Archive for the ‘General’ Category

We’ve all heard about menopause.  We’ve all heard about the symptoms that some women experience: hot flashes, dry mucous membranes, insomnia, anxiety, depression, decreased libido.  We typically associate these symptoms with decreasing levels of hormones: mainly estrogen and progesterone.  While this is true, it is not the whole story.  Our hormonal system is complex, and while we usually think of “hormones” as our reproductive hormones there are several others, all of which have important functions in the body.  When we are thinking of menopause relief we have to look at hormones beyond those of the reproductive system.

The main hormonal system I want to bring to your attention is that of the adrenal glands.  These small glands sit above our kidneys and are comprised of two main sections.  The outer section produces two main hormones important to this discussion: cortisol (2, in figure) and DHEA (3), both are derived from cholesterol (1).  In general, cortisol is active during stress and DHEA is active during relaxation.  More specifically cortisol increases our blood sugar, stores fat around the belly, suppresses the immune system, decreases inflammation and inhibits proper thyroid function.  DHEA, on the other hand, regenerates tissue, restores our energy, improves our mood, increases immune function and builds bone and muscle.

As you can see in the figure, DHEA leads to the production of sex hormones (4).  During and after menopause (5), when the ovaries stop producing estrogen and progesterone, the adrenal glands step up to take on this job.  BUT, when we are chronically stressed (which is common in our fast-paced, North American society), our adrenal glands are too busy producing cortisol. In fact, your body will choose to produce cortisol over DHEA in the face of chronic stress! This is compounded by a natural decrease in DHEA with age.  Don’t get me wrong, cortisol is an important hormone.  However, when it is chronically elevated at the expense of DHEA then it becomes a problem.  Without DHEA, we cannot produce our reproductive hormones after menopause.  Our menopausal-induced reproductive hormone deficiency is made even worse by our chronic stress!

What does all this jargon mean for your menopausal symptoms? I hope I have made it clear that stress relief is an important part of menopause relief.  Give your adrenal glands a chance to support the normal hormonal pathways. The adrenal glands LOVE routine and the best ways to support them include:

  • maintain steady blood sugar levels.  Eat a small meal containing fiber and protein every 2-3 hours.
  • get adequate sleep at the right time – go to bed at 10 pm in a completely dark room.
  • exercise regularly.
  • avoid stimulants, including sugar and coffee.
  • practice deep breathing, meditation or yoga.
  • consume adequate essential fatty acids, minerals and protein.
  • see your local Naturopathic Doctor for the perfect treatment plan to suit your menopause relief needs.

It is important to support our adrenal glands all the time as they have a big job to perform.  However, it is especially important to support them as we age because their job gets even bigger!

Naturopathic medicine is a safe, effective and natural approach to you and your family’s health.  Naturopathic doctors can and will empower you to live a healthy lifestyle while treating and preventing disease.  Find more information on the services I offer at Arbour Wellness Centre at Nanaimo Naturopathic Doctor.

Medical practitioners test the blood pressure in millimeters of mercury. A high systolic blood pressure level is any number higher than 140. A high diastolic blood pressure level is any measurement more than 90. People who measure above these numbers over multiple medical screenings are considered to have stage one hypertension. Stage 2 hypertension is a diastolic measure above 100 and a systolic blood pressure level of more than 160. People who have stage 2 hypertension are considered to be in a medical emergency. Find out more about dangerous blood pressure levels.

What Do We Look For And What Can We Do About It?

Dangerously high blood pressure level do not always have a known cause. Nor will an individual with high blood pressure levels necessarily notice any symptoms. Consequently, high blood pressure is often described as the “silent killer.” In fact a person can have high blood pressure levels for several years without even recognizing it. The only way to establish whether or not you have high blood pressure is with regular medical screenings. It is not until a person develops stage 2 hypertension that they begin to notice that anything is going wrong.

A person with critically high blood pressure levels may notice a strong headache, queasiness, weakness, and vision problems. If you notice any of these symptoms and you know, or suspect that you might have dangerous high blood pressure levels, go to your doctor immediately.

The Possibilities

If high blood pressure is left unchecked it can do serious damage to the heart, blood vessels, eyes, and kidneys. People with dangerously high blood pressure levels, who do not receive the needed treatment are at very high risk of eye damage, stroke, aneurysm, heart attack, heart failure, kidney failure, and even death. Therefore regular blood pressure screenings from a health care practitioner are critical.

What Are The Treatment Choices?

If two or more successive tests indicate that you have hypertension, then there is a much that you can do to improve your condition. A healthy low-fat diet and regular exercise can help to lower your blood pressure. Even a moderate healthy weight loss can help correct the problem of your high blood pressure.

You should also eat less salt, reduce drinking alcohol, and stop smoking if you partake in any of these habits. Many medications are also available to treat high blood pressure levels. Diuretics are helpful for people with stage one hypertension because they reduce the amount of sodium in the bloodstream and reduce blood volume.

Your health care professional may also prescribe calcium channel blockers, which lower high blood pressure levels by reducing the tension of the the muscles of the artery walls. Beta blockers are another choice since they lower the heart rate and decrease the strength of heart contractions to reduce some of the pressure. Then there are ACE inhibitors which inhibit a hormone called angiotensin, which is a chemical that makes the blood vessels tighten and can therefore exacerbate hypertension.

To learn about the full range of medicines available to treat dangerous levels of your own blood pressure, talk to your health care provider. Alternative programs are also available for natural control of your blood pressure results. There are exercises which reduce tension and stress.  Acupuncture and meditation can also reduce your stress levels and bring down your blood pressure levels.

My parents brought me up to respect authority.  Many from their generation did not question authority.  In particular, teachers, police officers and doctors were to be revered and never questioned.    Teaching your kids to respect authority is quite necessary.  We must also teach our children that while it is appropriate to respect authority they must also question what they sense, feel or know isn’t right, particularly with the advice from the doctor at your family medical practice.

Having been brought up to never question authority, I would simply go in for a consultation at the family medical practice and take advice from the doctor then spend large amounts of money on prescriptions only to follow along paths that were simply not the right ones.  So many times I found myself with nagging feelings of doubt over the advice given to me by the doctors I have consulted in my life’s journey. 

Most recently I suffered two small tears in a tendon in the rotator cuff of my left shoulder.  I didn’t have this diagnosis at the time but I knew something was seriously wrong as I couldn’t move all weekend and landed in the hospital where I was given morphine and demerol to manage the extreme pain.  I am left-handed and I was unable to function with my left arm.   X-rays were taken at the hospital and finally I went to the family medical practice office to consult my Doctor to determine a diagnosis.  This Doctor is fairly new.  When she entered the office she gave me a brief glance and hello then sat at her computer and pulled up my chart.  She spends most of the time entering data on the computer while you visit with her.  She never examined my shoulder (???) and when I was finished telling her the symptoms and how it happened she was quite prepared to hand me a prescription for Celebrex and send me on my way.  She wanted to give me a 3 month supply.  I guess its best not to have your patients come back to bother you when you are so busy.  I asked her about the x-rays from the hospital and she told me they were probably in the mail.  I told her when they had been taken and then she told me they were probably in a pile at the front desk.  She simply couldn’t be bothered to look and it appeared she really didn’t care.  Just before she was prepared to shuffle me out the door I asked her if I should be getting an MRI or consulting a specialist in case I had done some serious damage, after all I couldn’t lift my arm and I was experiencing a tremendous amount of pain!  She looked dumbstruck and said “oh, I guess I could try and get you an appointment”.  She told me it would be a long wait but that she would try and get me an appointment with a specialist.   As it stands, I paid for my own MRI as well as a private appointment with a specialist.  The specialist has recommended surgery and I’m on a long wait list.  If I had allowed it, this doctor would have prevented me from getting the proper treatment in a timely manner.  After this very frustrating experience I called my husband’s doctor and I was accepted as a patient.    

Maybe your doctor is not quite as apathetic as this one, however, you still have doubts that you are getting the best care.

  • Are you outright unhappy with your doctor?
  • Do you get the sense your doctor really doesn’t care? 
  • Are you wondering if your doctor doesn’t take you seriously?
  • Do you get the feeling you are being brushed off by your doctor? 
  • Is your doctor reluctant to refer you to a specialist?
  • Do you sense your doctor is giving you incorrect information?

Check out the ratemds website.  You can look up the doctor at your family medical practice by region or name.  Search for comments about your doctor that have been posted by other patients.  Maybe your gut instincts are right and others are experiencing the same doubts.  You can search for doctors in your area, rate your own doctor, review comments and post your own comments.  Maybe you are very happy with your doctor and would like to let others know.  You can post your rave reviews at this site and your caring doctor will get the credit that he or she deserves.

For me, surgery is not considered lightly.  There are only a few orthopedic surgeons in my area that perform the surgery required on my shoulder.  I found this site to be a very useful tool in learning more about these specialists and, in part, due to the comments on this site I am very comfortable with the orthopedic surgeon that will be repairing my shoulder.

In the area where I live it is very difficult to leave your doctor because all of the doctors have full practices and do not accept new patients.  The ratemds website generally states whether a doctor is accepting new patients.  If you are unhappy with your doctor then ask your family and friends about their doctor.  Are they happy?  If so, get the doctors name and put in a phone call.  Tell them a patient has referred you.  Get on their waiting list if necessary.  Ask your family member or friend to put in a good word for you with their doctor and the office staff.   Don’t hesitate to call regularly to let the doctor’s staff know that you are interested in becoming a patient.  You can also call your local hospital.  They should be able to provide you with a list of new doctors that are starting out and ready to build their practice.  Often new doctors are keen and want to provide good care to their patients. 

Keep trying until you find the right doctor.  Don’t be complacent and don’t give up until you find the right doctor.  You do not want an apathetic doctor looking after you if your life is in danger.

Have you been successful in finding a new doctor?  Do you have tips or suggestions for others in their search for a new doctor?  Share your comments with us.