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How Much Water Should I Drink a Day?

5/25/2020

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As I run through my daily regiment wondering where I may have slipped up a tad on this recent diagnosis of Endrometerial Hyperplasia, I couldn't help but notice my water intake.  Sadly, I've been a bit laxed on my stringent routine due to COVID-19.  It's enough dealing with this whole online working system let alone remembering what I'm supposed to do to keep my health optimal every minute of the day.  

Don't get me wrong, I never deviate too far from my diet.  I am a firm believer this is what has kept me in a decent corner today.  It's not 100% by any means.  But, if I can run at 85% I can get through a normal day.

This syndrome of fibromyalgia can have a huge impact on how you lead your life on a day-to-day basis. A range of treatments are usually prescribed for long term management of fibromyalgia pain including physical therapy, psychological therapy, and drugs. And, of course, we all need support to continue.  But daily food and beverage intake is right up there on the top of the pyramid for folks like us. 

That clear liquid we take for granted every day can actually help to relieve the symptoms of fibromyalgia. Did you know that fatigue and headaches can be caused by dehydration? Our adult bodies are made up of approximately 70% water which evaporates through breathing, sweating and other natural bodily functions. Drinking water helps to flush all the toxins through your liver and kidneys and out of the body. Aim for at least 8 glasses each day – being hydrated will help to fight off fatigue. If you don’t like plain water try a squeeze of lemon juice or lime to add some flavor.


Water is the most underutilized tool when it comes to your health. From hydrating skin and helping with headaches to giving you an endless supply of energy, simply drinking enough H2O each day can pay off in a big way.

"Proper hydration is key not only to making sure we stay alert and energized, but also to keeping everything functioning in our bodies," says Jaclyn London, MS, RD, CDN, Nutrition Director at Good Housekeeping Institute. "Most of us need to drink between 8-10 cups (as a general rule of thumb) of water per day — and much more when we factor in heat, sweat, medications, and humidity shifts."

Yes, remembering to carry much less sip on a water bottle throughout the day can feel like a challenge, but drinking enough water is essential for your wellbeing. How much is enough? Well, much like calories, the amount of water each person needs depends on a few different factors. Read on to calculate how much water you should be drinking each day based on your own unique needs.

I, for one, have been searching for a more specific calculation for my own personal water needs.  I'm going to share it with you.  Upon immediate calculation, I configured this into my Fitbit to ensure I can begin step one of my latest quest to better health. 

​If you want to determine the exact amount you should drink according to your body weight, you can follow these steps:
  1. Take your weight (in pounds) and divide that by 2.2.
  2. Multiply that number depending on your age: If you're younger than 30, multiply by 40. If you're between 30-55, multiply by 35. If you're older than 55, multiply by 30.
  3. Divide that sum by 28.3.
  4. Your total is how many ounces of water you should drink each day. Divide that number by 8 to see your result in cups.
  5. Go grab that to go cup and start filling! 




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Endrometrial Hyperplasia

5/25/2020

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Bleeding post menopause will rile up anyone's day.  Nothing worse than feeling the onset of cramping, that hasn't been experienced in years, accompanied by bleeding.  One's first precaution is to dive into the internet to see if you are not being afflicted with the big "C".  Step two is to call your GYN and ensure you are not harboring a mass of some sort. 

It's not that fibromyalgia offers a myriad of nuances as it is, try adding a bit of cramping, fatigue, and deviant emotions to your day that you haven't experienced for 15 years.  Yet, according to a recent study in NICHD titled, "Women with Endometriosis Have Higher Rates of Some Diseases," researchers found that woman who suffer from Fibromyalgia or Chronic Fatigue Syndrome have a higher risk for issues such as endometrial hyperplasia. That is due to this disease involving pain in the muscles, tendons, and ligaments.

Endometrial hyperplasia is a condition in which the endometrium (the lining of the uterus) becomes abnormally thick. Although endometrial hyperplasia is not cancer, it can lead to uterine cancer in some women.

Endometrial hyperplasia is usually caused by an excess of estrogen without progesterone (female hormones). The progesterone is not made and the lining of the uterus is not shed if ovulation does not occur. This means that the endometrium may continue to grow in response to the production of estrogen. The cells of the endometrium may abnormally crowd (hyperplasia), which may lead to the cancer of the uterus.

What is atypical endometrial hyperplasia?

Atypical endometrial hyperplasia is a premalignant condition of the endometrium. It occurs when there is an overgrowth of abnormal cells, or it may develop from endometrial hyperplasia. In some cases, polyps (tumors) in the uterus can lead to atypical endometrial hyperplasia.

Who is at risk for developing atypical endometrial hyperplasia?

Atypical endometrial hyperplasia usually develops in older women (after menopause). But it can develop in younger women if they do not ovulate or are obese.

What are the causes of atypical endometrial hyperplasia?

Atypical endometrial hyperplasia develops when there is no balance between the female hormones, estrogen and progesterone. This imbalance is called unopposed estrogen and it may be caused by a number of factors including:
  • Hormone changes during menopause (cessation of menstrual period)
  • Estrogen-hormone replacement therapy
  • Breast cancer treatment, using drugs such as tamoxifen (Nolvadex®, Tamofen®)

What are the symptoms of atypical endometrial hyperplasia?

Abnormal vaginal bleeding is the most common symptom of atypical endometrial hyperplasia. Less common symptoms include abnormal vaginal discharges or an abnormal Pap test result.

An interesting comment my doctor asked first was, "Have you been sick recently?" 

"No," I replied

"Have you been under any stress lately?" he asked.

"Well, yes, but nothing out of the ordinary," I answered.

"Because stress plays a vital role in disrupting your hormone levels," he concluded.

You can bet i will be on another adventure here, offering you vital information on this topic upcoming.  He also prescribed progesterone therapy to regain my hormonal balance.  


FutureLearn Unlimited
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Good Reads: Memoirs of a Geisha

5/25/2020

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​Memoirs of a Geisha is a historical fiction novel by American author Arthur Golden, published in 1997. The novel, told in first person perspective, tells the story of a fictional geisha working in Kyoto, Japan, before, during and after World War II and ends with her being relocated to New York City.

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Great Flicks: April Streaming Movies

5/25/2020

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When her idyllic vacation takes an unthinkable turn, Ellen Martin begins investigating a fake insurance policy.

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In early 20th-century Britain, the growing suffragette movement forever changes the life of working wife and mother Maud Watts (Carey Mulligan). Galvanized by political activist Emmeline Pankhurst (Meryl Streep), Watts joins a diverse group of women who fight for equality and the right to vote. Faced with increasing police action, Maud and her dedicated suffragettes must play a dangerous game of cat-and-mouse, risking their jobs, homes, family and lives for a just cause.

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​In the 1950s, truck driver Frank Sheeran gets involved with Russell Bufalino and his Pennsylvania crime family. As Sheeran climbs the ranks to become a top hit man, he also goes to work for Jimmy Hoffa -- a powerful Teamster tied to organized crime.

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Behind the Vatican walls, Pope Benedict and the future Pope Francis must find common ground to forge a new path for the Catholic Church.

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​Arizona motorcycle cop Frank Shankwitz meets a terminally ill boy named Michael and is inspired to change his life, leading to the creation of the Make-A-Wish foundation.

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When a woman is indicted for murdering her husband, her lawyer thinks there may be a conspiracy at play.

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​Emilio, his daughter, and his granddaughter embark on a crazy journey to find the love of his youth before he succumbs to Alzheimer's disease.

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During an impromptu trip to Europe to mend a broken heart, math teacher Frank Tupelo (Johnny Depp) finds himself in an extraordinary situation when an alluring stranger, Elise (Angelina Jolie), places herself in his path. Their seemingly innocent flirtation turns into a dangerous game of cat and mouse while various people, who all think that Frank is Elise's thieving paramour, Alexander Pearce, try to capture the pair.

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Henry Manning (Paul Newman) has come up with a new way to break out of prison: fake a stroke and get transferred to a nursing home. It's a perfect plan, except for one thing: the woman assigned to take care of him at the nursing home, Carol Ann McKay (Linda Fiorentino), has a plan of her own.

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​A highly regarded child psychologist, Dr. Carter Nix (John Lithgow) has shown signs of being unstable, but he completely snaps when he discovers that his wife, Jenny (Lolita Davidovich), is having an affair. Nix's mental breakdown leads to the emergence of various other personalities, including a ruthless thug and a scared little boy. Nix's descent into madness involves murder, revenge and even the abduction of his own daughter, resulting in a suspenseful web of intrigue.

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Great Flicks: Best Streaming in March

5/25/2020

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Susannah Cahalan, an up-and-coming journalist at the New York Post becomes plagued by voices in her head and seizures. As weeks progress and Susannah quickly moves deeper into insanity, her behaviors shift from violence to catatonia. After a series of tantrums, misdiagnoses, and a lengthy hospital stay, a doctor's last-minute intervention enables him to give her a diagnosis and a chance to rebuild her life.

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After her marriage falls apart, a vulnerable woman falls for a new man's seemingly perfect facade and she soon discovers the shocking truth about him.

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A lonely Florida dentist is confronted by a figure from the past bringing news that sends him on an eventful journey of discovery.

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"Serial Killer with Piers Morgan" delves into the minds of depraved serial killers for the first time. These are individuals who haunted communities for decades, and viewers are given access to maximum security prisons to discover what drove these people to kill. Morgan meets with victims' families and law enforcement as he seeks to understand the actions of these killers and what it took to race against time to stop them. Mark Riebe and Lorenzo Gilyard are some of the people who are interviewed.

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Kardec is a 2019 Brazilian drama film directed by Wagner de Assis and written by L.G. Bayão and Wagner de Assis.

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Wracked with guilt after the brutal death of his wife, Stanley Hill inflicts his own brand of revenge after the killers escape justice.

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A city teenager travels to Montana to go hunting with his estranged father, but the trip becomes a battle for survival when they encounter a grizzly bear.

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A city teenager travels to Montana to go hunting with his estranged father, but the trip becomes a battle for survival when they encounter a grizzly bear.

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After his wife and injured daughter disappear from the emergency room, a man becomes convinced the hospital is hiding something

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Chicago librarian Henry De Tamble (Eric Bana) suffers from a rare genetic disorder that causes him to drift uncontrollably back and forth through time. On one of his sojourns, he meets the love of his life, Claire (Rachel McAdams), and they marry. But the problems and complexities of any relationship are multiplied by Henry's inability to remain in one time and place, so that he and his beloved are continually out of sync.

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At first, the CDC said not to wear a mask. Why do we now need to wear cloth masks?

5/16/2020

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​The new coronavirus — or COVID-19 — is spreading across the United States. Health officials are working to understand how to contain it. The Centers for Disease Control and Prevention (CDC) now recommends that everyone in the general public wear a cloth mask in addition to continuing to follow social distancing guidelines when they must go out into public.

Path to improved health

At first, the CDC said not to wear a mask. Why do we now need to wear cloth masks?

As we receive more data about COVID-19, we are learning more about how it spreads. Data shows that many people already have the virus who do not know that they have it. They are asymptomatic, or not showing symptoms. It can take up to 14 days for a person who has been infected to develop symptoms. That means that when these people go to places like grocery stores and cough or sneeze, they are unintentionally spreading the virus.

The new CDC recommendation is not intended to prevent you from getting COVID-19; it is to protect other people. In order to flatten the curve or slow the rate of spread of the virus in your community, assume that you already have the virus. Wearing a cloth mask will help to contain your own germs should you cough or sneeze in a public place. It will help to prevent you from giving COVID-19 to other people.

Should I try to buy a surgical mask or an N95 respirator?

No. Only health care professionals should wear surgical masks or N95 respirators. We are currently experiencing shortages of proper personal protective equipment (PPE) for the doctors, nurses, and other health care professionals who are working to fight COVID-19. Do not use a surgical mask or N95 respirator if you are not a health care professional. If you already have some of these in your home, you can donate them to a local hospital or health care facility.

Do I still need to practice social distancing?

Yes. Wearing a mask should not take the place of social distancing. You should still stay at least 6 feet away from other people when you go out in public. A cloth mask may help to prevent you from giving the virus to others, but it does not protect you (the wearer). It is still important that you stay home as much as possible and continue to properly wash your hands.
What makes an effective cloth mask?An effective cloth mask should:
  • Cover the nose and mouth and fit snugly against the sides of the face.
  • Be secured to the ear with ties or loops.
  • Include multiple layers of fabric.
  • Allow for breathing without restriction.
  • Be machine washable and dryable without losings its shape or fit.

How do I make my own cloth mask?

The CDC has posted instructions for how to make your own cloth mask from materials you may already have at home. You can use a t-shirt or a bandana to make your own cloth mask. See instructions from the CDC.

Things to consider

When you wear a mask, it is important to know how to wear it properly. When using a mask, you should:
  • Wash your hands with soap and water before putting on the mask. If you do not have soap and water available, used an alcohol-based hand rub.
  • Cover your mouth and nose with the mask. Make sure it is snug to your face.
  • Do not touch the mask while using it. Do not touch any other areas of your face.
  • As soon as you return home, take the mask off and put it in the wash.
  • Remove the mask by touching it from behind. Do not touch the front of the mask. Throw it in the washing machine and wash your hands immediately.

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Don't Let Your Guard Down

5/3/2020

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With the advent of many businesses reopening it is normal to feel a bit of excitement as we begin to transition to normalcy.  

But this is not a time to let your guard down just yet.  Rather it's time to renew pertinent information as we head down the road of another month.

COVID-19, short for coronavirus disease 2019, is an infection caused by severe acute respiratory syndrome coronavirus 2 (SARS-CoV-2). SARS-CoV-2 is a newly identified pathogen that has not previously been seen in humans and is highly contagious.

Although it belongs to the same category of viruses as SARS coronavirus (SARS-CoV) and influenza viruses, SARS-CoV-2 is a different strain with its own characteristics. 


COVID-19 was first reported in Wuhan, China, in December 2019, and the outbreak has spread quickly across the world, prompting the World Health Organization (WHO) to declare COVID-19 a pandemic.
How does COVID-19 spread?Because COVID-19 is a new virus, nobody has prior immunity to it, meaning the entire human population is prone to infection.

It primarily spreads via respiratory droplets when people cough or sneeze. Scientists have yet to understand how easily and sustainably the disease can spread among people. Based on available evidence, researchers do not think airborne spread is a major transmission route. 

Individuals over age 60 are at the highest risk of developing a severe case of COVID-19, while children do not seem to be at a higher risk than adults.

There are currently no reports about how susceptible pregnant women may be to COVID-19 or about transmission of the virus through breast milk.

What are the symptoms of COVID-19?

Common symptoms of COVID-19 begin two to 14 days after exposure. They include fever, tiredness, and dry cough. Other symptoms include sputum production, shortness of breath, sore throat, headache, myalgia (muscle pain) or arthralgia (joint pain), chills, vomiting, and nasal congestion. Less frequent symptoms include diarrhea, hemoptysis (coughing up blood from the respiratory tract), and conjunctival congestion.

Most of these symptoms are usually mild, and about 80% of people who get the virus will typically recover without needing any special treatment. However, about 1 in 6 patients become seriously ill and develop breathing difficulties.

What general preventive measures should people take?

The following simple preventive measures can help minimize the spread of COVID-19: 
  • Wash your hands often with soap, lathering both the front and the back of the hands and fingers for at least 15 to 20 seconds. If soap is not available, use a hand sanitizer that contains at least 60% alcohol. The European Centre for Disease Prevention and Control produced a poster detailing effective handwashing.
  • Avoid close contact with someone who is ill. (Maintain a distance of at least 6 feet, or 1.8 meters).
  • Stay at home if you are sick.
  • Use a tissue to cover your mouth and nose if you cough or sneeze and dispose of it properly afterward.
  • Disinfect surfaces and objects you touch frequently. 
  • Avoid touching your eyes, nose, and mouth with unwashed hands.
​

The U.S. Centers for Disease Control (CDC) does not recommend that healthy people wear a face mask.

But as a measure of precaution, it is always best to go out with a mask, preferably an N95.


Is there any specific advice for fibromyalgia patients take?

Because fibromyalgia is not an autoimmune disease, patients are not thought to be more at risk of COVID-19 than someone without the disease. People with fibromyalgia should follow the advice provided for the general population.

What should sick individuals do?If symptoms are present and a COVID-19 diagnosis is confirmed, patients should follow these steps to prevent the spread of the infection:
  • Stay at home, preferably in a separate room not shared with others, and isolate themselves, with the exception of getting medical care.
  • Avoid public areas and public transport.
  • Limit contact with pets and animals.
  • Avoid sharing personal items.
  • Cover coughs and sneezes with tissues and dispose of them properly.
  • Sanitize hands regularly. 
  • Disinfect surfaces such as phones, keyboards, toilets, and tables.

People should call ahead before visiting the hospital for an appointment. This way, the hospital can take necessary steps to prevent the spread of the infection.

Patients who have confirmed COVID-19 should wear face masks when going out. The WHO’s website has a resource explaining the proper use of a face mask. 

What tests are available?  

Many tests for the detection of COVID-19 have been made available under the FDA’s emergency use authorization, including rapid tests that are being developed to detect the presence of the virus within minutes.

The Foundation for Innovative New Diagnostics provides an up-to-date list of different manual and automated tests that are available or currently in development.

Is there a treatment?

There are currently no vaccines available for human coronaviruses including COVID-19. This makes the prevention and containment of the virus very important.

Oxygen therapy is the major treatment intervention for patients with severe disease. Mechanical ventilation may be necessary in cases of respiratory failure.

Are there any new treatments in development?

Several clinical trials have been launched or are being planned to test a variety of potential treatments and vaccines for COVID-19. A complete list of all ongoing clinical trials pertaining to the virus is available here. by Fibromyalgia News Today
​

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