Holidays

I just finished a very hectic week and a half work schedule. I’m not complaining, though. I get the entire Thanksgiving holiday off work. Am I blessed, or what? I decided it was time to start stirring up some holiday cheer. I know that some of you will poo-poo my pics below, but I couldn’t stop myself. I know Thanksgiving comes first, then Christmas. 

Admittedly, I tend to run the two holidays into one huge blessed event. I think it’s possible to be thankful at Christmas and to have Christmas cheer at the Thanksgiving holiday 😜! This way, I get to have one, long, awesome holiday event until 2018 arrives. 

This year, I decided to go with simple, cozy, and heartwarming decorations. I chose ornaments that were made of burlap, wood, and fabric. The garland is made of burlap sprinkled with “snow,” and I also added some sparkly, glitter snowflakes. My tree lights rotate between white, bold colors, and light colors. I didn’t spend a lot of money on the ornaments, because I was able to buy them in bulk on www.ltdcommodities.com. Check it out. 

I’m hoping that sharing my festive tree brings you some cheer and makes you feel excited for Christmas. For me, it’s one of the special times of the year that I stop and reflect on God’s goodness in my life. I really stop and think about my many blessings. I hope that you’ll take a moment over the Thanksgiving and Christmas holidays to stop and look around at how blessed you are.

Unfortunately, many people go through sad and difficult times during the holidays. Last year, I almost lost my mother to the horrid effects of chemotherapy. Today, a year later, I am happy to report that she scheduled the removal of her port later this week. No more cancer. If you’re in need of prayer, please reach out to a loved one. I would love to pray for you, too. After all, the reason for the season of Christmas is Jesus. He came to this world for you and me, because He loves us. 

“An angel of the Lord appeared to them, and they were terrified. But the angel said to them, ‘Do not be afraid. I bring you good news that will cause great joy for all the people. Today in the town of David a Savior has been born to you; he is the Messiah, the Lord. This will be a sign to you: you will find a baby wrapped in cloths and lying in a manger.” Suddenly a great company of the heavenly host appeared with the angel, praising God and saying, ‘Glory to God in the highest heaven, and on earth peace to those on whom his favor rests.’” Luke 2:9-14.

So kick up your holiday cheer a few notches this week as we head into this season of thanksgiving, family, good friends, and lots of love! ❤️ 

Changing seasons

     I love the change of seasons.  Fall is one of my favorite times because of the cooler weather and the bold colors.  I love to put on a pair of jeans with boots and a sweater and sit out on the front porch with a cup of coffee or go for a walk in the cool air.  
     Over the weekend, I picked up some extra work, and that extra work will continue through this week. My two-hour commute to and from work gives me time to take in the beauty of the trees on the side of the highway.  I'm amazed at the vibrance of the oranges, reds, yellows, and rusts.  I don't tire of looking at them, and the colors take my breath away sometimes. God is quite the artist.
     During my last commute, I  noticed a sensation of urgency to take in the view.  I realized that it could be gone in a few days, since this beauty is on a timer. The rain will come and the wind will blow, and soon winter will descend upon us.  Seasons change. Soon, these beautiful leaves will be on the ground turning brown. My first thought about this was an unpleasant one.  However, I realized that their beauty will be replaced with another beauty.  The bare tree branches will be ready to capture the glistening, white snowfalls of winter.
     Just like the changing seasons, I thought about how our lives go through changes. Change can be uncomfortable, though it isn't always bad.  I see life's changes like many other people do.  We all have our hills where things seem to be going well, and we're coasting along feeling pretty content. Valleys tend to present without a warning, and they can be so trying and difficult.
     During the changing seasons in life, I remember that God is unchanging.  We will always encounter reasons to worry and to lose hope in this cynical world.  We hear those reasons daily from the media. I find it comforting that in the midst of the chaos in the world, God still reminds us of His presence through something as simple as the beauty of the seasons.  Acts 17:27b says, "He is not far from any one of us."  Take comfort in the changing seasons of your life, knowing that God is right there with you.

Good morning and Happy November! The winner of the Starbucks $25 gift card in October was Julie Odle from Evansville, IN. The winner of the 3-day sample of KETO//OS was Barb Borrowman from Pocatello, ID. Watch for more giveaways this month, as we prepare for the Thanksgiving holiday!

Hope is alive

     

     I have a two-hour commute to work. Thankfully, I only work about seven days a month for 24-hour shifts, so I don’t mind it too much. It’s usually a boring drive across I-64, but I’m grateful for the minimal traffic. I usually enjoy this commute as my quiet time to process life’s events. Some days I listen to audiobooks, because I also enjoy a good story to be read to me.
     This morning I felt sad, as another dear friend has passed away from a sudden illness. This is a friend near my age, whose family will have to go on without him, just as it has happened to many others. I didn’t feel like listening to a story or the radio, yet the quiet was too much. I started to pray, but I couldn’t get past my feeling of emptiness and sadness for his family. 
     I thought of Ecclesiastes 3:1-2, which says, “There is a time for everything, and a season for every activity under the heavens: a time to be born and a time to die.”  Verse four adds, “...a time to weep and a time to laugh, a time to mourn and a time to dance.” It seems so matter-of-fact, doesn’t it?
     I looked at the gray clouds ahead of me, as the morning was seeing it’s first light. “What a drab day,” I thought, as I stared at the stark scenery. It really fit my mood, my emptiness, and my feeling of hopelessness in this matter-of-fact world. 
     I looked up and glanced at my driver’s side mirror as I had just done a few seconds earlier. To my surprise, I could see a cascade of beautiful colors filling the small mirror. The sun was rising quietly and slowly. Hues of yellow, orange, pink and blue expanded the sky behind me, as if God just took His paintbrush and painted a magnificent scene in just seconds. It took my breath away. 
     In that moment, I remembered that God promises to never leave us, and that our hope is in Him. He hasn’t forgotten any of us.  Matthew 10:30 says, “And even the very hairs of your head are all numbered.” God knows each of us well and cares for us enough to know every detail about us. This world may seem matter-of-fact at times, but God gives us hope.  His eyes are on us. Psalm 33:18 says, “But the eyes of the Lord are on those who fear Him, on those whose hope is in His unfailing love.”
     So I exhaled out my sadness, and then I smiled. My heart felt warm and full, because God reminded me that He stays close to us, and He is our reason for hope.  That hope will always be alive. 

Chicago

Chicago at night

Chicago from Michigan Street, 29 floors up

Very cold Chicago morning

My daughter and I spent some time shopping in Chicago over the weekend. What a fabulous city! Needless to say, the American Girl Place took up most of our time. That store is huge. My daughter picked out her first American girl doll, Gabriella. Gabriella got her hair done, her ears pierced, and she sat at the table in the American Girl Cafe with us for lunch. She even got her own plate and cup! It was quite the experience, and I have to say that I was amazed. 

Insulin resistance, PCOS, Infertility

     This is mostly for the ladies, but insulin resistance applies to the guys, too. We all hear these terms a lot, and they are all connected.
     Insulin resistance occurs when we take in too much glucose over time (diet, carbs) and our bodies start working overtime to metabolize and use it. When we eat that cookie or donut or that handful of French fries, we are eating carbs (sugar). Our bodies were made to be able to keep our glucose levels in check. As we eat more carbs, our bodies produce enough insulin to keep our circulating glucose level in a normal range, so we don’t become diabetic.
     If we eat too many carbs over time, our bodies start struggling with the production of insulin. Insulin is produced by islet cells in the pancreas. They get tired when they are in demand all the time. As our insulin levels rise up to higher levels to combat the excessive circulating glucose in our bloodstream, we start storing more fat.
     Insulin causes us to store fat well, and it causes inflammation. So higher glucose leads to higher insulin, which leads to more body inflammation and weight gain. This is where a ketogenic diet can help. Lower carbs lower circulating glucose, which lowers the need for excess insulin. Inflammation is reduced and less fat is stored (you lose weight).
     For women, as the elevated insulin causes fat storage (weight gain), that fat also causes a rise in estrogen. Elevated estrogen disrupts the normal menstrual cycle and causes missed periods or irregular periods. Elevated estrogen disrupts the normal release of a dominant egg for fertilization. A normal cycle has an estrogen build and surge mid-cycle, which releases an egg (ovulation) for fertilization (pregnancy). If you are overweight, you have excess estrogen which disrupts this normal cycle. Instead, the elevated estrogen causes many ovarian follicles to grow and get big, causing large multi-cystic ovaries, but no dominant follicle is released (no ovulation). The other term for this is polycystic ovarian syndrome (PCOS).
     If you have PCOS, you are probably overweight, and you may have had gestational diabetes in a prior pregnancy. You may be pre-diabetic. This is why your doctor puts you on an anti-glycemic medication (usually metformin). The doctor is trying to help reduce your circulating glucose, to reduce your insulin level, to reduce your fat storage (weight loss), to reduce your excess estrogen, so 
you can get pregnant.
     Women who are overweight chronically also have an increased risk for uterine cancer. Why? Because elevated estrogen from their fat stores also causes the uterine lining to build and become thickened. It overbuilds and becomes unstable causing the lining to shed causing heavy, irregular bleeding. Over time, the constant building of the lining can cause the cells to become abnormal, just like any other cancer. There is no mechanism to shut down the overbuilding of the lining until a woman loses weight (fat stores). Ladies, if you are overweight, and you’re having one or two heavy periods a year, you need to see your gynecologist.
     I hope this quick explanation has been helpful. Go low-carb!

Halloween Boo

Becky Johnson is a Certified Nurse Midwife I work with in Paoli. She made this and shared it with me. Too cute!

Last chemo!

Celebrating with my mom today. Her last chemo (immunotherapy) for Stage IIIB breast cancer, diagnosed one year ago. She is status post a bilateral mastectomy and radiation. She is looking good! I thank God for her health. I’m also thankful for her doctors: Dr. Bill Hoagland, Dr. Geetha Joseph, and Dr. Carole Scharf from the Baptist system. 

I think it’s time for this tattoo in honor of my mom, my friend Barb, and all of the other survivors out there. Oh yeah, and for me too! This is Barb’s tattoo.

For the Lady Peeps....let’s talk Gyn

     Hi ladies, and any gents who have interest. I thought we’d start with a sip of bourbon for this conversation. Although I’m no longer in office practice, I still work full-time as an OB Hospitalist. I chose this pathway because now I work 24-hour shifts, only 7 days a month. Although the shifts can be tiring, I enjoy having more time off with my family. 
     So, today, I wanted to open up the floor for discussion of OB/Gyn topics. If you have a burning question that you need an answer to, please post it in the comments. If you are asking an embarrassing question, you can also email me at havenofear4110@gmail.com. That is my blog address. Please limit your questions to two for now. I will try to answer the questions as soon as possible. Those questions posted on the blog will be answered first. 
     Let’s have some fun with this, since trips to see your Gyn are never fun!