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The Midlife Second Wife ™

~ The Real and True Adventures of Remarriage at Life's Midpoint

The Midlife Second Wife ™

Tag Archives: Health

The Digest Diet: Day 3 and 2 Pounds Free

12 Wednesday Sep 2012

Posted by themidlifesecondwife in The Healthy Life, Transitions

≈ 6 Comments

Tags

Dieting, Health, Life, Weight loss

I made this delicious Kale and Chick Pea Soup for dinner on Day 1. John liked it, too!

As I write this I’m into the third day of the Digest Diet. It’s nearly noon, I’m not even hungry yet, and I’ve lost two pounds.

I’ve been dreading writing about the poundage issue. I’m the one who removes every bit of jewelry, eyeglasses, and shoes before getting on the scale in the doctor’s office. Yes, I shave a few of them off my driver’s license renewal application. I’ve never uttered the numbers aloud to anyone, really. But if I’m going to do this, and have any hope of inspiring you to a healthier lifestyle, I need to ‘fess up. The morning I started the diet, I weighed (closes eyes, takes a deep breath) 210 pounds.

This picture, taken this morning, is my “before” picture. Note that I had already lost two pounds since Monday.

In my defense, somewhere along the way I lost half-an-inch. I have no idea where it went. But this morning when I weighed myself, I had lost two pounds, so maybe the pounds and the half-inch are in that nether place where lost things go—socks in the dryer, pens and keys—hanging out and having a good laugh about what it was like to have once been part of me. I like to think I gave them a good time.

For as long as I can remember, I was five-feet-seven-and-a-half inches in my stocking feet. Until I wasn’t. I also weighed 125 pounds on the day of my first wedding. I have fond memories of that 21-year-old body. And it saddens me to admit that even then, I thought I was heavy. (My second husband, bless his heart, told me early in our relationship that he “loves every inch and every ounce” of me. I ask you: Am I not the luckiest gal in the world?)

Let me be clear: I’ve never had an eating disorder of any sort, unless having a gusto for gastronomy to go with my zest for life can be called a disorder. (It can’t. And it shouldn’t.) But I was always aware that I tended toward the upper regions of the scale. My first conscious memory of this was shopping for school clothes and being directed to the rack on which the 6-Xs hung. Still, I was never really what you would call obsessed with my weight. I liked my body well enough—and I appreciate it even more now, even when certain parts tend to make their presence known in the way of aching joints and lower back pain. And even when the inventory of my “parts list” has been diminished by numerous operations. No, my attempts at dieting were typically triggered by a special event or a special outfit. And they were always, until reaching life’s midpoint, successful. The best diet up until this one was something published in Glamour Magazine in 1974—”The Do and Don’t Diet.” I would love to find a copy of this somewhere.

But here I am, trying this Digest Diet, and I have to say how impressed I am. The shakes are so filling that a couple of times I haven’t been able to finish them. They’re delicious, and so is the soup I made the other night. (Tonight I’m going to make a shrimp soup.) I’ve walked one mile each day for the last three days. With the exception of yesterday, when I slept in because I was plainly exhausted, I’ve felt energized. I recognize that what I’m doing is retraining myself how to eat. The book, written by Liz Vaccariello, explains the theoretical underpinnings of the recipes and food plans. Certain foods are fat releasers, others are fat retainers. The fact that all of this has already been figured out and tested, using current science, makes it pretty easy to follow. I measure ingredients, but I don’t have to weigh anything, count any calories, or keep track of points or carbohydrate grams. The premise that I love the best about this diet is that I’m eating whole, natural foods. I’ve been tempted by try those quick-fast meals and prepared shakes, but I’ve always feared the slippery slope of their preservatives and artificial ingredients.

So what are my goals for this? My first goal is simple: to remain on it for the full 21 days without backsliding. My second goal is to lose 15 pounds. That will get me below 200, something I haven’t been for a very long time. Bound up with these goals are others, like feeling more energetic, reducing pain in my joints, and finding the motivation to exercise everyday. The fact that I can likely achieve these goals while improving my health is a tremendous bonus.

I’ll have more to say about body image in a future post. But for now, I’d like to share with you an article that really touched a nerve with me. Tell me, has anyone ever made you feel bad about the way you looked?

Related article:
“Being Hip,” by Amy Sue Nathan in HuffPost Divorce

 

Other than providing me with a copy of The Digest Diet, Readers’ Digest is not paying me to blog about my experience on the program. (If I lose the weight I hope to lose, that will be compensation enough.)

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21 Days of the Digest Diet: Days 1-4, There’s a Whole Lotta Shakin’ Goin’ On

10 Monday Sep 2012

Posted by themidlifesecondwife in Food for Thought, The Healthy Life

≈ 7 Comments

Tags

Diet food, Digest Diet, Food, Health, Life, Readers Digest, Weight loss

To market, to market: my shopping basket at Whole Foods

So just how popular is the Digest Diet that Liz Vaccariello, editor-in-chief of Reader’s Digest, devised? Here’s some anecdotal evidence. On Saturday, the Midlife Second Husband went grocery shopping with me at Whole Foods in Central Virginia to stock up on the items we knew we’d need. (He’s going to do one-third of the diet with me, which is to say we’ll eat the same dinner.) According to the nifty shopping list for Days 1-4 available on the Reader’s Digest website, I was to buy one 16-ounce box of nonfat milk powder—an essential ingredient in the “Fast Release Shake” (more on that in a moment). I wanted to buy an extra box for my pantry so I wouldn’t have to drive back to Whole Foods. Guess what? I bought the last one on the shelf. I asked the associate who helped me find it in the first place: “The Digest Diet?” “Yep,” he replied. “This is the last one we have left.”

Can you believe it? Powdered milk, for crying out loud. I’ve never bought powdered milk in my life yet here I am feeling like a bride-to-be who ended up with the short end of the veil at Filene’s Basement “Running of the Brides,” and all because I can’t buy more than one container of powdered milk.

Quite a few people have written me, or shared comments on last week’s post, that they’re trying the diet, too. (Do y’all live in Virginia?) I feel as though I’m leading a small army into battle. And yes, you know I have to say it: It’s the Battle of the Bulge.

So here’s some of what I bought at Whole Foods. I also pinned the Digest Diet list on my Pinterest board, which I’m ever-so-slowly building.

1 green bell pepper
1 small head Romaine lettuce
1 head broccoli
1 pint grape tomatoes
1 head celery
These are snacks, people. SNACKS. No candy, no chips, no nothin’ I’ve ever called a snack before.

While we’re in the produce section, I’ll also mention that I bought zucchini, garlic, kale, and Swiss chard to make two amazing sounding soups I’ll be having for dinner the first four days. Plus strawberries for the shakes I mentioned earlier. Since I’ll be preparing my first shake this morning, after going for a one-mile walk, here’s the complete recipe as I’ll be making it.* (The key ingredients, yogurt, coconut milk, fruit/fiber, healthy fats, and honey, are considered “fat releasers.”) I’ll also have another shake for lunch. I might even kick up my heels and swap out the strawberries for a banana!

Fast Release Shake (Days 1-4)
Hands-On Time: 10 minutes | Total Time: 10 minutes | Makes: 1 shake

3/4 cup (6 ounces) nonfat yogurt
1/4 cup light coconut milk
3 tablespoons nonfat milk powder
FRUIT/FIBER (I’ll use 8 fresh strawberries PLUS 1 tablespoon flaxseed meal)
HEALTHY FATS (I’m opting for 1 tablespoon natural peanut butter)
2 teaspoons honey
1/2 teaspoon vanilla extract
FLAVORINGS (These are “optional” but I’m definitely adding both of them. And I’m pleased with the choices: 1 teaspoon unsweetened cocoa powder and/or 1/4 teaspoon ground cinnamon.
4 ice cubes

Combine all the ingredients in a blender and blend until nice and frothy.

*There are other variations on the theme—I could use banana, apple, red grapes, or mixed berries instead of strawberries. And one can choose among healthy fats—I love peanut butter, so that’s what I’ve opted for.

A typical shake contains the following:
395 calories | 16 g protein
18 g fat (5g saturated)
9.5g fiber | 430mg calcium
40mg vitamin C
50g carbohydrate
210mg sodium

I’ll send out a tweet later today to let you know if I loved this shake, or if it’s left me shaking my head. I’ll also be posting updates on Facebook. You can keep up with this great weight-loss adventure by following me on Twitter @midlife2wife or on the Facebook page for The Midlife Second Wife.

See ya later! I’ve got a date with the walking path!

Other than providing me with a copy of The Digest Diet, Readers’ Digest is not paying me to blog about my experience on the program. (If I lose the weight I hope to lose, that will be compensation enough.)

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Buh-bye, Cookie. I’ll be Blogging it Off With the Digest Diet

06 Thursday Sep 2012

Posted by themidlifesecondwife in The Healthy Life, The Writing Life, Transitions

≈ 22 Comments

Tags

blogging, BlogHer, Diet (nutrition), Health, Life, Readers Digest, Social Media, Weight loss

Do you see this? This is a cookie. A rich, chocolate-coconut-walnut-laden cookie from one of my favorite lunch restaurants in Richmond, Café Caturra. Take a good, hard look at it. I’m certainly going to. Because if good intentions have anything to say about it, this cookie and I won’t be seeing each other for a long, long time.

Sigh. It is a delicious cookie. I enjoyed every decadent crumb yesterday for my mid-afternoon snack. With coffee, of course. And then I promptly decided to join Team Digest Diet. Starting Monday, September 10, I will officially begin the Reader’s Digest’s “Blog it Off!” campaign. For 21 days, I will study this book, follow its guidelines, try its recipes, and—if there is a God—watch the pounds melt away. I’ll also blog about the process.

I’m telling you this because I’m going to need all the moral support I can muster. Eating delicious food is one of my favorite pastimes. Dieting? Not so much. But as I’ve gotten older—and especially since I had to bid farewell to my thyroid gland after it went and turned on me by developing cancer—the pounds have crept on. I know how important it is to my health to lose weight and exercise more. I’ve been bad about this, especially as I’ve gotten busier and more sedentary. (Computer, I love you but we’ve got to stop meeting like this. Is there an app that will boot me out of the house for a nice, long, invigorating walk? I didn’t think so.)

And so this diet challenge. I discovered The Digest Diet at the BlogHer conference I attended in New York City last month. Reader’s Digest, one of the conference sponsors, had a suite at the Hilton where I happened to saunter in one day because I heard they had cupcakes. (They were delicious. But they were from a different book—Reader’s Digest’s new Taste of Home Best Loved Recipes. Oh yes. I’ll be trying some recipes from that book, but after the diet challenge, as a reward for good behavior.)

In the interest of full disclosure, the kind folks at the Reader’s Digest suite gave me a copy of the diet book to try. (They probably saw me eating the cupcake.) And at my request they also sent me a copy of Best Loved Recipes, from whence the cupcake recipe came. But that’s it. There was no expectation on their part that I’d do anything with either book. This is something I want to do because, as I’ve already established, I need to lose some weight. And, as you already know, this blog is chock-a-block full of recipes, and I’m always on the lookout for more to share with you. Reader’s Digest is not paying me, either.

Now that I’ve dispensed with that business, I will tell you that because I signed up for the challenge, I will be checking in with you a couple of times a week to let you know how my experiment with the book is going. (I’ll share some of my favorite recipes from the Digest Diet, too.) And I’ll be tweeting and facebooking about it. You know, I’ve tried Weight Watchers before and enjoyed great results, largely, I suspect, because of the communal nature of the enterprise. But since I’m working from home (alone) and on the computer all day anyway (walking for exercise the exception), I view social media as just another way to supplement my efforts to lose weight. It’s kind of like keeping a food journal, but in a very public way.

Don’t get me wrong. This is a huge step for me—not just the jumping-on-the-diet wagon part but the being-so-public-about-it part. I’m a little fearful of things like letting the world know how much I weigh. Nevertheless, one of my editorial missions for this blog is to present you with good information and resources. If this diet works for me, you’ll observe it happening. If it doesn’t—for whatever reason—you’ll see that, too. You’ll learn while I learn. (And if I lose my resolve or willpower, I hope you’ll cheer me on.)

So there you have it. Starting Monday. That gives me the rest of today, Friday, and the weekend to gear myself up for the Digest Diet challenge and strengthen my resolve to leave the sweet treats and rich foods behind me for a while. After all, turnabout is fair play; they’ve certainly remained on my behind for a while.

Other than providing me with a copy of The Digest Diet, Readers’ Digest is not paying me to blog about my experience on the program. (If I lose the weight I hope to lose, that will be compensation enough.)

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Winning ‘Voices of the Year’ Post to be Published

08 Wednesday Aug 2012

Posted by themidlifesecondwife in Midpoints, Relationships and Family Life, The Healthy Life, The Writing Life, Transitions, What's the Buzz?

≈ 2 Comments

Tags

Alzheimer's, Assisted living, BlogHer, Dementia, Health, Life, Open Road Media, Relationships, Voice of the Year

Mother with Alzheimer's

My mother, Angela Alyce Monia Abookire

Early readers of The Midlife Second Wife will remember this post about my mother, but since writing it last November, a few things have happened in its brief existence that justify a return engagement. The post, originally titled “A Tale of Two Deaths: Losing my Mother to Alzheimer’s,” received a “Voice of the Year” award at BlogHer’s recent conference in New York City. Out of some 1,700 entries, BlogHer selected only 110. This is quite an honor for me and I’m humbled by the recognition, since there’s such a huge talent stream flowing through BlogHer’s Women’s Publishing Network. I’m also proud to announce that the post will appear in an e-book anthology being published by BlogHer and Open Road Integrated Media. You might be familiar with Eileen Goudge’s novel The Replacement Wife. Open Road is her publisher. I’d say we VOTY winners are in extremely good company.

BlogHer Voice of the Year AwardI don’t believe that a publication date for the e-book has been decided yet, but as soon as the publishers make that determination I’ll announce the news here and let you know how you can purchase a copy.

Now that my mother’s story is going to have a life beyond the blog, I’ve retitled it. I am also preparing myself mentally and physically for the daunting task of completing her story—possibly for a future book. This post was originally intended to be the first installment in a series—and you’ll be able to read future installments just as soon as I can get them written—but now I’m rethinking the whole writing project. It’s quite possible I’ll end up with a book. We’ll see.

Here then, is my proposed first chapter of Have You Met My Daughter? My Mother, Her Alzheimer’s, and Me.

Have You Met My Daughter? My Mother’ Her Alzheimer’s, and Me

A person with dementia (or Alzheimer’s Disease) suffers two deaths.  The first death occurs when you discover the illness taking hold, erasing the vivacious mind and the vital spirit of the person you once knew. The second death is when the physical body expires. For these reasons, a bereaved person who loses a loved one—first to dementia, later to death—grieves twice. And although much has been written about mid-lifer’s—the so-called “Sandwich generation”—caught between caring for ill or elderly parents while still raising children, perhaps there is room in the literature for one more account. In November 2011, to mark National Alzheimer’s Disease Awareness Month and National Family Caregivers’ Month—and in honor of my mother, whose name was Angela—I began to write a series of essays about how I loved her and how I lost her. Not once, but twice.

“Have you met my daughter?”

This was the question my Mom, who had impeccable manners, regularly posed to co-workers or acquaintances when introducing me to them for the first time.

“Have you met my daughter?”

This was the question my Mom regularly posed to the women seated withher at a table in the secured-wing of the assisted-living facility where I regularly visited her. Without fail, each time I entered the room, she would ask these same women:

“Have you met my daughter?”

There was, of course, tremendous solace in the fact that despite her illness, Mom did recognize me as her daughter. Nevertheless, it was heartbreaking to see how her memory, her very sense of self, had deteriorated. The signs had been there for a while; it just took time for me to connect the dots.

Mom had always been what used to be called “high-strung.” She suffered from panic attacks, and was fearful of many things, including learning how to drive after my father died.

She had also always been something of a pack rat. Today there is a name for this: compulsive hoarding. But at the time when I was grappling with this issue in terms of my own mother, I did not know it was an illness for which there might be a treatment; I simply put it down to another of her eccentricities. I would clear out as much of the clutter as she would permit (there remained piles that I was forbidden to touch), and a week or so later, my efforts were obliterated. It was not at all unlike Sisyphus pushing his boulder up the mountain.

After several years of this, the hoarding had gotten so out of control that I began to fear for her safety. I was finally able to convince her that she needed help, and she allowed me to hire a cleaning woman to do her laundry, dust, vacuum the floor, and keep the bathroom and kitchen clean.

It was ultimately the cleaning woman—or, more to the point, the existence of the cleaning woman—which brought home to me the awful realization that something was far more seriously wrong with Mom than eccentric hoarding.

She and the cleaning woman didn’t hit it off, largely because Mom did not like anyone else touching her things. The woman, goodhearted and a good worker, called me to complain about what she could see was a losing battle. I was struggling over how to handle the situation when it resolved itself. Mom called me late one night in a real panic; I needed to come over at once. There was a terrible problem.

When I arrived, she pointed to a hole in the dining-room window screen—no larger than two inches in diameter.

“That woman you hired is stealing from me,” Mom said in a tremulous voice tinged with outrage. “Do you see that? That’s how she’s getting in. She’s sneaking in, crawling in through that hole.”

To be continued …

NOTE: The Alzheimer’s Association is not responsible for information or advice provided by others, including information on websites that link to Association sites and on third-party sites to which the Association links. Please direct any questions to weblink@alz.org.

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My Blood Donor Valentine

14 Tuesday Feb 2012

Posted by themidlifesecondwife in Love, Relationships and Family Life, The Healthy Life

≈ 8 Comments

Tags

Blood donation, Blood transfusion, Generosity, Health, Life, Love, Valentine's Day, Whole blood

John, hooked up to the apheresis machine at Virginia Blood Services.

Yesterday, to honor John on his birthday, I shared with you the key to his character: his favorite book is Shel Silverstein’s The Giving Tree. Today’s post, I hope, conveys just how much I love and admire my Valentine, and I think this picture tells more of the story.

Every two weeks, John spends a couple of hours hooked up to an apheresis machine at Virginia Blood Services. The device is a type of centrifuge which extracts the blood platelets and some of the plasma from John’s whole blood, returning the red cells and most of the plasma back to him but retaining the life-giving platelets. As I understand it, platelets are an essential part of cancer and organ transplant treatments. John has been donating either whole blood or platelets for most of his adult life; he first gave blood when he lived in Pittsburgh in the late 1980s, after learning about an area child, suffering from leukemia, who needed platelets for treatment.

I’m not afraid of needles or anything, but I’ve never given blood before. My blood pressure has always trended on the low side; I am, unfortunately, one of those people with a lower than usual supply of energy. I suppose I just assumed that giving blood would have an adverse effect on me, depleting my precious stores of vitality.

But on Sunday I accompanied John to Virginia Blood Services and, to my pleasant surprise, I passed the initial screening. I then got myself tethered to a tube and proceeded to have one pint of whole blood siphoned from myself, feeling rather like a pump at a gas station. The whole procedure took about eight minutes. And although John’s method of donating—apheresis—takes about two hours, the process is typically kinder to his system than giving whole blood, because the machine returns the vital red cells to him. Giving whole blood, in which one relinquishes red cells, platelets, plasma and all, can tend to leave a person feeling weaker than giving via apheresis. I’m glad to say, however, that after drinking a can of sugared soda at the advice of the technician (something I never do), I only felt tired, not light-headed or ill in any way.

Here are some facts, courtesy of the Virginia Blood Services website, that are worth learning if you’ve ever considered donating blood but have yet to take the plunge:

  • More than 4.5 million patients need blood transfusions each year in the U.S. and Canada;
  • 43,000 pints of donated blood are used each day in the U.S. and Canada;
  • Someone needs blood every two seconds. Females receive 53 percent of blood transfusions; males receive 47 percent;
  • In the United States, less than 10 percent of the 38 percent eligible to donate blood do so annually;
  • About one in seven people entering a hospital need blood;
  • One pint of blood can save up to three lives.

It’s astonishing to think that the pint of blood I donated on Sunday could save three lives. I’m ashamed that I’ve never been so selfless before this. John’s generous nature has influenced me. And that’s one of the many gifts he’s given me that money can’t buy.

Happy Valentine’s Day, everyone!

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Why I’m Wearing Red for Women’s Heart Health

03 Friday Feb 2012

Posted by themidlifesecondwife in The Healthy Life, Well-Dressed

≈ 3 Comments

Tags

American Heart Association, Health, Heart disease, List of causes of death by rate, Myocardial infarction, National Wear Red Day

What with this week’s controversy surrounding Susan G. Komen For the Cure’s decision to pull funding for Planned Parenthood (a wrong-headed move, I think), the color pink has been front and center in the news.* This suggests that the darker tone in the palette—red—could be overlooked. That would be a shame, because while the horror that is breast cancer claims far too many lives, it is actually heart disease that kills more than half a million women each year, giving it the dubious distinction of being the leading cause of death among women.

(My thanks to Marlo Thomas and her terrific Huffington Post article for highlighting these surprising statistics.)

Today is National Wear Red Day, and to draw attention to the cause, I’ll be wearing the little number shown above when I leave my laptop to lunch with a few Richmond writers. I’ll also be taking a good, long look at the American Heart Association’s “Go Red for Women” website to educate myself about the topic, and then I’ll make an appointment with my doctor to schedule a heart-health checkup.

Why has this issue commanded my attention—even more than the other distressing health topic in the news this week? Because I have a sneaking suspicion that if any disease is going to nab me, it will have something to do with my heart, and not the flesh covering it. And this from a woman who’s already had cancer.

My father died in 1969, two weeks after suffering a massive heart attack. He was only 48-years old. (I was 13. I have now lived seven years longer than he.) His illness occurred in the days before cardiac care units; he spent the last weeks of his life in an intensive care ward, surrounded by other desperately ill or injured patients—an environment hardly conducive to reducing one’s stress level.

His death was one of the most formative experiences in my life, and there’s much more to say about it in a future post. (More to say about my thyroid cancer, too.) But for now, the point I’m trying to make is that my genetic predisposition for heart disease is pretty strong. And I have what Dr. Oz calls the number one “symptom to watch for [—] shortness of breath.” I’d like to pretend these things don’t exist—going to the doctor for any reason is not my favorite pastime—but I really know better. And I really need to know more.

Please read Marlo’s article. There’s a lot of great information to be found there. She’s interviewed Dr. Oz, as well as Barbra Streisand, whom she calls “a front line soldier in the fight against women’s heart disease.” I was not aware that the number one symptom of heart disease is shortness of breath. I’m ready to take action now.

And I’m ready to make my fashion statement.

Oh, and one more thing: I’ll be sending positive energy to every woman affected by either of these awful diseases. Let’s work to help rid the world of both of ’em. Okay?

*A CNN alert on my iPhone just as I was about to publish this post reports that the Komen Foundation has reversed its decision: “Susan G. Komen for the Cure to restore Planned Parenthood breast cancer screening funds, Sen. Frank Lautenberg says.” Let’s hope so…

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How Do I Spell Relief? S-T-A-B-L-E

02 Friday Dec 2011

Posted by themidlifesecondwife in The Healthy Life

≈ 7 Comments

Tags

Breast cancer, Breast cancer screening, Health, mammograms

MorgueFile Image

On Wednesday I posted an essay on the blog about the importance of having an annual mammogram—prompted by the fact that I had to go in for a screening mammogram that afternoon. Before another moment passes, I want to let you know that I’m fine. The results were the same as the screening mammogram I had to take last year at the Cleveland Clinic; in short, stable. Many of you sent me personal e-mails, some of you left comments here, a few of you phoned. Thank you from the bottom of my relieved heart for your concern and support.

It was a long, stressful afternoon, despite the soothing atmosphere of the imaging center to which my gynecologist referred me. The staff could not have been kinder, and they were especially helpful when a mix-up occurred with my Cleveland films. Still, as experiences go, I could have done without this one. I needed all of yesterday to recover my equipoise.

These screenings are sobering affairs; you know that for a few of the women sharing space with you in the waiting room, the news is not going to be good. Last year, at the Cleveland Clinic, a woman wept in the anteroom. There but for the grace of God …

The thing is, my wonky breasts are likely to lead me down this path again. And again and again. As I wrote earlier this week, I was diagnosed with fibrocystic disease when I was in my twenties. (The condition goes by other names: mammary dysplasia, benign breast disease, or this euphemism—new to me—which apparently was coined to diminish worry: “fibrocystic change.”) Last year was the first time my annual mammogram raised a red flag with the radiologist. In my case—and here I’m quoting last year’s test result—”there is a moderate amount of fibroglandular density noted within the right breast … Underlying fibroglandular pattern is stable.”

Stable is a good word. I’m all for stable. It means that for one more year, I don’t have to think about these wonky breasts anymore. (And you won’t have to read about them.)

Thanks again for your concern. But tell me: did you schedule your annual exam?

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Every Picture Tells a Story: Please Schedule Your Mammogram

30 Wednesday Nov 2011

Posted by themidlifesecondwife in The Healthy Life

≈ 16 Comments

Tags

Breast, Breast cancer, Breast cancer screening, Cancer, Health, Mammography, National Cancer Institute, National Institutes of Health

morgeFile Image

I had every intention of writing something lighthearted for this, my last daily post as part of BlogHer’s NaBloPoMo challenge. But my heart isn’t feeling all that light right now, and if there’s one thing I’ve learned about living daily life and writing, it’s this: I can’t fake it. This afternoon, a friend is accompanying me while I undergo a screening mammogram.

For those unfamiliar with the term, a screening mammogram is like needing to have your senior pictures retaken because they turned out so awful the first time. Earlier this month, I had my routine annual mammogram. And for the second year in a row, I received a call several days later informing me that the radiologist wanted a “do-over.” Something on the film of my right breast looked—what was the word I heard when the technician called me?—suspicious? Unusual? I can’t remember. I stopped listening clearly shortly after she identified herself on the phone. Panic, I suppose.

My adventures in good health and otherwise are long and complicated—far too complicated for a single post—so for now I’ll focus only on this new development. Last year, I was relieved when the films came back negative. This year, I’m hoping for the same result. I had no symptoms then, and I have none now, other than the usual annoyance of fibrocystic disease, which was diagnosed when I was in my twenties.

Regardless of today’s outcome, I’ve decided that I will share the experience on my blog. Why? Two reasons, mostly. First, because breast cancer is probably the top rung of the worry ladder for millions of women. Estimates for 2011 from the National Cancer Institute at the National Institutes of Health predict that there will be 230,480 new cases of breast cancer among women; 2,140 among men. (Yes, men can get breast cancer, too.) Deaths this year are estimated at 39,520 for women, and 450 for men.

Second, I believe that it’s in your best interest to have useful and important information, so I’ll be telling more of my story in future posts. If telling my story prompts someone to get to the doctor for a long overdue visit, or to begin to take seriously the reminders to perform self-examinations each month, then that’s a good thing.

My own history is such that it necessitated regular mammograms at an age earlier than what is considered the norm, despite the fact that neither my mother nor her sister ever developed the disease. (I’m an only child, so as canaries in the mine go, I’m it.)

You would think I’d be used to all this rigmarole by now, but I’m not. I’m a bit apprehensive today, and that’s normal.

Here’s hoping my films will be normal, too.

And you out there. Yes, you. The one reading this and thinking, “You know, I guess I should call and schedule my appointment, but I’m just so busy right now…”

Guess what? You’ll always be busy. Don’t panic, but please make time for this; it’s important.

This has been a public service announcement from The Midlife Second Wife.

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A Tale of Two Deaths: Losing My Mother to Alzheimer’s—Part I

14 Monday Nov 2011

Posted by themidlifesecondwife in Relationships and Family Life, The Healthy Life, Transitions

≈ 18 Comments

Tags

Alzheimer's disease, Conditions and Diseases, Death, Dementia, Grief Loss and Bereavement, Health, Life, Neurological Disorders

A note to readers: This post was honored by BlogHer, the Women’s Publishing Network, with a Voice of the Year award for 2012. I have since retitled it and it will appear as Part One of Have You Met My Daughter? My Mother, Her Alzheimer’s, and Me in an e-book anthology jointly published by BlogHer and Open Road Media. I am working to complete Have You Met My Daughter? and will post forthcoming essays, in serial form, on this blog.

A person with dementia (or Alzheimer’s Disease) suffers two deaths. The first death occurs when you discover the illness taking hold, erasing the vivacious mind and the vital spirit of the person you once knew. The second death is when the physical body expires. For these reasons, a bereaved person who loses a loved one—first to dementia, later to death—grieves twice. And although much has been written about mid-lifers—the so-called “sandwich generation“—who are caught between caring for ill or elderly parents while still raising children, perhaps there is room in the literature for one more account. This November, to mark National Alzheimer’s Disease Awareness Month and National Family Caregivers’ Month—and in honor of my mother—I am beginning to write a series of essays about how I loved my mother and how I lost her—not once, but twice.

“Have you met my daughter?”

This was the question my mother, who had impeccable manners, regularly posed to co-workers or acquaintances when introducing me to them for the first time.

“Have you met my daughter?”

This was the question my mother regularly posed to the women seated with her at a table in the secured-wing of the assisted living facility where I regularly visited her. Without fail, each and every time I entered the room, she would ask these same women:

“Have you met my daughter?”

There was, of course, tremendous solace in the fact that despite her illness, my mother did recognize me as her daughter. Nevertheless, it was heartbreaking to see how her memory, her very sense of self, had deteriorated.

The signs had been there for a while; it just took time for me to connect the dots. My mother had always been what used to be called “high-strung.” She suffered from panic attacks, and was fearful of many things, including learning how to drive after my father died.

She had also always been something of an pack-rat. Today, there is a name for this: compulsive hoarding. But at the time when I was grappling with this issue in terms of my own mother, I did not know it was an illness for which there might be a treatment; I simply put it down to another of my mother’s eccentricities. I would clear out as much of the clutter as she would permit (there remained piles that I was forbidden to touch), and a week or so later, my efforts were obliterated. It was not at all unlike Sisyphus pushing his boulder up the mountain.

After several years of this, the hoarding had gotten so out of control that I began to fear for my mother’s safety. I was able to convince her that she needed help; she allowed me to hire a cleaning woman to do her laundry, dust, vacuum the floor, and keep the bathroom and kitchen clean.

It was ultimately the cleaning woman—or, more to the point, the existence of the cleaning woman—which brought home to me the awful realization that something was far more seriously wrong with Mom than eccentric hoarding.

She and the cleaning woman didn’t hit it off, largely because Mom did not like anyone else touching her things. The woman, goodhearted and a good worker, called me to complain about what she could see was a losing battle. I was struggling over how to handle the situation when it resolved itself. Mom called me late one night in a real panic; I needed to come over at once. There was a terrible problem.

When I arrived, she pointed to a hole in the dining-room window screen—no more than two inches in diameter.

“That woman you hired is stealing from me,” she said in a tremulous voice tinged with outrage. “Do you see that? That’s how she’s getting in. She’s sneaking in, crawling in through that hole.”

To be continued …

NOTE: The Alzheimer’s Association is not responsible for information or advice provided by others, including information on websites that link to Association sites and on third party sites to which the Association links. Please direct any questions to weblink@alz.org.

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Walk as Though Your Life Depends on It

12 Saturday Nov 2011

Posted by themidlifesecondwife in The Healthy Life

≈ 1 Comment

Tags

exercise, Health, Walk-ilates, Walking

Canadian geese on the Vita Trail at Byrd Park in Richmond

My grandmother started walking five miles a day when she was 60. She’s 97 now and we don’t know where the hell she is.

—Ellen DeGeneres

I’ve never been much of a runner. Oh, who am I kidding? I’ve never been a runner. I remember getting winded in high school before ever reaching the first curve in the outdoor track. Now that I’m older, my knees are shot. And it wasn’t from running, I can tell you that. And so, especially after my back gave me so much trouble this fall, I’ve begun walking regularly—physical therapist’s orders. My friend Andrea and I meet at Byrd Park in Richmond three mornings a week and walk two miles on the Vita Trail, or walking path. I took this picture of Canadian geese in September with my iPhone, during a layover in their Southern migration. (I know they’re looking for food, but seriously, why walk when you can fly?)

In truth, I have always liked walking. My mother never learned how to drive (well, she did after my father died, but that’s another story), so we walked a lot of places. Or took a taxi, which I found excruciatingly embarrassing, especially when it involved going to the supermarket where I was certain someone from school would see us; or we would bide our time until she could line up my grandfather or one of her friends to drive us where we needed to go.

I remember running—walking—errands for her when I was young; going to Dombrowski’s, the corner store, to pick up milk and bread. If she wanted something that they didn’t carry, I’d walk down one more block to Frank’s Market. I walked to church (one mile); to my grandparents’ house (a quarter-mile); and—when I was really in a jam, home from high school (just under three miles). And all of this before anyone ever really thought of walking as exercise. Back then, it was just the easiest way to get from one place to another.

Never an athlete, I looked for the path of least resistance when it came to my physical education requirement in college. That’s how I discovered power walking. It was great! I could actually burn calories, get my heart rate up, and tone my legs simply by putting one foot in front of the other at a brisk pace. Who knew?

Now that I’m in my fifties, exercise is more crucial than ever before, and not just because of my age. My father died of a heart attack at the age of 48, so genetics isn’t necessarily on my side; I need aerobic exercise to help combat the hand I was dealt. The genes that my mother contributed brought their own shortcomings to the table. She had severe osteoporosis; a fractured hip, her second, led to her death in 2000 along with complications from dementia. I’ve been diagnosed with osteopenia, so a weight-bearing exercise such as walking is hugely beneficial for someone with my history. I’ll be writing more about issues of bone loss in future posts. But as for walking, it is clear that the health benefits are legion.

It’s not easy to incorporate regular and varied exercise into your life if it was never really there to begin with, so for me, walking is the least expensive and most advantageous thing I can do right now. I do have to be cautious, however; after breaking my left leg at the knee several years ago, I find myself in pain if I start out too quickly. With the weather turning colder, both knees are stiff and sore. I know that I’ll have to find a walking substitute soon.

I might try this new thing called Walk-ilates, moves that focus on weak muscles affecting one’s stride. That sounds good. (Although you apparently need a magic circle and a foam-roller-thingie to do the exercises. I used to have a magic circle, but I can’t remember—did I sell it before moving to Virginia? Is it packed away up in the attic? These are the thoughts that deter me from getting on with an exercise program.)

Walk-ilates won’t fulfill my need for aerobic exercise during the winter months, but for that I might be able to incorporate the steps in our townhouse. Or pretend to be a goose and chase the cat around.

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