Archive for April, 2009

1131445_red_check_sign_in_3dCandidate Obama spoke often of the need — the urgency — for major health care reform. President Obama, in his first hundred days in office, appears to be stepping up to the plate.

Health care reform has been recognized as one of the most important issues of our time. But change comes with much opposition. There are many who disagree with the President on health care reform, and there is no shortage of those who will fight against it.

The larger issue is that we have too many people suffering the consequences of inaccessible and unaffordable health care. That is simply unacceptable. For the first time, I have some sense that we, as a nation, are ready to take bold action in order to provide decent health care for our own.

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Is President Obama holding true to the promise of Health Care Reform?

How to Stay Informed on Swine Flu Outbreak

Written by Ann Pietrangelo on Tuesday, April 28th, 2009 in Extras, Health Care Policy, In The News, Linked Articles.

1161454_thermometer_and_pillsNew cases of swine flu in humans have been recorded in California, Kansas, New York City, Ohio, and Texas — none have resulted in death. There have been more than a thousand suspected cases in Mexico, thought to have caused 149 deaths.

While not yet considered a full-blown pandemic, there is rising concern, and rightly so, among the general population. This is no time to panic, but it is time to make sure we have the straight facts from reliable sources.

For accurate up-to-date news and information…

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How to Stay Informed on Swine Flu Outbreak

State Your Support for Health Care Reform

Written by Ann Pietrangelo on Friday, April 24th, 2009 in Extras, Health Care Policy, In The News, Linked Articles.

720380_working_at_laptopWith conversation about health care reform swirling all around us… how are we supposed to keep up with it all? How and where can we voice our support?

A good place to start is HealthReform.gov, where you can Share Your Story and Ideas and State Your Support, as I just did.

This is not a crisis created only in the hearts and minds of the “bleeding hearts.” It is not a democrat thing. This is a problem for all of us, and it’s going to take the involvement of all of us to get to a better place. The cost of inaction is too great.

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State Your Support for Health Care Reform

“Morning After” Pill Available to 17 Year-Olds

Written by Ann Pietrangelo on Thursday, April 23rd, 2009 in Family, Health Care Policy, In The News, Linked Articles.

1034819_usa_map1On April 22, 2009, the U.S. Food and Drug Administration issued a statement stating that it has “notified the manufacturer of Plan B that it may, upon submission and approval of an appropriate application, market Plan B without a prescription to women 17 years of age and older,” following a March 23 federal court order. Plan B is already available to women 18 and over.

Conservatives argue it is a slap in the face to parental rights, while many groups say it represents sound science and is the right thing to do. In the United States, at least, contraceptive rights and responsibilities are swirling around in a giant simmering pot of moral values, ethics, science, and medicine.

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“Morning After” Pill Available to 17 Year-Olds

Mayo Clinic Announces Online Health Manager

Written by Ann Pietrangelo on Thursday, April 23rd, 2009 in Doctors, Extras, Family, Health Care Policy, In The News, Linked Articles.

1084963_extreme_keyboardThe Mayo Clinic has announced the launch of the Mayo Clinic Health Manager, an online application that stores your medical information in a single convenient location.

The health manager is designed for use by individuals to keep track of their own medical histories — diseases and conditions, prescription medications, immunizations, doctor visits, referrals, etc. You can also receive recommendations from the experts of the Mayo Clinic based on the information you provide.

According to The Mayo Clinic News, the Health Manager uses the Microsoft Health Vault system and is privacy and security enhanced.

Depending on your point of view, this could be an amazing tool for tracking your own family’s health information — or a huge privacy concern. I see it both sides of the argument at this point.

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Mayo Clinic Announces Online Health Manager

Jake and Mandy Step Aside for Jim and Ann

Written by Ann Pietrangelo on Wednesday, April 22nd, 2009 in Caregiver's Corner, Emotional Issues, Extras, In The News.

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We shed no tears, but bid a fond farewell to Jake and Mandy Crest as they ride off into the sunset.

When we started blogging in the summer of 2007, we felt strongly about maintaining our privacy, not only for ourselves, but for those whose lives are interwoven with our own. “My name starts with A, so I’ll stick with that — I’ll be Amanda,” I decided. Taking the name Jake, Jim said that if my name really was Amanda, he’d be calling me Mandy. One of my sons came up with the Crest part and our alter egos sprang to life.

As our blogging blossomed and we expanded to other sites, Jake and Mandy took center stage. In time, we realized that we could be much more effective if we were to “come out” and be ourselves. Projects that were begun under Jake and Mandy continued, but we used our real names for other ventures.

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With the last of the ongoing work of Jake and Mandy Crest reaching its conclusion this week, Jake and Mandy become nothing more than sweet memories, but Jim and Ann shall carry on. However you’ve come to know us, we remain dedicated to reaching out to others — patients and caregivers alike — who live with multiple sclerosis.

We invite you to visit us on MS Maze where we will continue to slog through the maze of multiple sclerosis and health care policy issues.

As always, we encourage comments, questions, and emails. We love to hear from you!

email: writer@webcampone.com

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Care2 Reform Health Policy

860275_watching_timeThe overwhelming problems in our health care system affect us all — American businesses large and small, families, and individuals. The system simply cannot continue on in its current form and there are few left who would argue that. If it’s economic stability we want, health care costs from all sources must be contained. As more people fall into the category of the uninsured, everyone pays the price.

In an April 20, 2009 letter to President Obama, Senator Max Baucus (Chairman of the Senate Finance Committee)and Senator Edward M. Kennedy (Chairman of the Senate Health, Education, Labor, and Pensions Committee) said…

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Senators look to early June for health care reform legislation

NMSS Walkers Hit the Trail

Written by Ann Pietrangelo on Monday, April 20th, 2009 in Caregiver's Corner, In The News.

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The day of our local National Multiple Sclerosis Society Walk finally arrived and Jim and I were pleased to wake up to a gorgeous spring morning. The two of us raised $1,445 and for that we thank our generous supporters.

The crowd seemed a bit larger than in previous years and we were surprised when the society acknowledged those present who raised more than $500. I was one of three. One woman wasn’t available, so the it fell to a fellow MSer and me to lead off the walk to the sounds of the olympic theme.

ms-walk-09-jimJim was right with me, knowing that it wouldn’t be long before I would fall behind. Indeed, it was less than 30 seconds before my pace was overtaken, but luckily it wasn’t a race. I haven’t been using my cane these last few weeks, but experience told me that 3-5 miles would feel more like 50, so I took my trusty fold-up cane along.

Rather than going through town this year, the MS Walk trail was an actual trail through a very woodsy park. It was beautiful and it felt great to be out in the fresh air and sunshine. Early on we spotted one person with a walker, but we didn’t see any other canes or wheelchairs this year.

ms-walk-09-trailFollowing the posted arrows, we turned on to a dirt path strewn with rocks and tree roots jutting up from the soft ground, forcing me to watch my feet as I walked. Aware of my unbalanced and uncoordinated appearance, I clutched Jim with my left hand and allowed my right arm to flail about wildly on to the other side, as it often does when my balance is threatened. Woe to the person hoping to pass me on the right.

I really wasn’t terribly concerned about my appearance on this particular day, this being an MS Walk and all. I considered myself to be a living example of MS in action, a single morning in a single life of one MS patient. As fate would have it, I was in far better shape this year than I was for some previous walks.

Still, it took only 15 minutes before I released my folding cane from its harness and put it to use. Good grief — there’s a hill up ahead! Maybe to some people it would be considered nothing more than an incline, but to me it was a hill, the first of several to come, along with patches of mud that made the cane more of a hazard than a help. But I wasn’t alone. No matter how far behind we were from the main group of walkers, Jim was there to support me, both emotionally and physically.

Being the loving care partner that he is, he grumbled about the chosen walk route and my obvious difficulties. Then again, I could have chosen the shorter route that the society always marks off for people who have trouble, but I declined. It’s important to me that I push the limits of my abilities right now. It’s not hard for me to imagine that at some point I’ll have to settle for being a virtual walker. When that day arrives, I will know that while I could… I did. I think I did my husband proud.

It took us an hour and 20 minutes to finally reach the finish line — hot, tired, and thrilled to have done it again. Within 30 minutes of arriving back home, I was powerless to fight the call of a nap and let myself give to sweet slumber.

Although the scenic walk was pleasant, it seems to me that by walking a more public route, we would stand a better chance of raising awareness of this disease and the organization that fights for us. ms-walk-09-one-step

The cause is still a mystery and the cure for MS is a long way off. Unfortunately, diagnosis is coming at an earlier age than ever before and pediatric MS is on the rise. This debilitating disease is hard enough to make peace with when you are in midlife — our hearts go out to those who must face that challenge earlier. THAT’s why we help to raise funds for research… THAT’s why we work to educate and support others… THAT’s why we walk for those who no longer can…

According to the American Cancer Society, use of a tanning bed before age 35 increases your risk of developing melanoma by 75 percent…. 75 percent!

We protect — or attempt to protect — our young from the dangers of smoking, drinking alcohol, and driving before they are fully prepared. Laws exist in these areas because it is the general consensus that these behaviors are dangerous and that minors do not have the capacity to make such decisions for themselves. Whether or not they 500874_sunbedhave responsible parents is not at issue.

The question is this: Is it plain common sense… or is it simply too much government interference to impose stricter regulations on tanning salons — at least where minors are concerned.

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Ban on Tanning Beds: Common Sense or Government Interference?

The “MS Hug” Demystified

Written by Ann Pietrangelo on Thursday, April 16th, 2009 in In The News, Linked Articles, Symptoms.

Suddenly you feel an intense tightening around your chest, along with pain and a burning sensation. You clutch your chest, awash in fear.

If you have never had this experience before, you wonder… is this a heart attack… a panic attack… an asthma attack… and you will definitely want to contact your physician.

But if you have multiple sclerosis and been through this before, you’ll recognize this as the mysterious MS Hug… the Chest Hug… the Girdle… otherwise known as dysesthesias.

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The “MS Hug” Demystified

Sorrow for our Granddaughters

Written by Ann Pietrangelo on Wednesday, April 15th, 2009 in Caregiver's Corner, Emotional Issues, Family, Linked Articles.

“Can we talk for a moment?” he asked while waving to me over our backyard fence. I like this guy, a lot. He’s quite a bit older than me, but fit as a fiddle. One of those guys who, when you look at him, you cross your fingers and silently hope that you look and feel as good when you’re that age. Dropping my rake, happy for the break, I walk to the fence to chat. I know from experience that we can easily talk for a half-hour or so unless his wife, a very nice woman, comes over and begins telling her versions of his stories. When that happens, the time spent talking can easily double.

“How are you?” I ask. The look in his eyes tips me off that something is wrong even before he can answer. “Not so good,” he says. “Mandy has Multiple Sclerosis, right?” I was only half surprised that this was a question. Like so many people, the details of other folks health issues tend to fade quickly with the every day goings-on of their own lives. “Right,” I answer. He nods, “We think my granddaughter has it too.” It was said matter-of-fact, but worry etched his face…

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Sorrow for our Granddaughters

809231_two_stethoscopes_1It can be unpleasant to ponder our own mortality, but let’s do so for a moment. None of us wants to hasten the process, but let’s face it — we’re all going to die. However, there is something we can do right now to help others after we’ve gone. We can offer the precious gift of life through organ donation.

April is National Donate Life Month, set aside to honor those individuals and their families who have elected to donate organ, tissue, and marrow in an effort to save and enhance the lives of others.

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Honoring Organ and Tissue Donors for National Donate Life Month

Chris Tatevosian on The Montel/Oprah M.S. Misfire

Written by Ann Pietrangelo on Monday, April 13th, 2009 in Emotional Issues, In The News, Linked Articles.

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Hello, this is Chris Tatevosian, author, MS sufferer, and longtime member of Mandy’s Maze. As most of us know already, Mandy’s Maze and MS Central are enlightening, informative, and educational sites dealing with multiple sclerosis among other ailments. Mandy’s Maze is designed and written by Mandy Crest who, like myself, has and deals with MS every day. The Maze has so much to offer to all individuals, not just those of us dealing with MS. Recently I read this article written by Mandy Crest following a recent interview on the Oprah show. I thought that I would add my two cents….. I have added my thoughts in italics to the following superbly written article by Mandy Crest. I hope that you enjoy and please let me know what you think via e-mail at duketate@aol.com or by visiting my web site (www.lifeinterrupted-nolonger.com) and signing my guestbook.

March 2009 Mandy wrote:

The Montel/Oprah M.S. Misfire

I admit it — I don’t watch Oprah. But so many people told me about Montel Williams’ March 17 appearance on her show that I had to get my hands on a copy. I heard it was an extremely powerful piece about multiple sclerosis.

Immediately, I was startled by Montel’s outpouring of raw emotion as he spoke of his MS progression. Repeatedly breaking down in tears, the former marine and all-around tough guy described his road to diagnosis, battle with depression, suicide attempt, and chronic pain. At times I completely forgot that I live with the same disease, so drawn in was I by his circumstances.

As an author and multiple sclerosis suffer who has lived with MS for more than 29 years now, I can truly understand as do most of us with MS , from where Montel’s concerns, fears, anxiety and demons stem. It’s simply the unpredictable, unexplainable course this disease will take during one’s lifetime.

As I try to explain to readers in my book, Life Interrupted, It’s Not All About Me, those of us suffering from MS, whether afflicted or acting as the caregiver for one who is afflicted with MS or any chronic illness for that matter the future is unpredictable. Especially when dealing with autoimmune diseases like multiple sclerosis. I tell readers, yes the disease is miserable, but it’s your decision whether to go through the rest of your life smiling or crying and depressed. It’s likely that we will always have the miserable disease whether we’re smiling or crying and depressed, so how do you want to spend the rest of your days? It comes down to one of two choices? You can have your MS/chronic illness, basically your misery but you can have that misery and smile and try to make the best of it or you can have that misery and add your emotional misery to it.

Having written my self-help memoir dealing with this specific topic has afforded me the opportunity to slow down and examine my life. The obvious fact is, we have the choice to go through life dealing with whatever trials and tribulations we must with either a smile or a frown. Yes, we have an affliction, but that doesn’t mean we should just sit back in a downward spiral plummeting into a state of deep depression that feeds on our own self-pity and feelings of worthlessness. As in my case, this only leads to the development of one’s relationship destroying poor me attitude. .

Mr. Williams suffers from depression, a side effect of MS and as Mandy states “That doesn’t make him an unacceptable role model. It makes him a human being who, despite MS and serious depression, chooses not to hide.” I have chosen not to hide because of my MS. No, I made my life an open book hoping to show others in similar situations that life isn’t over and that your life can be great again. Having read my story, you know I’m living proof. Obviously, Mandy has not chosen to hide, but rather help others manage and live wonderfully happy and successful lives all the time living with MS.

I pray that Mr. Williams recognizes that he has the platform that would allow him to reach out and help millions of individuals around the world who are suffering in one way or another. Doing that would only make Montel Williams feel better by again having a purpose in life. Thus allowing Mr. Williams to see the positive influence that he could once again contribute to the world. Of course he first needs to get help and successfully overcome of his depression. One would think that with his resources he could easily ascertain the best medical attention Why he has not already achieved this task is beyond me.

Looking back on his own talk show days, Montel spoke of having to lengthen commercial breaks in order to rest from the constant pain and burning sensation that plagues him 24/7, reaching from his shins to his feet and has now affects his face as well.

He follows a strict regimen of vitamins (lots of them), exercise, and healthy diet. He demonstrated his daily injection, a constant reminder of his condition. “Can’t I just forget it one day?” “It” being a disease without an obvious cause or cure, and allowing for little control. “I’m tired of being sick.”

Saying “I can’t run anymore — running is gone,” he continues to work out every day in order to stay as strong and healthy as possible.

What really hit home for me was his description of how his wife, Tara, “has the ability to get her arm under mine and make me look like I’m holding her and drag me to another place.” Those of us with loving care partners understand what that’s all about.

Hello it’s Chris again. Here are my two cents. Having been there myself, I would have to say that Mr. Williams likely gets depressed in this situation as did I, because feelings of low self-esteem and self worth as his wife has to do more and more for him. This is difficult for a guy to accept. We’re supposed to be the strong ones, the protectors, heroes and breadwinners, at least that’s what we think. This is something we have to just get over, because one’s frustration and anger takes a serious toll on one’s relationship. I learned that lesson too late, but I’m a better spouse for it today. This is something Montel must quickly realize, otherwise he too could lose his wife.

There are dark moments, he says. African-American men, as a group, do not fare well with MS. At 52 years old, he considers the average life expectancy of an African-American male, and the slightly shortened lifespan of someone with MS, and sees his remaining years possibly numbering in the single digits.

Two more cents, smile: One must remember white, black, turquoise, what ever MS or not, any one of us could be gone tomorrow. Here’s a quote from my book “worrying about the future, almost always insurers that the future for which one hopes never happens.” More negative actions and feelings like depression, anger, worry and frustration takes a toll on relationships and over time can prove to be too much for one’s spouse to bear.

“I could quit and say that’s it. Stay in bed and not get up. Or I can get my butt up every single day, being a contributing member of society, and try to figure out how I deal with it.”

Asked his biggest fear when he wakes up in the morning he replies, “not being able to walk.” Boy, can I relate.

My final wo cents: Initially the fear of losing the ability to walk is a daunting an haunting concern, but I have found the longer one lives with MS and the more knowledgeable one becomes about MS the more we find that losing the ability to walk while initially devastating does not rank highest on my list of most horrible symptoms of this disease. Every face of MS is unique. We may not have control over our physical losses, however we do have control over our emotional losses. MS can become emotionally crippling, don’t you let it.

We say it all the time here on Multiple Sclerosis Central. “My MS is not your MS.” We understand a basic fact about MS — that with all we have in common, no two cases are alike. Some people with MS barely register it as a blip on their radar screen; others face devastating disability; and the rest of us live in the million shades of gray in between. It’s bad enough that we “look so good” that our symptoms are invisible to the outside world. For us to attack each other for how we appear in public is a mistake.

There is no one ideal public face to put on MS, no role model that will encompass all there is to this disease. Whether it’s the healthiest looking person in the world or the bedridden nursing home patient — each of us represents the face of MS. Because Montel Williams’ MS does not resemble my MS does not mean one of us is wrong.

Your face, my face, Montel’s face — aren’t we all the face of MS?

Note from Ann (aka Mandy: )

You can read the original article in its entirety at The Health Central Network’s Multiple Sclerosis Central, along with spirited commentary from readers… and put in your own two cents.  The Montel/Oprah M.S. Misfire

Thank you, Chris, for your insights.


Run, Walk, Crawl… never give up

Written by Ann Pietrangelo on Saturday, April 11th, 2009 in Emotional Issues.

I was made aware of this gem of a quote on Twitter:

“Run when you can, walk when you have to, crawl if you must; just never give up.”

~Dean Karnazes

Childhood Obesity and Parental Responsibility

Written by Ann Pietrangelo on Thursday, April 9th, 2009 in Health Care Policy, In The News, Linked Articles.

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The incidence of childhood obesity is alarming. According to the Centers for Disease Control and Prevention, 12.4 percent of 2-5 year olds are obese; for 6-11 year-olds it’s 17.0 percent; and for the 12-19 year-old crowd, it’s a whopping 17.6 percent.

With all the talk these days about health care reform, we must accept responsibility for maintaining a healthy lifestyle. The burden on the health care system due to obesity a tremendous waste.

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Childhood Obesity and Parental Responsibility



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