heart disease – In the Woods

a welcome thing

A new beginning is a welcome thing. A new week, a new job, a new term at school. Each brings the thrill of a clean slate, a shining start. The heart leaps up at the chance to try again, to do our best, to sow the seed of something that will grow. Autumn is when we plant the promises of spring, unsullied, pure and perfect.
~ Sally Abbott
(Call the Midwife, season 12: episode 6)

We have successfully made the move from Connecticut to North Carolina! What a wild, hectic, chaotic and exciting time these past few weeks have been. But somehow, with lots of help from family and friends, we managed to pull it off.

One kink in our planning was Tim developing bouts of shortness of breath and chest pressure on exertion. He spent a morning in the emergency room before we left where they determined he wasn’t having a heart attack and advised him to follow up with his cardiologist. So Larisa and I did our best to keep his activity level as low as possible while we scrambled to tie up all the loose ends.

Kat checking her VTech KidiZoom Smartwatch

After we got down here we repeated the process, spending a morning in the emergency room which thankfully resulted in an appointment with a cardiologist the next day. We really like him. Through the magic of “My Chart” medical records he had thoroughly acquainted himself with Tim’s cardiac history. He suspects that 15+ years after Tim’s by-pass surgery scar tissue may have built up and is starting to block the flow of blood. So he has ordered an echocardiogram to see what is going on in there before he decides what needs to be done.

In the meantime our plans to go out walking in our new adopted home have been put on hold. But I am comforted with the feeling that he is in good hands medically, UNC Hospitals being highly ranked among the best in the country.

an olive egger chicken
(a chicken that lays green colored eggs)

Dima & Larisa have made us feel so comfortable and welcome and it is a delight having our grandchildren here to talk to and play with every day. Our real estate agent already has us under contract with a buyer for a selling price higher than we ever dreamed possible. Soon we will be able to find our own place down here. We’ve already started looking online.

I’ve gone out on a few short walks around this cohousing community with the little ones. (Cohousing is an intentional community of private homes clustered around shared space.) This is a magical, nature-loving neighborhood with birds singing all day long. There is a very loud frog outside who has croaked us to sleep for a few nights. Deer are allowed everywhere and help themselves to the abundant greenery.

A new beginning… I love it here!

my turn

11.19.17 ~ Katherine walking in Ireland ♡

For all the products making claims, exercise may be the only miracle cure for both physical and mental health.
~ Mark Bertin
(Mindful, December 2017)

So, after so many years of Tim’s health problems (2007 – heart attack followed by triple by-pass surgery ~ six years of diverticulitis attacks followed by a sigmoid colon resection last January) it looks like it’s my turn for surgery, a hysterectomy. My uterus is full of pre-cancerous cells. Sigh. After spending 26 years wondering if I might get breast cancer like my mother it was a surprise to discover that it is my womb in danger.

Surgery tomorrow. One night in the hospital. If all goes as planned I will be home Wednesday in time to watch the first episode of season 5 of Vikings. 🙂 Then we can plan our trip to Ireland! I cannot wait to take a very long walk with my granddaughter ~ I miss her so much!

11.19.17 ~ Katherine feeding the sheep on a farm outside of Galway, Ireland

food shopping

Ruth Mary Hallock (1876-1945) American Illustrator — illustration by Ruth Mary Hallock

Food – the kind of food we eat and the amount of money we spend on it are hotly debated topics. Because of Tim’s heart disease I’ve been on a quest to find a “diet” that will help his body cope with his compromised state of health. In 2012 we tried a vegan diet and he wound up in the hospital twice that year. In 2013 we switched to a grain-free diet and he has not been hospitalized at all, in spite of being under tremendous stress coping with his brother while he was living with us.

But I’m not writing this to promote any particular way of eating, in fact, my stance is very non-judgmental because I suspect different bodies may need different foods to thrive and avoid disease. One of the most difficult things for me about having Tim’s brother with us for eight and a half months was not that his own diet seemed so unhealthy, but that he never let up on criticizing me for “wasting” so much money on our groceries. I let him cook and eat what he wanted without comment and so wished he would have done the same for me.

I spent a lot of time fuming in my room, meditating, slowly acknowledging my anger and frustration, letting it go, examining with curiosity my beliefs about food.

There is a show on public television I watch all the time called Nature. Because I believe that nature is a great teacher, one day it occurred to me while watching an episode that the chief concern and activity of most animals, who definitely live in the moment, is that of locating and eating food. This thought helped me to see that it is perfectly natural to spend so much time and effort cooking and feeding us well.

This is our story today: It is a story about how spending on food and clothing went from half the family budget in 1900 to less than a fifth in 2000.
~ Derek Thompson
(The Atlantic, April 5, 2012)

It is sobering to see that back in 1900 we considered it normal to spend over 40% of our budget on food! Today the average family spends only 10-15% of its budget on food. And most people complain bitterly about the price of food. We spend more money on fancy “starter castles” and less on nourishing food. Animals will leave their homes and travel to find the food they need to sustain themselves, but we humans demand that our food be delivered to us over great distances and at minimal cost. It seems so lopsided!

So we will continue along our current food path, scouting around for grass-fed beef and wild game, avoiding grains. Paying without questioning higher prices for local and/or organic produce. Knowing that no one has the final answers about food, but feeling much more settled about our choices.

vegan ♥ paleo

4.6.12.1115 — 4.6.12 ~ Jekyll Island, Georgia

To look for a “healthy” diet can be as discouraging as a search for the “true” religion. I spent many years extricating myself from a belief system which had at one time seemed to have all the definitive answers my teenage self was yearning for. One would think I might have learned a lesson or two about words and ideas that sound too good to be true.

Some of my readers may remember a few passionate posts I wrote back in October of 2011, when after reading several convincing books by cardiologists I decided that Tim & I should become vegans to try to reverse his heart disease. In my mind it was a done deal, the final answer. But in the months following our change to a vegan diet, Tim wound up in the hospital twice, which left me feeling demoralized. It was as if eating plants was making things worse, not better.

4.6.12.1122 — 4.6.12 ~ Jekyll Island, Georgia

One day last fall, I happened to catch another cardiologist being interviewed on TV, and he was talking about the evils of gluten and wheat, and how consumption of grains leads to obesity, heart disease and diabetes. And so began another round of research for me, more books, more websites, more theories to contemplate. To make a long story a bit shorter, we have switched to a paleo diet, or caveman diet. Wild game, grass-fed beef, pasture-raised poultry. Lots of vegetables. Nuts and berries. Hunting and gathering. No wheat or grains. Keeping our fingers crossed.

4.6.12.1147 — 4.6.12 ~ Jekyll Island, Georgia

This time around I’m not looking at this change as The Answer carved in stone. It’s an Experiment to see if anything different will happen. I’m the daughter of a scientist after all. Maybe the food we choose to eat has nothing at all to do with heart disease, though somehow I still think it might. But cardiologists don’t seem to agree on the best diet for heart disease, so I won’t list all the authors of the books I consulted. Staying off of the bandwagon for the time being.

Last week we did have some encouraging news after Tim went in for a checkup. He lost some weight and his progress pleased his doctor for the first time since his original heart attack five years ago. Let’s hope we’re finally on the right track, although I am keeping myself carefully skeptical, just in case…

4.6.12.1148 — 4.6.12 ~ Jekyll Island, Georgia

learning by ♥

It’s funny the twists and turns the course of our lives takes sometimes. Last month we were concerned with moving my failing 97-year-old aunt from elderly housing into my father’s house where my sister, her husband and a couple of home-care aides could make her last days as comfortable as possible. Auntie is hanging in there for now, even perking up occasionally now that she is settled in her new digs.

Sometimes we find ourselves bracing for one event when another unanticipated one appears on the scene. Toward the end of August my hard-working, stressed-out husband had an attack of angina late one night (or was it early one morning?) and landed himself in the hospital. Zounds! But the silver lining to that cloud was that son Nate flew up from Georgia and daughter Larisa came by train from New York and we found ourselves swathed in comforting layers of love and support.

This setback in Tim’s struggle with heart disease has left me frustrated and angry with his doctors. Predictably, I went on a search for a new book to give me some fresh ideas about how to proceed from here. After nearly a year on the vegan diet there has been no improvement in Tim’s health which has been a bitter pill for me to swallow. Truly, there are no simple answers.

The book I found, published just this year, is scientifically way over my head, but I’m learning. Learning by heart. About the endothelium layer of the arterial wall. About endothelial dysfunction, inflammation, oxidation, hypertension, and blood sugar. That there are more kinds of cholesterol than you can shake a stick at!

It seems the traditional 5 risk factors for heart disease (elevated cholesterol, hypertension, diabetes, obesity, smoking) are not the only ones doctors should be paying attention to. Of the 20 top risk factors there are, elevated cholesterol does not even make the list. Hypertension is #6, diabetes is #11, obesity is #19, and smoking is #20.

For now I am focusing on #1, endothelial dysfunction and what we can do about it. We can do nothing about #8, genetics, but it is interesting to know that there are myriads of genetic mutations causing different biochemical reactions that each play different roles in the development and progression of heart disease.

On a heart happy note, in the middle of all the other excitement, Larisa and her boyfriend Dima got engaged! It’s so nice to have a wedding to look forward to next year, and I’ve been told it will be very unique, non-traditional and unpretentious. Yes!!! ♥

an ancient disease

This morning we learned that late last night another one of Tim’s brothers, age 57, survived a heart attack. I’ve come to the conclusion that September is heart attack season. You may recall that last September one of his brothers, at age 51, had one, and Tim himself, at age 54, had one in September 2007. It will be interesting to see if the three youngest brothers make it out of their 50s without repeating the pattern laid down by the three oldest brothers.

Apparently the gene came from their maternal grandmother, who didn’t survive her heart attack at age 54, and their maternal great-grandmother, who didn’t survive her heart attack in her 50s – not sure of her exact age. I remember Tim’s mother was thrilled to have made it past the age of 54, only to succumb to lung cancer at age 60.

Egyptian Princess Mummy Had Oldest Known Heart Disease

Poor Princess Ahmose Meryet Amon – her name means “Child of the Moon, Beloved of Amun.” A CAT-scan of her 3,500-year-old mummy revealed “blockages in five major arteries, including those that supply blood to the brain and heart.” Interestingly, “The new study suggests that genetics may be even more important than thought in causing atherosclerosis, and the mummies might hold clues to which genetic factors are involved.” Tim’s cardiologists were certainly very interested in his medical family history. Researchers have yet so much more to learn about cardiovascular disease.

hurricanes and heart attacks

The mixture of the calm with the storm is not haphazard. Quite the contrary. My growth is at the center of each. I will trust its message.
~ Karen Casey
(Each Day a New Beginning: Daily Meditations for Women)

It’s been an unsettling week, to say the least. We’ve been keeping a wary eye on Hurricane Earl since Sunday, hoping it stays on its predicted course and brushes past us to the east tomorrow with minimal damage. The tropical storm watch was upgraded to a tropical storm warning today at noon. Cape Cod is now under a hurricane warning and for some reason I have a desire to go there.

Sometimes it seems that all there is to talk about is the remarkable weather. Yesterday and today we’ve had a heat index of 100º. Today many towns nearby are letting their schools out early because of the heat. The weed pollen levels are “very high.” And there is an air quality alert to boot. The advancing storm should be eliminating all these problems when it arrives. I don’t usually watch the news at noon, where I learned all these bits of information, but I was curious about the hurricane.

Any threat of hurricanes stirs up frightening memories for my father and his sisters. The Great Hurricane of 1938 descended on my father without warning as he was walking home from high school in the afternoon. Fierce winds were snapping branches off trees and other trees were being uprooted as he struggled to keep walking. According to Wikipedia it “remains the most powerful, costliest and deadliest hurricane in New England history.”

When Dad got home he discovered that his mother wasn’t home, only his father, two of his sisters, and a baby nephew. At the height of the storm they were all trying desperately to keep walls from crashing in on them, bolstering them up with heavy furniture and the weight of their bodies. Still, the hardest part was not knowing if his mother was safe, and his sister’s husband, too.

After the storm passed by Dad’s mother returned home. She had decided it would be safer to stay at the neighbor’s house where she happened to be when the hurricane struck. Auntie’s husband was caught at work in New London which had flooded with the storm surge, so he stayed there to help rescue people. Not knowing what had become of him for several days was hard for the family to endure.

Well, thanks to modern technology we can worry a little less about the storm coming tomorrow. And modern technology was at work for Tim’s family this week as well.

On Monday Tim’s younger brother, age 51, had a heart attack. He lives overseas in Luxembourg so we found out about it on Tuesday. It was such an emotional jolt. Since Tuesday Tim’s been trying to make contact with him at the hospital using Skype and finally this morning they connected and had a long conversation, comparing notes, etc. This is still more evidence of a genetic factor at work here, their maternal grandmother died of a heart attack at age 54 – the age Tim was when he had his – and their great-grandmother died of a heart attack at age 52. Tim has four more younger brothers and it’s pretty sobering contemplating the possibilities, although we can all be very grateful for the advances in medicine that no doubt have saved two lives so far.

Our inner selves understand the journey; a journey destined to carry us to new horizons; a journey that promises many stormy seasons. For to reach our destination, we must be willing to weather the storms. They are challenges, handpicked for us, designed to help us become all that we need to be in this earthly life.
~ Karen Casey
(Each Day a New Beginning: Daily Meditations for Women)

never a dull moment

Late afternoon yesterday my son, the one recently diagnosed with diabetes, was hospitalized with chest pains. The doctors have ordered a stress test for today. Scary stuff. He’s “only” 34. Practicing my deep breathing…

A few years ago his wife was in the same cardiac care unit with a mysterious heart problem that turned out to be Lyme carditis. She had no symptoms of Lyme disease until it attacked her heart. She’s all right now, but as a result of the experience they did abandon their “healthy” hobby of Letterboxing in the woods. It didn’t turn out to be so healthy for her!

I hope this blog doesn’t evolve into and endless saga of illness stories!

changing

Can I sail through the changing ocean tides?
Can I handle the seasons of my life?
~ Stevie Nicks
♫ (Landslide) ♫

I have put on thirty pounds since my husband survived a major heart attack and triple by-pass surgery two and a half years ago. A symptom… of what? Stress? Middle-age? Less than a month after the heart attack, my already frail and declining father fell and broke his pelvis, femur and a few ribs. He has since been confined to a wheelchair. Neither one of them wants to exercise… We won’t even go into the healthy eating question… A couple of weeks after that my son was hospitalized with an antibiotic-resistant infection, and in the course of treating that it was discovered that he has diabetes. No family history of diabetes. And eight months after the heart attack I had a highly suspicious (false positive) mammogram followed by the ordeal of a stereotactic biopsy and waiting days for the, in the end, negative result…

Last summer we went to a big family reunion at Shenandoah National Park where I made friends with my “stepsisters-in-law” as we spent four days hiking in the woods together. It felt so good to be active and immersed in the natural world! It began to dawn on me just how sedentary my life had become, the exact opposite of the changes in lifestyle I had started hoping for after the cardiac wake-up call.

spring 2009
Shenandoah National Park, Virginia
bear we met while hiking

Last week I was food shopping and a special interest magazine on heart-healthy living caught my eye. Thinking it might have some helpful recipes I bought it, but inside also found an article on strength building exercises. As I read the instructions and studied the pictures I thought to myself that the exercises were too simple and easy to offer any challenge and have any benefit. Well…

This morning: “Stand with feet just wider than shoulders, toes turned out slightly. Slowly bend torso to the right, bringing right arm toward ground and left arm toward sky. Hold for 1 count and return to start. Do the given reps (5-10), then switch sides.” As I lifted my left arm toward the sky for the first rep it ached, oh so miserably, from that simple stretch! (I shoveled snow yesterday and it didn’t bother my arms – hmm…) I stopped at 5 reps and switched sides, right arm ached, too, but not quite as much. There were six more exercises and they stretched all kinds of long neglected muscles. Some of the exercises call for weights, too. Looks like I now have myself a workout to add to my walks!

I love to walk, especially in the woods. My friend Kathy, whose blog inspired me to begin this blog, wrote a lovely blog post, Why I won’t (usually) go cross-country skiing with you, which touches beautifully on the subject of meandering mystical nature walks vs. cross-country skiing (or for me, brisk hikes) in the woods. (I’d love to try snowshoeing one day.) I think both are needed for body-mind health.