No Other “President” In History

No Other “President” In History

Trump established many new firsts most of them bad, destructive and downright reprehensible

No Other “President” In History

 

By Cate Rees-Hessel & Wes Hessel

 

First Failure

I vowed when Trump took office to never call him “president”. For the sake of this article, I will loosely refer to him as such. “The Donald” is the first world leader to do many things but none of them are positive. Read on about Trump’s dubious “firsts”, and then vote blue:

No Other “President” In History

  1. First U.S. president to promise to be a dictator. America is a democracy, a republic technically, but still – our forefathers are spinning in their graves at this conduct.
  2. He is the first to want a military parade – not to honor our veterans but to seal the fact he wants to be a dictator.
  3. Refused to attend the inauguration of the newly elected President Biden – first president to not attend his successor’s inaugural ceremony in 152 years.
  4. Claimed the election was stolen from him because he lost, when in fact President Biden received 81,283,098,  a record number of popular votes.
  5. Trump was the first president to claim his predecessor (Obama) was not born in the United States and as such was disqualified from even running for the office.
  6. Has never released any tax returns – the first president in 45 years to have kept them secret.
  7. Lost party control of the House, Senate, and then his own office – first time in 89 years.
  8. Trump was the first president that failed to achieve at least a 50% approval rating at any time during his 4 years in office.
  9. Trump is the first president to openly support ”Christian Nationalism” – a.k.a. “white supremacy”.
  10. The first president ever indicted for crimes; paying off a porn star, mishandling classified documents, election law violations, etc., trying to hide behind an invented presidential immunity claim. At last count Trump had at least 88 felony charges against him, and in the words of Curly in “City Slickers”, “Day ain’t over yet…”
  11. First president to cause a foreign nation to issue a warrant for his arrest.
  12. Invited an insurrection – obviously first (and hopefully only) president to incite violent action against our government.
  13. Promises a national “bloodbath” if he loses the 2024 election.
  14. First former president to run for election after already losing his bid for a second term – first president in 28 years.
  15. Trump is the first former president to hawk bibles and gold painted high top sneakers to a weary late night television crowd.
  16. A Godless man using the faith of other to get votes, selling expensive Bibles to fleece far right wing supporters. Holding a Bible (upside down) he does not read, outside a church he does not attend, to get votes.
  17. Brought the first centerfold “first lady” into the White House.
  18. Insisted on visiting Pittsburgh after the synagogue shooting in the Squirrel Hill neighborhood. Trump disregarded the Jewish mourning process to sit shiva for the deceased, showing disrespect for the Jewish community.
  19. When Trump entered office he dissolved the Infectious Disease Task Force which was put in place by the Obama-Biden administration, to quickly address communicable disease issues. That action crippled the response to the COVID-19 pandemic leading to the death of 1,200,000 (or 120,000 depending again, on your source) in the U.S. He was the first president in a 120 years to preside over a crippling nationwide pandemic.
  20. Trump took credit for vaccines that President Biden was actually responsible for.
  21. Claimed in letters to Americans that he personally was responsible for the  first stimulus checks, when in fact it was the House of Representatives led by Nancy Pelosi that was responsible for the checks.
  22. First president to deliver fumbling, bumbling remarks about Easter, the Revolutionary War, and the Civil War with such iron pyrite nuggets such as, “Gettysburg, what an unbelievable battle that was. The Battle of Gettysburg, what an unbelievable-I mean, it was so much and so interesting, and so vicious and horrible, and so beautiful in so many different ways.”
  23. Another first when the former bragged about, “Grabbing  ’em by the p____” .
  24. A serial adulterer during each of his multiple marriages while claiming to be a Christian man.
  25. The first to  brag about overturning established legal precedent. Roe v. Wade was 50 years of established law when Donald’s Supreme Court overturned it. We now have chaos and confusion. leading to dangerous  pregnancy complications going untreated.
  26. Trump wants to see programs for children eliminated. He supports childhood poverty unless they’re white males.
  27. Encourages the repugnant practice of trophy hunting.
  28. Trump is Putin’s puppet – the first president believed to have won election  aided by a foreign power.
  29. Wants to destroy Social Security for seniors and disabled Americans.
  30. The first to mock and make fun of a disabled journalist
  31. Trump appointed Postal Service hater Louis DeJoy to head the USPS. With DeJoy in office, our mail arrives late in the day, if at all. The plan was to line his and wealthy supporter’s pockets with service outsource contracts by privatizing the Postal Service.
  32. The first candidate to advocate for the elimination of Obama Care, Medicare, and Medicaid, effectively making healthcare only for the rich, and the white.
  33. The first candidate who’s election speeches are more like a bad comedy act, threatening retribution and poking vicious “fun,” at the deep state, yet not once giving legitimate reasons to vote for him.
  34. Trump is supporting turning back time on women’s, LGBTQ, children’s, and minorities’ rights.
  35. The first to refuse to allow White House cleaning staff to clean specific areas of the WH, leading to a rodent infestation – of course, Trump is the biggest rat of all.
  36. Claimed victory for an election he didn’t win before all votes were counted – the first president to not concede their loss.
  37. Trump called soldiers “suckers” and “losers”, refusing to go to honor their ultimate sacrifice in WWII.
  38. His policies added nearly 8 trillion dollars to our national debt, the most by far of any president.
  39. Trump was impeached twice, the only president to be so distinguished.
  40. Also, the only president whose own party member voted for his impeachment conviction.
  41. Of all the presidents, he is the first to not sleep in the same bedroom as his wife.

(Thanks to Dan Kunz at the Coeur d’Alene/Post Falls Press for his article highlighting many of these inauspicious firsts.)

Be True Blue

It is imperative we vote blue – we need reelection for President Joe Biden and Vice President Kamala Harris; the alternative is unthinkable. Racism, sexism, and anti-Semitism are out of control in our nation. Once the orange haired monster got a taste of power, the floodgates of hate and insanity were opened wide, and it’s very difficult but not impossible to stop the storm. Should “The Donald” be elected for another term, things will be even worse than his first horrific term. Trump is out of control and we just need to send him a clear message that he will never enter the Oval Office (or any other part of the White House) again.

Hasn’t Got a Prayer

Franklin Graham (no stranger to scandal) is demanding we pray for Donald Trump, but he has no right demanding anything. This is the typical arrogant, lemming-like behavior of Trump’s supporters. I pray that the orange monster is convicted of the crimes that he committed and goes to prison. I pray our nation will be finally be rid of him, once and for all. Here are some ways to get involved and ride the blue wave:

  1. Offer to make election calls for Democrats.
  2. Donate what you can to the Democratic election efforts – if you can’t financially support campaigns, give of your time.
  3. Bumper stickers, yard signs, t-shirts, etc. – we can display these things for Democrats with far more dignity and class than MAGA’s in their red hats and gold metallic gym shoes.
  4. Offer your home for Democratic events such as meetings, watch parties, envelope stuffing, postcard writing, and so on.
  5. Don’t engage with MAGA’s – ignore the insanity they spew; it would be a battle of wits with an unarmed person. Let’s concentrate on a Democratic victory in November.
  6. Offer to transport people to the polls.
  7. Volunteer to register folks in your community to vote.
  8. Post on social media positive things that Democrats are doing, and the negative things Republicans are up to.
  9. VOTE!
  10. Do pray that President Biden and Vice President Harris are reelected, and the orange haired monster is convicted of his crimes.

We can do this, together and united we stand for democracy…

Resources: www.democrats.org, www.lincolnproject.us, www.facebook.com/p/Mary-L-Trump-100076207187060/, www.taylorswift.com.

 

Grandma, Unhoused in America

Grandma, Unhoused in America

Grandma, Unhoused in America



By D.S. Mitchell

Face of the New Homeless

The lack of housing for low-income people or those on fixed incomes is a big problem and experts are working on it but there is no one size fits all solution to alleviating homelessness; certainly, more affordable housing units and additional housing vouchers are needed, but many of the homeless need specialized housing. Housing that offers wheelchair ramps, roll in showers, grab bars, single level units and other accommodating features to assist the many older and disabled individuals now facing homelessness.

55 and Over

As baby boomers age into senior citizens, a series of recessions and the lack of a strong social safety net have pushed more and more elderly people into homelessness — a number that’s only expected to rise. Jeff Olivet, executive director of the U.S. Interagency Council of Homelessness tells us that “Seniors over the age of 55 are the fastest growing group of people experiencing homelessness and for many of them, it is first-time homelessness.”

Why is this Happening?

Like with most things there is no simple explanation; the reasons are complex. Most obviously, the U.S. has an aging population. With aging, people are more at risk of poverty, more subject to traumatic events, such as the death of a parent or a spouse, and more likely to suffer with chronic illness, such as diabetes and heart disease,  and at increased risk for falls and other physical injury.

Stagnant Income

While their income is limited, rent costs have skyrocketed across the country. Housing protection and assistance available during the COVID-19 pandemic have expired, leaving many people on the street. In addition, many of these folks with stagnant incomes are of retirement age, but are still working part-time, at low pay hourly jobs with no chance of a raise, just to supplement their Social Security check.

Federal Action

On December 19, 2023, President Biden, alarmed at the unprecedented number of people with no place to live, across all age groups, released an ambitious federal plan to strategically reduce homelessness by 25% by 2025. The plan will address the lack of affordable housing, aid people in crisis, and prevent people from losing their homes to foreclosure in the first place. Focus of the action are those most seriously effected: people of color, veterans, the disabled, and the elderly.

Statistics On the Growing Problem

From 2009 to 2017, HUD statistics indicate the number of unhoused individuals aged 51-61 grew from 14% of the total homeless population nationally to nearly 18%. The percentage of people 62 years or older living on the street has nearly doubled. Predictions indicate that by 2030 the number of unhoused individuals over the age of 65 will triple compared with 2017.

From the 1990s                                                

The younger half of the boomer generation have long been the dominant group among unhoused adults. In 1990, on average those folks were 30 years old; today their average age is 62. But it isn’t just the long time homeless, many are newly unhoused; people tossed out of houses and apartments for the first time. These people often experiencing a total shattering of their lives.

Nothing New

The shortage of affordable housing in the United States goes back at least 40 years; Ronald Reagan’s war on “welfare queens” did incredible damage to the social safety net and it has never been repaired. This long-time problem has been exacerbated by a number of factors. Large corporations are buying up apartments and single-family homes and charging whatever the market will bear. In fact, rent and home prices have skyrocketed, while the country has recently experienced exceptionally high inflation on basics like food and gasoline. However, economics are only part of the explanation for the dire straits many elders find themselves in.

Growing Numbers

In 2023, homelessness shot up by more than 12%, with an estimated 653,104 unhoused individuals living on American streets and in her parks. I personally have a hard time accepting these numbers, because of the large number of displaced persons I see everywhere in my small southern Oregon town. All that aside, these numbers represent the sharpest increase ever in homelessness, leading to the largest unhoused population ever recorded in the United States.

Graying of the Unhoused

Recent HUD data shows that nearly 1 in 5 people in the United States (that’s ‘effin 20% of the population) have no permanent place to live and a good share of those people are 55 years or older. Some are calling the spike in unhoused older citizens the “graying of America’s homeless.”

 Intervention and Prevention

Advocates for the homeless preach intervention and prevention. For example, it might be better to pay for a seniors medication or arrange for meals than allow them to become homeless because they have had to choose between the landlord and the pharmacy.

Bigger Than the Finances

As already suggested, the issues are often more than just financial. Recent studies indicate that older unhoused people have problems performing daily activities and have greater difficulty with walking, seeing, and hearing. Furthermore, they are subject to falling, and their overall health is significantly worse than those of the same age in the general population. Importantly many of the identified individuals also have significant cognitive impairment.

In San Francisco

The problem is so significant that in San Francisco they are planning for at least one shelter set up specifically for older adults and those with disabilities. Similar shelters are being planned for New York, Washington, D.C., Chicago, and Boston.

Self-Medicating                                           

Exposure to the elements, poor diet, lack of sleep or fitful sleep, failure to take prescribed medication, shunning of professional services with doctors or dentists are commonplace among the homeless. Their physical circumstances trigger anxiety and depression, leading some to self-medicate with drugs and or alcohol. Such problems create a need for low barrier shelters, and housing, which are few and far between.

New Approach                                                  

Many experts are suggesting several types of shared housing situations that might be good solutions for the graying homeless population.  A homeowner takes in a tenant, cohousing (where there is a cluster of private mini homes with communal spaces or a large central building with separate bedrooms and shared kitchen and living room) or the immensely popular backyard Accessory Dwelling Units. ADU’s are springing up in neighborhoods across the country where zoning laws allow them. ADU’s are usually built on the lot of a single-family residence.

Conclusion

I wish I could conclude with a happy ending, but I see no happy ending here. As baby boomers age into senior citizens, a series of recessions and the lack of a strong social safety net have pushed more and more elderly people into homelessness — a number that’s only expected to rise over the next few years before common sense tells us it will drop off, probably after 2030, as the boomers die.

Take a Fresh Look at Isometrics

Take a Fresh Look at Isometrics

Isometric exercises are easy and show quick results.

A Fresh Look at Isometrics

By D. S. Mitchell

Testing the 30-Minute Rule

Health experts agree that to stay healthy we need at least 30 minutes of daily exercise; but getting that 30 minutes of exercise everyday seems an impossible challenge. Somehow the minutes and hours slip away, and we never commit to adding that 30-minute “health” block to our schedule. However, recent studies are telling us that the ‘30-minute rule’ isn’t hard and fast. In fact, experts are now realizing it is okay to sprinkle activity regularly throughout the day, even in one-minute increments. You heard it here; it is possible for you to get the same blood pressure, cholesterol and waistline benefits as people who exercise more vigorously in longer more structured intervals. The secret behind this is isometric exercise.

All About Muscle Contraction

Isometric exercise is a type of strength training in which the joint angle and muscle length do not change during contraction. Isometrics are done in static positions. In the process, you tense your muscles but don’t actually move. In such positions the muscle fibers are activated, but since these are equal forces against each other, there is no movement. Imagine putting palm to palm and pressing against each other as hard as possible for 10 seconds and then release. Just remember to squeeze it–hard. Since you are not relying on movement to fatigue your muscles you need to squeeze hard, which just means you tighten your muscles as tight as you can and then hold. And don’t forget to breathe. Breathe from the lower belly.

Proven Benefits

Isometrics strengthen and condition muscles, improve control over our bodies (bowel, bladder, breathing), improves body posture and spine alignment, helps prevent injury, improves bone density and strength, increases resistance and endurance, can be done anywhere at any time, no equipment needed, keeps body posture straight and erect and can be done by young and old.

Try it Yourself With These Quick Exercises

1.) While sitting around watching TV or during a work break: Keep a tennis ball next to your favorite chair or in your desk. At least twice a day, grab a ball and squeeze tightly for at least five seconds then release slowly. Repeat 10 to 15 times with each hand.

2.) While standing in line at the bank or the grocery store: A full body exercise can take your mind off the wait. Begin by tensing your butt 10 times. Tighten your stomach muscles, hold for five seconds, then release slowly. Stretch your arms downward behind you and squeeze your triceps 10 times. Rise up on your toes and squeeze your calves 10 times.

3.) While you’re brushing your teeth in the morning and evening try this: As you age your balance deteriorates. To reverse that natural loss stand on one foot for 60 seconds and tense your butt and upper thighs, then switch legs. When that becomes easy, try balancing while lifting your leg to the side and hold for 60 seconds.

4.) If your job is tying you to a desk it is endangering your life: You have probably heard, “Sitting is the new smoking,” sitting is hazardous to your health. If your job has you doing a lot of desk time change your usual chair for a stability ball for 20-30 minute periods throughout the day. A stability ball builds core strength and is recommended for reducing back pain. Don’t forget to get up and walk around every half hour.

5.) While the spaghetti is cooking: Place hands on the wall, shoulders wide apart. Lean into the wall, supporting your body on your toes, and keep your palms on the wall. Push as hard as you can. Keep pushing with the same force for 15 seconds. Relax. Repeat at least 5 times.

6.) While the coffee perks: Try to do a light stretch each morning. Stand at arm’s length from the wall and place one foot behind the other, keeping heels down and knees straight. Lean toward the wall and place one foot behind the other, keeping heels down and knees straight. Lean toward the wall, bracing with your arms. Bend your forward leg to stretch the calf of your back leg. Hold for thirty seconds and then switch legs. *Plantar Fasciitis is a common complaint and it can be prevented by keeping your calves and Achilles tendons from getting tight.

7.) When standing up: Every time you stand up from or sit down in a chair use just your legs. Do this 10 times a day and you can congratulate yourself for doing 10 squats. If you need to use one hand at first to steady yourself you can do that initially.

8.) If you are sitting at a red light: Counter gravity’s effects on bowel and bladder by tightening your pelvic floor muscles. Just pretend you have to pee and are “holding it.” Hold for a count of 10, then release for a count of 10.

9.) While watching season six of Breaking Bad or your personal Netflix marathon lie on your side and do three sets of 15 leg lifts, then three sets of leg circles. Then switch sides.

10.) Wall sit: Stand with your back against the wall. Flex your knees and lower your body as you would while squatting. Hold position 5-7 seconds and then release. Repeat 10 times, increasing the hold time gradually. Make sure your back remains flush against the wall at all times.

Although the above 10 suggestions are quick and easy exercises be sure to strive for a combination of isotonic and isometric exercises. Isotonic exercises include squats and stair climbing. Exercise should be fun. Include a weekly bike ride, roller skate at your local rink, take a hike, play a round of golf, hit the pool, or just take a walk.

The choice is yours. Choose to be healthy.

 

 

Tips On Staying Young

Tips On Staying Young 

Living longer is about moving and socialization.

Tips On Staying Young

By D. S. Mitchell

I was standing in the grocery check out line when I noticed a special edition Prevention magazine titled “99 Ways To Live To 100” on the rack in front of me.  I bought the magazine and when I got home the first article I read was “Active At 80+”

The story featured 4 amazing women from 81-87 years of age. Each of the women offered 3 stay young secrets. I thought they were good enough to share with my friends.

Alice Rocky 81: Stay Fit Activity, Yoga. Her “Stay Young Secrets”:

1.) Spend time with people of various ages. Having a broad social network helps you to feel and act younger, it helps you keep in mind that age is just a number.

2.) Recognize that some aches and pains are normal and natural.  It is your body giving you feedback. Listen to it and change, but don’t stop moving.

3) Exercise your brain. Stay engaged intellectually. Volunteer. Do crossword puzzles.

Ruth Heidrich 82: Stay Fit Activity, Iron Woman. Her “Stay Young Secrets”:

1.) Appreciate what you can do, “whether walking a half mile or doing chair yoga, applaud yourself.”

2.) Go meatless. Ruth states it is the most important health change she has ever made.

3.) Focus on the rewards. Exercise improves sleep, lowers blood pressure, reverses Type 2 diabetes, prevents heart disease and osteoporosis.

Florence Meiler 83: Stay Fit Activity, Track & Field. Her “Stay Young Secrets”:

1.) Discover your “thing.” “It can be yoga, Tai Chi, swimming-the key is finding the activity you like enough to commit to it on a regular basis.”

2.) Team up. “Exercising with friends keeps you on track and motivated. The National Senior Games’ motto is ‘Fitness, Fun and Fellowship.’ That says it all.”

3.) Believe in yourself. “We are all capable of far more than we think we are, instead of saying ‘I can’t’ say ‘I’ll try.’ Those words can make all the difference.

Joan Campbell 87: Stay Fit Activity, Swimming. Her “Stay Young Secrets”:

1.) Always have a goal. “It can be anything that motivates you. Goals give you a push”

2.) Avoid scale creep. “If I feel my pants getting tight, I cut my portions. Fish and veggies are my go to dinner.”

3.) Just say yes. “I see daily exercise as an automatic. That way I don’t question it. If I don’t feel like getting out of bed, I motivate myself by thinking how good I will feel afterward, and that always helps me get moving.”

Wow. Some pretty insightful suggestions. I think the information is as good for a 25-year-old as an 80-year-old.

8 Reasons To Keep Working After Retirement

Working After Retirement

Research shows that working after retirement is good for the mind, the body, and the pocketbook.

Research shows that working during retirement is good for the mind, the body, and the pocketbook

Keep Working After Retirement

Here are 8 Reasons to get a job after retiring

D. S. Mitchell

Measurable Benefits

Working after retirement, seems like an oxymoron, but that isn’t necessarily true. Just because you are no longer practicing your primary career doesn’t mean you should walk away from all money making endeavors. Part-time, free lance or consulting work, volunteering- doing that something you always wanted to do. A friend of mine, who worked for UPS for years, does wedding and anniversary photos as his new side hustle. Another friend works for a home health care company and does light housekeeping chores for several elder clients. I write freelance articles. I always wanted to be a writer; well now I am. Working can add to your retirement satisfaction and give your  life structure. And there are of course, the financial benefits of a paycheck. After a bit of thought and research I’ve come up with eight specific reasons a retired person may want to consider re-entering the job market.

  1. Researchers have concluded that working helps maintain good mental health.  Do not presume this is just because those with better cognitive health are better able to work. There is a particular benefit noted by researchers when the retiree switches to a different type of job than the one held prior to retirement. That benefit comes from learning new things-known as “novelty processing.” Novelty processing appears to slow cognitive decline. Who doesn’t want to stay sharp?
  2. Having a regular paycheck is a powerful means to increase the money available in retirement, without drawing down your savings, and it gives you an extended opportunity to save. Remember, you are not out searching for some high power position, with a six figure salary and every benefit ever imagined. Earning just a small portion of your previous salary will make a significant difference and substantially improve retirement security.
  3. Transitioning to part-time or even volunteer work, doing work unrelated to your prior career appears to be associated with fewer physical disabilities and declines and overall better cognitive health. University of Maryland researchers linked a post career job with fewer major diseases and functional limitations.
  4. A recent Harvard study found that retirement well-being depends on having good quality relationships. Folks who seem to enjoy retirement the most are those who replaced old work relationships with new ones. Working, whether full-time, part-time, or as a volunteer creates an environment for new interactions that can potentially develop into those new quality relationships.
  5. Finding a sense of purpose for living after retirement is critically important. A ‘little job’ can be a motivator to get you out of bed everyday. A common theme researchers hear is the need to find meaning and purpose-continuing to work in some capacity is a great way to achieve that sense of purpose, which in turn makes the retiree feel younger and more connected.
  6. Retirement allows the retiree the time and opportunity to help others. Volunteerism is one great way to ward off depression and provide inner satisfaction. That sense of well-being disappears quickly once volunteering stopped, according to recent studies from the UK.
  7. Work at what you like. Often our careers don’t match our passions. So as you think about re-entering the labor force, focus on fun and challenge. If you love to garden, how about a part-time position at the local nursery? Make sure you are spending time with people you like; in an environment that matches your hobbies or interests. Getting involved in activities you enjoy and care about can bring you in contact with new people you have things in common with.
  8. Every store in my little town has a “HIRING” sign in the front window. According to the Labor Department, there are 9.6 million job openings today in the United States. With such a severe worker shortage finding a job to better your life should be relatively easy, plus you would be helping a local business (and thus your community) that is struggling with staffing issues.

You Might Just Be A Woman Of A Certain Age

You Might Just Be A Woman Of A Certain Age

If you can remember clip on ear rings and phone booths, you just may be a woman of a certain age.

You Might Just Be a Woman of a Certain Age

By Anna Hessel

 

If you have ever worn clip earrings, or even know what clip earrings are…you might be a woman of a certain age.

If your hairdo (or your boyfriend’s) was a party in the back and business in the front…

If you have ever done anything in a phone booth…

If you know what a phone booth is or what it has to do with Superman…

If you used Tickle deodorant…

If you have ever worn shoulder pads when not playing powder puff football…

If you have a landline, had a landline, or even know what a landline is…

If you had a Princess or Trimline phone…

If you ever used a phone book…

If you ever used a clothing iron or frozen orange juice cans to fix your hair…

If you ever drank Tab, or know what Tab is…

If you ever served a Swanson Pot Pie for dinner…

If you refer to Lean Cuisine or the like as a TV dinner…

If you ever wore sequin mesh boots from Desperately Seeking Susan…

If you saw Desperately Seeking Susan on opening weekend…

If you ever had a Bianca Blast or used a Maybelline Kissing Potion before a date…

If you even know what a Bianca Blast is…

If you got peanut butter in somebody’s chocolate, or vice versa…

if you remember Madge the manicurist…

If you know what a manicurist is…

If you ever had a glass or half-moon manicure…

If you used baby oil with iodine to get a tan…

If you ever smoked an Eve…

(please note, I am NOT advocating the iodine, baby oil, or the Eves!)

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3 Gremlins Facing Health Care In The U.S.

3 Gremlins Facing Health Care In The U.S.

Americans are taking too many prescription meds

3 Gremlins Facing Health Care In The U.S.

By D. S. Mitchell

On The Front Line

Writing for www.CalamityPolitics.com allows me a grass root platform to discuss health care, and every other area of our political spectrum, for that matter. It does not give me the right to say anything I want about the issues. With that said, I have ground level experience in health care. Because of that experience and exposure to trench warfare in hospital health care I have strong opinions. Client care and results need to be discussed and evaluated for effectiveness. I have a passionate interest in health care, and in this area, I believe my street level experience gives me the right to discuss the issues. Bringing common sense thinking to health care should always be welcomed. I am an RN, and have worked for 38 years in hospitals in Oregon, Washington, California and Nevada.

The Sickest

My two primary areas of specialty are Crisis Psychiatry and Cardiac Intensive Care. Whether the issues are mental, behavioral, or cardiac emergency, many of the issues facing the caregiver, and the client are the same. Despite the obvious differences in the front line needs of the clients, both of these populations are often the sickest in the hospital. One thing I know, is that the health of the American citizen should not be decided by a politician in Washington, D.C. Sadly, that’s where this battle always shows its ugly underbelly.

Gremlin 1: Big Pharma

Suitcases Of Medications

For the first twenty-five years of my career, when I admitted a patient that came to the unit with a suitcase of medications, I believed it was because they were incredibly ill. Like physicians I had been trained to believe in  pharmaceuticals.  Once I was an old nurse, my thinking transformed into, the patient is sick because they are taking so many prescribed medications. I can hear the protests from the audience now. Don’t believe me, just read the labels. These are chemicals and they are toxic and poisonous.

Side Effects

Truthfully, every pill has the potential to cause side effects, some known and some unknown.   When a person complains to his doctor that he is uncomfortable due to the side effects of the medication he is taking, his doctor writes him another prescription to help deal with the side effects.  The patient has pain so his doctor writes him a prescription for an analgesic. When he complains that the pain medication makes him constipated, he is given a prescription.  You can see where this is headed, right?

Advertising Medications

In America, television is the best friend of the pharmaceutical industry.  Constant television marketing has convinced viewers that there is a pill that will fix anything and everything. Unfortunately, many Americans now believe that there is a pill that will make everything in their life better.  Health care policy makers need to take this issue very seriously. I realize drug manufacturers want to make a profit, but I also believe constant repetition creates a need that previously did not exist.

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Atrial Fibrillation and Stroke Risk

ATRIAL FIBRILLATION AND STROKE RISK

 Assessing stroke risk in patients is an important part of managing Atrial Fibrillation.

Atrial Fibrillation and Stroke Risk

A-fib can lead to blood clots in the upper chambers of the heart increasing the risk of having a stroke fivefold.

 

By D.S. Mitchell

Costco Connection

I am a Costco member and as such I get a copy of the Costco Connection magazine every month. The publication is full of useful information. In the February 2023 issue, I found a great article by Andrea Downing Peck, on the dangers of atrial fibrillation, a very dangerous heart rhythm disorder. I’m a retired RN and I’m always looking for information that will help people recognize symptoms of dangerous health conditions.

Kareem Abdul-Jabbar

Recently, I have seen numerous public service announcements made by NBA basketball legend Kareem Abdul-Jabbar who tells us that he suffers from atrial fibrillation. Well Kareem is not alone; an estimated 2.7 million American live with atrial fibrillation (a-fib). A-fib is the most common sustained heart rhythm disorder seen by doctors.

What Is A-Fib?

A-fib is an irregular, disorganized heart rhythm where the heart’s upper chambers (the atria) no longer beat in coordination with the lower chambers (the ventricles). The rate is usually more rapid than would normally be expected for the level of activity being engaged in.  A-fib is extremely dangerous because the rhythm commonly causes blood clots and blood clots cause strokes. Patients may experience a-fib without symptoms, but when symptoms do appear they may include chest discomfort, light-headedness, palpitations, shortness of breath, and fatigue. If left untreated it can be deadly.

Common Victims

The risk for a-fib increases after age 65. Several medical conditions also increase the risk of developing a-fib whether you are young or old: High blood pressure, Sleep apnea, Obesity, Heart failure, Diabetes, Overactive thyroid, Pericarditis, and coronary artery disease.

Triggers

Lots of studies and research have been done over the last fifty years to discover how to prevent heart disease. Researchers have known that the risk of coronary disease increases with predictable lifestyle factors. Now much of that research is telling us that those same factors and prevention strategies are most likely relevant to heart rhythm disturbances such as a-fib.

Alcohol vs Caffeine

Caffeine has been suspected as a trigger in patients who experience intermittent a-fib. Intermittent a-fib is defined as a temporary episode of the disorder that starts suddenly but resolves quickly without medical interventions, usually within 24 hours. The studies clearly indicate that caffeine does not appear to increase episodes of a-fib, but alcohol did frequently act as a trigger. Drinking more than one alcoholic beverage per day is clearly a trigger for the disorder.

More Than One Trigger

Smoking, sleeplessness, dehydration, stress, obesity, high blood pressure, and sedentary lifestyle are factors that seem to trigger a-fib events. The caveat here, as with many things, it is often a combination of several factors that trigger the event. Over the next several decades the prevalence of a-fib is expected to increase significantly. It’s the combination of these co-morbidities that increase the risk of a-fib.

The Answer

There’s an epidemic of obesity, Type 2 diabetes, inactivity, and alcohol abuse, in the United States. According to experts, we need the population to move, lose weight, drink less alcohol, and as practitioners, doctors need to aggressively treat diabetes and high blood pressure.

Treatment

 Treatments can vary. Medication or surgical intervention, in some cases, may be required. Medications are used to control heart rate and rhythm. Anti-coagulants are used to prevent clotting. A cardioversion is sometimes used as an emergency intervention. A catheter ablation is a procedure used to permanently restore the heart’s proper electrical currents.  There is also for some patients an implant called the Watchman that offers an alternative to blood thinners.

Outcomes

It is important to educate the public about a-fib and other heart rhythm disorders. It is important that if an individual is experiencing symptoms, they should contact their physician as soon as possible to diagnose the problem and above all prevent stroke.

 

Is A Tiny House For You?

Is  A Tiny House For You?

A lot of people in America are looking to downsize and are changing housing options by going tiny house.Is A Tiny House For You?

D. S. Mitchell

Affordable Housing Is Getting Harder To Come By

Housing in the United States is expensive and growing more expensive by the day. In fact, the lack of affordable housing is a major social issue in the world’s richest country.  As housing pressures stress the country some folks are looking around for different options.  There has been a growing trend in the United States toward minimalist living and the tiny house is at the forefront of that movement. Many people are attracted to the prospect of financial freedom, a simpler lifestyle, and a smaller human environmental footprint.

Downsize Revolution

The downsize revolution promotes living structures with sizes between 300 and 700 square feet. In general, the tiny home is 400 sq. ft or less. In some cases, the homes are on wheels. Despite the stated positives, they are not for everyone. Small does not necessarily equate with cheap. A tiny house can cost anywhere from $10,000 to $150,000. Holy Moly. The cost of course is dependent on a series of factors: location, building complexity, materials, and finally are you doing it yourself, or are you having it built. A contractor construction package will generally cost twice as much as a “do it yourself” house.

Small Often Costs More

Not always identified, but a serious matter, are the extra building costs for appliances, fixtures, water heaters and heating & cooling systems because of their reduced size. The rule it seems is that the smaller, the more expensive. It is important that you do some very careful figuring before you commit yourself to building a tiny home. One recommendation would be to get a minimum of three bids. Many builders  do sizeable markups on small projects.

Carefully Weigh The Pro And Cons Of A DIY Tiny House

Before you decide to DIY you need to understand that construction of a tiny home can take from three to six months if you are working at it full-time. When taking on such a project it is important to consider that while you are trying to save money on contractors you need to account for the money you won’t be earning while you are acting as your own contractor. Unless you are an experienced carpenter the frustration and potential areas for significant error should be added into your equation. Weigh those pros and cons carefully.

NOAH Certification

There are pre-fab tiny homes being made, but this is a case where buyer beware. Avoid potential pitfalls by making sure the NOAH (National Organization of Alternative Housing) certifies the plan and the builder. Things like windows, framing, roofing, insulation, become very expensive if you need to go back and fix things done incorrectly the first time.

Research Is The Key

I know it looks like fun, and even exciting when seen on TV, but before you commit the time, energy, and money required to build a tiny house, please do some big time research. Self education is essential before you go tiny. This should not be a decision made one Sunday night after watching a television show featuring tiny houses. There are books, magazines, videos, workshops and even Facebook groups which provide excellent information.

Try It Out First

I saw one article where the writer recommended that anyone considering building a tiny home to try it out first. I thought that was a great idea. You can rent tiny cabins all over the country. Give it a try. For at least a week, I would suggest. And bring a lot of stuff with you, and remember, this tiny space could potentially be your full time home, with all of your junk, and the necessities, that go with actually living in a home.

Before You Build

I can imagine a lot of people loving their tiny home and never wanting to go back. However, I can also visualize a significant number of people not adapting well to the smaller lifestyle, and regretting their purchase. Please, don’t be a regretter, be a planner, be a student, before you build.  Have fun. Even if you don’t go “tiny” you will have learned a lot about the “Tiny House” industry,  yourself, and your needs.

Let’s Move It!

Let’s Move It!

Time to get moving. Sitting is the new smoking.

Let’s Move It

D. S. Mitchell

 

Sedentary and Overweight

Our society is becoming more sedentary and overweight. Many of us spend hours behind a desk at our jobs.  We drive our cars to the fast food drive thru, never even getting out of our cars.  We use our computers to shop, without ever leaving the house.  With decreased activity people are increasingly complaining of posture related aches and pains, depression, anxiety and low self-esteem.

Too Much Sitting

Just like we enjoy eating and drinking too much, we enjoy sitting too much. We are surrounded by cars, snacks, elevators, sugary drinks and fast foods. The problem has become serious enough that the World Health Organization has a new agenda focused on encouraging physical activity.

Exercise For Mental Health

A “Black Dog Institute” of Australia study found that 1-2 hours of exercise per week can prevent depression. In addition to improved mental health multiple world-wide studies have shown that vigorous movement can stave off heart disease, stroke, high blood pressure, fatigue, diabetes and even cancer.

Sitting Equals Smoking

Our country, and most of the industrialized economies are suffering from a “sitting disease”.  Physical inactivity is one of  the top 10 causes of disease and disability according to a recent study. That study attributed 1 in 6 deaths to “sitting” which is equal to smoking in that country.

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