Questions Remain about Osteoporosis Drugs and Unusual Fractures
Bisphosphonates, a category of drugs that includes Fosamax and Boniva, are commonly prescribed to treat and prevent osteoporosis. Unfortunately, concerns have been raised about possible adverse effects of these drugs when used for longer than 3 – 5 years.
There are many unanswered questions about the long-term use of bisphosphonates. A 2012 New England Journal of Medicine perspective piece notes that it is unclear how long most people should take the drugs, whether certain groups of patients are more likely to benefit from longer term use of the drugs, how long benefits of the drugs last after stopping them, and whether there are reliable measures to help make that decision in individual patients. Click here to read the entire article
Big Boys Don’t Cry, But Maybe They Should….Men and Mental Illness
Every time I see a commercial with a bumbling man child being supervised by a grown up woman, I cringe. Sure, it’s just a joke, but it’s so pervasive. . . “How many children do you have?” “Three, including my husband.”
Jokes are good. I love jokes. If there’s one thing I think the world could have more of, it’s laughter.
However, men with mental illness are much less likely to be diagnosed and treated, and they’re also more likely to take out their frustration and anger on someone else. There’s nothing funny about that. Men are also conditioned to avoid crying in public, so their problems are easier to overlook. It’s not just crying – if I’m angry I’m very likely to cry, because that’s just the way I am. This is true for many women, and as a result mental health professionals can see how upset we are, and that something is definitely wrong.
Contrast that with a likely male scenario: Man goes to doctor, keeps his emotions in check as he’s supposed to, because he’s a man. Doctor asks how he is. Man says he’s fine, maintaining his stoic expression. Doctor moves on. Patient thinks, “Can’t anyone see how much stress I’m under? How much anger I have?”
We expect men to be strong and invincible, even now in 2012, when we should realize that no one is, and that everyone is equally susceptible to mental illness.
The days when hysteria, once used in force when diagnosing women with mental illness-like symptoms, was the province of women are gone. Sure, some of us are still hysterical now and then, but it’s just likely that it doesn’t matter what gender we are. What does matter is how likely we are to take it out on someone else. As a woman, I’m more likely to internalize my pain, but a man is more likely to strike out at others.
And what does that have to do with bumbling men child? We have typically two extremes in our entertainment portrayals of men: the macho guy who can defeat any obstacle, or the bumbling man child. In real life, I know of no man who fits either one of those stereotypes. Perhaps that’s because in real life men are just people.
“Big boys don’t cry.” Maybe they should.
I have watched someone descend into schizophrenia and psychosis, and at a time when he had all of that on his mind there was also this, as he said, “But I’m the man! I should be taking care of you!” Many women feel that we should be taking care of things too, but many men feel an additional weight of being responsible for supporting themselves and their family, and the thought of being unable to work because of an illness can be overwhelming. What would people think if they didn’t do what was expected of them? Better to push those negative feelings down where no one can see them and hope they go away.
They don’t go away though. It’s not a useful strategy in the long run.
Who hasn’t heard anecdotes about men not wanting to admit they feel pain? Who doesn’t know a man who refuses to go to the doctor? To seek help would indicate weakness, and no one wants to be seen as weak, especially men, who may have their sense of self wrapped up in being seen as strong and tough. So instead they tough it out when they’re depressed, or angry, or even homicidal, or when they have no control of their emotions, and even when they know their own mind is lying to them.
Mental illness doesn’t necessarily explain mass murder, according to Melissa Thompson, sociologist and author of Race, Gender, and Mental Illness in the Criminal Justice System. Research shows that not all mass murderers are mentally ill, and mentally ill people are no more likely to be violent than anyone else. In fact, it’s more likely someone with a mental illness will be the victim of a crime, not the perpetrator.
But men are under-served when it comes to mental illness treatment, and men are more likely to become violent. Whether the perpetrators or the victim of crime, they deserve better. We all do.
Monique Colver, Air Force veteran and military wife, is the author of An Uncommon Friendship: A Memoir of Love, Mental Illness and Friendship. She can be contacted at: www.anuncommonfriendship.com
We are offering this series of papers by local practitioners from both western and eastern practice that provide valuable information for wellness and disease prevention.( Click here for the entire Introduction )
Part VI -Improving the Odds for Healthy Breasts By Michelle LeBlanc, M.D., Western Carolina Women’s Specialty Center, breast specialist
Diabetes has gotten lots more press lately, as it relates to health in general, and the increasing issue of other health related developments, such as obesity. For the purpose of this writing, Diabetes or Diabetes Mellitus will refer to the “Adult onset” or commonly known “Type II” Diabetes, usually diagnosed in adulthood (also more and more young adult/teens, too).
Diabetes is one of the few diseases in western medicine that was discussed in ancient Chinese medical literature. Over the last 2000 years, many Chinese herbs and acupuncture points have been identified for its treatment, and it is fairly common for diabetic patients in China to use Chinese medicine alone with satisfactory results. In the West, diabetes is seldom the main reason for a visit to the Chinese medical practitioner, who from time to time may see people with secondary manifestations of the disease such as limb numbness and pain. In most cases, diabetes is only mentioned in passing in the patient’s health profile.
They Teach It at Stanford
“I just finished taking an evening class at Stanford. The last lecture was on the mind-body connection – the relationship between stress and disease. The speaker from the department of psychiatry said, among other things, that one of the best things that a man could do for his health is to be married to a woman, whereas for a woman, one of the best things she could do for her health was to nurture her relationships with her girlfriends. At first everyone laughed, but he was serious.
Making Change Manageable It can often seem overwhelming to think of making a change, altering a habit, beginning something new.
PBS American Voices: Our Bodies, Ourselves and the History of the Women’s Health Movement
The most recent episode of the PBS news show “Need to Know” featured an excellent yet disturbing segment about state legislatures slashing funding to women’s health clinics. Click here to read the entire article and see the video
My 13-year-old daughter is now in the throes of seventh grade Sex-Ed. Yesterday, while lingering at the table after dinner, just the two of us left, she asked: “Rubbing the clitoris is what makes sex feel good, right?”
Introduction to Breast Health Series
The incidence of breast cancer in women in 2010 (American Cancer Society, Inc.) was estimated to be 209,000 new cases (this does not include estimated cancer occurrence prior to 2010) with an estimated 40,230 deaths from breast cancer in 2010. Of all the cancers, breast cancer is estimated to be the highest cause of death in women, second only to heart attacks. The science and technology of identifying cancer of all kinds has improved greatly so when one uses these technologies, cancer can be identified early on and treatment initiated promptly so that the consequences of cancer are considerably reduced if not avoided altogether.
Perhaps the best of all worlds is that of preventing breast cancer or, at the very least once cancer has been identified, minimizing its impact through reducing its rate of growth. The ways in which this can be done is much the same as with any other potential for disease—develop and sustain healthy tissue which does not nurture or support the growth of cancer cells or for that matter any type of harmful process or condition.
Before I Disappear, by Barb Herding, chronicles the story of Lauren Stafford, a 16 year old girl whose self-esteem has been crushed by rejection from everyone in her life. Lauren develops a skewed perception of her body as a result of the rejection that she experiences, which turns into an eating disorder.
When her eating disorder spirals out of control and she is rushed to the hospital, Lauren meets other teens who are suffering from the same problems, and she sees that she is not alone and just how many different types of people are affected by the same affliction. As she is introduced to both males and females, she learns about teenagers from all walks of life who are internalizing different types of pressure. In group therapy, she meets Bridget, a ballerina who collapsed during her solo in The Nutcracker, Paul who should be fighting in his first championship wrestling match, and Vivian, a model who never made it to her first real photo shoot. Then there is Jenny, who does not want to tell her story to the group, as her eating disorder and near fatal episode result from a dark secret rooted in her childhood.
According to the Palo Alto Medical Foundation, approximately one percent of adolescent girls develop anorexia nervosa and another two to three percent develop bulimia nervosa. Alarmingly, one out of every ten anorexia cases is fatal, resulting from starvation, cardiac arrest, suicide, or other related medical complications.
Herding’s story provides an important message about eating disorders, their potential consequences, and the road to recovery, addressing an issue that is prevalent in our society through fiction. Before I Disappear is a heart-rending story that is certain to tug at the emotions of its readers, provide teens with an important message about eating disorders, and help parents to understand their teenagers who suffer from eating disorders.
Contact: Emily – firstname.lastname@example.org
Dear Mountain Friends and Neighbors,
There is great concern about the transport and dumping of High Level Nuclear Waste here in the mountains of Western North Carolina. Here’s more information. www.NoNuclearWasteInWNC.com
They Teach It at Stanford
“I just finished taking an evening class at Stanford. The last lecture was on the mind-body connection – the relationship between stress and disease. The speaker from the department of psychiatry said, among other things, that one of the best things that a man could do for his health is to be married to a woman, whereas for a woman, one of the best things she could do for her health was to nurture her relationships with her girlfriend. At first everyone laughed, but he was serious.
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