Tuesday, June 30, 2009

Common Cold/Sinusitis, Eric's Tips, Shepherding A Child's Heart, Weekend to Remember




Happy 80th birthday to my very special Dad, Don Wolf! We had a great surprise birthday party for him this month in Fort Wayne. God has blessed him with a wonderful life, even starting with the very difficult early life of losing both of his parents in middle school to sickness (working full time through high school and eating mostly cheese sandwiches every day), then marrying my wonderful Mom and four children (I am youngest), working his way up to CEO of HWI/Do It Best Corp, and all his life and now even in his 80’s working hard for especially children’s charities (starting and continuing work with Big Brothers/Big Sisters in Fort Wayne and nationally, his church, and many programs in the school system there for underpriviledged children). A great Dad and example, and he now gives cards with the advice below to people because so many have asked him.

Keys to a Happy and Productive Life: (by Don Wolf)
-Treat Others as You Would Like to be Treated (he always told me to walk a mile in others shoes)
-Be Happy and Have and Optimistic Attitude
-Think for Yourself – Don’t be a Follower
-Finish the Job (and I would add to always look to God and the cross)

In this blog article I am excited to write a summary of a terrific Family Life marriage retreat my husband and I attended this month, a summary of a very good and insightful parenting book I have read for my woman’s bible study group, cold and sinusitis treatment, and especially to write about my great fitness and workout trainer Eric (and his Fitness Tips).

Common Cold and Sinusitis Evaluation and Treatment Summary
The average occurrence of the common cold in preschool children is 5-7 episodes/year and decreases to 2-3/year in adulthood and last about 7-10 days. They are caused by viruses transmitted mostly by hand contact (and can live on hands for up to 2 hours) – we all need to be very cautious to wash our hands frequently (or apply antibacterial hand gel), especially if we have any symptoms of a cold (and persistently train our children)!
Antibiotics are not used to treat the common cold, because they cannot kill viruses and taken early do not prevent bacterial infections which occasionally result from the common cold. They are occasionally needed after about 10 days if persistent signs of yellow or green drainage, if symptoms worsen within 10 days of initial improvement, or develop into painful ear infections. (Certainly strep throat is bacterial and requires antibiotics right away. Strep throats usually present with only a sore throat and fever, and often fatigue and gland swelling. Rarely is it accompanied by any nasal or chest symptoms.)

Treatment-symptomatic treatment is the mainstay for common colds

Nasal Saline Irrigations (such as Neil Med products which I use daily, and available in our office and at drugstores) – Washing the nasal cavities with saline often gives immediate great relief and reduces nasal drainage/congestion/pressure, removes secretions, and rinses away allergens and irritants and can be used daily (as I do because of recurrent sinus infections in the past and allergies) or as needed and multiple times daily. They can be used immediately prior to using other nasal medicines so the nose is freshly cleaned before using the medicines. I feel the bottle washes give the best pressure to relieve symptoms, followed by the nettipots and lastly sprays. Even my 8 year old requests this first line for significant nasal cold symptoms!

Antihistamines – These can alleviate runny nose and sneezing, but also can cause dryness and sometimes sedation. OTC medicines are Claritin (nonsedating), zyrtec (occasionally sedating), and benedryl (always sedating but good at bedtime!). Rx ones are allegra (available generic), clarinex, and xyzall.

Decongestants – pseudoephedrine (Sudafed) and phenyephrine can decrease nasal congestion. Topical nasal spray Afrincan be very effectively used for several days (but not longer than 1 week at a time or nasal dependence can happen).

Expectorants – Mucinex (guafenesin) can in some people thin secretions and decrease cough.
Antitussives - Cough suppressants with dextromethorphan (Delsym, Robitussin DM) or codeine/hydrocodone are of variable help for coughs.

Nasal Sprays
Intal – can improve cold symptoms
Atrovent - can help runny nose and sneezing
Steroid nose sprays (generic Flonase, brands Nasacort, Nasonex, Veramyst, Omnaris, Rhinocort) – these have more proven benefit for allergic rhinitis as does sinuglair pills.
Zinc sprays or lozenges – have minor benefits for cold symptoms, and rarely the nosesprays can make a person lose their sense of smell.
Echinacea – has minor benefits in treating common colds in most people.

Prevention of Common Colds

Exercise – moderate intensity exercise over one year has been shown to decrease colds, so as I say “Just do it!”

Vitamin C – 500 – 1000mg daily can help in preventing colds for some people.

Vitamin D – 1000-2000iu/day or doubling your usual dose can boost your immune system to help prevent colds for 1-2 weeks around exposures, and more studies will likely come out soon showing maybe even higher doses for about a week around cold exposure can help.

Vitamin E – 200iu/day has been shown to help in some people.

Echinacea – may help in decreasing colds.

Antibiotics for Sinusitis and Ear Infections
Amoxicillin
Bactrim – trimethoprim/sulfamethoxisole
Macrolides – zpac, e-mycin, biaxin
Cephalosporins – Keflex, Ceftin, Omnicef and others
Doxycycline
Augmentin – amoxicillin and clavulinic acid
Avelox or Levaquin

Fitness Tips by Eric

Types of Lifting

There are different ways to lift to achieve different goals. Many people get confused on the different types of lifting or they get stuck doing one type and do not vary their workouts.
As I mentioned in the first blog that I take new clients through a basic workout I also will vary their workouts up every few weeks. Like I said before I typically will do 2 sets of 12 repetitions with a beginner. After that I will have them do 3 sets of 12 repetitions. This is typically for a weight loss regiment. To add some muscle tone I have a client do 3 sets of 8-10 repetitions. Then to add on muscle mass I have clients do 3 sets of 4-6 repetitions.

Seventy-five percent of my clients are for weight loss. Because of this I also make sure that I have them do a lot of cardio work. But I also will take them through the 3 different types of strength training. When a client starts with me I tell them that I will have them do all types of lifting to help them reach their goals. One aspect of weight loss that most people forget is that the more muscle that a person has the more fat they can burn. The more muscle a person has it increases their metabolism, which is how our body burn energy. One area where most people fail in lifting is by not mixing their workout. Typically a routine is good for about 4 weeks before it should be changed. What I mean by this is changing the repetitions. The first 4 weeks I use the 3x12, then the next 4 weeks I use the 3x8-10 and next 4 weeks is the 3x4-6.

With this routine I am able to transforms a person’s body. Typically I can help a person loose weight and make them stronger and get toned. This isn’t a fool proof plan. It takes a lot of work and dedication by the client. I make it very clear to my clients that they will have to work to make their changes. It takes time to change a body especially if you haven’t been active for a long time.

Use these different ways of lifting to help spur you past any plateaus. Remember to change our workout up about every 4 weeks. If you have any questions or need clarification please let me know. You can email me at eric_walden@waldospersonaltraining.com

Eric Walden has been my personal trainer for the past 9 months. I had trained with a personal trainer for 2 years a decade ago, but since then weight lifted about twice weekly by myself. Last year I decided to hire Eric to train my son Brendan twice weekly for football. He has done a tremendous job with his strength and conditioning/speed. When Brendan had football practices every weekday last Fall, I decided to train with Eric because I was very impressed with Eric’s hard work and excellent results with Brendan. I wanted to challenge my body and muscles by varying my usual routine. Since working with Eric ½ hour twice weekly, my strength and tone all over have tremendously increased. I really enjoy being stronger for my posture, feeling about my body, and all my activities. Eric is so talented in utilizing varied methods of exercise to achieve results in overall strength, tone, core, and weight loss.
Eric is available to train clients in their homes (and can bring needed weights, exercise ball, bose ball, elastic bands) or in his gym at his home in the Fishers area. He has packages for 30 or 60 minute sessions, or 30 or 60 minute buddy sessions. Eric also will do an individual assessment and provide 4 days of written exercises for $75.00. Please contact him by email (see above) or phone (765-404-7343) to significantly improve your health!
Dr. Lisa

Family and Faith


“A Weekend to Remember” Marriage Retreat (http://www.familylife.com/)

This is a marriage, life, and family changing terrific Christian marriage retreat. My husband Bruce and I so learned, discovered, enjoyed, and were renewed by attending this conference! It is tremendous and life/marriage changing to take the time to focus on each other and learn to love your spouse better the way they want to be loved.
I strongly encourage you to spend the time and effort on each your marriage and family legacy to attend this or a similar marriage enrichment conference. Your spouse is your gift from God!
The topics covered were

Why Marriages Fail - due to difficult adjustments (differing backgrounds, motivations, expectations), culture's pattern of 50/50 (vs God's encouraging oneness, giving 100%, looking at self), inevitable difficulties (need plan so will not drive apart), extramarital "affairs" (work, kids, activities/business, materialism, fantasy/porn, infidelity, isolation), and selfishness

Can We Talk – helping communication w a project - how can we understand our spouse (and NOT how we can get them to dowhat we want), LISTEN/repeat back/ask more questions

Unlocking the Mystery of Marriage - Our spouse is our gift from God
God's purpose for oneness -- to mirror God's image, mutually complete one another, multiply a Godly legacy with your children, keep away Satan (no secrets, work on yourself /strugglesand be willing to hear feedback about yourself, be more dependent upon God)

From How to Wow - God's plan for oneness and a project (writing each other a love letter) -- Leave (establish independence from parents), Cleave (establish commitment to one another), Become ond flesh (establish intimacy with one another) - this can be very difficult due to our differences, weaknesses, and self-centeredness
-we need to celebrate differences and help in each other's weaknesses

What Every Marriage Needs - God's power for oneness -- establish a relationship with God, experience an ongoing relationship with God together (read bible, pray together and individually, church home, time w other Christians/small group)

We Fight Too – with a project -- Conflict (and opportunity to know each other better) and to avoid conflict is to avoid reality
--resolving conflict requires loving confrontation (slow down and check your role, motives and heart, and choose your owords carefully)
--resolving conflict requires choosing forgiveness (admit you are wrong, humbly seek forgiveness, release your spouse free from seeking revenge, build trust by consistent behavior over time)
--we minimize conflict when we choose to actively bless one another in marriage - refrain your tongue from speaking evil, turn away fro evil, do good, bee a peacemaker (anger shows that I care more about how we look than God) - I love you and your are not my enemy!

Marriage After Dark (with a project) - sex was created by God and designed for our good (the freedom to enjoy each other's body), sex is a thermomter that can measure your individual well-being, sex can be enhanced by understanding the differences between man and woman, and a great sex life is built on - Companionship (communication, tenderness, spending time together), Commitment (faithfulness, respect, forgiveness), Passion (planning and creativity), and Spiritual Intimacy (prayer and the Bible)

Woman to Woman - Priorities (#1 grow in her relationship w God, #2 respect and support her husband, #3 teach/train her children w wisdom from the Bible, #4 everything else ordered after the 1st 3!), God's design (equals w different roles/responsibilities/purposes - husband as leader and each other complete through marriage and mutual submission/selflessness), Respect and support her husband (unconditional respect which empowers her husband, thankfulness, praise, listening, sexuality, encouraging words/attitude/actions, never criticize husband in public or in front of children), Depend on God
Man to Man - Follow and obey Christ and his leader, Role as leader in marriage - sacrificially loving his wife (cherishes, trustworthy, listening, helping, praying, putting her needs ahead of his own, nourishes her gifts/dreams/love/romance), courageously leading his wife (finances, 1st taking care if wife and children, protecting his family emotionally/spiritually/physically), Responsibility as father (each child a unique gift from God, loves and cares willingly/eagerly/consistently/not domineering, spends time listening/hugging/things they enjoy/praying, leads by example and with God/loves their mother/teaches biblical wisdom)

How Marriages Thrive for Oneness in Marriage and a revolutionary relationship
-the habit of extravagant love is a choice and leads to genuine intimacy (Exclusive- one person having your heart for a lifetime, Expressed by repeating often through words and actions, Extraordinary-placing spouse's needs above your own)
-the habit of generous forgiveness leads to true security (with humility and without bitterness)
-the habit of enthusiastic encouragement leads to unity and team together for life (believe in and motivate your spouse, openly affirm/praise, maintain positive attitude, avoid critical words)

Leaving a Legacy - for our the next generations
-by doing the constant work of strengthening our marriage and family and relationship with God, and always looking to serve God and others
Lisa's things to remember from the conference
-work hard to love God and Bruce - to mirror God and complete each other
-work hard to avoid "extramarital affairs" such as work or business or selfishness
-celebrate each other's differences and help each other in our weaknesses
-take the time to raise Godly children - teach, train, talk
Lisa's top 3 priorities from the conference experience
-be my husband Bruce's cheerleader
-listen, repeat back, ask more questions
-work together to avoid "extramarital affairs" for each other and our family

“Shepherding A Child’s Heart”, by Tedd Trip

This is a terrific book and very insightful help to parenting that I have never really heard before. Most books on parenting give you advice on how to shape and constrain your child’s behavior. However this book gives you something very different – it teaches you how to engage your children about what really matters – how to address your child’s heart by your words and actions. It teaches you how communication and discipline work together when parents love wisely. To the extent that our focus is only on behavior, we miss the true heart and real life change

Proverbs 4:23 “Above all else, guard your heart, for it is the wellspring of life.”
I will summarize this book and ideas in more detail later this week.

With Hugs,
Dr. Lisa

Saturday, June 6, 2009

Slowing Your Pace of Life, Bariatric Advice, Eric's Stretching







Welcome Everyone! I hope and pray you are enjoying the beautiful weather and feeling peace and love. I am including a couple pictures from my family's special moments today with my son Nathan's graduation from Zionsville High School.
I am praising God that my husband Bruce, former husband Jim, and myself are going to start to meet monthly right after church, working hard to forgive and grow from the past and Christianly co-parent our four treasures from God (Christina, Nathan, Brendan, Annika). I mentioned last month that we met with a Christian counselor to help us work on that, but it really looked like it would never happen. I was prepared to write that we failed again, but instead I can sing praises that we are starting these meetings today. I know we will all work hard to have good boundaries and good hearts to make this work (for our children and for God). I encourage all of you to look at your relationships and see what needs to be worked upon. Then with God’s help and directive make the challenging effort to love not only the “Joys” (those easy to love)in your life, but your “Testies” (people who test and irritate you), “Foes” (your enemies), and “Fars” (people you do not know, like the poor and suffering… these titles are from Beth Moore’s “Loving Well” bible study). It is easy for everyone to love the “Joys”, but takes real intention, work, faith, and maturity to love the others. For myself Lisa, as I learn from my continued failures, God forgives and will keep helping me love those difficult to love even better, giving me that inner peace and love, and really all the fruit of His Spirit.

Ideas for Simplyfying Your Pace of Life

Slowing
Deliberately drive in the slow lane for a day.
Chew your food slowly, putting down the utensil after each bite.
Focus for a day on listening much more than speaking.
Pause for several breaks during the day.
Leave you watch off for a day.

Saying "no"
Skip lunch for one day - say no to a meal and devote that time to prayer or journaling about you pace of life.
Keep a log of how you spend your time during a typical week. Ask someone to review it with you, looking for activities to eliminate.
Look in the mirror in the morning and watch yourself say "no", politely but firmly ten times. Then say no to something that day.
What is an activity or involvement you might stop doing eventually? Could you stop doing it now? Discuss with your spouse and or a friend.
Cancel a magazine subscription, knowing you can start it up again in a few month sif you really miss it.

More tips next blog this month about De-cluttering, Using leisure time in life-giving ways, and Keeping the Sabbath. Adapted from the excellent book, "An Ordinary Day With Jesus", by Ortberg.

Bariatric Advice
My name is Julia and recently Doctor Miller has asked me to share some of what I learned with you.If you are considering weight loss surgery my first advice is to consultNorthside Family Care and check if you have actively pursued all your other weight loss options first. Then if you really have done this, pray for the wisdom to choose the procedureand surgeon that is best at the procedure you feel would be best suited for you. Ask many questions and go to a couple of the support group meetings to learn what many of the patients who have gone through this have to say and ask as many questions as you can think of. All the"Bariatric Centers of Excellence" designated Centers have support group meetings and welcome visitors. Believe me, most of us who have gone through bariatric surgery feel very passionate about helping and being there for others about to embark on this journey! Take your family or friends with you! You will need a strong support system along with your faith in GOD to help. The more your support system knows the better they will be able to be there for you both emotionally and physically.If you are reading this then most likely you are a patient of NorthsideFamily Care and you already have an amazing support team to add to your family and friends!

One of the most important things following bariatric surgery is your vitamin regimen. This is not optional! It is very important that you take your vitamins and I have learned quite a bit through trial and error.Vitamins, just as most things range in quality and effectiveness. I started out buying the bargain brands and struggled getting my levels where they were supposed to be. I especially had issues with my Calcium, Iron and my Vitamin D levels. Understanding that I was taking all of these supplements and still falling below acceptable levels was very frustrating. I learned again from Northside Family Care and reading that there are several kinds and quality sources of all different vitamins and the effectiveness is dependent on the quality and the ability for your body to absorb them. I also learned that afterbariatric surgery your body can not absorb nearly as effectively as before so the absorption ability of your vitamins is CRITICAL! I tried all different brands and dosages before finally finding the right combination. Once I did I can honestly tell you that I feel so much better. My lab work also now shows that I am getting the necessary nutrients needed to be well. I get most of my vitamins from Northside Family Care as the quality and absorption are far higher than any I havefound on the market. I also learned that when it comes to Calcium there is generally two kinds - Calcium Carbonate and Calcium Citrate. The Calcium Citrate is much more effective than Calcium Carbonate so spend a little extra and purchase the most effective kind. Iron has a similar problem. I purchased many kinds which were too strong for my new sensitive stomach so I started purchasing the reactive iron. I could tell it was much easier on my stomach within just a couple of days. Ialso have learned that vitamin D is critical for the proper absorption of your calcium among other things and I take it daily too. I hope some of this information might save someone some time and eliminate some ofthe trial and error I went through before learning all this. The bottom line really is that no matter where you choose to purchase your vitamins, do some research on the quality and the absorption ease of the vitamins. Remember that your body doesn't have the ability to absorb as it didprior to the surgery therefore the better quality vitamins you take thebetter you will feel. I wish I could share everything I have learned but then I would need to write a book! I would however be available through Northside Family Care to answer any additional questions that I can. I will honestly tell anyone who asks that it was not an easy journey. In the beginning there were times when I was truly scared but I prayed. I did my best to keep a positive attitude, and I knew that each day would get better and it did! I feel great! I enjoy life, and I feel blessed to be healthy and feel good about myself. Instead of living to eat I now eat to live. I am rarely hungry and I now eat 5 to 6 small meals and I feel amazing!

Have a wonderful day and please let Northside Family Care know if you would like to speak to me. I am not a medical professional but I am apatient who has been blessed with the ability to share my experiences. Iam open and feel very compelled to be there for others going through this. If GOD blesses me enough to let me help one person have a little easier time through this then I will feel even more blessed!
Julia

Fitness Tips by Eric

Stretching:
There are 4 different types of stretching. Dynamic, Static, Active, and Passive stretching. Dynamic stretching involves moving parts of your body and gradually increasing reach, speed of movement, or both. Active stretching is where you assume a position and then hold it there with no assistance other than using the strength of your agonist muscles. Passive stretching is where you assume a position and hold it with some other part of your body, or with the assistance of a partner, or some other apparatus. Static stretching involves holding position. That is, you stretch to the fartherest point and hold the stretch.

For our purposes Static stretching is going to be the main stretching that you will want to use. Static stretching is for the basic exerciser. This type of stretching allows the person to loosen up the muscles and help the joints have a greater range of motion. During exercise it is good to do some pre-stretching and post stretching. Pre-stretching covers the major muscle groups that you plan on working. I typically hold my pre-stretching for 10 seconds. After I work out, I then go back and stretch. This time I hold my stretches for 15-20 seconds. I will also do the same stretch multiple times, especially a muscle I know later will be sore. Muscle soreness after weight training is a natural thing. Typically you will get sore a day or two later. This is called Delayed Onset Muscle Soreness (DOMS). DOMS is just your body’s way of telling you that you worked that muscle hard. Lactic acid gets stuck inside the muscles causing them to get sore. When you stretch, this releases the lactic acid out of the muscles thus relieving the soreness. Stretching helps but does not entirely relieve this symptom. I personally like to work out until I am sore to better build and strengthen muscle, although that is not a requirement. I recommend beginners take it easy for the first couple of times out. When I first start with a new client, I work to get to know them and stop them before they get sore.

When I get done with a full body exercise routine, I will stretch my hamstrings, quadriceps, glutes, lat’s, pec’s, and low back. I will provide a link to a picture for you to be able to see each of these stretches. This will be easier than placing the picture in this article. The website is http://www.bodybuilding.com/ for those of you interested.

Hamstring- http://bodybuilding.com/fun/stretches.php?Name=Hamstring+Stretch
Quads- http://bodybuilding.com/fun/stretches.php?Name=On+Your+Side+Quad+Stretch
Glutes- http://bodybuilding.com/fun/stretches.php?Name=Glute+Stretch
Lat’s- http://bodybuilding.com/fun/stretches.php?Name=Seated+Torso+Reach
Pec’s- http://bodybuilding.com/fun/stretches.php?Name=Chair+Upper+Body+Stretch
Low Back- http://bodybuilding.com/fun/stretches.php?Name=Seated+Or+Standing+Twist

There are a lot more stretches that can be done. I’m just trying to give you an idea of what can be done and should be done. I recommend stretching daily. It will never hurt to stretch. Again, I do pre and post stretch exercises holding each stretch between 10-20 seconds.
If you have more questions, please feel free to email me at eric_walden@waldospersonaltraining.com.

General Tips:
Grandma Els Organic cream is great for diaper rash (definitely available at Target.com), from Mom Deanne (with her baby Meredith) and her friends.

Family and Faith

Parenting Tip
Babies
1. Work hard to make your baby a good sleeper and fall asleep on her/his own, because if you do not, they may not be good sleepers until they are a teenager!
-start soon after birth to most times put your baby down to sleep while still awake but you know she is sleepy
-if she cries, let her cry for 5 minutes and then go in and camly talk with her, saying that she is sleepy and it is time for her to go to sleep and at most just pat her back (try not to pick her up), and next time wait 10 minutes then do the same thing until she falls asleep
-I know it is hard to hear your baby cry, but remind yourself that you are relly helping them grow and begin to learn limits, boundaries, and self control (and you are helping your marriage!)

2. Talk all the time to your newborn and baby! We often to forget to converse/talk to our babies when we are doing all our regular activities and explain what we are doing and what is going on in the world, like while shopping, cooking, cleaning, driving, etc.

Babies/Toddlers/Preschool
1.Make God and your marriage the priority! -us moms especially need this reminder, because we can easily let our maternal side make our children the priority beginning at birth.
-Kiss and hug your spouse before the kids as soon as you get home. Even if they run to you, gently tell them they need to wait until you kiss your spouse first. This sends a powerful learning and internalizing message to them for their future marriage and family - that you prioritize your spouse and deserve to be treated special by your spouse.
-Get the kids to bed and make date/couple time together most nights to reconnect and enjoy each other.
-Make regular date nights, and if you are lucky enough to have family/friends/parents who will take your kids overnight at their home, do it once a month! Even though you may miss your kids a little especially if you work full time, this pays huge benefits for your marriage and fun together (then big benefits to your children!).

2. When disciplining, talk about "good choices versus bad choices" and not that they are bad versus good children. You can say, "You made a bad choice to do this so you will have this consequence. I know next time you will make a good choice."

3. Be intentional to keep your child's nap and bedtime schedules most days, because a rested child is happier and healthier (and so are you)!



Enjoy all your moments!

With my hugs, prayers, and love for you all,
Dr. Lisa