I was that the nurse called and that we did not talk before I was given a prescribed plan that included a statin drug without more discussion on its benefits and its risks. Statin drugs do lower cholesterol and prevent plaque buildup in the arteries, but they also come with an array of side effects—muscle aches and weakness, GI symptoms, and more. There is a ton of research that is now questioning the cost/benefit of statins.
I have to admit, I did not give the doctor a chance to explain how we would proceed or how he would follow up with me. When I got off the phone, I felt sad that the conversation did not go well and I wished I had sat in a 30-minute meditation prior to speaking with this doctor. This doctor has an excellent reputation as a cardiologist, is very kind and personable and I am sure he has saved many lives. I wish I could have expressed myself in a better way to be heard by the doctor. I also wish his office would have scheduled a follow up appointment so that he could go over the results with me in his office. Most of all I have used this experience to reflect on my own defensiveness and fear and also trust that there is a blanket of universal forgiveness between both of us.
Doctor patient communication can be difficult. There is fear on all sides. I have a deep respect for the medical profession. I am a Registered Nurse and know how difficult it is to navigate around a system that is frustrating to the patient and the doctor. And I also know that in today’s world of alternative, integrative and functional medicine, there is much that medical schools and nursing schools have failed to teach. The research is often driven by pharmaceutical companies who have a vested interest in us taking drugs when there are so many alternatives to healing. I will not take a long-term prescription without research and that is my current mission about statin drugs and heart disease prevention and treatment in general.
Dr. Danielle Ofri’s book What Patients Say. What Doctors Hear, states it well:
Patients, anxious to convey their symptoms, feel an urgency to “make their case” to their doctors. Doctors, under pressure to be efficient, multitask while patients speak and often miss the key elements. Add in stereotypes, unconscious bias, conflicting agendas, and the fear of lawsuits and the risk of misdiagnosis and medical errors multiplies dangerously.
A week later, I went to my primary care physician. He agreed that going on a statin drug was premature, but also agreed that we needed to take the tests serious and take a closer look at my cardiac risks and current status. He was grateful to have the test results for additional information about my health. He recommended beets and cayenne pepper as nutritional support for the heart. He also recommended 1000 mg of Niacinamide (Vit B3 derivative-not as much research on its affect on cholesterol like Niacin). He also said he may want me on a low dose of of Zocor, which is a statin. I might add that my physician knows me well and suggested I relax and balance my chakras.
My lifestyle supports health but there is more I can do. I exercise (making sure I get 10,000 steps a day) but could increase the intensity of my walks and add more strength training. My diet is plant based; no red meat and I avoid saturated fat- but I am far from perfect and need to be more aware of salt and sugar. I do meditate, but I am a hyper personality and need to focus on breath awareness and slowing down in between life’s adventures. But more important than all of that is that I often feel I live in two worlds. On one hand I teach and coach a very deep spiritual path of love and forgiveness and on the other hand I have the same fears of illness and death as everyone else. Our fears fuel our defenses and often cause us to separate rather than join.
In two months we will repeat all of the blood tests that aid in determining my current heart disease risk. Since being more mindful of my diet, exercise and meditation as well as forgiving myself and the doctor, (Forgiveness is a powerful medicine for the heart), I have noticed my blood pressure has been staying within the normal range and I am hoping my blood tests show that I can reduce my heart disease risks without taking medicine.
In the meantime, I will continue my research, be mindful of my lifestyle, and stay “open hearted”. I have a follow up appointment with the cardiologist in 6 months. I’m not sure if he is the right fit for me, but it would be nice if we could meet again. I will go prepared to listen to him and hopefully he can also listen to my concerns and we can join in a much more productive manner.
In the end, its not about any of this. It’s always about all the lessons we learn along the way and as I continue the journey, I enjoy bringing you along.