Overcoming Self-doubt while Living with a Chronic Illness

2017-12-12T07:01:01

(BPT) – Many people impacted by rheumatoid arthritis experience feelings of self-doubt – but a head-on approach can lead to self-love.

The mind is directly interconnected with your physical body, and while this stands true for everybody, it is something people living with a chronic illness are reminded of every day.

For people living with rheumatoid arthritis (RA) – an autoimmune disease of the joints that impacts approximately 1.6 million people in the United States – it can be challenging to stay mentally and emotionally positive when your health is always on your mind. The symptoms of RA and their effect on physical functioning can impact overall well-being, which can lead to feelings such as self-doubt.

Does our physical health affect our mental health?

When first diagnosed with a chronic condition like RA, many patients may struggle to accept their disease. The emotional process to acceptance can be difficult, but try to understand your condition better and make a conscious choice to face it head-on.

Further, managing symptoms such as joint pain and stiffness, and fatigue can make it difficult to do common everyday tasks, which can lead to mental and emotional impacts.

So how can you overcome self-doubt?

Turning self-doubt into self-love

For people living with a chronic condition like RA, it’s important to remember that you don’t have to settle. That’s why taking one day at a time is critical in any approach to self-care.

Take the first step by becoming more aware of your emotions and feelings when it comes to the management of your RA. Own your experience with the disease by recognizing and accepting feelings of frustration, anxiety, or guilt about your RA in order to refocus your emotions toward resilience, hope, and joy.

Here are some additional tips and tricks to combat self-doubt:

* Ground yourself: Balance out the negative by thinking about the positive aspects of your life. In doing this exercise, remember that sometimes the positive things are small and simple: a bouquet of fresh flowers on your dining room table, a book that makes you laugh out loud, or a phone call with an old friend. Directing your focus toward these positive aspects of your life can make a huge difference!

* Set a timeline: It’s okay to acknowledge negative feelings sometimes, but don’t let this go on for too long. Give yourself a deadline for when it’s time to mentally shift your focus.

* Invest in yourself: Take some time each day to read, listen, or watch something that uplifts you.

* Set the mood: Create a set of your own soundtracks! One playlist might bring back good memories, another might make you feel motivated to take on a busy day, and perhaps another makes you feel calm and relaxed. Music is a powerful tool, and setting the mood through music is a fun and easy way to practice self-care and redirection of your energy.

* Reflect on your self-perception: Focus on what defines you as a person and learn to accept who you are. Remind yourself of a time when you overcame self-doubt. Ask yourself, “Am I talking to myself the way I would talk to my spouse or my friend?

* Connect with others: Surround yourself with people who love and encourage you. You may also find solace in connecting with others living with RA, whether it is online or in-person.

* Most importantly: Understand your own body and your own needs on your journey to self-love.

Above all, make time for yourself; this alone is an act of love toward yourself! Making time for yourself can take on many forms, including those listed above as well as things like going for a walk, taking a bath, even taking a moment to enjoy the view out of your kitchen window! Making “me time” happen is what can ultimately help you look beyond the negative!

“When I was first diagnosed, I struggled to keep things going,” says Elaine R., patient advocate and administrative assistant living with RA. “Even though I was unable to do my usual yoga routines, I did feel a sense of relief from my yoga music and deep breathing. I think focusing on the positive things in your life, no matter how small, is a great idea. Little joys are a necessity.”

If you have a chronic disease like RA, it’s important to remember that it does not define you and there are steps you can take to better manage lifestyle challenges as a result of your condition. With research and communication with your rheumatologist or other healthcare professional, there are ways to prioritize your health and choose self-love over self-doubt.

For more tips on how to overcome self-doubt and negative emotions, and choose self-love while living with RA, visit www.Arthritis.com.

Content was provided by Pfizer.



Houston-area resident reestablishes running career after total knee replacement surgery

2017-12-15T08:01:00

(BPT) – In 2009 Tomball resident Carrie Rand started running and hiking to stay active, and it wasn’t long before she found herself competing in 5Ks, 10Ks and half-marathons around Houston. Unfortunately, the wear-and-tear on her right knee eventually led to a meniscus tear, subsequent surgical repair and frequent cortisone shots to diminish the pain.

By November 2015, the pain had become too much to bear. Carrie had stopped exercising altogether, had gained significant weight, and was miserable. “We have a game room upstairs in our house where our grandchildren can play. I couldn’t go up there to watch the kids because of the staircase. That’s when I knew I had to do something about my knee,” she said.

After consulting with her physician, she was told that her knee was “bone-on-bone,” and the cortisone would no longer provide her the relief she needed. She sought the opinion of Dr. Daniel Le, an orthopedic surgeon at Houston Methodist Hospital, who concurred with the initial assessment, and suggested that it was time for Carrie to consider a total knee replacement.

Carrie was hesitant because she was only 52 years old at the time, and she assumed knee replacements were meant for people much older than she was — and she was also afraid that she’d always be favoring her new knee.

Dr. Le, who is on the forefront of joint replacement technology, convinced Carrie that by having knee replacement surgery she would not only be freed from the pain, but also regain the stability she needed to resume healthy activity. He chose to implant a MicroPort Orthopedics Medial-Pivot knee replacement, because of the implant’s ability to bend, twist, and rotate like a normal knee.

“Very little of what I do is purely medical or scientific — there’s real artistry as well,” said Dr. Le. “I take great pride in understanding not only the mechanics of replacing a hip or knee, but also the wants and needs of the people receiving those implants. By truly understanding patients’ hopes for the future, I hope I can deliver an experience that matches their expectations. With Carrie, it was important to give her an implant on which she could start exercising again.”

“Dr. Le performed the surgery on a Wednesday morning at 11:00, and I was up and walking by 2:00 that same afternoon,” said Carrie. “Immediately, I felt the difference. My knee was sore from the surgery, but there was no pain when I walked. My knee hadn’t felt that good in five years,” she remarked.

After completing physical therapy, Carrie broached the subject of running to Dr. Le at a follow-up visit, and he was encouraging of the idea. “Dr. Le reassured me that because I am young and healthy this knee will serve me for as long as I live.”

Carrie started running once again. And she found that her new knee gave her the stability to run comfortably. In fact, she ran her first 5K four months after her surgery — an amazing feat. Additionally, her new knee has allowed her to get back into shape, and since she started running, she has lost nearly 70 pounds.

“This surgery has given me my life back. I’m now able to do the things that I love — running and hiking and chasing my grandchildren — without pain. Heck, I’ve even started to take kickboxing lessons,” said Carrie. “I wish I would have had the surgery five years sooner.”


3 simple tips to get delicious, balanced weeknight meals on the table

2017-12-13T14:01:00

(BPT) – Weekday schedules get crazy, which is why the first casualty of all that chaos is the family dinner.

While most families say eating together is a high priority, day-to-day reality is different. According to a 2013 poll by NPR and the Robert Wood Johnson Foundation, only half of children in the U.S. are in families that dine together. Yet research cited by the American Academy of Pediatrics shows that children reap many benefits from regular family meals, from improved academic performance to developing a deeper sense of resilience.

But busy families can find time to sit down together more often, says Colleen Burns, a lifestyle expert and spokeswoman for Nestle’s Balance Your Plate program. To be successful, set the intention with good planning and smart strategies. What’s more, these meals can also be delicious and nutritious.

“When you have simple solutions in your toolbox to get those well-balanced and tasty meals on the table in the little time that you have, it lets you establish and keep an important family ritual,” says Burns, who is also a busy mom of six boys. “At the same time, you don’t get burned out, and that’s key to staying motivated and inspired.”

To help you get started, Burns shares her top three simple tips to get delicious and nutritious meals on the table quickly.

Shop the freezer section: When you’re in a time pinch, frozen foods have many offerings that set a good foundation for any home-cooked meal, Burns says. Oftentimes, the quality is just as good as their fresh counterparts, and they eliminate many steps of prep time, whether you’re looking at entrees, veggies or sides. On top of all that, fruits and veggies are flash-frozen, which locks the nutrients in place.

Don’t sacrifice: If you know what to look for when shopping the grocery aisles, you can find convenient entrees and sides without sacrificing taste or quality.

Burns recommends Stouffer’s Macaroni & Cheese as one easy solution that helps you get a great meal on the table. It has ingredients that consumers would use in their own kitchens, such as freshly made pasta, butter, cheddar cheese and milk. Burns likes to serve it as a side to marinated chicken (see recipe below) and roasted seasonal veggies, because it’s a simple solution that makes her and her family feel good about dinner.

Maintain balance: Look to a variety of entrees and sides to bring a nutritional balance as well as delicious flavors to your dinner menu. Burns recommends opting for lean proteins like fish and chicken served with fresh or frozen veggies. Check out her how-to video, https://youtu.be/fKcY-jiTWJg, to learn more.

Marinated Garlic and Lemon Roasted Chicken Drumsticks with Honey Mustard Sauce

10 chicken drumsticks

1 large lemon zested and juiced

1/4 cup extra virgin olive oil

3 whole cloves garlic, chopped

1 teaspoon paprika

1 teaspoon oregano

1 pinch each salt and pepper

Minced parsley for garnish

Honey Mustard Sauce:

3 tablespoons melted butter

1/2 cup honey

1/2 cup mustard

1 tablespoon lemon juice

Directions

In a bowl, mix together lemon juice, zest, olive oil, chopped garlic, paprika, oregano, salt and pepper. Add chicken drumsticks and toss to coat evenly. Cover bowl with plastic wrap and place in refrigerator for at least 30 minutes. When ready to cook, let chicken come to room temperature for about 20 minutes.

Preheat oven to 375 degrees.

Arrange chicken on oiled foil-lined sheet pan.

Bake uncovered for 20 minutes. Flip chicken pieces and cook another 10 minutes until chicken reaches 165 degrees and is no longer pink.

Make sauce in a small bowl by whisking together the mustard and honey.

Add water as needed for a workable consistency.

With a small pastry brush, brush sauce over chicken and broil 5 minutes until bubbly.

Place chicken pieces on a serving platter and sprinkle minced parsley over all.

Source: Nestle’s Balance Your Plate


Boomers: 10 reasons to go nuts

2017-12-12T06:01:09

(BPT) – For the roughly 75 million Americans who make up the baby boom generation, a healthy diet and lifestyle are the best weapons against age-related diseases.

“It’s vital at any age to adopt good habits to live a strong, fit and healthy life,” says Dr. Mike Roussell, a nationally recognized nutrition consultant and nutrition adviser to Men’s Health and Shape. “Fueling your life with tasty and nutrient-rich foods while making sure to be active every single day are essential components to keeping your body young and vibrant.”

Roussell’s recommendation? Nuts. In particular, pistachios. “Pistachios are a multitasking nut with fiber, healthy fats, and three specific types of antioxidants that may help fight the onset of age-related conditions that lead to poor health in these 10 ways.”

1. Heart health

Large population studies show that people who regularly eat nuts, such as pistachios, have a lower risk of dying from heart disease or suffering a heart attack. Pistachios provide 360-degree cardiovascular support in that they can promote improvements in cholesterol levels, blood pressure and blood vessel function.

2. Anti-inflammatory

Excessive inflammation is one of the root causes of age-related conditions, such as arthritis. Pistachios contain a special form of vitamin E called gamma tocopherol, which has unique anti-inflammatory properties. Gamma tocopherol levels have also been shown to decrease as we age.

3. Weight loss

Being overweight can also contribute to a number of age-related illnesses. Studies show pistachios positively promote weight maintenance as the dietary fiber, fat and protein all work together to make us feel fuller and satiated longer, plus removing them from the shell slows down eating. Pistachios are also the lowest-fat nut.

4. Digestion

The fiber in pistachios also can help with digestion. Research shows that the fiber in pistachios works as a prebiotic and feeds the good bacteria in our digestive tract to improve the health of our digestive system. A single serving of pistachios contains as much as 3 grams of dietary fiber.

5. Blood glucose level

Developing adult onset diabetes, or Type 2 diabetes, is a common fear for boomers. The American Diabetes Association praises the health benefits of nuts, including pistachios, calling them a diabetes superfood because they improve how the body’s cells use glucose and how insulin responds to a carbohydrate-containing meal, namely, stabilizing blood glucose levels.

6. Skin health and appearance

UV light from the sun promotes damage and accelerates the aging of our skin. Pistachios contain two carotenoid antioxidants that are concentrated in the skin and work to filter out and protect it against the damaging effects of UV light.

7. Eyesight

Pistachios contain lutein, a nutrient known to help improve eye health, especially in older individuals. Lutein has been shown to prevent and slow down macular degeneration by providing more pigment for the eye, thereby reflecting more of the sun’s light, preventing damage to the retina.

8. Memory

Preliminary research shows that the fatty acids and antioxidants found in pistachios can help support brain health. The antioxidants in pistachios can help ward off excessive inflammation in the brain, a major cause of accelerated cognitive decline. Another study found that eating pistachios stimulated brain waves that aid the formation of ideas and memory processing.

9. Sleep

Nuts, including pistachios, are rich in minerals such as magnesium. One benefit of magnesium is that it may aid sleep because it assists in helping the muscles relax and quiet activity in the brain by working as an inhibitory neurotransmitter.

10. Energy

Pistachios have been shown to promote energy, which is why so many professional athletes consume them while training. More energy means we’ll commit to getting enough exercise.

But what is Dr. Mike’s main reason for having his clients eat pistachios? “They taste good. People are much more likely to stick to a healthy diet when the food is tasty and fun to eat.”


1 in 5 drivers can’t fix a flat tire. Can you?

2017-12-15T09:27:00

(BPT) – For many Americans, fixing a flat tire remains a mystery. According to a survey from AAA, nearly 20 percent of U.S. drivers don’t know how to change a flat. This is compounded by research saying there are 220 million flat tires annually — and each driver will experience up to five flat tires in their lifetime.

Before hitting the road, study up on these flat-tire-fixing hacks and build up the confidence to complete this all-American road test:

Be spared: Spare tires are usually hidden under the carpet in the trunk area, but they aren’t always included in newer vehicles (allowing manufacturers to make lighter, more fuel-efficient vehicles). When purchasing a new vehicle, ask the dealer about the inclusion of a spare.

Flatlining signs: A flat tire is usually accompanied by a loud noise or rubber flapping. The vehicle will feel like it is being pulled toward the side of the flat tire, and it will feel as if the vehicle can no longer accelerate. When in doubt, activate hazard lights and move the vehicle safely out of traffic, ideally on a flat area with enough space on the side of the road. Once in a safe spot, remember to practice high visibility: Wear a reflective vest and position reflective emergency warning triangles to alert motorists — add these items to your roadside toolkit.

Hit the road, Jack: Having the right tools on board is critical, of course, and that’s where a jack comes in, like a Strongway Jack from Northern Tool + Equipment. Remember, the jack is only used to get the vehicle off the ground, not to hold the vehicle in place — that’s where the jack stands come in to ensure a safe and sustained lift. Refer to the owner’s manual for the proper placement of the jack and the stands, typically the sturdiest part of the vehicle.

Rider’s block: A common, and dangerous, error when changing a tire is not using blocks to prevent the wheels from rolling once the vehicle is raised. A tire-changing tool pack should include bricks or wooden wedges to be placed behind the wheels at the end of the vehicle that isn’t being raised.

Get loose: Once the jack has been cranked up, and the wheel is slightly off the ground, it’s time to remove the hubcap and then call for another key tool, a tire iron, to loosen the lug nuts and then pull off the flat tire. Be careful not to strip the lug nuts.

On the road again: With the flat tire off, line up the spare tire’s holes with the wheel bolts and push on, hand-screwing the lug nuts back on. Then, lower the jack a touch so the wheel is in slight contact with the ground. Use the tire iron to further secure the lug nuts in a “star-like” pattern: After tightening the first lug nut, tighten the one that is diagonally across from it and continue in that pattern. This will prevent the wheel from wobbling.

In an age of mobile phones and easy connection to roadside assistance, the knowledge of addressing a flat tire has gone out the window. But, motorists should know — and practice — the basics of changing a flat to ensure they are prepared for the dreaded pop.


Farming program helps neighbors in rural America fight hunger

2016-10-26T08:45:00

(BPT) – Although the United States produces much of the world’s food, 48 million people in the country are food insecure, lacking access to enough food to sustain a healthy, active lifestyle. What’s even more surprising is that many of the counties with the highest rates of food insecurity are located in rural communities, the very places growing the bulk of this food.

According to Feeding America’s study Map the Meal Gap 2016, rural counties are more likely to have high rates of food insecurity than more densely populated counties. In fact, 54 percent of counties with the highest rates of food are in rural areas. Rural areas also account for 62 percent of counties with the highest rates of child food insecurity.

While shocking to many, these numbers don’t surprise Michelle Sause, Assistant Director of Network Relations at Food Bank for the Heartland in Omaha. Her work with the food bank covers more than 78,000 square miles and spans 93 counties.

“The majority of our counties are rural communities,” says Sause. “We serve over 530 network partners that include pantries, meal providers and backpack programs, Kid’s Cafe and summer feeding programs.”

Some of the challenges in providing food to food-insecure families are unique in rural locations compared to metropolitan areas. These pantries often have limited resources, supplies and volunteers, which makes it difficult to secure meals for people struggling with hunger.

“We have two main challenges — transportation and establishing partnerships with donors in our rural communities,” she says. “With a service area that spans over 78,000 square miles, transportation can be a challenge.”

Sause adds, “Another challenge is finding and securing relationships with donors. This challenge is partly because our communities really want to take care of their own and when a large agency from a bigger city is coming in, it can feel threatening.”

There is a tradition of helping your neighbor in rural communities, including Sause’s. Invest An Acre is a program working hard to uphold that tradition.

Invest An Acre is a program of Feeding America, the nation’s largest domestic hunger-relief organization, designed to engage farmers, agribusiness, and rural communities in the fight against hunger in rural communities across America. Farmers can donate a portion of their crop proceeds at their local grain elevator, by check or online. Donations are doubled by matching partners, and the full amount is distributed directly to eligible local food banks and pantries. This means 200 percent of what a farmer gives goes back to the local food back of that town, and the people who need it most.

Food Bank for the Heartland — just one of many organizations working with Invest An Acre to fight rural hunger — has received more than $50,000 through the program.

“At Food Bank for the Heartland, we have found the best support is locally sourced,” says Sause. “Thank you to the generous farmers who have donated through Invest An Acre and who have encouraged fellow farmers to participate too. You are making a difference in the lives of hungry children, families and seniors.”


5 clever hacks to simplify any family’s morning routine

2016-10-26T15:07:00

(BPT) – Getting the family out the door on time every morning is no small feat. Seemingly simple tasks like getting dressed, packing backpacks and making breakfast can quickly turn into chaos. Before you know it, you’re running late and the kids haven’t even eaten as you dash to the car.

Stop dreading the stressful start to the day and start taking control of your mornings. A few simple tips and tricks will turn the morning craze into smooth sailing. Plus, when you have a stress-free start, the rest of the day just seems to go better.

Select a week’s worth of clothes Sunday night.
Instead of choosing outfits the night prior, supersize your time-saving efforts by doing this task just once on Sunday night. Involve kids in selecting their clothes for the week so they feel empowered in their choices. Then hang entire outfits in the closet or stack in one drawer dedicated to weekday wear. When mornings come, kids know exactly where to find the day’s duds. Bonus: you don’t have to worry about midweek laundry.

Create a routine and set alarms.
Create a morning routine and stick to it. For example, kids wake at 7 a.m., eat breakfast at 7:15 a.m., get dressed and ready at 7:30 a.m., then out the door by 8 a.m. And if the kids need to share a bathroom, set a daily bathroom schedule with alarms to keep kids on track and avoid arguments in the morning.

Get ready before waking up the kids.
Trying to ready yourself for the day while helping the kids is a recipe for disaster. This is why waking before the rest of the family really makes mornings happier. Try getting up 30 minutes before the kids so you have time to get ready and enjoy a cup of coffee. You’ll be fully awake, much happier and can focus on helping the kids stay on-task.

Create morning rules.
Just like you don’t let kids eat dessert before dinner to ensure they eat well, set rules for the morning to keep things moving. For example, no TV until all morning tasks are completed. For teens, smartphones and other mobile devices must remain on the kitchen table until they are ready to go.

Sundays = meal prep.
Make a week’s worth of PB&Js on Sunday and put them in the freezer. This way lunch items are ready to go and the sandwiches will be thawed and ready to eat by lunchtime. For breakfast, make it easy for kids by setting out shelf-stable items they can make themselves. New Jif(R) Peanut Butter and Naturally Flavored Cinnamon Spread keeps mornings interesting. Set out a jar by a loaf of bread and kids can quickly make a tasty sandwich they’ll devour. Learn more at jif.com.

Want to up the ante for breakfast without spending any extra morning time in the kitchen? Try this recipe for delicious overnight oats that can be made in the evening and customized for each family member.

Protein Power Packed Overnight Oatmeal Recipe
Courtesy of WhipperBerry.com

Prep time: 5 minutes
Cook time: 8 hours
Serves: 1-2

Ingredients:

1/2 cup old fashioned rolled-oats
1/2 cup vanilla yogurt
1/4 cup pecans
1/4 cup fresh blueberries and raspberries
Large spoonful of Jif(R) Peanut Butter and Naturally Flavored Cinnamon Spread (or Maple if you prefer!)
1 to 1-1/2 cups milk (basically cover what’s in your jar)

Optional:
1 teaspoon chia seeds
1 teaspoon vanilla extract
1 tablespoon honey

Instructions:

1. In a large jar, layer your ingredients starting with about a 1/2 cup of old fashioned rolled oats.

2. Then add about a 1/2 cup of your favorite yogurt, your favorite nuts and fruit.

3. Next, add a spoonful of Jif(R) Peanut Butter and Naturally Flavored Cinnamon Spread

4. If you want, add chia seeds and a drizzle of honey and vanilla extract.

5. Cover with your favorite kind of milk. You can use cow, almond, coconut or soy milk.

6. Gently stir your ingredients, top with a lid and place in the fridge overnight.

In the morning, you’ll have a jar full of yummy oatmeal ready and waiting for you. Choose to eat it cold or warm it up in the microwave.


The most wonderful (and stressful) time of year. Could you be suffering from seasonal anxiety? Find out how to cope.

2017-12-14T12:01:00

(BPT) – Hot cocoa by a crackling fire. The sounds of family and friends’ laughter heard throughout the house. Your favorite holiday movies on the television. This is the idyllic holiday scene. But what’s the reality? Statistics show us that the holiday season, portrayed as the most wonderful time of year, can also be a time when a few uninvited guests come knocking — stress, anxiety and depression.

If this sounds familiar, then you are one of the millions of people who experience holiday-triggered anxiety. One in five adult Americans already struggle with mental health disorders daily, and during the holiday season 64 percent of people with mental illness report that their conditions worsen, according to the National Alliance on Mental Illness. Even people in warm-weather states like Florida, California and Texas can experience seasonal mental health issues around the holidays.

Why do so many people experience holiday-related anxiety? For starters, the emphasis on family time and togetherness can act as a constant and painful reminder that our lives may not look like joyful holiday cards — putting family conflict, loss, breakups and divorce under a microscope. The stress and anxiety of being confronted with family events, combined with travel, darker and colder days, unusually packed schedules, and lack of sleep can trigger behavioral health issues. Also, when busy and/or traveling, it’s common for people to deprioritize their physical and mental health.

But this doesn’t have to be your reality. You can give yourself the gift of telehealth! Many people, through their health plans, have access to virtual visits with licensed therapists, psychiatrists and psychologists — making it possible to manage mental health and enjoy the busy holiday season. Telehealth makes it possible to access quality care, 24/7, anywhere you have a smartphone or the web. Visit Teladoc.com/therapy to find out how you can access care from your home, on the road, or even right smack in the middle of your family’s holiday dinner.

“A combined 58 million American adults are living with either major depression (16M) or an anxiety disorder (42M), but in my experience, 100 percent of people will experience a stressor, or a loved one will need support, during the holiday season,” says Dr. Monika Roots, vice president of health services at Teladoc, the world’s largest and most trusted provider of virtual care delivery services. “One of the reasons I’m an advocate of telehealth for mental health is that it allows people to access care upon feeling triggered, not waiting weeks to get an appointment. After your aunt asks you why you’re single at the dinner table, for example, you can talk to someone immediately, making it easier to proactively manage stressors before they become major issues.”

How else can you help yourself or a loved one maintain positive mental health during the holidays? We asked Teladoc’s Dr. Roots for the top five ways to mitigate holiday-triggered anxiety. Here’s what she said:

1. Set boundaries. If you are overwhelmed by family, friends or work commitments, take quality time for yourself. A long walk or designated time unplugged from work or social interactions will help clear your mind.

2. Ask for help. If you need to talk to someone, don’t hesitate to get care. If you are away from your therapist or psychologist/psychiatrist, telehealth services are available by phone, web or mobile app. Check out Teladoc.com/therapy for more information.

3. Stick to a routine. If you are traveling, try to wake up, eat and go to bed at the same time as you normally would at home. Keeping an organized, regular schedule will help mitigate stress and anxiety.

4. Exercise. Maintaining physical health is key to maintaining mental health. Anything counts, even a walk around the mall while shopping!

5. Get some sleep: Try to log 7-9 hours a night. This will help improve mental focus and overall mood.

Many people don’t realize that they have access to a telehealth solution like Teladoc through their health benefits, or that these services offer mental health support. Further, as opposed to 25-day wait times for a mental health visit (according to the Kennedy Forum), you can see Teladoc licensed therapists and psychologists/psychiatrists within minutes, so you can get back to enjoying your holiday.

“I know that seeking mental help is deeply personal,” said Dr. Roots. “It’s my personal mission — and one that’s shared amongst all of us at Teladoc — to make sure no one ever feels alone as they navigate their mental health. If you’re experiencing stress, anxiety or depression this holiday season — or ever — please reach out to a doctor for support. If you do decide to try Teladoc, know that you can speak to the same person throughout your course of care, if you so choose.”

To learn more about Teladoc and telehealth’s role in mitigating holiday stress and anxiety, visit Teladoc.com/therapy.


Useful tips to help caregivers navigate the cost of care

2017-12-19T13:17:00

(BPT) – When a patient receives bad medical news, it can be a paralyzing moment. It’s easy to see how any serious diagnosis can shatter someone’s life into a million pieces, but we often overlook what’s happening to the caregiver who’s devoting their time and energy to provide care. On top of the physical and emotional demands, the financial cost of caregiving is unavoidable.

What makes someone a caregiver? American caregivers support patients in a variety of ways. They can be young or old, live close by or miles away and provide care full time or part time. Many of us are caregivers – for our children, parents, siblings or even close friends. Maybe you are a caregiver who provides “hands-on” care now, but may be called upon to provide financial assistance in the future. It’s crucial for caregivers to make wise financial decisions about caregiving — for their loved ones and just as importantly, for themselves.

At 34 years old, Danielle Fontanesi had to give up her job as a full-time attorney so she could care for her husband, Matt. Matt was fighting acute myeloid leukemia and needed around-the-clock care while recovering from a stem cell transplant. Fontanesi wasn’t able to go back to work for more than a year, and found it challenging to find a new job given her employment gap, which cost her more than $175,000 in lost income. The cost of relocating next to a major cancer center where Matt was treated was also substantial.

“Not only did I lose income, I lost a year of career progression,” says Fontanesi. “We still had to pay our rent, car payments and hospital expenses, while not having income during this period.”

According to Gwen Nichols, MD, Chief Medical Officer of The Leukemia & Lymphoma Society(R) (LLS), Fontanesi is far from alone in her financial plight.

“Again and again, we find that caregivers make huge financial sacrifices to care for their loved one,” Nichols says. “When you tally up the losses, it’s quite astounding: loss of wages, loss of health insurance, loss of retirement savings and the list goes on. These hold serious financial consequences for caregivers.”

Over time, the economic burdens of long-term medical care can create added distress for patients and caregivers that is often called “financial toxicity.” Financial toxicity occurs when growing out-of-pocket healthcare costs lead to serious financial problems. Out-of-pocket costs can include anything from hospital stays or outpatient services to medical equipment and medications.

To help caregivers navigate the cost of cancer care for themselves and their loved ones, Nichols offers these important tips:

Encourage your loved one to seek a second opinion: When appropriate, caregivers should help their loved one seek a second opinion. A second opinion can help ensure an accurate diagnosis, which can then guide your loved one’s treatment plan. An accurate diagnosis enables resources to be directed in a way that offers your loved one the greatest potential benefits, both in terms of a better health outcome as well as financial impact. When weighing multiple treatment options or in circumstances of uncertainty, it’s also helpful to gain a second opinion to help inform the best course of care and avoid the detrimental health effects and costliness of incorrect or unnecessary treatments.

Help start a dialogue: It’s crucial to have an open conversation with healthcare providers about financial pressures. You and your loved one should partner with their medical provider to understand the cost of certain services and treatments. This information can help empower you and your loved one to make the right decision for you and your family. For example, your loved one may be able to choose among treatments or select providers or treatment centers that offer the same or even greater potential benefit, but at a lower cost.

Be an advocate for change: Your voice as a caregiver is valuable, and can help shape discussions about the cost of care. Whether you act as an individual or part of an organized effort by a patient advocacy organization, you can make an impact by sharing your story about the financial hardships you’ve experienced. These firsthand accounts are vital for spurring action. To learn more about LLS Advocacy and how you can raise awareness about the cost of cancer care, visit www.lls.org/be-an-advocate.

Take advantage of available resources: Caregivers are often hesitant to seek help and are often unaware of the many resources available to them at their fingertips. LLS has free resources and support services such as online chats with medical experts, support groups, help with financial pressures, referral to other helpful local and national resources, and more. To learn more, visit www.lls.org/support/caregiver-support.

Nichols also notes that it’s crucial to take time for self-care and remember that your family is your first resource, so don’t be afraid to reach out to them for help. There are many ways for friends and family to lighten the load in this challenging time: assisting with home repairs, running errands, or preparing a meal. These kind gestures go a long way when there’s financial strain. After all, if you sacrifice your own health and well-being, you won’t be at your best to effectively care for a loved one.


5 Must-know Investing and Retirement Tips

2017-12-12T08:01:00

(BPT) – Parents and grandparents typically pass down many things to the next generation — jewelry, furniture and other family heirlooms. But what if the best thing that the preceding generation passed along was their financial wisdom? Through years of investing and saving for retirement, Baby Boomers have experienced a lot and learned many helpful lessons along the way.

A recent survey from Capital Group(R), home of the American Funds(R) and one of the world’s leading investment management firms, studied the dynamics for Boomer investors as they transitioned into retirement. The survey revealed what expenses cause the most sticker shock for retired Boomers, why they retire earlier or later than they planned, how they see the financial markets performing over the next 10 years, and their goals for growing their retirement nest egg to ride out the market’s ups and downs.

Five Golden Rules From Retired Baby Boomers

Boomers have learned many lessons — some good, some bad and all beneficial to future generations of investors. Here are five rules that these seasoned investors found to be essential to saving for a secure retirement.

1) Stay invested for the long term — A large majority (92 percent) of retired Boomers say that Americans need to save more for retirement by getting and staying invested in the market. When asked about what they would do in fluctuating markets, only three in 10 (32 percent) would adapt their strategies based on market conditions.

2) Keep an eye on fees — Low fees and transparency really matter to Boomers. Ninety-four percent of retired Boomers want to be able to easily understand the fees they pay, and 78 percent stressed low-cost simple investments to buy and hold for the long term.

3) Diversify your portfolio — Eighty-five percent of retired Boomers believe that building a diversified portfolio is one of the most important elements for a safe path to a better retirement.

4) Protect yourself against market downturns — Eight in 10 (80 percent) retired Boomers stress the importance of protecting their nest egg and lowering the risk of losses during market downturns. Thirty percent of Boomers wish that they had learned sooner what to do in turbulent markets — near the top of the list of lessons learned.

5) Start saving early and often — Eight in 10 (79 percent) retired Boomers believe saving a portion of monthly income toward retirement is one of the best things you can do, and 60 percent said they wished they had started investing as young as possible.

Unexpected Retirement Costs

Retired Boomers are surprised by their spending patterns and are paying more than expected on unanticipated items.

Health care tops the list in terms of surprise costs and unanticipated spending in retirement, with 43 percent saying they are spending more on health care than they had planned. Travel, an activity popular with retirees, is also more costly than expected, with 40 percent of retired Boomers spending more on travel than they anticipated. Rounding out the top five items: One-third (34 percent) report paying more in taxes than expected, and about a quarter say they are spending more than they had planned on food (25 percent) or utilities (23 percent).

While these surprise costs may exceed retired Boomers’ expectations, they are not losing sleep over their finances. Among Boomers who are already retired, less than one in three (27 percent) list having enough money for retirement as a top concern, while two-thirds (65 percent) of Boomers still working say it is a top concern.

Whether your “perfect retirement” is traveling the country on a motorcycle, sitting by the pool all day or starting your dream second act, following these rules could put you on track to fulfilling your retirement dreams.

For additional findings and the full report, “Expect the Unexpected: Baby Boomer Lessons on Investing and Retirement,” visit http://bit.ly/2y8rokm.