Understanding Kidney Stones: What are They & How do They Form?

Understanding Kidney Stones: What are They & How do They Form?

by | Mar 9, 2020 | Expert Health Tips

If you’ve ever suffered from kidney stones, you don’t need to be told how painful they are. They’re also very common, as more than half a million people visit emergency rooms each year for kidney stones. As a nephrologist, I see a lot of kidney stone cases. They are most common in warm, humid times of the year; when people sweat, they get dehydrated, which isn’t good for the kidneys.

We tend to see more men with kidney stones than women; about 1 in 7 men will have a stone in their lifetime. Females experience about half of that. Although interestingly, in the last 10 to 20 years or so, kidney stones in females has been on the rise.

How Do Kidney Stones Form?

Calcium or Uric Acid Build Up

The most common reason is a build up of too much calcium in the urine. About 8 out of 10 types of stones that are formed are calcium stones, and a smaller percentage are what we call uric acid or gout stones.

Chronic Infection

Some kidneys stones are caused by chronic infections, but these are much less common

Other Contributors to Kidney Stones

  • Age: As we get older, we’re more prone to get kidney stones. Caucasians have the highest incidence of kidney stone disease of any ethnicity.
  • Family history: If someone in your family has or had kidney disease or stones, you’re more likely to develop them.
  • Obesity: People who are obese and people who lose weight after bariatric or weight reduction surgery, have a higher incidence of kidney stone disease.
  • High-salt diet: When you have too much calcium in your urine it is usually a result of too much sodium in your diet.

Kidney Stone Symptoms

Pain

The most common symptom of kidney stones is abrupt, severe pain. It’s usually felt in your back, or what we call the flanks, although the pain can be felt in a number of different areas, starting from your back, rotating around to the side, going into your groin, and in some cases it actually goes into your genital area. Note again that this pain would be abrupt, severe and may or may not include some blood in the urine.

What to Do if You Think You Have Kidney Stones

If you’re having severe pain, go to either an urgent care or an emergency room to be checked. Providers will likely need to do an X-ray (there are several types of X-rays or scans to diagnose kidney stones) or ultrasound, as well as a urine analysis. A physical exam also provides clues, because you may have a pelvic or bladder infection; or even appendicitis or gallbladder attack that can mimic kidney stones. It’s important to have a good handle on your medical history.

Treating Kidney Stones

Treatment depends on the size of the stone.

Water and Pain Meds for Smaller Stones

Drinking a lot of water and easing the pain are the best ways to deal with smaller stones. If the stone is less than about 5 mm, which is small, it most likely will pass through with urination, along with pain meds and hydration. Hydration will be either orally or through an IV, depending on the severity of dehydration. Finally, on rare occasions we might need to use other meds, like alpha blockers, to help pass those stones.

Surgery May be Needed for Larger Stones

If the stone is greater than about 10 mm, it likely won’t pass on its own, so surgery is the best option. Surgeries include:

  • Lithotripsy, where sound waves are used to break up the stones
  • Cystoscopy, which goes through the bladder with a small ‘basket’ to break up stones
  • Major surgery, where the kidney stone has to be cut out or directly visualized by the surgeon

Home or Hospitalization?

Whether you are treated at home or in the hospital really depends on your degree of pain. If you can drink water and take your pain meds without nausea or vomiting, you can wait it out at home – again, taking your meds and drinking a lot of water.

But if you are vomiting or having severe nausea, which can be very common with stone disease, then you’ll likely be hospitalized.

Preventing Kidney Stones

Hydrate

I tell my patients to think about it like this: Say you’re putting sugar into iced tea. If you use too much sugar, it all falls to the bottom and the only way to get it back is to put in more tea. Well that’s what happens with urine. You get too much unwanted stuff in the urine and it falls to the bottom, and forms crystals and stones.

How much water? We want people to hydrate to the point where their urine is pale yellow. The exact amount of water is individual; we can’t tell someone how much water to drink, exactly. But seeing pale yellow urine is a good goal. If you are someone with a lot of kidney stones, you may even have to get up in the middle of the night to drink water, because during the night is the longest time you go without liquid, and that’s when your urine becomes most concentrated and can potentially form a stone.

Eat Less Salt

As I mentioned earlier, excessive salt intake is the most common reason why people get stones. Salt affects other components of urine, like uric acid and other minerals, causing crystals and stones to form. I’m a very strong proponent of the D-A-S-H (Dietary Approaches to Stop Hypertension) diet, which has been shown to decrease the incidence of stone disease as well as reduce blood pressure. The National Institutes of Health did studies on this diet dating back to the 1990s; it’s been very good for lowering blood pressure as well as preventing kidney stones.

Dr. Leslie Spry, MD FACP FASN FNKF

Dr. Leslie Spry, MD FACP FASN FNKF

Dr. Leslie Spry is a Nephrologist with Lincoln Nephrology and Hypertension.

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Why It’s Difficult to Watch My Grandkids Play Sports

Why It’s Difficult to Watch My Grandkids Play Sports

by | Mar 2, 2020 | Grandparents

I’m getting older, that’s a fact. I try to follow the “aging” suggestions my doctor gives me and while I’m not worried about an injury, I do notice I think about it more now than in the past. The injuries I’ve endured are a few bruised fingers and a twisted ankle from playing pickleball. I’ve been fortunate to avoid anything which required an ER visit, casts or crutches, but it’s my grandkids who worry me.

As grandparents, we’ve become permanent bleacher bums for the past 15+ years. From those early years, it was significantly painful to watch Y team soccer, baseball, softball, basketball, tennis and volleyball games. My husband and I have been faithful attendees at hundreds of sporting events. I use the term sporting events loosely, as in many games we watched a granddaughter spend more time picking dandelions than she did chasing the ball.

As Intensity Increases, So Does Caution

As the grandkids grew and learned the various sports, the action got more heated. Fortunately, our grandkids didn’t get hurt when they were young, but some of their friends experienced injuries. I saw the tears and agony in the faces of the child, their parents and even their grandparents.

I recognized I was becoming more and more anxious. I’m sure there is some scientific formula where, mass (speed) + the number of practices + games = the higher probability of an injury. I may have missed that chapter in my high school textbook, so don’t quote me. With two grandkids in college and one in high school still competing, watching their events brings me a thrill, much joy and pride, but with a tinge of wincing and cringing. I don’t tell them this, but it’s true.

Even Safe Sports Can Be Scary

Our oldest grandchild rows crew in college. Sounds like a safe sport, right? Have you ever read any headlines about an accident in a crew race? The boats go in a straight line for heavens sake. However, one look at her calloused and blistered hands make me weak. Then there was the concussion she received while practicing, which was beyond my comprehension. I wonder if the crew team rows with itty bitty life vests in those skinny boats?

Our second grandchild is also a college athlete and plays volleyball. She entered college recovering from ACL surgery she received playing high school basketball. This recovery was very painful for me to watch, and I developed a sympathetic limp watching as she recuperated. By fall, her recovery was great, but the vision of seeing her dive on the court to dig a 45 mph spike delivered by a giant opponent took my breath away. I know I missed some great plays because I had my eyes shut!

The Fear from the Bleachers Is Unrelenting

This winter we have watched our grandson play high school varsity basketball. At 6’3” I’m sure he can take care of himself. I watched him break his pinky finger and I immediately wished the injury would bench him for the rest of the season, but no such luck. He was back in a week with lots of tape on his hand. Two weeks later he was fouled while airborne making a lay up. I watched as he lay crumpled on the court and I feared the worse. Thankfully, it was not a knee, but a sprained ankle. He was out for only one game—hallelujah!

As spring approaches, I remind myself we now have baseball games to watch. I love watching baseball. What could possibly go wrong when your grandson stands in the batters box and the pitcher throws a ball at him from 60 feet away at a speed only cars should be allowed to travel? I won’t tell any of them about my fears. I only tell them I love them and will cheer them on at every event I have an opportunity to attend. Eyes open or eyes closed? I’ll decide that at the time.

Nancy Becker

Nancy Becker

Grandkids & Grandparents

I have four grandchildren ages 14-17. In some ways, I’m a very typical grandma, always proud of everything the kids do and wanting to help support them in whatever way I can. In other ways, I’m not very typical. My goal as a blogger is to share my thoughts and experiences that I think are funny and meaningful as I adventure through grandmahood.

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Thank You, Basketball

Thank You, Basketball

by | Feb 24, 2020 | K-12

The thrill of the jump ball. The adrenaline rush running onto the court to be the first sub into the game. The final buzzer sounded and the tears of frustration flooded down her face. As I hugged my daughter, encouraging her there was still hope in playing another game, I was flooded with emotions. Basketball, you have taught our daughter many lessons that will go well beyond the court.

You Helped My Daughter Grow

Let me just say this first: basketball you are not my daughter’s favorite sport, but she poured her heart into playing your game. Our daughter with her tiny stature and frame could have quit long ago, but you didn’t let her give up on basketball. You gave her a mental challenge, you showed her she had something to prove, you gave her adversity, and finally you gave her a lesson in learning the importance of individual roles.

Basketball, time-and-time again you stretched our daughter’s mental focus. Yes, there were days she needed to work on her shooting or dribbling, but the games of staring frustration in the face because things didn’t go well taught her to persevere. She would need this skill when you gave her adversity through a knee injury.

You Taught My Daughter Invaluable Lessons

She needed perseverance to rehab her knee, she needed to persevere when she hit the valleys and she also had to overcome her fear of returning to the court. Basketball, our daughter did not step down from this adversity and she became mentally stronger. She wanted to prove to you she would be back on the court. She wanted to prove to you, you did not take away the sport she loves—softball.

Basketball, from the mother’s perspective, the greatest lesson you taught our daughter was how to handle a role. You taught her that every game, every situation and on every team there are roles. You taught her to first understand what her role was and how to embrace this role. There were games where her bench minutes far outweighed court minutes.

She embraced those bench minutes by focusing on encouraging her teammates. There were games she started—she embraced those starts. There were games where her role was to give the starters a one-minute break, and she embraced those minutes. Basketball, you do not realize how important a lesson you taught our daughter. What she learned from you will carry with her in every group project, every student she will teach and every athlete she will coach.

You Helped Me Grow with Her

Basketball, it broke my heart watching my daughter sit on the bench. I hated you when she was injured, but I loved watching her play. I loved watching her encourage her teammates. I loved seeing the smiles the coaches exchanged when our daughter embraced whatever role they had for her.

While I sit here and reflect upon what you have taught our daughter, my heart swells with pride. Basketball, thank you for impacting our daughter’s life. Basketball, it truly does take a village to raise a child and I am forever grateful.

Shelly Mowinkel

Shelly Mowinkel

K-12 & Teens

My husband and I have three kids. Our oldest is a freshman in high school, and our youngest is in second grade. Most days, I feel like we are a “tag-team chauffeuring” service, yet I wouldn’t have our life any other way. Not only I am a business/technology teacher at Milford, I am also the district technology integration specialist. I love teaching because I get the opportunity to make those around me better. My hope is that, through my blogging, I am able to inspire, encourage, and share with you my adventures of being a wife, mother, and professional.

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When is it Okay to Leave Your Kids Home Alone?

When is it Okay to Leave Your Kids Home Alone?

by | Feb 17, 2020 | K-12

School holidays, after school times and summer present challenges for families when parents work. Finding suitable care for children is tricky, particularly when usual arrangements fall through or kids tell you they are too old to be looked after.

When Is the Right Age to Let Kids Stay Home Alone?

It’s no wonder that many parents look forward to the day when you don’t have to pay for child care. But how do you know when the time is right to let your child stay home alone? My son, who is 9-years-old, goes to an after-school program and then goes to full-time daycare during the summer. However, my husband and I are debating putting him in summer camps and forgoing daycare. But then we’ll lose his spot for next year for after-school care. After this summer, is he old enough to walk home by himself and be home alone until we arrive?

There are a lot of factors that need to be ironed out before deciding if he is ready to be left home alone. However, registration is open for summer camps and our daycare provider would like to know if he’s coming back. First the logistics—we needed to get the house ready. We had to install a new keypad garage door opener, so he’s not fumbling with keys. Then, we installed a ring doorbell and a camera inside the house. Lastly, we enabled his iPad to make phone calls only to the people we programmed in. Now that I feel comfortable with the house, I needed to see if Cohen was ready.

Train Your Kids on Being Home Alone

Leaving kids on their own for short periods is good training for independence and problem solving. I would take a five-minute trip to visit to a neighbor, a twenty-minute walk around the block or a quick trip to the supermarket—these were great opportunities to leave Cohen unattended for short periods. He and his younger sister were never home alone together. I know he’s not ready to take on the responsibility of him and his little sister.

As I have said before, Cohen is my good kid. He’s capable of managing problems or unforeseen circumstances, such as a stranger knocking on the door. He isn’t easily flustered by unknown circumstances. We have discussed different scenarios like what he should do in a power failure or what to do if there was a fire. We also discussed what neighboring houses he can go to in case of an emergency. If school is let out early or he has a random day off, he will have someone there to watch him. A couple hours after school is long enough—not the entire day.

Trust Your Kids to Do the Right Things

Leaving children at home on their own involves an element of trust. I feel comfortable that Cohen will behave well and can keep himself safe. We laid out our expectations about his behavior, his activities, his use of digital devices, the food he can eat and who is able to visit—no one! We will be clear with our expectations and let him know that we trust him to do the right thing.

We as parents need to think carefully about many things before leaving our children alone. Putting children in situations they can handle can help teach them independence and responsibility. But asking too much too soon can be a frightening and potentially dangerous situation. I’m sure when the summer is over and the school year is starting I may feel a little more anxious. But for now, we will practice until we all feel comfortable.

So at what age do you feel comfortable leaving your children home alone?

Mallory Connelly

Mallory Connelly

Babies & Toddlers

In addition to the time I devote to being a mom, I also work full-time outside the home, which means my day is hardly ever as simple as nine to five. With an all-too-established schedule, as soon as I walk through the door, my day doesn’t end, but rather just begins. It’s a balancing act, especially with two children, but being a mom is one full-time job that I never want to quit!

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The ‘Pet Effect’ and Its Impact on Your Mental Health

The ‘Pet Effect’ and Its Impact on Your Mental Health

by | Feb 10, 2020 | Expert Health Tips

If you’re on the fence about adding a pet to your family, here is something in the ‘plus’ category: Pets can be very good for your mental health and well-being. As a mental health professional for more than 27 years, I’ve seen in my practice as well as my own life, how pets can truly make a difference. Whether it’s a dog, cat, bird or fish, many studies prove the benefits of sharing your home with a pet.

Our little “shorkipoo,” Ollie, has been with our family for three years now. He was a gift to our youngest daughter, but this little guy with a big voice has brought a lot of joy and happiness to our family as well as to friends and our neighborhood. (I think more people know where “Ollie” lives than where we live!)

Pets Improve Our Well Being

Just ask nearly any pet owner and you’ll hear how spending time with an animal helps them relax and alleviate stress. While the phrase “emotional support animal” has become commonplace, the science behind the “pet effect” is beginning to back up the claim that pets improve our well-being.

So how about those studies? For starters, they’ve found that:

  • Service dogs aid treatment for military members and veterans struggling with PTSD
  • Pet ownership benefits those experiencing mental health problems
  • Therapy dogs reduce stress and increase feelings of well-being in college students

A lot of research is also being done on how animals can help children who have conditions like autism spectrum disorder, ADHD and others, be more comfortable and present in the classroom.

According to the Mental Health Foundation of the United Kingdom, “a pet can be a great source of comfort, companionship and motivation for their owners. In many ways, pets can help us to live mentally healthier lives.” I’ve seen this in my own life. My father lights up when we bring Ollie over for a visit. And when my late mother was ill with cancer, Ollie always put a smile on her face.

So What Is It about Pets that Makes Such a Difference?

Pet ownership creates a sense of responsibility. In turn, that sense of responsibility promotes many positive behaviors with benefits for both our behavioral and physical health. Regular exercise, for example, helps improve mood and well-being. When you take a nice long walk with your dog, you get a physical workout as well as the emotional satisfaction of bonding with and caring for your pet. I walk Ollie at least a couple of times a day, rain or shine, and have him to thank for sticking with my exercise routine!

Pet ownership has social benefits. Walking a pet gets you out of the house and into your community, where you can greet old friends, meet new people and interact with other pet owners. In our case, a walk around the block that should take three minutes can take 30 because every little kid wants to pick up Ollie or pet him.

Caring for a pet requires following a routine and building some structure into your day. While the schedule you follow actually may be one you set up for your pet, just having a regular routine in the first place can be an important accomplishment for many struggling with their mental health.

Stroking a dog, cat or other animal helps reduce stress. In fact, even just the companionship of having a pet around can be a source of comfort and relaxation. When my daughter comes home from school, Ollie is first on the scene, showering her with unconditional love and affection. What better way to decompress from the day?! Pet ownership can also counteract feelings of loneliness and help ward off anxiety, and can establish a sense of pride or achievement. This benefits all of us and can be very important to someone with depression or anxiety.

Volunteer or Visit

If you’re unable to have a pet, consider volunteering at a local animal shelter or visiting a friend with a pet. Many of the benefits of time spent with animals can be realized after even a short time spent together (though the effects tend to be strongest between a pet and its owner). If larger pets are out of the question, think about a guinea pig or fish. Even these more “low-maintenance” pets can help you de-stress and build resiliency.

David Miers, PhD, LIPC

David Miers, PhD, LIPC

Health Expert

Dr. Dave Miers, PhD, is the director of Bryan Behavioral Health Services. This includes mental health treatment and counseling, psychiatric evaluations including medication management, and substance use evaluations and treatment.

Learn More About Our Counseling and Mental Health Services

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Intentionally Learning to Embrace the Moment

Intentionally Learning to Embrace the Moment

by | Jan 27, 2020 | K-12

Last week, our two daughters and I were sitting at the kitchen table—all of us working on schoolwork. At one point our middle daughter said, “I have ‘eighth-graditis’.” I looked at her and said, “There is no such thing.” Then our senior daughter chimed in, “I really have senioritis.” I responded to her, “Don’t wish away these last four months. Be intentional about enjoying each day.”

There it was again—be intentional. Since last November, this phrase and word just keeps finding its way into many of my conversations. As I was preparing my heart for what I wanted my word of the year to be, embrace was all over my heart. However, how could I tell my daughters to be intentional and enjoy the moment when I had a hard time focusing on that myself.

Refocusing My Intention

For many years, I believed I was learning about life when I was actually just surviving life. I survived the diaper stages, and I survived the terrible twos and the terrific threes. I survived running between three different youth sports on any given Saturday. I survived sending my first born off to kindergarten. I survived sending my baby off to kindergarten.

Maybe it’s the 40s or that we have a senior, but I don’t just want to survive life—I want to live life. I decided it was the year to reteach myself to embrace the moment. To be where my feet are. However, as January started, I realized to completely understand embrace, I have to understand how to be intentional.

3 Steps to Remaining Intentional in Your Life

Be intentional about time, be intentional about meditation, be intentional of where my feet are planted, and be intentional about not having our calendar dictate each and every day. A couple things had to happen for me to have a growth mindset on this journey:

  1. Create an “accountability family” with different people holding me accountable for something different.
  2. Remind myself that “no” is a complete sentence.
  3. Be intentional close up, not from a far.

These three guiding themes have worked well this far into January. My accountability family have suggested ideas for the months ahead, from being intentional about a 2020 exercise challenge with my work colleagues or having supper with our neighbors.

Understanding Every Day Is Special

The idea of being intentional up close and not from a far came from a conversation with my neighbor when she said, “Why wait until Christmas or Thanksgiving to use your china? My china is in our cupboard for everyday use because everyday is special.” I have taken this to heart. In one such situation, being intentional up close allowed me to give that extra needed hug and smile. But ultimately I experienced the joy of the circumstance in person rather than through an email.

Learning to be intentional has allowed me to embrace the moment. To embrace the conversations around the kitchen table, and to truly embrace watching my kids do what they love to do. But being intentional is also about preparing. Starting with preparing myself to embrace the change that will occur in our house in August when we send our daughter off to college.

In the meantime, I will continue to grow in this area and bring my family along on my “intentionally learning to embrace the moment” journey.

Shelly Mowinkel

Shelly Mowinkel

K-12 & Teens

My husband and I have three kids. Our oldest is a freshman in high school, and our youngest is in second grade. Most days, I feel like we are a “tag-team chauffeuring” service, yet I wouldn’t have our life any other way. Not only I am a business/technology teacher at Milford, I am also the district technology integration specialist. I love teaching because I get the opportunity to make those around me better. My hope is that, through my blogging, I am able to inspire, encourage, and share with you my adventures of being a wife, mother, and professional.

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New Year’s Resolutions with Kids

New Year’s Resolutions with Kids

by | Jan 20, 2020 | K-12

Eat healthy, lose weight, exercise—these are some of the things I think about when it comes to New Year Resolutions. But this year, I not only wanted to do these resolutions for me, but I wanted to include my family in some as well.

Resolutions for the Family

When it comes to individual resolutions, for me, they’re easy to give up on because they’re all about me in a world where I’m focused on taking care of everyone else. This year, I wanted to try making resolutions as a group. They can be fun, painless and are sure to benefit my entire household.
While making a family resolution may seem as sensible as herding cats, it’s worth the effort. But setting family resolutions will only work if each member of the family feels invested. And for everyone to feel invested, shared goals need to be recognized and treated equally within the family.

If everyone feels they have a stake, then you have created the foundation for achieving your shared goals. Making goals public to your family and working together to achieve them provides the outside encouragement we all need to keep resolutions.

Focus On Your Health

But if you are the only one in your family that is actively working towards a goal, constantly removing yourself from your other family members’ habits —like eating a salad during family pizza night—will eventually erode your desire to keep your resolutions.

You might stick with eating salads for a while, but that pepperoni pizza will be more tempting when everyone else is enjoying it. We limited our pizza night to once a month. Instead of just eating salads for dinner, we are including a side salad with dinner.

We also decided to go on more family walks—the dog needs exercise too! The children have been joining me at the gym and hopefully we can get outside on the “nicer” winter days. Not only watching their mom get fit, but joining in when they can as well.

Before, I would weekly meal prep for myself, but now we are also planning our meals instead of driving through the fast food lane. We also included the children in the meal planning and prep. We are trying to find healthy ways to eat chicken strips and mac n’ cheese. The kids are excited and willing to try what they made!

Remember to Be Thankful

Lastly, we started a thankful jar. Each week we place a slip of paper in a jar saying what we were thankful for. At the end of each month, we will read these aloud. As part of the thankful jar, we also started sharing more. I feel that it is important to listen to each other.

We were stuck in a rut as soon as we got home—it was homework, dinner, electronics/tv, bath and bed. We rarely talked to each other. It was, “how was your day
fine
” and we’d move on. Now we are really trying to listen and ask questions.

I didn’t want to force my family to do New Year Resolutions, but it didn’t hurt to ask. Everyone was really excited to try, and it was easy to find ways for us to work together and achieve some common goals. Plus, it allows us more time together.

Mallory Connelly

Mallory Connelly

Babies & Toddlers

In addition to the time I devote to being a mom, I also work full-time outside the home, which means my day is hardly ever as simple as nine to five. With an all-too-established schedule, as soon as I walk through the door, my day doesn’t end, but rather just begins. It’s a balancing act, especially with two children, but being a mom is one full-time job that I never want to quit!

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Is Weight Loss Surgery Right for You?

Is Weight Loss Surgery Right for You?

by | Jan 13, 2020 | Expert Health Tips

My passion for weight loss management started when I worked in a family practice doctor’s office. There was a definite correlation with obesity and an increase in chronic diseases and decrease in quality of life. Now that my main focus is helping patients reach their weight loss and long-term health goals, I realize how absolutely life changing it can be.

I will admit most patients come in feeling defeated and have given up hope. Patients feel like they have tried everything from fad diets, extreme exercise and basically starving themselves. And, nothing was working. Some of these approaches led to temporary weight loss. But, they were simply unable to maintain the weight loss and often gained back more weight than they lost. When I see these patients, we talk about the benefits of surgery and a structured weight loss program for long-term weight loss. And, after the first visit they are already starting to feel a flicker of hope.

Benefits of Weight Loss Surgery

Where do I begin? There are so many! One thing I hear over and over is, ‘why didn’t I do this sooner’. Patients feel they have more energy, confidence and overall a better quality of life.

Losing Weight Improves Your Health

Weight loss surgery can help improve or even diminish major health conditions associated with obesity. Body Mass Index (BMI) is the ratio of a person’s weight to height. It is used to determine if a person is at a healthy weight, overweight, obese or morbidly obese. BMI calculators provide an easy way for you to find out your body mass index.

Here are some of the many conditions that can improve with weight loss.

Diabetes

Weight loss surgery is an effective treatment option for obesity-related diabetes, especially Type 2. If you have a BMI (body mass index) of over 35, this type of surgery may be the right choice for you. After your weight loss surgery, your sensitivity to insulin will increase which means you should respond better to oral medication and any requirement for insulin injections will be reduced. Patients generally achieve a lower A1C after weight loss surgery.

Heart Disease

Losing weight makes a world of difference in helping to protect and maintain your heart health. Current research shows a significant drop in cardiovascular risk for those who have had bariatric surgery compared to those who have not. After surgery, losing weight takes a bit of strain off the heart and lowers the risk of heart failure.

High Cholesterol

We all know too much cholesterol can cause potentially serious problems. Conditions associated with high cholesterol levels include heart disease, stroke, diabetes and high blood pressure. After gastric bypass surgery, patients often achieve near normal cholesterol and triglyceride levels within just a few months. Lowering cholesterol levels helps to clear plaque and also reduces risks associated with cholesterol build-up in the arteries.

Sleep Apnea

Sleep apnea is when a person stops breathing while asleep. This can cause many health problems. Bariatric surgery is proven to reduce the effects of sleep apnea, and in some cases, cures sleep apnea.

Cancer

There seems to be a link between some cancers and obesity. However, according to several recent clinical studies, weight loss surgery reduced cancer mortality rate in patients from 29-89% when compared to a group of individuals with morbid obesity who have not had weight loss surgery.

Depression

Research shows depression and obesity are closely related. One is known to lead to the other, and vice versa. After bariatric surgery and lifestyle changes, self-esteem is known to increase. As a result, this type of surgery most definitely can help those with depression and low self-esteem related to their appearance.

Acid Reflux

Many studies have proven that gastric bypass surgery can give those with obesity excellent control of issues associated with acid reflux. In fact, weight loss surgery may be an even better option for acid reflux because patients will also benefit from significant weight loss.

Osteoarthritis

There’s a known link between obesity and osteoarthritis of the knee and hips. For those with obesity, knee or hip surgery to treat osteoarthritis may not be an option due to their weight. Weight loss after bariatric surgery can help improve osteoarthritis. This weight loss may also make a person eligible for knee or hip surgery, if it is still needed.

Qualifications for Weight Loss Surgery

You may qualify for bariatric surgery if:

  • You are 100 pounds overweight or more, with a BMI of 40 or greater, or
  • You have a BMI of 35 or greater with one or more serious health conditions linked to being obese, such as diabetes, high blood pressure or sleep apnea, and
  • You have not been able to lose weight in other ways, such as diet, exercise or medications

Other Considerations

There are several things to consider when contemplating weight loss surgery. You can look at it from two different angles both personally and financially. Here are a few questions you can ask yourself to help answer this question:

Are you looking to surgery for the right reasons? Bariatric surgery is meant to improve your overall health, it is not done for cosmetic reasons. Looking better is a “side effect”; feeling better is the goal.

Does your insurance plan cover weight loss (bariatric) surgery? Many insurance plans include bariatric surgery coverage. However, if you don’t have this coverage, we have other options available.

Do you have the emotional support you need? It is crucial that you have a strong support network of family and friends that will be there to help you through the process. We recommend close friends and family become educated about the lifestyle changes, risks and benefits of weight loss surgery so they can support you.

Ways the Bryan Bariatric Program Can Help You

At Bryan Bariatric Advantage, we have a specialized team to help you through your weight loss journey. This team includes a nurse practitioner, dietitian and surgeons. We also collaborate with mental health and exercise experts, as well as other specialty services as needed to ensure your success.

As the Bariatric Nurse Navigator, I can guide you through the entire process. Together, we can decide if surgery is right for you. We can also look at weight loss medication, if and when appropriate.

Our dietitian uses her weight loss nutrition expertise to prepare you for surgery and the life-long diet changes after surgery to achieve your goals. If surgery is not for you, she will help you to address your personal barriers with weight management and set goals to break through those barriers for good!

We’re here for you – to support and help you with compassion and expertise, and help you determine and navigate your best course to the ultimate goal of a long, happy and healthy life.

Learn More About Bryan Bariatric Advantage

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Tara Wenta

Tara Wenta

APRN

Tara Wenta, APRN, works with Bryan Bariatric Advantage

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Grandma’s Online Ordering: The Good, The Bad, & The Ugly

Grandma’s Online Ordering: The Good, The Bad, & The Ugly

by | Jan 6, 2020 | Grandparents

Reflecting on the past holidays is always a fun thing for me to do. We are still lucky enough to have all of our kids and grandkids with us, and enjoy each and every minute at our traditional gatherings, which may someday come to an end.

There were grandmas who told me during early December that their Christmas was being celebrated in January, because their kids and grandkids weren’t able to make it home for December 25. I understand as traditions may sometimes need to be changed, and I’m confident we will all adjust with good cheer when our time comes. Until then, I’ll bask in the joy of our traditions.

I’ve always taken on the task of hosting our extended families. It’s a challenge, but not a problem. It’s buying the presents which sometimes frustrates me.

Lists to Santa Are Long Gone

When our grandkids were young, their parents always told us what they wanted from Santa. Even when they were older, their parents were the elves giving us ideas for presents under the tree. Once a couple of the grandkids went off to college, I’ve begun asking them for ideas. I decided it was probably time the kids get what they want. Unfortunately, this plan doesn’t always work. This year being yet another example.

The grandkids send me their ideas by taking a picture of what they want and sending it to me. Sometimes I’m able to decipher the small print and sometimes I can’t. Yes, even enlarging the picture doesn’t always help. One granddaughter sent me a picture of a pair of tennis shoes. I had some trouble finding the link for the Ultraboost Adidas (why would anyone name the style Ultraboost if the shoes are not for racing or basketball?).

The shoe was located, and I had some difficulty finding the correct color, but I persevered and had them ordered. When she opened them during the Holiday, I was pleased they were the correct shoe, but unfortunately, her foot didn’t fit in the shoe. Yep, I had been so excited to find them that I didn’t change the size that automatically came up. They could be returned, but they no longer send a printed receipt with the delivery, so I had to go online to print it for a return.

The Winding Road Online Orders Take

Our grandson also wanted a special pair of high-fashion athletic shoes. These shoes were not carried by any local store and with my history of ordering online, I was very nervous. After hours of figuring out the website and procedure, it was finalized and would be at our front porch in five days. When the package arrived, I was amazed when I saw the route to our home in Lincoln, NE. Tsuen Wan, Hong Kong, to Anchorage, AK, to Memphis, TN, to Omaha, NE, to Lincoln, NE.

The tracking and distance was not noted when I ordered the shoes. Had I known the origin, I may have changed my order—or not. I’m guessing the shoes cost $10 plus the tariff. The shoes arrived in perfect shape. When our grandson unwrapped the box, he smiled ear-to-ear. He even cradled the shoes like a baby.

One Order, Two Pairs of Shoes

Our second oldest granddaughter sent me a picture of a pair of UGGs she liked. I thought they looked like my grandfather’s Romeo slippers, but I found the link and went through the process of starting my order. The process was interrupted by our needing to attend our grandson’s basketball game. I am not perfect with the planning of time. I wasn’t worried as I had the information I needed and I could complete the order soon.

The next day, I went back to the site, found the UGGs, filled out the information and pushed the enter key to place the order. Within four days I had her UGGs. Within six days, I had another pair of UGGs. I didn’t realize I had to quit/delete an order. What the heck? The good news is that I wear the same size as my granddaughter. So I unwrapped the second pair of UGGs, which I gave to myself. We all had a great laugh at my purchasing fiasco.

All my time, mistakes and successes couldn’t take anything away from the joy and laughs we shared that day. My takeaway may be to attend a computer class at SCC titled, “Ordering Online!”

Nancy Becker

Nancy Becker

Grandkids & Grandparents

I have four grandchildren ages 14-17. In some ways, I’m a very typical grandma, always proud of everything the kids do and wanting to help support them in whatever way I can. In other ways, I’m not very typical. My goal as a blogger is to share my thoughts and experiences that I think are funny and meaningful as I adventure through grandmahood.

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Scholarships Season is Stressful

Scholarships Season is Stressful

by | Dec 23, 2019 | K-12

It’s snowing outside, the Christmas lights are shining bright on the tree, and I am sitting in the recliner enjoying my cup of hot cider watching holiday movies. I’m enjoying the silence and reminiscing about the most wonderful time of the year. Then I hear it, “Mom, what does this mean?” “Mom can you proofread this essay?” “Mom, do you remember what year I did this?” Even the daily, “Mom get off my back, I will get it done by the deadline!” It hardly seems like the most wonderful time of the year with all the stress of scholarship writing.

Scholarships Are Stressful

It may be stressful, but this is an important time of the year. As a parent, I thought preparing for graduation would be stressful, however, preparing for graduation seems easy compared to the stress of scholarship writing. Our daughter’s stress definitely comes down to her personality and wanting to be the best version of herself in all of the applications. Still my constant harping, “Do you have that scholarship done?” may be adding to the stress.

The cost of college and writing scholarships is a frequent conversation in our home right now. The other night our daughter was finishing up a semester budgeting project and she commented, “It really takes 20 years to pay off college debt?” Another learning opportunity for my husband and I to talk to her about the cost of college and the implication of debt beyond the college years.

Have the Tough Conversations

We discussed with our daughter how we paid off my college debt in less than eight years by making monthly payments, however, at one point we paid between $1,500 and $1,750 per month for one year to get rid of the debt. Our discussion turned to needs and wants and delaying purchasing gratification but I could not go without saying, “Do you see how important applying for scholarships really is?” In hindsight this was not the most opportune time to make the comment.

Right now, all our daughter sees is the time it takes in her busy schedule to write and apply for scholarships. Yet, for all the stress that may occur and the time preparing scholarships, it really is worth the time for the potential financial rewards. As she continues through the scholarship writing season, I definitely need to trust she will complete the application and quit nagging her each day. Our daughter does have high expectations of herself and I know she will complete all of her applications.

Sit Back & Have Faith

As I sit in my recliner and answer questions throughout the scholarship writing season, I listen as I know I will not be around her next year in college encouraging (nagging) her to meet deadlines. I also remind myself this is all part of me learning to let go of control. Ultimately, this scholarship season is another growing season for me to have faith and continue letting her grow into the adult I have prayed for her to become since the day she was born.

Shelly Mowinkel

Shelly Mowinkel

K-12 & Teens

My husband and I have three kids. Our oldest is a freshman in high school, and our youngest is in second grade. Most days, I feel like we are a “tag-team chauffeuring” service, yet I wouldn’t have our life any other way. Not only I am a business/technology teacher at Milford, I am also the district technology integration specialist. I love teaching because I get the opportunity to make those around me better. My hope is that, through my blogging, I am able to inspire, encourage, and share with you my adventures of being a wife, mother, and professional.

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‘You Have Cancer’: What To Do When You Hear These Words, for Yourself or a Loved One

‘You Have Cancer’: What To Do When You Hear These Words, for Yourself or a Loved One

by | Dec 9, 2019 | Expert Health Tips

By Joanna Morgan MSN, RN, OCN & Joselyn Hayes BSW, CSW

For over 35 years, we’ve been helping people and their families through the many emotions and challenges that change their lives after hearing these three words. I’m Joanna Morgan, an oncology nurse navigator and I’m Joselyn Hayes, an oncology social worker, at Bryan Medical Center.

While each person and every situation is different, there are some strategies that seem to help everyone. We hope sharing these will help you – whether you’re the one receiving a cancer diagnosis or it’s a loved one.

What Do You Do When You Hear the Words “You Have Cancer”?

Breathe. Surround yourself with people you love. Allow others to help and support you.

Most people ask, why me? Most people wonder if they have done something to cause the cancer and come up with ideas of why it occurred. If you are having these thoughts you are not alone. Cancer is not a punishment for things you did or didn’t do. Blaming yourself doesn’t help and often makes you feel worse. It’s almost impossible to know exactly what caused the cancer. Instead, focus on taking care of yourself now, both your body and your mind.

Ways You Can Help Someone With a Cancer Diagnosis

When someone we care about is diagnosed with cancer, we want to help but often don’t know what to do or say.

According to the American Cancer Society, people with strong emotional support tend to adjust better to the changes that cancer brings to their lives, have a more positive outlook and report a better quality of life.

Here are some ways you can provide support:

Keep in Touch

  • Write, text, email or call often (try to keep it short) – this lets the person know you are thinking of them.
  • Call at times that work best for your friend.
  • Be available: When your friend calls or texts you, answer right away.

Visit

  • Call before you visit, and be understanding if your friend doesn’t feel well enough to visit.
  • Keep the visit short: understand they may be too tired to actively participate.
  • Don’t be afraid to touch, hug or shake hands.

Know What to Say (And Do)

  • Listen. Allow your friend to honestly share how they are feeling (good, bad or ugly).
  • Give advice only when asked. Don’t urge your friend to fight the cancer if that is not their goal, offer treatment suggestions or share negative stories from your experiences with others who have gone through cancer treatment.
  • Support your loved one’s treatment decisions.
  • Remember the caregiver and seek ways to support and help this person.
  • Stay connected throughout the entire treatment process and beyond – checking in regularly over time is very helpful and meaningful.
  • Let your friend know “we’ll get through this together.”

Know What Not to Say

  • “Everything is going to be fine.” We are often tempted to say it will be fine, but this can make the person with cancer feel like you’re unwilling to talk about the realities and challenges of a cancer diagnosis.
  • “You’ve got the good kind of cancer.” There is no ‘good kind’. Any cancer diagnosis causes fear and changes a person’s life.
  • Nothing at all. Say something, anything. It’s okay to admit you don’t know what to say. What’s most important is starting a conversation.
  • “Let me know how I can help.” People rarely reach out and ask for help. They are exhausted emotionally and physically and don’t have the energy to think about what you can do, and even if they did it’s hard for most people to ask for help. Instead offer concrete ideas of ways you can help, and when your friend takes you up on your offer, make sure you follow through!

How to Help

  • Offer to run errands – get groceries, pick up prescriptions or help transport to and from appointments.
  • Make meals or help coordinate meal drop offs from other friends.
  • Help with tasks – cleaning their house, lawn care, babysitting, pet sitting, walking the dog.

Ways the Bryan Cancer Program Can Help

At Bryan, we have specially trained nurses and social workers to help you and your family through each step of your cancer care. Our oncology certified nurse navigators can help you through all aspects of your cancer care, and especially decisions about treatment.

Oncology social workers have expertise to help you navigate the emotions, financial and insurance concerns, and other areas related to receiving the care you need.

We’re here for you – to support and help you with compassion and expertise, to relieve some of the stress and uncertainty in your life. And to help you determine and navigate your best course of treatment.

You are Not Alone. We’ll Travel This Road Together.

A cancer diagnosis can be overwhelming – the emotions, the unknown, the decisions. At Bryan, our specialty trained nurses and social workers are here to help you and your family through each step of your cancer care.

Talk to your doctor about a referral to this Bryan oncology nurse navigator and social worker program. This is a free service for our patients.

Learn More
Joanna Morgan MSN, RN, OCN

Joanna Morgan MSN, RN, OCN

Oncology Nurse Navigator

Joselyn Hayes BSW, CSW

Joselyn Hayes BSW, CSW

Oncology Social Worker

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Darting Memories

Darting Memories

by | Dec 2, 2019 | Grandparents

Being a retired educator, our poor grandkids have learned I always have a lot of questions about school. I tend to ask what classes they are taking, who their teachers are and what topic they are studying in a particular class. I also ask about tests, their projects and grades. I guess my questions come with the territory of my professional life.

All of the grandkids have used me as a topic or reference in one class or another, and they love asking me questions. Heck, they have probably also used me as a class project I’m not even aware of like “Things not to do when you get older” or “Why do older adults not understand their phones?”

Finding Out More

I knew our grandson was taking a literature class this semester. He’s not a huge reader, so I wanted to know how he was doing. I couldn’t remember if he was taking a Holocaust Literature class or the Sci-fi Literature class, since both are great opportunities to get students involved. He responded by saying he was taking the Sci-fi Lit class. Next question, “Who’s your teacher?” As my retirement years keep growing, I know fewer and fewer teachers. I have found my influence with the kids or their teachers is waning. Probably a good thing on everyone’s behalf. Next question, “Do you like it?” He said it was OK for an English class. I thought to myself, “BONUS!” I know he won’t read “War and Peace” soon, but a positive response was a thrill to hear.

Next question, “What are you reading?” I could tell he was deep in thought for a second. In my mind I’m thinking, the kid has no idea what he’s reading? Doesn’t he go to class every day? Is he not participating in any class discussion because he’s not reading the book? Why the hesitancy? Following the sci-fi theme, is this kid really an alien who has been taken the body over my grandson?

Memories Come Darting Back

Two seconds passed and my grandson looks at me with a twinkle in his eye and he hit his chest four times and made some whistling sounds. What the heck was this? Are they teaching sound effects in sci-fi class? I thought for two seconds. I then asked if the novel he was reading was “Frankenstein” written by Mary Shelley. He smiled at me. Telepathically, we recalled the time all four grandkids watched the movie “Young Frankenstein” at our house.

We watched the movie during one of our movie dates at our house. “Young Frankenstein” has always been one of my favorite movies, so of course I wanted to share this unique experience with them. Both my grandson and I started slapping our chests making the whistling sound. This is the scene when the police chief pretends to throw the darts at the dart board. The chief actually puts the darts into his wooden arm. The chief made a whistling sound with his mouth imitating the darts going through the air and striking the dart board.

Reliving Memories Together

Soon, the other grandkids caught on and joined in the charade. The five of us had a great time sharing our experience with their parents and grandpa. It was a fun reminder of how we’ve enjoyed connecting in the past. One of our granddaughters then commented they liked the “Young Frankenstein” movie, however, she was really freaked out by the movie, “The Crows.” The Crows?? The rest of us looked at each other in a confused state of not being able to recall the movie. She talked about the scene which really scared her. It was when the crows were in the school yard attacking the kids running down the street. I quickly realized she was talking about the movie, “The Birds.” What a hoot, and I laughed till I cried.

The grandkids haven’t been over to see a movie in a couple of years, so to have them recall some of those memories was a thrill for me and, hopefully, for them. It was a reminder to me that the memories I hope to create may or may not have a long term connection with my grandkids, but when it does, it sure is great.

Nancy Becker

Nancy Becker

Grandkids & Grandparents

I have four grandchildren ages 14-17. In some ways, I’m a very typical grandma, always proud of everything the kids do and wanting to help support them in whatever way I can. In other ways, I’m not very typical. My goal as a blogger is to share my thoughts and experiences that I think are funny and meaningful as I adventure through grandmahood.

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