The Courage to Change the Things You Can: On Becoming Your Own Best Advocate

If you think about it, the Wizard of Oz is really about the Serenity Prayer. The tin man wants a heart to be able to love the things he can't change; the lion, some courage to change the things he can; and the scarecrow, a brain with which to know the difference.

Most of my life I've begged the wizard for a heart ... to be able to accept my hand of cards and play them gladly, no resentment whatsoever for the suicidal ideations, lovely medication side effects, and other heath conditions that make me feel as though I'd fit right in with the rowdy crowd at our local diner's early bird special.

But this month, I'm concentrating more on acquiring and using courage ... the courage to become my own best health advocate, to fight back against a corrupt and dangerously incompetent medical system in this country, to fire the doctors who could care less if my symptoms worsen or impede my recovery so that I flip the bill for the surgery required down the line.

Don't get me wrong: I believe in medicine. I believe it is our friend and ally in the war against mood disorders and other illnesses. It's the professionals administering the pills I'm worried about. Some of them are brilliant ... like Dr. Smith, my psychiatrist. Many are not. And I'm no longer going to tolerate the ones that do not hold my hand as I do everything I possibly can to acquire good health ... not just for my limbic system, but also for my endocrine system, my respiratory system, and my entire nervous system.

If you're confused and have absolutely no idea what I'm talking about, I suggest you ask you doctor for your medical records. Gauge her response. It's a telltale sign. When I failed to procure my mental health records from a psychiatrist I used to see after three written requests plus a few verbal ones, I knew it was time to leave. Last week I camped out in the offices of my endocrinologist because the first two efforts at obtaining my records over the phone were blown off.

"You know what," I told the assistant, "I think I'll just come in and hang out in your offices until I get them." A half-hour later, photocopies were made and I went home with an ambitious assignment: to learn everything about my pituitary tumor that I could, as well as the side effects of the medication I am taking, which--surprise!--may be responsible for most of my cardiac and respiratory problems.

I began to study the endocrine system just like I did the limbic system three years ago in order to better understand my mood disorder. The results were fascinating ... which I'll share in a future blog about the mongo role of the hypothalamic-pituitary-adrenal (HPA) axis and the correlation between specific hormones and mood ... think PMS and you have an idea of what I'm talking about.

For some reason I thought that my journey down the endocrine and cardiac paths would be better paved than those I've traveled in my mission for good mental-health information. Because, let's face it, most doctors don't understand mood disorders, and many stare at me as though I am speaking about my imaginary little friend when I mention that I am on a mood stabilizer and two antidepressants. "Oh ... I see," they say, waiting for me to add some other nugget of odd information, like I love to picnic at nude beaches and offer peanut-butter and jelly sandwiches to the masses.

So down the yellow brick road I go in a quest for courage. Lots of courage.... to camp out in endocrinology offices all over the world until I get my BLOODY records; to ask the necessary but unpopular questions ("If I don't want to have surgery down the road, what can I do now to help prevent that?"); and to seek the opinions of the foremost specialists (Johns Hopkins ... the Land of Oz) in a given field, i.e. cardiology and endocrinology.

A Beyond Blue reader recently shared with me this quote from Mary Anne Radmacher: "Courage doesn't always roar. Sometimes courage is the quiet voice at the end of the day saying, 'I will try again tomorrow.'" Maybe, just maybe, she was talking about securing her medical chart.

10 Ways to Fill Up on Happiness

How to Kick-Start Your Pursuit of Happiness

Powerful woman

By Janice Taylor

As a life coach and author, I have worked with thousands of people who are searching for their life happiness. My work is to move them toward their authentic selves, helping them to generate enough happiness to light up all of Las Vegas and Times Square combined!

What I've seen is that people who "fill up on happiness" are more likely to naturally take actions that move them in the direction of their goals. They also tend to burn more calories, and attract happy and successful people into their lives.

What do I mean by "fill up on happiness?" I mean choose to find happiness—not negativity, gossip, mind-numbing TV shows, or empty calories—in the world around you. The following tips, techniques, and happiness quotes should get you started.

Take Action, Take Heart

Mother and child outdoors

"Happiness resides not in possessions and not in gold, the feeling of happiness dwells in the soul." - Democritus (460?-370? BC)

Focus on the chase, the process, the journey—not the end result! At the end of the day, happiness is not about the big house, the money, or the material goods. The thrill is in the satisfaction of pushing our envelope and working hard. Happiness lives in the meaning and purpose we find in our lives. Melt into the process. Enjoy the ride. Happiness guaranteed!

Find Something to Celebrate Every Day

Dog with party hat and balloons

"There are two ways to live: you can live as if nothing is a miracle; you can live as if everything is a miracle." - Albert Einstein

Celebrate a creative idea, your brilliance, your authentic style, your family, and/or your clean closets! Celebrate anything and everything that brightens your heart. If you find one thing to celebrate every day, your mind will soon automatically search for things to celebrate. Imagine that... your mind on automatic pilot, searching for happy things to celebrate.

Open Your Heart and Forgive

Droopy-eyed dog

"Forgiveness is a funny thing. It warms the heart and cools the sting." - William Arthur Ward

One needs to expend an awful lot of energy to hold onto anger and resentment. And at the end of the day, who is it hurting? Certainly not the people to whom you are directing your bitterness and hostility. Those negative feelings are swirling through your own psyche and body. So let them go and enjoy a path toward feeling lighter, freer, and happier. In the end, you could consider forgiveness the best kind of selfish act, as it benefits you as much as anyone else.

Give Yourself Credit

Strong woman

"The truest greatness lies in being kind, the truest wisdom in a happy mind." - Ella Wheeler Wilcox

Rather than focusing on what you haven't achieved (and believe me, we all could create quite the list), why not focus on what you have accomplished and give yourself credit where credit is due? No holds barred. No thoughts that negate your triumphs or happy moments.

Right now, write down your successes, your favorite memories, and things you are thankful for. You can even project happy happenings into the future. Feel that happy energy swirling upward?

Color Yourself Happy

Child with painted hands

"Spring is when you feel like whistling even with a shoe full of slush." - Doug Larson

According to a study from the Vrije Universiteit in Amsterdam, adults reported feeling happier when in the presence of the colors green and yellow. On our deepest levels, these glorious spring colors remind us of sunshine, spring fields and happiness. Don't underestimate the power and importance of your physical environment - your home, your office and your car – anywhere you live. Paint it happy!

Shake Your Booty

Dancing woman

"Movement is a medicine for creating change in a person's physical, emotional, and mental states." - Carol Welch

Exercise stimulates the brain to release endorphins and increases the production of the neurotransmitter serotonin, the body's natural mood elevator! Schedule 30 minutes a day to get out there and shake it, baby! Walk, dance, run, jump up and down, twirl in circles... move any way you can and feel happy.

Clear Space for Happiness

Colored paper clips

"Many men go fishing all of their lives without knowing that it is not fish they are after." - Henry David Thoreau

Get those unpleasant, little, pesky tasks done, now! Go on, I said now! They are sapping your energy and weighing you down. They are hanging over your head. Free yourself of this mental clutter, and clear space for happiness!

Release Physical Tension

Head massage

"We should consider every day lost on which we have not danced at least once. And we should call every truth false, which was not accompanied by at least one laugh." - Friedrich Nietzsche

Stress, upset, and negative feelings can register in the body as tight shoulders, stomach cramps, stiff neck, or a headache. Some recommended ways to release this physical tension are to laugh, chant or sing, breathe deeply, get a massage, or sit in a sauna or steam room. It's important to take care of your body in whatever way works for you.

Creative Acts of Kindness

Jewelry box gift

"The best way to cheer yourself up is to try to cheer somebody else up." - Mark Twain

Want to create an upward happiness spiral that not only affects you, but in turn expands and spirals out there (woo hoo!) enhancing the world-wide happiness quotient? Do something nice for someone else! It's that simple. Plant one seed of happiness – just one - and it has the potential to grow and spread. Watch happiness ripple out...

Strengthen Your Gratitude Muscle

Gratitude

"Wake at dawn with a winged heart and give thanks for another day of loving." - Kahlil Gibran

We can be collectors of injustices – perpetually feeling slighted, empty, and unhappy because of all the injustices (both real and imagined) that have fallen upon us. Or, we can count our blessings, feel joyful and happy, and cultivate gratitude. Every night before you go to bed, jot down at least 5 things that you are grateful for. You may be grateful for the obvious – food, shelter, clothing, a job, or some more subtle things, like smiles from strangers, a ripe piece of fruit, or the bus arriving just as you get to the stop. As you strengthen your gratitude muscle, you'll find that your life is filled with more blessings than you realized.

Practice: Create a Happiness Circle

Download the Happiness Circle

Sit quietly, close your eyes, and just for a moment or two concentrate on the word "happiness." What comes to mind when you imagine feeling happy? What are your associations with happiness?

Write your thoughts in The Happiness Circle. Don't think; just fill your circle with happiness. You may be surprised to note that the simple things in life are what come to mind!

Facing Doctor Phobias: The Throat Culture

Cotton Swab.JPGI knew this day would come...the day I had to once again face the scritchy, gag-gy nightmare that is known to most people as a throat culture.


When I was a kid, throat cultures were screeching, Mom-bribing-with-candy-rewards, "We need more nurses!" affairs for me. I know I'm not the only one to feel this way (I heard screaming in other rooms at the pediatrician's office....). But I never recovered 100% from it, never emerged as a functional throat-culture accepting adult. The sight of a nurse or doctor peeling back the plastic seal to expose the cotton swab sends me into a shaky sweat to this day.

To yester-day, in fact, when I had to have one for the first time in several years.

My doctor is a kind soul, well aware of my phobia and conservative with the swab. But two things were different when I went to see her this time. First, I really should have a throat culture - fever, gross tonsils, we must give strep no sanctuary. But the second different thing is that instead of letting her talk me out of it, I insisted on having a culture.

It's time, I said, to face this fear--coddling my anxieties is not going to help me feel better. So just like my water aerobics friend when she was facing the deep end of the pool, I asked the doctor to explain in advance where the swab was going, and for how long....and then I had her dive in.

My inner monologue went something like this: I'm sweating and a little shaky, I will probably hate all 15 seconds of this....but that's ok. In 15 seconds I can tell anyone who will listen how much I hated it from right here where I sit. Not on a stretcher on the way to some emergency room, not from the great beyond. I am not going to choke, I am not going to swallow the long swab stick. I won't like it, but I will be fine.

So today, I sit here waiting for the results of the test (probably negative - in a cute little irony, I have never actually had strep throat, not once in my life and dozens of throat culture disasters). And I didn't end up telling anyone how much I hated the throat culture. Instead, I left the doctor's office with a little "yay, me!" smile on my face because I know that's one more drop of water on the Wicked Witch of the Fear.

How do you cope with medical phobias? Any advice or stories to share?

John McManamy: Play, People, Play!

Awhile back, fellow blogger John McManamy and I were talking about the dull process of becoming an adult, and how important it is to retain our playful spirits, especially if you're battling a mood disorder. Well, he certainly took my homework assignment seriously! In Monday's post, he features a video of kittens at play. It made me want to shut down for the day and build a fort or something.

I also like his words of wisdom on play. You should go check out his post, which you can get to by clicking here. He writes:

What happens to us when we get older? Are we programmed to actually forget how to be happy?

Remember what it was like when you were five? When you and your friends had that feeling of never wanting to stop? Until your moms called you in for dinner?

Why can't we bring back some of that?

Trust me, I will be writing an awful lot on this. Play is a vital element in our recovery. So much so, I contend, that if you are not spending at least part of your time acting like a child then getting through adulthood is going to pose a major challenge.

In the meantime, in case you have forgotten what play is like, here is a video from my two resident experts, Rocky and Bullwinkle at age six weeks. Enjoy ...

Find Your Inner Child--and Play!

You're never too old to become younger.
-Mae West

From "It's Better to Be Over the Hill Than Under It: Thoughts on Life Over Sixty" by Eda LeShan:

I felt such a mixture of joy and pain, as I rode my [carousel] horse, round and round, exhilarated, delighted - playful. The joys of the past, the difficulties of the day, all meshed - a little girl allowing the real world to recede for something far more important and refreshing than sitting at my desk. What happens, when I remember it is time for a carousel ride, is that when I become playful, the child inside me is allowed out for recess. A carousel makes me feel four years old again, and I am convinced that the only way to be creative and constructive in our adult years - especially the later ones - is to get back in touch with the child we once were.

It doesn't have to be a carousel for everyone. It might be fishing or a picnic or a game of miniature golf or going to a circus or anything else that takes us back in time and grants us a special, childlike freedom in which we accept all our thoughts and memories, sad and happy - and most of all, frees us from our grownup selves....

When we are tired or sad or truly grief-stricken over some terrible loss or find it impossible to do what we have to do, it is time to be playful, to comfort the inner child, to respect our need for nurturing. Find the place that can bring you to the lovely, special inner self that is with you from birth to death. It is the source of all creativity and of feeling most alive.

Let's Talk Phobias

Fresh Living blogger Holly Lebowitz Rossi has written two great posts on phobias which made me think of that piece I wrote awhile back, "Feel the Fear But Don't Be a Moron," when the Bay Bridge run was cancelled, thank God, considering my fear of heights.

First Holly faces her doctor phobias, when she has to get a throat culture. Man, did I hate those as a kid (just like she did). She writes:

When I was a kid, throat cultures were screeching, Mom-bribing-with-candy-rewards, "We need more nurses!" affairs for me. I know I'm not the only one to feel this way (I heard screaming in other rooms at the pediatrician's office....). But I never recovered 100% from it, never emerged as a functional throat-culture accepting adult. The sight of a nurse or doctor peeling back the plastic seal to expose the cotton swab sends me into a shaky sweat to this day.

But she does it! You're going to have to read her account. I feel guilty stealing it.

And then Holly gives us a second success story ... a woman who conquered her fear of the deep end right there at the aquacise class that Holly takes! Holly writes:

From times when I've overcome some of my own fears, I recognized the look on Susan's face. She was listening raptly to the answers to her questions, but she didn't quite believe our assurances. She needed enough confidence from us to get her into the pool. From there, she would have to see for herself.

Which she did. She gasped with excitement when she discovered not only that she could be comfortable in water that was over her head, but she could keep up with the exercises without fear of going under. She shouted, "I'm so proud of myself!" We gave her a round of applause at the end of class.

After reading the two success stories, I ALMOST wanted to sign up for the Bay Bridge run again. On second thought, I think I'll conquer that one another year.

Acupuncture 101

Acupuncture 101 10 frequently asked questions about this popular alternative health treatment.

By Paul Kempisty, NCCAOM-certified acupuncturist, as interviewed by Lilit Marcus

You may have heard celebrities or TV personalities talk about how acupuncture soothed their chronic pain or helped them quit smoking, but there's a lot more to this ancient technique. Whether you're a longtime fan of alternative medicine or just looking to expand your current treatment regimen, this article will help you to learn about acupuncture, how it works, and what benefits it might have for you.

1. What conditions or illnesses can acupuncture treat?

Acupuncture 101 Nausea, headaches, lower-back pain, and other chronic illnesses are proven by medical studies to be alleviated by acupuncture. Devotees of acupuncture say that it can also help with everything from stress to weight loss, from infertility to blood pressure to breaking habits like smoking. Acupuncture is a kind of holistic medicine, meaning it treats the mind, body, and soul as one. Therefore, almost any condition can be aided by acupuncture.

2. Exactly how does acupuncture work?

Acupuncture 101 The vocabulary of Chinese medicine is based on the metaphors used to describe the natural world. Throughout our bodies, we have systems of "meridians" that are mapped out via specific acupuncture points. These points are the powerful areas that stimulate various functions in the body. Acupuncture points each have names, including Hidden Valleys, Gushing Streams, Kunlun Mountains, and Source Receptacles. When you put a needle in a point, you stimulate the functions of that point. You either bring energy to that point or you remove energy from it.

The meridians are also connected to the organs or the body. Your organs are like roadways or canal systems, and they either need more traffic or less at any given time. They need resources to be distributed in a certain way, and the points do that.

3. How do I choose an acupuncturist if I've never been to one before?

Acupuncture 101 If your insurance company covers acupuncture, you should check out their approved list of practitioners. However, if you're choosing one randomly, make sure that the acupuncturist is licensed by NCCAOM (National Certification Commission for Acupuncture and Oriental Medicine). They have lists you can reference by geographic area on their www.nccaom.org. You may also want to ask a friend for a recommendation.

4. What kinds of things should I be ready to discuss at my first acupuncture appointment?

Acupuncture 101 Whatever your chief complaint is, bring that up. If an acupuncturist is knowledgeable in Western medicine, he or she might want to talk about the treatments you've already done, or discuss the medical options you have. The acupuncturist will also lay out how the Chinese medicine philosophy applies to that particular ailment. Then the acupuncturist should ask questions that help refine a diagnosis in terms of Chinese medicine. The basic questions are things like: "You have a headache; what makes it better, what makes it worse?", "Where is the pain located?", or "What is the nature of the pain?"

The practitioner's questions elicit information on which organs are overactive, which meridians are underactive, which is the weak link in the chain, and which is compensating. That helps us choose acupuncture points which will treat that condition.

5. Do the needles hurt?

Acupuncture 101 No, if the acupuncturist is skilled, the needles really do not hurt. You feel something, a small sensation, but it's not like the type of needling that you experience when you give blood. Acupuncture needles are so thin, you can fit anywhere from five to ten of them inside the hollow of a hypodermic needle.

Some acupuncturists might do a really light manipulation of a needle so that a person feels it, but only so as to bring their awareness and energy to that point. If there's a blockage in the point and you want to disburse the energy, then you might do a little bit of a stronger stimulation, which could feel a bit uncomfortable for the patient, but only because it is moving their awareness throughout their body. There are some points, ones where pain is located, that we know that tend to be sensitive, and so we might tell a person to take a breath or say, "This point is a little bit strong, so be prepared."

6. How long does a session last, and what does it entail?

Acupuncture 101 Typically, the total time is 75-90 minutes for the initial appointment, and an hour for appointments after that. In a typical session, my patients change into a gown. Then I take a detailed look at their tongue and take their pulse. I list any diet and lifestyle recommendations that are pertinent, discuss with them the treatment options and recommendations, and set their plan. It takes about 10 minutes for the needles to find their points, and then the needles are left in place for 20 to 30 minutes in most cases. I will often check in at least once with the patient during this resting time. After I remove the needles, I leave to allow the patient to gather themselves and get dressed. Then I answer any final questions and explain any interesting things that they experienced.

7. Why do you put needles on parts of my body other than the ones that hurt?

Acupuncture 101 Chinese medicine is called a Medicine of Systematic Correspondences. Every organ has a flavor, a color, an emotion, a time of day, a time of year, and a body fluid that's associated with it. When you draw this web, it's an extraordinarily complicated mesh of interconnections. In the concept of systematic correspondences, the ear, for example, has related points that cover the whole body. The nose has a micro-system. The hands and the feet all have micro-systems. The elbow joint corresponds to the knee joint. So, if you have a very active painful condition in your elbow, a first-time treatment might actually not needle the elbow directly because it might be too inflamed. An acupuncturist might choose the opposite elbow or the opposite knee as a corresponding point to open up that particular type of energy in the body. Sometimes if a person has low abdominal pain, you can needle on the chest and close to the neck, which can be really helpful.

8. How long does it take for the average person to start noticing improvement on acute conditions?

Acupuncture 101 It depends. Some people are wonderful responders. They respond quickly, immediately, and completely. For some people, after one or two treatments the person is 90-100 percent better. Most people are more in the middle. Depending on their condition, the intensity, how deep the problem is in their system, and how long they've had it, they have different responses. I give them a treatment, and they feel a little bit better. I add another treatment, and they feel a little bit better. Usually it takes two or three sessions to figure out their degree of response, but once I have that, I can usually chart a pretty clear line of expectation for when they will feel better.

9. How often should a person get treated for a chronic condition?

Acupuncture 101 It depends on the condition. When patients first comes in, they might come once a week or once every two weeks. Say they have a back pain, and they've had it for while. They might come once every one or two weeks for a number of sessions until they're stabilized and feel considerably better. After that they might come in for maintenance on a periodic basis. But if their back is feeling a bit achy and they're feeling like it's going to go out again, they might come in for a couple of "tune-up" sessions.

10. What else should people know about acupuncture?

Acupuncture 101 Acupuncture is a medical system, not a magic bullet. It can make a person feel well, but if he or she keeps eating McDonald's three times a day, those problems or illnesses will persist or come back. Acupuncture is about whole-body health, and people have to be willing to make other changes in their lives in order to be healthy.

The truly mind-blowing positive potential, however, is something that I notice in the first few sessions I give to a patient. It might happen the first time, or might take a few visits, but the actual treatment time appears to be a gateway for people to enter very deep and often previously unexplored levels of consciousness within themselves. For some people the experiences seem to last only for the duration of the session, while for others the connection lingers. But whenever it happens, it opens that person up to a whole new and tangible part of themselves. This is an amazing thing.

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