We are home from a visit with HH's Mom. The good news is that she is back in her own home after less than seven weeks in rehab. They had told us it would be at least three months. She has both a strong body and a strong will to recover.
The bad news is that she will almost certainly break another bone. It's not just that she has osteoporosis, which she does. It's not just that she has bad balance, which she does. It's not even that she wants to be independent, which is an admirable trait.
It's that she forgets that she is not 65 years old anymore. She gets an idea in her head and charges off across the room without her walker. It's just a matter of time before she falls again. She has 24 hour care. Either a family member or a health care worker is with her all the time. But it doesn't help.
In the few days that my husband and I stayed with her, giving the health care workers a few days off, we had several scares.
The doorbell would ring. She would jump up to answer it.
I would be walking beside her, and she would turn away from her walker and head toward the closet. I would put my hand on her shoulder and say, "Where are you going?" She would answer, "To get my lipstick," as if that were the most necessary thing in the world.
At dusk she would get up from her chair and go to close the blinds - standing on one foot to do so.
I slept in the room next to hers with the door open, and a baby monitor on full volume. But she could get out of bed and half way to the bathroom before I could reach her.
We had lots of conversations about this. My conversations were gentle. My husband's conversations were authoritarian. In the moment that the conversation took place, she was in complete agreement. She knows that if she breaks her neck again while the vertebrae are still healing, she will be paralyzed. She knows that if she breaks another bone, that her body will be under extreme stress, dealing with two major injuries. She knows that family, friends, and workers are there to help her.
But in the moment she wants something done she is not 92 years old. She is 35 or 45 or 55. She is her young, stubbornly independent self. She jumps up to get it done.
In a way, I have to admire her. She is not a couch potato. She does not want to be waited on. She is not the least bit lazy. But one day our phone will ring, and we will hear that she is on the way to the hospital again.
So, I ask myself. How much of this will I remember when I am old? Both of my parents lived into their 90s. When I am that age, will I be stubborn or cooperative? Will I be careless or cautious? Will I be able to slow down gracefully?
I don't know. But in the meantime, I'm doing everything I can to keep my mind and my bones strong.
Preparing for Shabbos without electricity was one of my biggest challenges. I only had access to a stovetop, not an oven, so I couldn’t bake bread or cake. Since it was my Mom’s gas stove, and not my own, I didn’t have the authority to leave a flame on all night. I couldn’t prepare a hot stew for Saturday afternoon, or even keep hot water available.
Making a special blessing over the bread is an integral part of Shabbos observance. It’s supposed to be made over two whole loaves, symbolizing the two portions of Manna that the Israelites received on Fridays in the Desert after leaving Egypt. It’s supposed to be made of wheat, spelt, rye, oats, or barley, but rice is an acceptable alternative only for those who cannot eat any of the other 5 grains. I normally bake rice challah rolls for myself, and spelt for everybody else. I make rolls so we can have “whole loaves” without using large portions of bread.
This would have been a perfect time to buy bakery challah, had there been any available we could safely eat. But no bakeries in the area prepare spelt or rice challahs, so we used spelt matzah on Friday night. Shortly after making the blessings, we discovered some spelt rolls left from the Shabbos before- we’d have used those if we’d realized we had them! I couldn’t find rolls made of rice flour anywhere, but I did find a sliced loaf of rice bread, so I used two slices, instead of two loaves, that week.
Friday night’s meal wasn’t all that different from the other dinners we’d been eating. I made white rice in one pot, and in another pot I made a stew with chicken cutlets, sweet potatoes, and green beans. . I wasn’t entirely happy with serving chicken, since it’s an avoid for my type B son, but we had chicken in the freezer, now thawed, that would have otherwise spoiled. I did buy some turkey bologna for him. I’d feared the meal wouldn’t feel special without dessert, so I bought chocolate covered marshmallows. I needn’t have feared: the meal was elegant.
Saturday was another story. Since I couldn’t heat anything up without violating Shabbos, and I couldn’t keep anything warm without electricity, we were stuck with cold food in a cold house. I’d prepared a pea salad with frozen green peas, ume plum vinegar, chopped onions, and toasted sesame oil. We also had romaine lettuce, slices of assorted cheeses, and canned tuna. It was the kind of food I normally serve on Saturday afternoons in the summer, and it wasn’t really satisfying with a cold house and no hot beverages available.
The following Shabbos felt kind of strange too. We got power back on Wednesday night, and I was super-busy on Wednesday night and Thursday, then on Friday I crashed. I had to serve chicken again, because the second store I went to didn’t have any kosher turkey available. The first store I’d gone to, the one that normally carries a wide range of kosher meats and poultry, was without power and wasn’t selling any perishables at all! I still couldn’t drive beyond those two stores because I hadn’t bought fuel for my car- the lines were now manageable, but I didn’t have time or energy to go buy any.
Thankfully, I was now able to bake challahs, use the electric hot water urn, and prepare a variety of dishes in the oven! But I was completely worn out and in a fibro-flare, meaning that I was sore all over, mentally and physically exhausted, and very irritable. I slept a lot over Shabbos, but still needed much more sleep. I’ve been in that flare for a whole week now.
It’s almost time for Shabbos again and I’m starting to feel a little bit better. I’m just about caught up with my housework and errands- the fridge and freezers are clean and we have plenty of food in the house. I even have a full tank of gas! Just being able to resume these bits of normalcy is doing wonders for my mental health, which directly affects my physical health. I’m looking forward to resuming my normal Friday routine tomorrow, and then relaxing and enjoying Shabbos.
On October 30th 2012, the day after the storm and our first day without power, Jack, Hannah, and I went for an afternoon walk, assessing the damage to our neighborhood. Uprooted trees pulled up chunks of sidewalk and completely blocked the roads- one on our street, just a few houses away, but we encountered many more in our walk. Some trees had landed on cars or houses, although most landed between two houses or on the road. Plenty of houses needed roof repairs, though the overall damage clearly could have been a lot worse.
When it got dark that evening, it seemed way too dark in the house. We turned on battery-powered lanterns downstairs in my Mom’s part of the house, and lit candles upstairs, but nothing seemed to dispel the gloom. It was too dark to read and our eyes were straining uncomfortably when playing board games. Hannah and I decided to go for a walk. while Leah and Jack continued playing games with their Bubbie (grandma.)
That walk was magical. Our eyes quickly adapted to the dark, and the lighting felt natural, not dismal. We had to watch out for debris on the sidewalk, but there was very little traffic because most roads were still impassable. It felt more like a walk in the country than a walk in the suburbs. We didn’t get blinded by headlights from vehicles or floodlights from people’s porches. We passed houses that were gently lit within from candles and lamps; there was no harsh light anywhere. I don’t even think we passed any generators that first night.
When we returned home, eyes adapted to the moonlight, the candlelit interior was plenty bright. We played a few games of Boggle by candlelight and then went to bed, feeling much more relaxed than we normally did on evenings full of computer screens and artificial light.
It’s unfortunate that our experience wasn’t repeated on subsequent nights. We did go for walks, but clear roads meant we encountered numerous headlights. Many of our neighbors regained power days before we did, so we dealt with harsh exterior lights that ruined our night vision before returning home to candlelight. That one moonlit walk was an isolated, magical moment.
Thanks to Hurricane Sandy, my family was without electricity for 9 days and 9 VERY long nights. Thanks to the gas crisis that hit Long Island, I wasn’t able to drive beyond the library or the two closest supermarkets during this time either. It’s almost like we lost over a week of our lives, as “normal things” such as school and my usual errands were completely on hold. On the other hand, we created memories to last a lifetime. When else would the entire family have played games together by lamplight, or gone for a moonlit walk, free of light pollution, in our suburban town?
When we were without power, I started taking lots of walks. There wasn’t much else to do! For the first 8 powerless days, I went for at least one walk a day, averaging 2-3 miles a day towards the end of the week. The 8th day was windy and snowy, since the nor’easter was coming through, and it wasn’t safe to walk outside. Unbelievably, that’s also the day that workmen from Texas finally restored our power- during the storm itself! It was pitch black outside- but only 5:50 PM, when power was restored. Two hours later, trees fell over the power lines in our backyard, but miraculously we still have power! I don’t quite trust that we’ll KEEP the power back, and won’t fully restock my freezer until the power lines are repaired. I expect that will take several weeks since LIPA (Long Island Power Authority) needs to restore power to other homes first.
After a week of “not doing much after dark” I cleaned out the freezer and did several loads of laundry before bed on Wednesday. Then I cleaned out the fridge, scrubbed the kitchen floor, did more laundry, and shoveled snow on Thursday. By Friday I “crashed” and my Fibromyalgia flared up again. Chronic low back pain, which was nearly gone last week, is back with a vengeance. I’ve been taking prescription pain medications for the past 3 days- something I hadn’t needed since starting BTD.
I have electricity in my home, gas in my car, and schools have resumed normal sessions, but things don’t “feel normal” quite yet. I’m worried about the power lines in my backyard. My heart hurts for friends on the south shore of LI who have been displaced from their homes. I’m feeling physically and mentally worn out.
Well, it finally happened. My kidney stone passed and when it happened, it wasn’t painful. I felt a strange sensation while “going” and it plopped into the toilet. There was a slight burning sensation as a finished but that was it. When I bent down to get a closer look at it I was amazed that something so large could come out with hardly any discomfort.
After retrieving it and getting it analyzed by a lab, here’s the results:
56% Whewellite calcium oxalate monohydrate
29% Weddellite calcium oxalate dehydrate
15% Uric Acid
The literature that came with the results all pointed to my diet. Too much protein, salt and too much nut/seed consumption, not enough water was another cause but if I up my current water consumption, I have to pee every 20 minutes.
I have been consuming large amounts of walnuts, pecans, almonds and pumpkin seeds in my trail mix and that also is where the salt might come in. I am consuming more protein than Dr. D recommends for non secretors, way more….
So here’s my dilemma. I can’t sit down and have a “meal” during the day and that’s what works so well with the burger patties and trail mix. Just plop them in a ziplock sandwich bad and voila! It’s such an easy way to avoid eating things I know are bad for me.
I’m at a crossroads and need some ideas on O Hunter type foods that are quick and easy to eat when you can’t sit down to eat.
La alimentación es fundamental es nuestra vida y determina nuestra salud. El poder de resetear nuestra genética a través de la alimentación y estilo de vida va mas allá y a este conjunto de acciones se le denomina ‘Epigenética’.
Qué es la Epigenética
Epigenética significa más allá de la Genética. “Es el conjunto de cambios heredables en la expresión génica que no van acompañados de cambios en la secuencia del ADN”
Dicho de otra forma, para conseguir la adaptación al medio ambiente, se producen cambios en la expresión de los genes, sin modificar la estructura de los mismos. Esto quiere decir que los genes no están impasibles, sino que los factores ambientales afectan a su forma de actuar y gracias a la epigenética nuestro organismo puede responder rápidamente frente a estos cambios del entorno. Un ejemplo ilustrativo y al cual se le denomina un ‘evento epigenético’ sería la primera vez que se fuma un cigarro. Vaya que el organismo se queja, pero a través de dicha repetición del evento epigenético, lo vamos acostumbrando, hasta volverlo adictivo sin importarnos el daño que nos cusamos.
Cómo influye el medio ambiente en nuestra salud
Son muchos los factores ambientales que pueden influir epigenéticamente, entre ellos: agua, aire, alimentación, estilo de vida, materiales sintéticos con los que convivimos, tabaco, estrés, todo aquello no propio, como seria todo aquello ajeno a nuestra fisiología, llámese antígeno antagónico al nuestro, etc. Son marcadores epigenéticos persistentes, interfiriendo en el comportamiento de los genes a lo largo de la vida. Estos marcadores además, son heredables y pasan de una generación a la otra.
De todos los factores ambientales que inciden en la expresión de los genes, la alimentación es la más importante, aquella que nos viene marcando desde la infancia y anteriormente la alimentación de la madre durante la gestación y sucesivamente de generación en generación.
La importancia epigenética de la alimentación es tal, que si un individuo está predispuesto genéticamente a desarrollar cierta enfermedad y realiza cambios adecuados en la dieta, estos actuarían de manera epigenética positiva evitando o atenuando dicha enfermedad. De la misma manera si la dieta es inapropiada la influencia epigenética negativa actuaría desencadenando o agravando la enfermedad.
Es decir, los genes no determinan si vas a enfermar, solo son responsables de la predisposición. La activación de dichos genes se debe a marcadores epigenéticos como la alimentación.
De hecho nuestro genoma no se ha modificado más que un 1% en millones de años, pero en cambio, lo que sí ha cambiado radicalmente es nuestra forma de comer.
La importancia de los marcadores epigenéticos quedó demostrada en el caso de la clonación de la oveja Dolly. No se obtuvo el éxito esperado debido a que las células utilizadas para la clonación tenían demasiadas marcas epigenéticas, eran células “viejas”. De manera que Dolly heredó de su madre las alteraciones epigenéticas, que se manifestaron en ella, a una edad demasiado temprana.
Cuáles son los mecanismos de actuación de los marcadores epigenéticos
• Metilación del ADN
• Impronta genómica
• Modificación de histonas
De los tres mecanismos, la metilación es el más estudiado, mejor entendido y el que ofrece un futuro esperanzador en la prevención y tratamiento de patología.
Qué es la Metilación del ADN
La Metilación consiste básicamente en la unión de grupos metilo a lugares específicos de la cadena del ADN. Es un proceso celular que sirve para activar y desactivar genes.
Es una manera que tiene el cuerpo de protegerse. Por un lado, tiene desactivados genes que no se necesitan en ese momento o que han sufrido una alteración en su función. Y por otro lado, con el efecto contrario, la desmetilación, activa los genes necesarios en un momento dado, como por ejemplo durante el crecimiento.
Si se produce una alteración de este proceso de metilación/desmetilación, normalmente por factores ambientales, es cuando surgen los errores. Por ejemplo, la desactivación de la expresión de un “gen bueno”, como son los genes supresores de tumores, que actúan evitando la producción incontrolada celular tumoral y que no se han desmetilado cuando era necesario.
Influencia de la alimentación
Ya hemos visto que un aspecto crucial en la Epigenética es la composición de nuestra dieta.
Pero cómo come la gente hoy en día?
Hay diversos cambios de actitudes que han modificado la dieta a lo largo de los años: El rechazo a la lactancia materna. En los niños, un bajo consumo de alimentos frescos y un excesivo consumo de carnes, lácteos y alimentos procesados ricos en grasas. En la juventud observamos que se sustituyen comidas importantes por Fast Food, y toda clase de alimentos procesados.
De esta manera, poco a poco ha ido cambiando la prevalencia e incidencia de enfermedades como Diabetes, Hipertensión Arterial, Obesidad, Cáncer, etc. Apareciendo estas, cada vez, a edades más tempranas.
Por ello es importante incluir en nuestra dieta, nutrientes ricos en metilo, como son fundamentalmente, verduras de hoja verde y alimentos como el brócoli, granada y aguacate.
Comiendo mas verduras, frutas y legumbres y restringiendo factores externos que induzcan cambios epigenéticos negativos como el estrés, tabaco y alcohol, podemos conseguir que genes que desarrollan enfermedades crónicas no lleguen a expresarse nunca y permanezcan latentes, o si se expresan lo hagan más tarde y de forma más leve de lo habitual.
Nuestras células se renuevan cada 7 años. Si con los alimentos que le aportamos no obtienen los nutrientes necesarios, se producen los errores.
Somos lo que comemos. Nuestra energía proviene de los alimentos y la energía de estos, proviene de la naturaleza. Los alimentos refinados, procesados e industrializados carecen de energía. Así que debemos fundamentar nuestra dieta en frutas y verduras, y añadir legumbres, cereales integrales, frutos secos...
Nuestra actitud ante la comida también tiene efectos epigenéticos. Pensar bien y ser optimista. Ser agradecido, vivir sin contradicciones y ser feliz también contribuye a la salud del ADN.
Es por ello que el Dr D Adamo se avoca a la tarea incansable de coadyuvar en poder recetear nuestros genes de manera favorable y a nivel personalizado por medio de su programa SWAMI, que le da a cada quien aquello que requiere dadas sus variables.
No dejen pasar mas tiempo y contacten email@example.com donde con gusto les darán la información de como obtener este reporte nutrigenomico personalizado para lograr una salud plena y expresión en sus vidas.
El libro; Change your Genetic Destiny LA DIETA DEL GENOTIPO ya cuenta con su traducción al español, y hay que leerlo!
HH has battled upper respiratory problems since mid September. We had finally realized that the problem was not a virus, but allergies. When we started treating him for allergies, he improved quickly. Suddenly last Friday his drainage increased and he had a sore throat.
He switched to a different antihistamine and doubled up on elderberry. He ran a low grade fever on Saturday, but was fever free on Sunday. However he still had a bad sore throat.
By Sunday night we were both suspicious, so I drove him to the only 24/7 walk in clinic in our area. He was turned away - - - yes turned away - - - because he is on Medicare.
We were both angry and frustrated. First thing Monday morning he was at our doctor's office. He had strep. He got antibiotics, and was feeling much better in 6 hours.
American liberals will say, "See this is why we need Obamacare, so people don't get turned away."
American conservatives will say, "See this is why we need real Medicare reform, because clinics already know that Medicare doesn't pay and it will be worse since Obamacare strips $700 billion from Medicare."
I won't tell you how I voted, but this article helped me make up my mind.
There is a man in DD and SIL's church who does not have a lot of money. He is retired. He lives in a mobile home. He loves the Lord, and he loves his church. He believes in tithing, but it is difficult for him.
If you are not familiar with the tithe, it is a biblical concept where believers give 10% of their income to the Lord's work or to their church. Sometimes tithing is hard to do, but if you talk to people who tithe, they will tell you that it is often accompanied by unexpected blessing. I can say that my husband and I have tithed for years, and our needs have been met in good years and in bad.
The man in DD and SIL's church gives the money he can. He also gives from his garden. He grows okra and turnip greens. He brings gifts to his pastor and to other church members. He has chickens, and he brings fresh eggs to his pastor and his friends at church.
DD and SIL are delighted to be the beneficiaries of this form of tithing. They are enjoying omelets and egg sandwiches. They are eating fresh garden vegetables. Occasionally I get to benefit as well. DD cooked up a big batch of turnip greens and ghee - more than they could eat. So she gave some to me, and I had them for lunch today.
I think that having a garden is a great idea for anyone. I don't have one yet, but when I retire from the photography business, a garden is at the top of my to-do list. A garden is especially beneficial to people on fixed income because it lets them eat a healthy diet on a limited budget. When God provides an abundant harvest, it is also a way to share with His people and His work.