Tag Archives: health

Accessing priceless, timely health intervention

Healthnetwork has been a Godsend to our family. My first experience with Healthnetwork was over 10 years ago. While on a family vacation to Egypt, my mother (85) slipped and dislocated her shoulder. She was taken to a local hospital, where they manipulated her shoulder back into place, then immobilized her arm until she could return home to a specialist.

Upon her return, although not in pain, Mom was still unable to move her arm. She consulted two different orthopedic specialists, who both stated that she tore her rotator cuff and needed surgery. She scheduled surgery, but something just did not feel right to me. We were longtime Legatus members, and I thought maybe Healthnetwork could be of help for a third opinion!

Since my mom was already scheduled for surgery, Healthnetwork secured an appointment in just three days with Dr. John Brems at Cleveland Clinic. He spent 45 minutes with my mother, explaining test results and why he felt her rotator cuff damage was age-related, not a result of the fall. He ordered a test which confirmed the auxiliary nerve to the deltoid muscle was damaged. Dr. Brems gave her exercises to remedy her mobility issues; no surgery was required.

Following his advice, Mom gained full use of her arm, rather than partial movement that surgery would have allowed. In my opinion, Healthnetwork saved her months of pain, rehabilitation, and risk of surgical complications. Most of all, it gave her continued quality of life and enabled her to leave a few weeks later for her winter home in Florida.

Four years ago, the shingles virus attacked my brother-in-law Tim’s heart, causing significant heart damage and resulted in him going in and out of AFib five times in those four years. On the fifth episode, Tim was in AFib for six weeks. Because he was frustrated, I asked if he’d like me to try my Healthnetwork connections. Cleveland Clinic offered the top heart specialists in the country.

Tim got an appointment with Dr. Amman Hussein, a specialist in cardiac electrophysiology. After spending 45 minutes reviewing test results with Tim, Dr. Hussein and Tim felt an ablation was the best course of action. Tim just completed his three-month check-up following the procedure. His heart is no longer enlarged, and ejection factor is back to normal. Tim says this is the best he has felt in years, and is grateful for Dr. Hussein.

My husband, Lee, had a triple bypass and two stents by a local cardiologist. He had great respect for his doctor; unfortunately, he was transitioning to a more administrative role, and Lee needed a new specialist. A call to Healthnetwork and we had an appointment. We are very pleased with a specialist in Interventional Cardiology that Cleveland Clinic has recommended. Lee’s appointment is approaching, and we are confident he’ll be in good hands.

I have witnessed two life-changing events facilitated by Healthnetwork. Fellow Legatus members should realize how easy it is to work with Healthnetwork. In my opinion, working through Healthnetwork guarantees a positive experience. We have become GOLD supporters because of the extraordinary care and attention we received from both Healthnetwork and Cleveland Clinic.

DIANE HUSS, (and her husband Lee) from LaSalle, Michigan, are Legates in the Genesis Chapter, as well as Healthnetwork GOLD supporters.

Addressing risky behavior that leads youth astray

In the cultural wars, Obria, a nonprofit chain of pro-life clinics offering a holistic health approach for women, just scored an amazing win. They were given a two-year Title V grant in the amount of $450,000 per year to teach sexual risk avoidance in the states of California and Washington. It is a significant step toward healing a culture steeped in ignorance, which has been critically wounding bodies and souls.

Operating on the assumption that young people engage in sex outside of marriage, public school sex education has become a promoter of it. It is a model destined for failure, focused on accommodating dangerous and immoral behavior rather than reversing it.

Last year, two scientific reviews made headlines concluding that abstinence-until-marriage programs fail to protect kids and also violate their human rights by not supporting their sexual activity. The premise of accommodating license over morality, however, is not only at odds with moral, healthy living, but at odds with numerous other studies reporting that “sexual-risk avoidance” programs reduce risky behaviors and even increase academic success in students.

Much-needed U-turn

The Planned Parenthood sex education model has dominated public schools while abstinence education is actually illegal in the state of California. But the comprehensive sex-risk avoidance model is gaining national acceptance and funding, according to Kathleen Eaton Bravo, an Orange Coast Legate and founder and CEO of Obria, a chain of pro-life medical clinics. Obria offers comprehensive life-centered health to women at 30 clinics in five states with the aim to reach 200 sites by 2021.

“To promote a culture of life, it is important to address the behaviors that lead young people astray by offering education in sexual risk avoidance,” Bravo explained. As the mother of three adult sons and as a post-abortive mom, Bravo understands first-hand that education is the key to making good decisions. Under the Trump administration, she said there is now a greater willingness to fund such programs.

Last October, Obria became the first California-based pro-life organization in 37 years to receive a grant from the Department of Health and Human Services under Title V to teach sex-risk avoidance. “All of our affiliate clinics are implementing the program,” Bravo said. “We expect to see 15,000 students in the first year.”

 Motivation over threat 

Obria Executive Director Mauricio Leone wrote the grant, to teach the curriculum created by the Center for Relationship Education – which bases everything on science supported by research – to promote healthy relationships. It uses the “whole person” approach, nurturing the body, mind, and heart, rather than only focusing only on sexual behavior. And instead of resorting to negativism and threats, it seeks to motivate young people to be their best by simply imparting the facts.

Leone, who is married with two young daughters, was initially impressed by Obria’s pro-life mission, and at first volunteered to write grant proposals. He was soon hired full time and became certified as a risk-avoidance specialist through Ascend – a national organization that represents the field of Sexual Risk Avoidance education as an optimal health strategy to improve opportunities.

“What is being taught now is much more comprehensive than just abstinence education,” Leone said. “It uses the latest scientific information to teach about sexual health and includes the emotional, psychological, relational, emotional, and physical. The main goal is to eliminate all risks associated with sexual activity.”

“While the typical sex education program teaches how to use condoms, we are presenting an entire picture of what a human being is,” Leone said. “Everything we teach is factual and science-based. We inform on the consequences of STDs, and relate methods of contraception— though we don’t normalize them— as we educate about the risks, and show that no contraception is 100 percent effective.”

Given that California does not allow such education in their schools, Leone said that they will train educators to implement the program in their clinics — for teaching patients directly — and in other settings such as churches, as well as Christian and Catholic schools. “I just heard that the Archdiocese of San Antonio is partnering with the University of Texas to implement this curriculum in Catholic schools in Texas,” he said.

In Washington, the program will be offered to the public schools since it is not illegal there. According to Bravo, since many parents in California are not aware that sexual risk avoidance education is not allowed in public schools, she hopes to inform and encourage them to support legislation to change that law.

“This grant was perfect for us, to empower young people to change their lives for such a time as this,” Bravo said. “Now the doors are open again, and committed to life-affirming education.”

PATTI ARMSTRONG is a Legatus magazine contributing writer

Palliative care: intensive caring when cure isn’t likely

The word “palliative” may seem an odd word to use in medicine, as the dictionary defines palliate as “to relieve or lessen without curing.” Yet, isn’t it the purpose of a physician to fix and to cure? Modern medical technology often excels at providing diagnoses and treatment possibilities, but of itself, it doesn’t provide the necessary conversations when ailments prove incurable or refractory to treatment. Palliative care provides ways to care even when cure is not possible.

The Center to Advance Palliative Care defines palliative care and the medical sub-specialty of palliative medicine as “specialized medical care for people living with serious illness…to improve quality of life for both the patient and the family.” Palliative care can be helpful and appropriate at any age, in any serious illness stage, and works to provide relief from stress, in whatever form it takes. It is team-based, often with representation from medicine, nursing, social work, and chaplaincy, because serious illness affects one physically, emotionally, mentally and spiritually. Palliative care teams can be found in hospitals, clinics, or embedded in other subspecialty practices, like oncology. There is palliative care for adults, for children, even perinatally, helping parents cope when their pre-born baby is found with serious diagnosis during pregnancy.

Many people possess misconceptions regarding palliative care. Some think palliative care means “giving up” when it actually adds an additional layer of support. Patients can continue with all their other medical care, like dialysis, chemotherapy, and hospital visits. Others believe palliative care is synonymous with hospice care, but hospice is a small subset within palliative care. Both focus on comfort and living the best life possible despite serious illness. Hospice is most appropriate when care and hospitalization directed at the disease are more burdensome than beneficial. With hospice, the focus is patient comfort, most often in the familiarity of the home, surrounded by loved ones. Patients can continue medications providing symptom-management and comfort. Hospice care, when consistent with patient goals, can be a very peaceful experience for patients and families.

It is also important to emphasize that hospice and palliative care should never do anything to prematurely hasten death. The field is created as the antidote to the suffering that may cause one to seek physician-assisted suicide. As Dame Cicely Saunders, the founder of the hospice movement, said to patients: “You matter because you are, and you matter to the last moment of your life. We will do all we can, not only to help you die peacefully, but also to live until you die.”

The word “palliative” derives from the Latin pallium, meaning “to cloak.” Cloaking patients and families with support and symptom management encourages living the best life possible despite chronic or incurable illness. Studies show that people live longer – and better – with palliative care than without. Palliative care physicians witness a beautiful awe caring for patients in intense and intimate times. They are like leaves in autumn, which are most lovely before they fall, because the autumn in physical life can be a true springtime for the soul.

NATALIE RODDEN runs the palliative medicine consultation service at St. Anthony North Health Campus in the Denver area. She also serves as co-chair of her hospital’s ethics committee and travels nationally providing education and advocacy for authentically Catholic end-of-life care and against physician-assisted suicide.

Reducing stress hinges on individual resilience

It’s 2019 – a New Year! A popular resolution made at this time of year is to “reduce the stress in my life.” The solution is not simple; stress or what is perceived as stressful varies from person to person

One’s ability to adapt to stressful situations and crises is often referred to as emotional resilience. Although it is thought that we are born with a certain degree of emotional resilience, it is also something that can be developed. The more emotional resilience you have, the better you can cope with the stress in your life.

Characteristics of emotional resilience:

Emotional awareness • the ability to understand what you are feeling and why you are feeling it
Perseverance • focus on being action oriented to move beyond stress
Internal locus of control • believe that you have the power to control events and outcomes, not external forces
Optimism • see positives in situations and believe in your strengths
Support • have a strong network and supportive friends and family members
Sense of humor • maintain levity amid life’s highs and lows
Perspective • learn from mistakes and see obstacles as challenges
Spirituality • often associated with stronger emotional resilience

The first step in stress management is to accept responsibility for the role you play in creating or maintaining it.

The 4 A’s of dealing with stressful situations

Avoid unnecessary stress

  • Learn to say “no”
  • Avoid people who stress you out
  • Take control of your environment
  • Shorten your to-do list
  • Prioritize – distinguish between must do and should do

Alter the situation

  • Express your feelings
  • Be willing to compromise
  • Be more assertive
  • Manage your time better

Adapt to the stressor

  • Reframe the problem
  • Look at the big picture
  • Adjust your standards – perfectionism is a major source of avoidable stress
  • Focus on the positives

Accept the things you cannot change

Remember to make time for fun and relaxation and adapt healthy lifestyles. Connect with others, exercise regularly, eat a healthy diet, reduce caffeine, sugar, and alcohol, avoid cigarettes and recreational drugs, and get enough sleep

Please visit Prescription for a Better Life by Susan Locke, M.D., at www.healthnetworkfoundation.org

If you would like more information about Healthnetwork Foundation and how we can advocate for you, please call or email us today.

SUSAN LOCKE is Healthnetwork Foundation’s medical director.

Protecting ‘power’ to the brain can fend off Alzheimer’s

For the first time in history, non-infectious chronic diseases (cancer, heart disease, diabetes and dementia) have replaced infectious diseases in the majority of deaths worldwide.

In the U.S., Alzheimer’s disease (AD) is second only to cancer as the most feared diagnosis. Alzheimer’s is a cruel disease; symptoms progress over a decade, slowly and relentlessly robbing people of their memories, ability to think, and remain independent. No one has ever survived Alzheimer’s disease and the current available treatments have very modest benefits. Sixteen million American caregiving families and friends last year accounted for $232 billion in free care during 18.4 billion hours.

The greatest risk factor for developing AD is age. AD affects 10 percent of people over 65 years, and 45 percent over 85 years. Nearly 50 million people worldwide have AD, and this number is expected to nearly triple over the next 30 years, due to the world’s aging population.

Sobering news, but there is hope.

Through current brain imaging capabilities and blood and spinal fluid testing, we know that AD typically starts ‘silently’ in midlife with the slow accumulation of two proteins — amyloid and tau— decades before the mildest symptoms appear. Disease gradually progresses to subtle memory problems and then worsens to involve additional thinking skill (reasoning, judgment, attention, and language). When these symptoms reduce a person’s ability to perform everyday activities, a diagnosis of Alzheimer’s “dementia” is made. Patients with AD often have a second form of dementia (vascular, Lewy body, etc.).

Treatment – medical and practical

What about treatment? First, there are non- modifiable risk factors, such as advancing age and genetic risk factors, such as a protein called ApoE4. About one-fourth of the population carries this protein, and people with one or two copies of ApoE4 have a threefold and twelvefold, respectively, increased risk of AD. Gene therapy advances may make it possible to either “silence” or alter ApoE4.

Modifiable risk factors include cardiovascular disease (e.g., diabetes, high blood pressure, heart disease) and social and cognitive disengagement. A healthy heart helps to maintain a healthy brain, and an active mind increases resilience to AD. Eating a healthy diet, avoiding mid-life weight gain, not smoking, modestly drinking alcohol, regularly exercising (even walking!), treating diabetes, high cholesterol and high blood pressure if diagnosed, maintaining strong social ties with your friends and family (don’t be too busy to visit, call, or e-mail), and keeping mentally active (reading, seeking challenging mental tasks, being the ‘eternal student’!) could reduce the cases of Alzheimer’s disease worldwide by as much as a third! The Alzheimer’s Association is a great first resource for those interested in learning more: https://www.alz.org.

On the scientific front, there are many clinical trials to reduce levels of abnormal amyloid and tau proteins, as well as trials focusing on the brain’s immune system, neurotransmitters, and improving brain cell survival. Gene therapies and adult stem cell approaches will likely impact the future course of AD.

MARTIN M. BEDNAR, M.D., PH.D. is vice president, Neuroscience Therapeutic Area Unit, Takeda Pharmaceuticals and a fellow of the American Association of Neurological Surgeons. Throughout his pharmaceutical career, he has focused on Alzheimer’s disease therapies. Dr. Bednar is president of the Providence, RI Legatus chapter and a frequent author on the interrelationship of science and religion, embracing the sanctity of life from conception to natural death.

Scan for heart-disease risk before symptoms

The coronary calcium scan is a screening test to evaluate risk for future coronary events. It uses a state-of-the-art computerized tomography (CT) scan to detect calcium deposits found in atherosclerotic plaques in the coronary arteries. It is a sensitive way to detect atherosclerosis before symptoms develop.

Main risk factors for coronary artery disease are:

  • Personal/family history of coronary artery disease
  • Males over the age of 45, females over 55
  • History of smoking (past or present)
  • Overweight
  • High cholesterol
  • Diabetes
  • High blood pressure
  • Inactive lifestyle

Your doctor can use the results of the scan to help make treatment decisions on how to lower your risk for heart disease. This test is most helpful for patients who do not have known heart disease but are at medium risk for disease after evaluating the main risk factors listed above.

Some studies have shown that a cardiac calcium scan might be a motivational factor for people at moderate risk to follow treatment plans and to make lifestyle changes.

The screening test is NOT for you, if

  • you don’t have any risk factors for heart disease
  • you are at high risk for heart disease
  • you have already been diagnosed with heart disease – since the information obtained from the scan will not impact your recommended treatment.

The result of the test is a number called the cardiac calcium score, or Agatston score.

The score is calculated from the total area of calcium deposits and the density of the calcium.

  • A score of zero means no calcium is present in the coronary arteries, which suggests a low likelihood of having a heart attack in the future.
  • A score of 100-300 is indicative of moderate plaque deposition in the arteries and is associated with a relatively higher risk of heart attack or heart disease over the next three to five years.
  • A score greater than 300, is considered very severe with high risk of heart attack or heart disease.

What are the concerns of getting a scan?

  • You are exposed to a low dose of radiation.
  • False positives are possible leading to further testing or treatment that you don’t need.
  • Not all arteries with heart disease have calcium “soft plaque atherosclerosis,” so it is possible to get a low score and still be at risk.
  • The scan is not covered under most insurance plans and Medicare, so the cost is out-of-pocket.

Many people do not know that they have heart disease until they have a heart attack. A coronary calcium scan is one way to find out if you have early heart disease, but other risk factors must be evaluated along with the score to give you a truer assessment of your cardiac risk. Your doctor can use your score to help you make lifestyle changes and/or to decide to treat high cholesterol or high blood pressure with medication.

SUSAN LOCKE is Healthnetwork Foundation’s medical director

Catholic rehab makes all the difference

People recovering from serious injuries, strokes, life-changing illnesses, and catastrophic accidents often need more than just physical rehabilitation.

Their spirits also need to be uplifted. That is an important insight the staff at Madonna Rehabilitation Hospitals in Nebraska understands infinitely well.

Rehab involves much more than physical adjustment

“Our patients and our families are sometimes struggling to understand the reason for their condition, not only just the physical aspects of it,” said Paul Dongilli Jr., the president and CEO of Madonna Rehabilitation Hospitals.

Dongilli, a speech pathologist by training who is a member of Legatus’ Lincoln Chapter, said people come from 24 different states, as far away as Alaska and Washington State, to be treated at one of Madonna Rehabilitation Hospitals’ two locations, in Omaha and Lincoln.

Physicians and nurses in those other states often refer their patients to Madonna because of the cutting-edge, first-rate rehabilitative care that is matched by the psycho-social and spiritual care offered at the facilities.

“When those individuals are paired with our social workers and our psychologists, they’re able to deal with the psycho- social aspects of a devastating injury or illness,” said Dongilli, who has been with Madonna since 1983.

Whereas most hospitals and care centers have small rehabilitation units on-site, Dongilli said Madonna Rehabilitation Hospitals are one of the only, if not the lone, freestanding Catholic rehabilitation facilities in the country.

“We’re not part of a larger acute care system, and in most acute care systems, rehabilitation is a small part of what they do,” Dongilli said. “Maybe they don’t invest in the technology and have the resources that are needed to treat patients who have had devastating spinal cord injuries, brain injuries, children as well as adults, where we have, because that’s all we do.”

Founded by Benedictine nuns – with a priest in residence

Benedictine nuns founded Madonna Rehabilitshort-term recovery and room for another 125 individuals who have chronic conditions and require longer-term care. The Omaha facility opened in 2016 and has room for 110 patients.

The facilities today are sponsored by the Diocese of Lincoln, Nebraska, and they retain a distinctive Catholic identity.

Madonna has a Catholic priest in residence, and offers daily Mass and access to the sacraments for patients, their families, and staff. Both locations have beautiful chapels and sacred art throughout the facilities.

“When you come into the facility, the look is such we think that it reinforces that Catholic identity,” Dongilli said, adding that spiritual care is offered for people of different religious and denominational backgrounds.

Patients come from afar

From its beginnings 60 years ago, Dongilli said Madonna Rehabilitation Hospitals has evolved into a health care system that serves patients from around the country, primarily from an eight-state region in the Midwest.

“When individuals and their families are faced with these horrific injuries and they’re looking for a facility to help them, in most areas they’re told that they don’t have those resources,” Dongilli said, adding that trauma centers in other states that work with Madonna are quick to refer their patients to the Nebraska facilities.

“So people are willing to travel to access a resource that they can’t get in their immediate community,” Dongilli said.

Madonna has a dedicated pediatric unit and long-term care for patients who require ventilators. The staff specializes in complex medical, traumatic brain injury, spinal cord injury, pulmonary conditions, severe stroke, other neurological conditions, and pediatric rehabilitation.

Offering hope, spiritual recovery

Dongilli, who worked in Madonna’s brain injury and stroke units and worked his way up to chief operating officer and then CEO three years ago, said Madonna offers hope and healing to thousands of patients every year.

“What we provide is a more holistic approach to care, balancing the more physical aspects of medicine, nursing, and therapy with more of the psycho-social and spiritual aspects of recovery,” he said.

In addition to the chapel, Dongilli said Madonna has a large therapy gym and carefully manicured grounds that contribute to the peaceful, spiritual, and mentally healing atmosphere.

“We have been very careful over the years to have green space and nature and some beautiful settings that are part of God’s creation that our families and our patients can access to have some quiet time or for reflection,” Dongilli said. “Those things, we think, very much make a difference and aid in the recovery process. It helps provide hope.”

In addition to focusing on the mental and spiritual healing, Madonna’s team of specialized physiatrists, hospitalists, therapists, rehabilitation nurses, clinicians, and researchers work with advanced technology and equipment to help each patient achieve the highest level of independence possible.

Research institute developing new technologies

Dongilli said Madonna has “a small but mighty” research institute that has been successful in developing technology to support rehabilitation efforts, and added that the technology is now being commercialized and sold to other health care facilities in the United States and abroad.

“We think we have the opportunity now in working with the University of Nebraska to expand our research efforts and develop equipment and technology that will help advance the field of rehabilitation and the outcomes of the patients that we serve,” Dongilli said.

Dongilli added that Madonna started a department to train physicians, and recently accepted the first group of residents from the University of Nebraska’s College of Medicine who will be trained in physical medicine and rehabilitation.

“I think what the future holds for us is to be a regional center, not only for the treatment of patients, but also a training facility for physicians and other professionals specializing in rehabilitation,” Dongilli said.

Founded with Mary’s blessing

The founding Benedictine Sisters named the facility after the Madonna because 1958 was a Marian year, said Dongilli.

“They had a vision that if individuals could have good nursing care and therapy care, that folks who previously had to be institutionalized could return back to their homes and to their communities,” Dongilli said. “They really established a vision for rehabilitation. They recognized the blessings that Mary would provide for their efforts and for hopefully sustaining the hospital and the facility.”

Despite changes in medicine and technology over the decades, Dongilli said Madonna’s core philosophy remains the same.

“That notion of doing God’s work, a vision for doing rehabilitation under the guidance of the Blessed Mother, has really been a core tenet for us,” he said.

 

BRIAN FRAGA is a Legatus magazine staff writer.

Marijuana – why bother going to pot?

Rebekah (not her real name) was admitted into drug rehab, not her first time around the block. She was typical of over half the patients I saw that day, typical of any treatment center across the nation. The common denominator? Smoking marijuana was her first experience of intoxication.

Marijuana contains two major substances. One is delta-9 tetrahydrocannabinol (THC), the substance responsible for the “high.” It causes most of the adverse effects of marijuana: elevated heart rate and blood pressure, distortions in time perception, anxiety, psychosis, and addiction. Along with alcohol and other potentially addicting substances, THC is a “false messenger,” signaling the brain that something wonderful has happened when, in fact, the only “wonderful thing” has been a fleeting experience of something much less than God. It is also a “virus,” taking control of the parts of the brain that process experience, plan, and strategize for the future. In vulnerable people, there follows a steady progression from pleasure or relief of suffering, to addiction.

The second major substance in marijuana is cannabidiol (CBD). CBD is responsible for many of the medicinal effects of marijuana such as: lowering of the blood pressure and heart rate, reductions in anxiety, anti-seizure effect, and protection from psychosis. (The FDA recently approved a pharmaceutical preparation of CBD (without THC) for use in some seizure disorders.) CBD is not part of the marijuana “high,” and does not produce addiction. In fact, CBD protects against many of the adverse effects of THC, possibly including addiction.

Time marches on and marijuana in the U.S. today is quite different than what was used by “flower children” of the past. Marijuana is now an $11 billion industry and, perhaps in response to industry pressures, the THC content of today’s marijuana has increased significantly. In 1995, THC content was approximately 4%. In 2014, THC content was approximately 14%, a more than three-fold increase from 1995. In contrast, from 1995 to 2014, the CBD content of marijuana decreased by more than 50%. This means marijuana today is a more potent psychoactive substance, containing less of the protective CBD. It’s a small wonder that emergency room visits due to marijuana increased by 50 percent between 2004 and 2011. Studies also show that adolescents using marijuana show impaired IQ, less satisfaction with life as adults, and 16 percent of them become addicted to it.

Rebekah’s childhood was long on suffering and short on supervision, important risk factors in developing addiction. In high school she experimented with alcohol and tobacco. Then came Xanax and concentrated marijuana (hash oil). By age 22, she was using cocaine and at age 23, heroin along with the cocaine. At age 24, Rebekah has survived (four people die every hour in the United States of a drug overdose) without a major health complication. She is hoping for long-term treatment, her best chance for recovery, and a brighter future. May God be with her.

 

DR. JEFFREY BERGER is the medical director of Guest House, the Residential Catholic Addiction Treatment Center in Lake Orion, MI. As well, he is contingent staff at Brighton Center for Recovery in Brighton, MI and has been practicing addiction medicine for over 30 years. He is an active member of the Catholic Medical Association.

Talk to parents early about aging

As our parents get older, it is often difficult to speak with them about issues they will confront in the aging process. The most important thing is to start the conversation early. Begin the dialogue when your parents are in good health. Do not wait until they develop a serious illness or are unable to make decisions for themselves. Here are some tips to help with the dialogue.

Enlist other family members to participate in the discussions. First, find out what their opinions are before you start the conversation with your parents. It is best to present a united front, so try to reach a consensus before you include your parents in the discussion.

Use good communication skills. Do not offer advice, but present your parents with options. Listen to their needs. Ask open-ended questions to better assess their views and enhance the discussion. • Understand your parents’ need to control their own lives. A sense of losing control is very frightening. Parents have a right to make decisions, but often you need to balance their need for independence with safety issues.

If you and your parents disagree, allow their wishes to prevail until their health or safety is an issue.

Address competency to drive before it becomes too late. This is a huge issue for the elderly because it affects their independence and their sense of control. If you have concerns that your parents are not safe to drive, it is often better for the family physician to address this issue, to avoid your parents blaming you if they are not allowed to drive anymore. There are ways to assess driving ability using simulators which provide objective data that the physician can use. Be forewarned that even with objective data, your parents will struggle with giving up their car. This is an extremely sensitive issue.

Ask your parents details about their finances. While this may be a difficult topic to discuss, it is important to know about insurance policies, trust documents, tax returns, bank records, investments, etc. Find out where they keep their paper work and organize the papers if necessary.

Ask about living wills and health care proxies. Understand your parents’ wishes concerning their medical care. It is important to have this in place before there is a medical crisis.

Gather information for your parents about their Medicare benefits. Medicare does not usually cover long-term care, so it is helpful to explore whether long-term care insurance is appropriate.

Identify community resources. Find out what services are available for your parents should they decide to stay in their home as they age.

Re-evaluate the situation on a regular basis. Your parents’ needs can change rapidly.

If you are having trouble with these conversations, consider involving a third party such a family physician, financial planner, attorney, or geriatric care manager. Most importantly, always treat your parents with love and respect and let them know you will be there for them as they age and confront any difficulty.

 

SUSAN LOCKE is Healthnetwork Foundation’s medical director.

Taking a second chance at heroic choice

Women who change their minds after taking mifepristone, the first pill in the medical abortion process, have a safe and effective way to reverse an abortion, and which is now supported by more scientific evidence. There is definitely a second chance at choice! My colleagues and I published a new study in Issues in Law and Medicine, looking at the use of progesterone to reverse mifepristone (RU-486) medical abortions.

Progesterone is the hormone essential to the maintenance of a normal, healthy pregnancy. Mifepristone is a progesterone receptor blocker; the blockade of progesterone receptors leads to the separation of the placenta from the wall of the uterus and death of the preborn baby. Mifepristone has been used for medical abortion in this country since the year 2000.

Currently, the FDA approves it for abortion up to the 10th week of pregnancy. In the U.S., 30 to 45 percent of abortions are mifepristone medical abortions (total of about 300,000 to 400,000 abortions annually). In some European countries, they comprise 75 percent of abortions.

The study looked at 261 successful mifepristone reversals and demonstrated reversal success rates of 64-68 percent with the protocols, significantly better than the 25 percent survival when no treatment is offered. There was no increased risk of birth defects or preterm births. Progesterone has been used safely in pregnancy for over 40 years. Further, the American College of Obstetricians and Gynecologists has declared that mifepristone does not cause birth defects in babies who survive it.

One of our clients wrote, “I just wanted to say, thank you from the bottom of my heart!!!” Another stated, “Changed my entire world by helping me that night. This is the best feeling in the world and nothing else matters. Thank you.”

We started the Abortion Pill Reversal network in 2012 as a project of Culture of Life Family Services. It has since grown into an international program. In April, Heartbeat International formally assumed control of the network.

Though abortion pill reversal research will remain under my direction, the partnership with Heartbeat allows the network to grow to serve more women who change their minds after taking mifepristone, while permitting us to focus on our ongoing research.

My immediate plan is to conduct a randomized controlled trial (RCT) that will compare the different progesterone protocols, in a head-to-head fashion. The next step will be the founding of a pro-life research institute that will be called the Steno Institute, after Blessed Nicolas Steno, a 17th-century Danish anatomist, physician, geologist, and convert to Catholicism who eventually gave up his scientific pursuits to devote himself to the study of the Faith. He was later named a bishop.

The Steno Institute will focus initially on furthering research in the area of abortion pill reversal. More scientific evidence is needed to counter pro-abortion critics who dismiss our findings out of hand. We will eventually widen our areas of interest because pro-life research, in general, is desperately needed to balance the anti-life bias that is so prevalent in medicine and the life sciences.

GEORGE DELGADO, M.D. is the founder of Abortion Pill Reversal and the medical director of Culture of Life Family Services in San Diego County, CA. He is a member of the Catholic Medical Association, and can be contacted at gdelgadomd@yahoo.com.

Listen to informative and fun-loving CMA doctors discuss health matters important to you on Doctor, Doctor – online at www.redeemerradio.com

The Catholic Medical Association is a national, physician-led community of over 2,400 health care professionals consisting of 103 local guilds. CMA’s mission is to inform, organize, and inspire its members, in steadfast fidelity to the teachings of the Catholic Church, to uphold the principles of the Catholic faith in the science and practice of medicine.