Is Stress Making You Sick and Sad? Inflammation in the Body Linked to Depression

Photo: ALAMY

Photo: ALAMY

Is Stress Making You Sick and Sad? Inflammation in the Body Linked to Depression

Today’s post was a tandem project by Dr. Tianna and Ginger.  

Emerging evidence demonstrates that there is a connection between inflammation and depression.  When your body is in a state of constant, low-level inflammation, you may feel sad.

Recent research is encouraging, and shows that feeling sad or depressed is not just “in your head.” The stigma of depression has ruined many lives, and this stigma has created barriers to getting help.  For example, a mother will not easily admit to feeling depressed for fear that social services will show up at her front door to take her children away.  Military veterans risk damaging or losing their career or chance for upward mobility in rank, if they admit to feeling less than stellar in the psycho-emotional department.

But the recent news underscores that depression is not a weakness or something you did, but rather a complex state of events in the body that happened to you.  Feeling depressed is nothing to be ashamed of, and certainly should not be hidden or “swept under the proverbial rug.”  If you have inflammation in your body, which is easily identified with a blood test,  you are at serious risk for developing chronic disease, not just depression.

Other disease processes are connected to inflammation levels in the body as well, including premature aging and cardiovascular disease, cardiopulmonary disease, metabolic disorders like diabetes, neurological disease, some types of cancer, and even autoimmune diseasesRead more about the role of inflammation in accelerated aging

 

A review article presents the science of stress and depression (Littrell, 2012).

  • Stress decreases immune function, activating monocytes and macrophages that release inflammatory cytokines.
  • Studies have shown that those induced by stress show signs of depression, correlated with high levels of inflammatory cytokines.
  • Animal and human studies show that if you infuse the body with inflammatory cytokines, they present with signs of depression.
  • Depression reflects an inflammatory state in the brain (brain-derived neurotrophic factor is likely involved). An inflammatory state in the brain can be induced by inflammatory cytokines in the periphery or by psychological stressors.
  • Psychosocial stress and depression contribute to a greater risk for infection, prolonged infectious episodes, and delayed wound healing, all processes that can fuel pro-inflammatory cytokine production. However, stress and depression can also directly provoke pro-inflammatory cytokine production in the absence of infection or injury (Kiecolt-Glaser, 2010).


Are You Depressed? 

If you are feeling any of the depressive symptoms, seek help.  Take this QUICK QUIZ  to see if you are feeling more than just sad or down.  Persistent stress, trauma, adipose tissue/obesity, and/or pain can also be factors in creating chronic inflammation in the body.

 

What Can You Do?

A CRP test can be a first step in identifying inflammation in the body, which puts you at risk for depression.

Other proactive measures you can take are diet, exercise, and movement with meditation therapies, like yoga.  Stress management is an important benefit of practicing yoga, since it has been shown to affect the inflammatory process in the body.

  • Yoga and meditation have been studied to assess their role in decreasing systemic inflammation. There was a study done to compare markers of inflammation in novice and experienced yoga practitioners to assess the potential of yoga’s stress-reduction benefits. Across a battery of inflammatory assays, 60% of novices produced higher levels of inflammatory markers compared to 24% of experts at baseline levels.  And 40% of experts produced low levels of inflammatory products compared to 0% of novices. 
  • We know the science behind diaphragmatic breathing and it’s ability to regulate the autonomic nervous system (ANS) by way of its proximity to the vagus nerve, as well as the sympathetic chain.  And we are capable of teaching awareness or “mindfulness” of the bodies’ physiological responses (muscular tension, rapid breath, actions/reactions). The practice of controlled breath acts to down-regulate the hypothalamic-pituitary-adrenal axis, reducing the heart rate, lowering blood pressure, and easing respiration (Sengupta 2012).
  • Diet is another way we can alter the inflammation in our bodies.  Diets that promote inflammation are high in refined starches, sugar, saturated and trans-fats, and low in omega-3 fatty acids, natural antioxidants and fiber from fruits, vegetables, and whole grains (Kiecolt-Glaser 2010).
  • Higher fruit and vegetable intake are associated with lower oxidative stress and inflammatory pathways in the body. Refined sugars and starches can rapidly alter blood glucose levels. This postprandial hyperglycemia can increase production of free radicals as well as pro-inflammatory cytokines (Kiecolt-Glaser 2010).
  • Studies have shown that nutraceuticals can affect the inflammatory process in the body. Turmeric (or curcumin), ginger and cinnamon have been shown to alter the inflammatory pathways (Aggarwal 2010).
  • Other spice nutraceuticals may also have an affect on obesity and insulin resistance by way of their effect on inflammatory pathways. They suggest this because of the similar structural homology hat exists between curcumin, capsaicin (red chili), piperine (black pepper), eugenol (cloves), cinnamaldehyde (cinnamon), and gingerol (ginger).  These spice-derived nutraceuticals have been shown to inhibit oxidation of low-denisty lipoproteins (LDL), demonstrating anti-oxidant properties (Aggarwal 2010).
  • Polyunsaturated fatty acids (PUFAs), particularly ratios of omega-3 (n-3) to omega-6 (n-6) fatty acids, have also been shown to have influence on the inflammatory processes in the body. Omega 3 PUFAs can be found in Flaxseed (oils, seeds),Fish (salmon), Chia seedsWalnutsBasilOreganoCloves, or by supplements.

Read more about avoiding premature aging and disease through adopting an Anti-Inflammatory Lifestyle.

Resources

Sources

  1. Kiecolt-Glaser, J. (2010). Stress, food, and inflammation: Psychoneuroimmunology and nutrition at the cutting edge. Psychosom Med72(4), 365–369. doi: 10.1097/PSY.0b013e3181dbf489.
  2. Kiecolt-Glaser, J., Christian, L., Preston, H., Houts, C., Malarkey, W., Emery, C., Glaser, R., & , (2010). Stress, inflammation, and yoga practice. Psychosom Med.72(2), 113. doi: 10.1097/PSY.0b013e3181cb9377.
  3. Kiecolt-Glaser, J., Belury, M., Belury, R., Belury, W., & Glaser, R. (2011). Omega-3 supplementation lowers inflammation and anxiety in medical students: A randomized controlled trial. Brain Behav Immun25(8), 1725–1734. doi: 10.1016/j.bbi.2011.07.229.
  4. Littrell, J. (2012). Taking the perspective that a depressive state reflects inflammation: implications for the use of antidepressants. Frontiers in Psychology,3(297), 1-18. doi: 10.3389/fpsyg.2012.0029.
  5. Sengupta, P. (2012). Health impacts of yoga and pranayama: A state-of-the-art review. Int J Prev Med3(7), 444–458.
  6. Additional sources are linked directly in the article.

About the Authors

Tianna Meriage-Reiter PT, DPT, PYTTianna Meriage-Reiter, PT, DPT, PYT

Dr. Meriage-Reiter began her practicing yoga in 2006.  It wasn’t until she began studying with Professional Yoga Therapy Studies (PYTS), that she began to see that her practice might have been causing her harm – the physical positions were not safe for her body and the fast-pace was wreaking havoc on her nervous system.  PYTS helped her to begin her own personal journey towards more mindful living and allowed her to pass this on to her patients. She now uses the science of physical therapy bridged to the mind-body connection of therapeutic yoga to provide her patients / clients with the tools to heal themselves.

She holds a bachelor’s degree in Physiology & Neuroscience from UCSD and a Doctorate of Physical Therapy degree from UCSF/SFSU.  Presently, she works in an outpatient clinic, working with post-surgical rehabilitation, sports and work related injuries, spinal pain and other painful conditions. She also teaches therapeutic yoga classes in Alameda, California and is available for private physical therapy in-home or in-studio.  Find out more atwww.mindbodymovement.org or email her at info@mindbodymovement.org.

 

 

Ginger August Jazz 2012Ginger Garner PT, MPT, ATC, PYT
Ginger is the author and founder of Breathing In This Life. When she isn’t practicing integrative physical therapy or writing/teaching curriculum in medical therapeutic yoga, she sings the blues away using music as medicine.

 

 

 

Can Yoga Be Used As Medicine?

At work teaching Yoga as Medicine in an interactive lab for a community physical therapy class during a medical continuing education yoga conference for PYT. September 2012

Can Yoga Be Used as Medicine?

The short answer is yes.

The reality is yoga is not usually used as medicine. Using yoga as medicine can be tedious and laborious (trust me), requiring constant review of the scientific literature in order to make it safe and effective.  More often than not yoga is seen as a way to lose weight, compete for the trimmest bum or the buffest handstand, claim exalted enlightened status, or as is common in America with yoga teachers – to compete for yoga celebrity status and fame.

The reality also is, there are hundreds, maybe even thousands of yoga teachers who are earnestly doing their best and in the spirit of utmost integrity – teaching in their local community, giving away free classes and sessions, making a difference in their world – and they aren’t concerned about their pant or chest size or whether or not they become a famous teacher.

However in both groups – Yoga Injuries are on the Rise. 

Why?

Because as much as the term “Integrative Medicine” is tossed around, we still aren’t, in the medical profession OR in the yoga community, aware of what each other does as a profession, nor are we privy to the dangers of improperly aligned yoga postures.

For example, when is the last time your ob/gyn knew that there is a subspecialty of physical therapy that treats women’s health issues like incontinence, pelvic pain, and post-surgical complications? How about prenatal pubic symphysis or sacroiliac disorder?

For example, when was the last time your family doctor mentioned that yoga, when combined with physical therapy (aka Integrative Physical Therapy), can be beneficial for treating combinations of problems like depressive symptoms/anxiety issues plus sports injuries (since the two often go together) like rotator cuff syndrome or hip intra/extra-articular injury?  How about common systemic problems like heart disease or asthma (which are commonly treated in cardiopulmonary physical therapy or respiratory physical therapy)?

Chances are, your doctor may not clearly know what physical therapy does, much less what yoga is capable of doing when combined with physical therapy or nursing or occupational therapy or medicine.  The fact is, yoga when combined with evidence based medicine and rehabilitation, is not the yoga of ancient days. Yoga for the 21st century can be modern, fresh, and new – because it must be made safer.  Only then can it be most effective at improving health and well-being.

Why mention yoga injuries and unsafe yoga being taught in America?

As a consumer of yoga, just as a consumer of health care, you deserve safety. You deserve to know you are being taught postures that in the very least, create physical health and not harm.

Yoga is of course not just about the physical postures (asana).  However since the postures are most frequently used as the gateway to health and self-awareness we cannot ignore the paramount mantra of medicine in teaching the yoga postures – “first do no harm.”

Safe Yoga = Effective Yoga

The most common yoga injuries being seen in radiology offices (Corroller 2012) today are tendinous lesions and fibrocartilaginous tears.  The most common areas of injury include the rotator cuff of the shoulder, the Achilles tendon of the foot, and the labrums of the hip and shoulder (just for starters).

If yoga postures are unsafe then they cannot be effective.  These common postures can be considered high risk postures for many populations.  A person with any pre-existing conditions or injuries should see their physician and/or physical therapist so treatment (which can include yoga) can be prescribed specifically for their condition(s).  Yoga must be taught correctly and according to each person’s specific needs and deficits.  Here are some examples of how the above injuries are happening in yoga today:

Some high risk postures in yoga can include:

  • Child’s pose – a pose which can cause cervical spine shearing and adverse discal pressure
  • Downward facing dog – typically causes hyperflexion of the shoulder and reversal of spine curves that puts pressure in the direction of lumbar disc herniation
  • Warrior series – a series of three postures which can easily cause low back pain, sacroiliac joint dysfunction, or excessive range of motion in the hips leading to fibrocartilaginous injury
  • Crescent post (deep lunge) where the elbows are placed on the floor requiring extreme hip flexion combined with weight bearing torque/twisting and rotation in the hip joint
  • Plow pose where the feet touch the floor above the head
  • Triangle – a high risk pose for hip and spine injuries
  • Wheel and all forms of extreme backbending/spinal extension
  • Weightbearing headstands
  • Weightbearing shoulderstands where the chin is against the chest  and the cervical curves are reversed
  •  “Chataranga” – a pose that resembles a full push up from the toes and is rarely performed correctly

Yoga Can Save Your Life.

But don’t get me wrong. Yoga is valuable. Very valuable.

Yoga has saved my life multiple times over.  It has helped me recover from pregnancy and childbirth (three times), traumatic injuries like multiple cervical spine disc bulges, sacroiliac joint dysfunction, a postpartum rotator cuff tear, a hip labral tear, and numerous psycho-emotional stressors.

However the same poses that heal my injuries, when not aligned properly, can cause the same injuries.  Achieving longevity and high quality of life can be accomplished with yoga, but one must proceed with caution in what yoga you ultimately “buy into.” Not all yoga is created equal, or even safe.

In my next post, Part Two, I will discuss how to talk with your orthopedist or physical therapist about yoga and how it can work for you.

Recognizing Your Full Potential: The Shy Albatross in Flight

Today’s post is a guest blog from Midwife for your Life,  Stacey Curnow.

Last night a friend and I were talking about some challenges in his life and I remembered a line from a poem by Robert Bly:
The albatross that lands on the mast began flying a thousand years ago.

A long time ago, back when we were pure positive energy, we didn’t doubt for a minute that manifesting would be pretty cool. But when we arrive in our physical forms and challenges pop up, we forget that every experience is an opportunity to discover what we really want and to become our best selves.

We don’t need circumstances to be pleasing, or for others to make things easier for us, or to give us praise, or even acknowledgement. It’s wonderful to get those things – but not at all necessary.

What’s necessary is to know that we’ve got everything we need inside us for a great journey. By the fact of our existence we are worthy of love and all good things. We already are love and all good things.

It’s funny, I think my albatross metaphor distracted him, because, as it turns out, he is quite a bird lover and has a bit of an issue with the albatross.

“Wait a second,” he said, “The albatross? That’s like a dodo bird. And it symbolizes adversity.” Moments after we hung up I received an email from him, citing a Wikipedia entry:

An albatross is a central emblem in The Rime of the Ancient Mariner by Samuel Taylor Coleridge. It is from the poem that the usage of albatross as a metaphor is derived; someone with a burden or obstacle is said to have ‘an albatross around their neck’, the punishment given in the poem to the mariner who killed the albatross.

So he didn’t like the metaphor, but after learning more about the albatross, I think it is very apt.

First of all, going back to the poem, the sailor was punished because he had destroyed something that was considered sacred. When we forget or are unable to see that we have come to this planet to accomplish something special, it is a similar waste.

We are here to do good work and do it well. And when we focus on what is not going well, it’s like we are hanging the albatross around our necks.

On the other hand, live albatrosses are symbols of effortlessness. And here again, I think the metaphor is apt.

Also from Wikipedia:

Albatrosses are amongst the largest of flying birds, and the great albatrosses (genus Diomedea) have the largest wingspans of any extant birds…They are highly efficient in the air, using dynamic soaring and slope soaring to cover great distances with little exertion.

Don’t you want “covering great distances with little exertion” to be what your life is all about?

About the Author

Stacey Curnow is a nurse-midwife and a mentor who helps you give birth to your BIG dreams. You can find out more about Stacey here.

Living Wide Awake in 2011

Introspection
(Our Family Christmas Vacation 2010)

Reflection. You see your own in the mirror day in, day out.

But who do see?  The person you were, the person you are, or the person you want to become?

Self-reflection is recognized as a universal requirement for learning.  Maxine Greene PhD, who entered the field of education in 1938 and established herself early on at Columbia University as the “lone female voice” in a male dominated philosophy of education, has this to say about reflection:

“…you can be submerged in the crowd, and if you’re submerged in the crowd and have no opportunity to think for yourself, to look through your own eyes, life is dull and flat and boring,” she says. “The only way to really awaken to life, awaken to the possibilities, is to be self-aware.”

Greene likens reflection to “wide-awakeness.” “Without the ability to think about yourself, to reflect on your life, there’s really no awareness, no consciousness. Consciousness doesn’t come automatically; it comes through being alive, awake, curious, and often furious.”

Living “Wide-Awake”

My self reflection practice has revealed to me, through the years, these two truths. Though simple, they have had a profound effect on ordering my life for greatest growth and success.

  1. Write in pencil.  As I order my days and set goals for myself, I now only write in pencil. Whether on my family or google calendar I can swiftly erase or delete whatever no longer serves me or my family’s best interests.  Putting away the ink pen has freed me to invite new experiences into my life.  I am more flexible as a parent and professional and realize I can flow with life’s changes gracefully. Wielding a pencil instead of a pen has allowed me to let go so I can grow.

    Time has a way of showing us all – that we are not in control.  Sooner or later, we have to learn that flexibility, not rigidity, serves us best. My wake up call was my 2 year old son’s emergency heart surgery. With his diagnosis and the surgeon’s curt announcement, “your son will need cardiothoracic surgery within the month…”  suddenly my packed work schedule and all the responsibilities that I had tied to it – paled and fell away.  I found myself waiting outside the pediatric neo-natal intensive care unit – pacing and praying for my son’s life. 

    That experience demanded that I write in pencil. Now I don’t wait for the proverbial shoe to drop before self-reflecting. I do it every time I plan an event in my calendar.

  2. Omit possessive vocabulary.  I began this practice more than a decade ago, during a humanitarian trip to Alaska to help a community of Native Americans. That trip showed my that nothing I have is mine. It is only gifted to me while I am here on earth. Being Native American myself, I was reminded by this beautiful family of Alaskan Indians that the “my” we use so often – doesn’t really exist.

    That year I stopped using the word “my.”  “My” belongings or “my business” or  “my skills” were no longer mine. They belonged to a greater good that had nothing to do with me but everything to do with how I used what was entrusted to me and what lasting effect is has in this world.  This small practice also helped me more earnestly apply the yogic principle of non-attachment.  Situations in life were no longer mine, and as a result, I was able to look at them through a more objective, level-headed, and less emotionally possessive lens.

    As a result, relationships I had with others also improved.  Annoying habits or hurtful behaviors from others were just that – only habits or behaviors – but they did not own the person.  As a result, I was able to detach the bad experience from the person, which left me free to forgive and open myself up to healing and growth in the relationship.

Resources
Here are a few blogs from BITL and other bloggers which can help you on the path toward growth and wisdom in 2011.

Self-Reflection: How To Do It Right
Freedom To Live Your Life: But Are You?
Midwife For Your Life
Is Your Life in Perspective?
The Person Next To You Is
Self Reflection for Entrepreneurs
Self Reflect Instead of Self Neglect

A Fear Vaccine

A Fear Vaccine

I just finished reading my requisite Oprah article for the day. No joke.

My “To Do” list for the next few weeks (actually months) has arrived and weighs about as much as an anvil (you know the kind in the Road Runner cartoons). My attempts to keep the proverbial anvil of stress off my head and shoulder area include yoga, time in meditation (yes, that’s also yoga), and spending time with family – and oh yes, reading an Oprah article (or 6, like this morning) a day.

I actually read, on average, about one “Oprah article” a day. You know the kind – they are eternally uplifting, positive thinking, and empowering to women. They are effective because they are written by other women – they have had to negotiate the road blocks, pot holes, and sometimes land mines along life’s road – and have survived to tell their story. Oprah articles usually spotlight the essence of women helping women – something we need more of in our society today.

Today’s article was a shot in the arm for me (a positive one, if there is such a thing).
Try this one on for size – and see if this short and sweet article vaccinates you against fear like it has for me:

Donna Braziles, author and political commentator,“4 Things To Make Peace With.”

*I took this photo while I was in Philadelphia presenting at the 61st Annual NATA Convention. The Liberty Bell is a symbol of liberation from oppression and fear for many people, not just Americans.

Your Independence Day

Your Independence Day 

As a woman and a human being – May 26, 2004 was My Independence Day. When was your Independence Day? Or has it come yet?

I want to share my Independence Day Story – albeit the intensely condensed version – of How I went from a painfully passive girl to a boisterously proactive woman.

My first diary entry was January 1, 1983. It would take me 17 more years to (finally) come of age. I had no idea.

That “coming of age” had nothing to do with sex, drugs, or rock and roll. Really. Instead, it had everything to do with a series of subtle, simple (from the outside looking in), and gradual transformations.

I wasn’t much for the rebellious type – I didn’t see the point. Skipping class in college was perfunctory (only) if I was still able to get a 4.0 that semester. I spent my summers as a mission/aid worker but my quasi-friends and I still managed to get ourselves evicted from our sophomore year beach house (yea, that’s a first and only admittance to that). I have little to no wild and crazy stories, except for some people might call the summer I decided to travel to Italy alone a spontaneous, extroverted thing to do.

In fact, I did what many women do – I married and finished grad school, took my first job, quit my first job, and started my own business – that consumed about 10 years of my life.

Then it came…when the cracked dish of my world finally fell into two pieces, and I (finally) admitted I had to stand up and declare my independence.

That day in May I made the first decision in my life – without seeking every one’s approval. Heck, I distinctly remember not even asking for anyone’s opinion. I was liberated.

Are you an Approval Addict?

How often do we, as women, seek nods of approval before we set out to do something? anything? everything?

We are often guilty, as I was, of being an “Approval Addict.” However this is one of the strongest factors that can prevent your from recognizing your Independence Day.

For years I pursued and pushed and followed through on all major (and minor) life tasks…and all the way I sought every one’s smiling blessing.

Ironically though, I found myself at the bottom of the blessing-giving list. I really had no clue I never really wanted to do many (okay, alot!) of the things that I had willingly chosen to do in life – until My Turning Point.

My well being – my happiness – my health – was dead last.

My Independence Day was a day I will never forget. I never want to forget it. It was as Charles Dickens wrote, “the best of times and the worst of times.”

Sure, I had experienced small epiphanies here and there, and still do – Oprah like “aha” moments, “coming out of the dark” moments where I see what my Life could and should be.

But I was not “that” kind of girl. I was not that kind of woman either – one to stand up and speak out. I was, after all, a southern born, conservative bred girl – at least on my birth certificate.

However, I finally began to realize that my background, or any woman’s background – north, south, east, west, and of any religious, spiritual, or political background – is exactly the upbringing she needs. Now is a perfect time, no matter your situation – to be empowered – to stand up – to speak your mind – and if need be – create plenty of waves for positive change.

Well Behaved Women Rarely Make History ~ Laurel Thatcher Ulrich

Declare Your Independence Day

I have learned a few things in this life so far, and I have and will always have many more to learn. Learning never ends. But in the meantime, here are a few of those things that steer me since My Turning Point. And really, these don’t just apply to womankind – they apply to humankind.

  • Consult those you trust, but don’t seek their approval. Instead, seek their wisdom.
  • Spend time alone. Solitude has a way of creating clarity. Quite often, when indecision plagues you, time spent alone can bring answers.
  • Make no apologies. I spent the better part of 15 years making fear based decisions – fear of rejection – fear of not pleasing everyone. I was chronically seeking everyone’s approval but my own.
  • Stand firm on your Spiritual Roots. Seek out the Belief system that grounds you. If you do not have those Roots, 2010 is the perfect time to set out and discover them. Spiritual maturity can help you make better decisions – ones with Permanent or Eternal Value.
  • When faced with indecision – do what one of my very wise spiritual mentors taught me – “Pray – and then do the next right thing.” Do what you know is Most Right, based on what your past has taught you, where you are now, and where you WANT to go.
  • Transformation can happen through Pursuit of Your Passion. Not unbridled, “fly by the seat of your pants” passion – but measured, thoughtfully pursued Passion. The transparency I offer up on this blog is to help all women. It is a Passion. But whatever yours is – Find It. Pursue It. Own It – for the little time you do have on Earth.

For every decision you are faced with, you can work toward “doing the next Right Thing” by asking yourself the following questions:

  1. Should I ___________(the decision you are faced with) based on my past experiences and what I have learned from them?
  2. Should I ___________ considering where I am in my life right now?
  3. Should I ___________ considering where I want to go in my life or where I want to be in the future (1 year, 5 years, 10 years or more from now)?

Anything that is Alive must (can) Change. If you need it, 2010 can be Your Banner Year, Your Independence Day.

*this photo was taken in 2004, with my longtime best friend, Owen, who was and has been with me through it all. In less than 3 months, he will be 15 years old. God Bless Owen.

Giving Thanks In Valleys


I hope your Thanksgiving was full of gratitude, no matter how it was spent.

Ours began like any other. My husband and I were in the kitchen, cooking up something great. This year’s sweet goody – Barefoot Contessa’s recipe for Pumpkin Roulade. (note on the roulade: we put less cream and make a thinner, but longer and larger roll. divine.). If you have not made it, get it here. It is out of this world (and easy to make!) and made with fresh, organic ingredients (yea for Slow Food!).

Then we got the call.

Our youngest son (2 years old) was found outside, crying, his left arm hanging limply at his side. He had been playing with his older brother (3 years old). We initially thought nothing of the urgent call and the “he’s not using his arm” concern my mother voiced (after all, we do have 2 rough and tumble boys. we are used to bumps and scrapes). But as soon as I saw him I knew he really was hurt.

After a trip to the orthopedist and one long arm cast (up to his armpit) later, he is feeling much better. However, “mother guilt” does not go away as quickly as a toddler heals (by the next day we had to stop him from jumping off the couch). I wish I could have been there to prevent him from getting hurt. I naturally, like any mother, want to keep him from pain and suffering.

However, I am still sending up “Thanks.” A lesson, I think, we can all learn and “re”learn.
On Thanksgiving day, we were reminded to give thanks, whether on mountains or in valleys.

Here is what I learned on Thanksgiving day:

  • I am thankful our little guy was hurt no worse. Wisdom in mothering brings the realization that our children will have to undergo adversity to realize their own strength. The worse thing I could do as a mother would be to try and shelter my sons from all conflict and suffering. As mothers, the most we can do is be attentive and stay close by to pick them up when they fall down. ~ “Adversity introduces a man to himself.”
  • I am thankful we had access to good health care. Plenty of Americans, some of my own family included, are uninsured or have little insurance. At our family gathering we had an orthopedic nurse and myself, both trained in emergency care. Now we’ll be following up with a pediatric orthopedist this week, at one of the best children’s hospitals in the country.
  • I am thankful our family was able to all gather together. We had plenty of healthy food, a warm place to enjoy it, and lots of love to go ’round. There are many who have so much less than we do in America. This season, give to others who have less than you. One day in a soup kitchen, a donation to an organization like Heifer International, or making cookies or bread for a neighbor who is shut in, can make a world of difference.

I hope that on your Thanksgiving day, you had plenty of Thanks to offer up. In America, we enjoy many blessings. Gratitude should be the theme of our Holiday this Season.

*photo is our son, 1 day after the injury, enjoying his first Christmas tree “hunt.”

Freedom to Live Your Life, But Are You?

The days pass slowly, the years fly quickly by. If I had a nickel for every time someone has said this to me, I might be out of debt by now.

I actually do not dread hearing those words, and I appreciate hearing them each time a well meaning older parent says them.

For those of you who may not have heard those words, what I am talking about is this: our children grow up fast. Shorter still, the time that passes from the moment they are born until they enter kindergarten seems to pass by faster still.

Last week I left for another teaching weekend, this time in Lexington, KY, as I wrote earlier in my blog this week. My older son is having an increasingly harder time when “mommy leaves” for work weeks or weekends. He is aware that I will be gone for several days at at time. While I was gone, my husband said at bedtime he prayed that “mommy’s plane doesn’t crash.” The next morning when he awoke, my husband asked him what he dreamed about. In his 3.5 year old voice he replied, “I dweamed mommy came home and gave me wots of hugs and kisses.”

Children are aware. Our families are aware. Our society visibly suffers when the family suffers. Our work schedules and agendas are increasingly filled, even with good things like music lessons, community projects, and charity fundraisers. However, despite all the “good stuff” we fill our schedules with, we emerge more tired and glassy eyed than ever…and with less time to actually spend nurturing our family.

Last night I had choral practice for our tri-county Choral Society. It was only a two hour practice but when I told my older son goodbye he got very reserved and his chin began to tremble.

He had just spent 9 hours in daycare and I had only a quick dinner before I left again (after not seeing him for 4 days while I worked all weekend…moms sound familiar?). He was worried I was leaving him for an extended time again. I promised him I was not, and then I gave him hugs and kisses and left for practice. When I returned at 9:30 (way past his bedtime), he was waiting for me at the door, dressed in his Thomas the Train pajamas, sitting in his great grandfather’s handmade wicker chair, writing his name on a sheet of paper. When I opened the door he said, “Mommy, I missed you.”

I am acutely aware that my children will be grown and gone before I can comprehend it. Each day my husband and I mourn and celebrate their growth, because we fully appreciate the brevity of life.

Here are a few things I have been practicing this year, to help set protective boundaries around our family time in order to truly value and love them:

EXERCISING YOUR FREEDOM TO LIVE

  1. Minimizing daycare: my husband and I alternate our work schedules so our children only have to spend 1 day in daycare a week. This creates the majority of our fatigue, because we must work at odd hours and sometimes on weekends and nights. However, it is the only method, while our children are young, which we have found to maximize our time together as a family. This may not work for all families. Sometimes daycare is unavoidable but I would recommend shopping for a daycare that is flexible and truly accommodates to the needs of each child. I have friends and colleagues who have “second mothers” in their daycare providers and are grateful for the “extended family” bond that their daycare provides. Either way, realize we DO have the freedom to choose. Society may not reward us for putting our children and families first, but the future of our planet rests on it.
  2. Families that play together, stay together: This may sound obvious as well as easy, but it is not the case. We realize that unless we set time aside for family oriented activities, we will continue to be consumed with the demands of daily life. For example, yard work, home repairs and renovations, as well as daily errand running and household management alone could occupy all your time. Oftentimes, taking care of business leaves your kids to constantly self entertain while mommy answers work email or daddy mows the lawn or vice-versa. Try having a “family meeting” to poll your kids about what they want to do as a family. Then, make it happen within your budget. Get creative if you can’t afford “Disneyworld”. Go on a family camping trip, hike, local theme park, or take a roadtrip to visit family.
  3. Set boundaries: We are all aware that corporate life slowly eats into family life, so many of us have set boundaries in that arena. We come home on time, we work from home offices, we compress our work schedules, we actually use all of our vacation/leave, and we give up job promotions for family promotions i.e. to have a quality family life. However, for those of us who have reigned in our work boundaries, are we doing anything about the “good activities” in our life – children’s playgroups, sports and art activities, local volunteerism, church or temple work, etc. Sometimes we even have to pare down the “good” activities if they are a detriment to our family life. My husband and I recently did that. It was difficult, and we lost income, career exposure, and didn’t get to pursue some extracurricular outlets we like to – but the career & personal time hit was worth it. We all are less stressed, more organized, and very grateful for the time together.
  4. Count Your Blessings: When I think back to the time before I met my husband and before we had children, I am reminded how blessed we are today. My husband and I waited a LONG time to have children. Truly, we waited our whole lives for the family we have today. So I frequently count my blessings by recalling where I came from and how far I have come.
  5. Choose your charity and community work carefully: A mentor once suggested that although all activities in your life may be good, they may not all be necessarily good for you at one time! At all seasons in our life, we have a host of opportunities to choose from. Young families struggle to balance work and family, families with older children struggle to balance their children’s extracurricular activities with their own, empty nesters and retirees or grandparents also have their own set of struggles. However, at all seasons, there are activities that are BEST for you, and ones that although are good – are not your BEST option. For example, I limit which charity organizations I become involved in so I can focus on being effective. For others, this is making your child choose no more than 2 extracurricular activities per semester. To me, there would be nothing worse than being a jack of all trades and master of none. I don’t want to be a person that starts one project and then leave it in the wake of starting another. Our whole family practices this as a kind of mantra, if you will. We keep all our activities on a consolidated calendar so we can prevent it from “overflowing.”
In this way, in the words of Jonathan Swift,
“may we live all the days of our life.”
I believe we can.

*photo taken of our children during “box play” time. They had found a box and decided to get creative with it.

Conquer Your Fears


Eleanor Roosevelt said, “everyday do one thing that you fear.”

Well said sister. So, I am taking to the roof to conquer my fears.

In an act of solidarity with other women who follow Eleanor’s advice, on most days at least, I decided that my fear of heights (despite my high school days as a cheerleader teetering at the top of pyramids & being tossed into the air like an apple), had to come down.

So in order to diminish my literal fear of swinging in trees, and to lower my anxiety which would proverbially keep me “out of the tree tops”, I decided I would paint (just a section, mind you) of my home’s third story.

When the contractor finished construction on the house, he kindly left the scaffolding up so we could save a dollar and paint the house ourselves. My husband and I literally took to the skies, where the smallest breeze had me grasping for anything to hold on to and feeling as if I could be lifted off the scaffolding.

However scared I was, I stayed and painted. And, I survived and came down to tell the story.

After several trips up and down the ladder, and scooting, sliding, and somewhat walking on the scaffolding in order to finish painting, I learned something.

My fear DID INCREASE when I climbed up the ladder. But repeating this action did DECREASE my overall fear. In the end analysis, after two days of “roof swinging”, I learned Mrs. Roosevelt was indeed right. Doing something you fear everyday does decrease your overall chances of being fearful in the future.

Ah – the sweet smell of courage. If we can all stand atop that roof confidently (& breathing!), then we can all better handle Future Fear.

So, the next time Fear rears its ugly head, I’ll be better equipped. Will you?

*Photos: Evidence of Overcoming my Fear of heights(and heights + wind gusts), at least for a weekend.

Holocaust Hero – What We Should Learn From Him


What can we learn from the holocaust? There are infinite lessons, but one we do not often see is the story I will tell you now.

A very humble, once young, 100 year old man organized a “kindertransport”, which was ultimately responsible for rescuing hundreds of Jewish children from Nazi occupied countries in 1939. What is most amazing about this man’s, Sir Nicholas Winton’s, story is that he saved the lives of all these children without ever telling anyone, not even his wife, for almost 50 years, until 1988.
This story is beautiful and both heartbreaking and heartwarming, and to me, rings a loud and clear message.
To me this message of Sir Winton’s story is this: we can and should seek out and do work without looking for the reward. No matter what your religious upbringing or practice, helping others without asking anything in return is a universal “golden rule” in itself. Much like mothers caring for their newborn children, we ask nothing in return from our children. However in the end analysis, ask any mother and she will say she received benefits and blessings immeasurable through the sacrifice she made to birth and care for her child. It would be no surprise then, that serving others, as the old adage goes, truly IS the surest way to help ourselves. And would the world not be better if we weren’t all constantly striving, like crabs in a bucket, to serve our own needs?

Instead, may we selflessly strive to serve others. This week, may we, myself included, seek to do good for others without using the “what’s in it for me” mentality.

For the full story click here or cut and paste this link in your browser: http://www.msnbc.msn.com/id/32689095/ns/world_news-europe/

*photo of kindertransport in 1939 (Institute of Comtemporary History & Wiener Library Limited)