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Newsletter of the Women’s Mid-Life Health Program, Women’s Health Centre
Keeping Kidneys Healthy
By J.E. Kappel, B.Sc., M.D., FRCPC, Head of the Division of Nephrology, University of Saskatchewan
Excessive use of anti-inflammatory
Unfortunately, after the age of 40,
Be careful with over the counter pills.
If you have any of these risk factors, it is
potassium, calcium and phosphorus important that you have your kidney
The kidneys do this work silently and it is Blood pressure test
Blood test for serum creatinine and a
Be careful when having CT scans or
can decrease the chances of further kidney problems. Discuss this with
Changes in urination – “bubbles” on Monitor your blood pressure. Target
Swelling of hands, feet or eyes – the
Shortness of breath on exercise, at
blood sugar control (ie Hemoglobin simple kidney tests – blood pressure,
Generalized itching – wastes are
A1C less than 7%) has been shown to blood creatinine and calculation of
increases the risk of not smoking and having a healthy
First Nations, African, Asian, Hispanic
Any history of heart attack, stroke,
can result in further decrease in kidney function and more swelling.
You Are Power Full
How do you define power? The dictionary definition “The
habit, a way of life. Get others to join you, lending support
great ability to do, act, produce or affect strongly. It is
to each other to eat, work, and live mindfully together.
Living like this is your only true belonging and is the essence of a meaningful and fulfilling life.”
Consider the fol owing curiosities. What makes you courageous? What makes you wise? What brings vitality
My husband and I have two amazingly Power Full
to your life? What makes you feel most alive? What
daughters. Our youngest daughter was diagnosed at age
qualities do Power Full people share? What makes you
seven with Tourette Syndrome (TS) plus Obsessive
Compulsive Disorder (OCD). TS is a neurological disorder characterized by tics, which are involuntary vocal & motor
You are Power Full. How does this feel? Do you embrace it sounds & movements. Most people with TS have an
or push it aside? My mother is a Power Full woman. When I associated disorder, including OCD, ADD and many others.
comment on it, she laughs and says, “Oh no, I’m not.” I
(The TS community jokingly refers to the disorder as
resource unit of the Tourette Syndrome Foundation of Canada. We now have a growing community of support,
To be fully Power Full, we need to be mindful daily of our
advocacy, education & awareness. Maria is my greatest
actions, thoughts and activities. It is through living presently teacher. She emulates Frankl’s three ways to create
that we create power and meaning in life. Viktor Frankl was meaning in life. She is courageous, wise, mindful and
an Austrian neurologist and psychiatrist who between 1942 Power Full!
and 1945 was imprisoned and laboured in four different Nazi death camps, including Auschwitz, while his parents,
One of the most interesting books I have read lately is
brother and pregnant wife perished. He used his own
‘Leave no Doubt’
by Saskatoon’s very own Mike Babcock.
experience and the experiences of other prisoners to study Mike is the head coach of the Detroit Red Wings. He was
also the coach who led Team Canada to gold at the 2010 Winter Olympics in Vancouver.
In his book, ‘Man’s Search for Meaning’, Frankl very poignantly writes, “We can discover this meaning in life in
In his book, he quotes the poem Attitude
1. By creating a work or doing a deed, (By being busy)
“The longer I live, the more I realize the impact of attitude on life. Attitude to me is more important than facts. It is
2. By experiencing something or encountering someone;
more important than the past, than education, than
money, than circumstances, than failures, than successes,
3. By the attitude we take toward unavoidable suffering.” than what other people think or say or do. It is more
important than appearance, giftedness or skil . It will make
In his book Savor
, Thich Nhat Hanh writes, “To end struggle, or break a company…a church…a home. The remarkable we must learn to not let regret, worry, or fear dominate our thing is that we have a choice every day regarding the
life in the present moment. Each minute we spend
attitude we wil embrace for that day. We cannot change
worrying about the future and regretting the past is a
our past…we cannot change the inevitable. The only thing
minute we miss in our appointment with life – a missed
we can do is play on the one string we have, and that is
opportunity to engage life and to see that each moment
our attitude…I am convinced that life is 10% what happens
gives us the chance to change for the better, to
to me and 90% how I react to it. And so it is with you…we
experience peace and joy. The practice of being fully
present in each moment is called mindfulness
…Savor the time you have in this life. Savor every moment, every
It is time for us to create power, be visibly Power Full and
breath, every meal, every relationship, every action or non- accept power…with courage, wisdom, mindfulness, action, every opportunity to maintain your wel -being and
meaning and attitude. I envision a world full of Power Full
the wel -being of our world. Integrate and practice
people, who know it and act from it. Imagine the miracles
mindfulness in your everyday living so that it becomes a
local picnic shelters, it’s important to
2 racks of pork back ribs
Refrigerate or freeze prepared food
bacteria in food can double every 20 2 tsp paprika
temperature for more than two hours, throw it away.
Pack cold or frozen food in a cooler
is rub left over, save it for later. It’s
symptoms do not last very long, but in Separate:
garlic cloves. Place the ribs, meat side
up, into the dish and cover tightly with
Wash hands, cutting boards, dishes
foil. I couldn’t fit both whole racks in
for at least 2 hours. This will make the ribs “fall-off-the-bone” tender.
unwashed plate as bacteria from the onto medium heat. Remember – the raw food can cross-contaminate the
developed the Fight
to caramelize and candy. Baste the bone side too – it’s got to be sticky all
risk of illness.” To help you navigate
These are just a few steps you can
Wash produce under clean, potable,
Note: 4 ribs = 1 serving! Nutrition information: Calories: 500 kcal Fat: 24 g Sodium: 431 mg Carbohydrates: 16.9 g Protein - 20.6 g
Finding the key to appropriate use of hormone therapy
Joann Manson, Chief of the Division of Preventive Medicine
for 50-59 and 1% for 60-69. Above 69 there is a slight increase.
and Co-director for the Women’s Health Center at Harvard
Transdermal estrogen, administered as a patch or gel, has a
School of Medicine spoke at a recent SIGMA conference
lower risk of blood clots. The risk of stroke is the same as not
(Special Interest Group on Menopause and Aging). She
being on any hormones. Transdermal estrogen also has a
spoke on what has been discovered since 2003, when the
benefit in reducing fasting glucose and insulin resistance that
Women’s Health Initiative Study was released. The study was
a huge one, analyzing the effects of premarin and provera usage that was stopped early because some negative side
The KEEPS trial showed oral estrogen had a beneficial effect
effects were found. Of course, there was a huge media fren-
on verbal learning and memory ability across time. The trans-
zy when this came out and a lot of misinformation was
passed on to women. Since then, the information has been
Eventually we will unlock this complicated puzzle we call
methodically analyzed and there is some new insight and
information for women to consider when making a decision on the use of hormone therapy.
I also attended a workshop on Premature Ovarian Insufficien-cy - or premature menopause. They suggested this interesting
When estrogen is used at the time of menopause and even
website that is a support group. I checked it out and thought
up to the age of seventy, there is a reduction in heart attacks this might be of interest to some of you.
or coronary related deaths of 34% for 50-59 years of age and www.daisynetwork.org.uk
16% for those 60-69. The reduction in bypass and stents is 46% Enjoy your summer!
Dr. Holmes is retiring from City Centre Family Physicians July 31, 2013 after
finding a wonderful replacement, Dr. Amanda Loewy. She is not retiring
from Women’s Mid-Life Health Program!!!! Kathy and Sarah have nailed
her foot to the floor and she will be pleased to continue to see women referred to the Women's Mid-Life Health Program.
HealthLine is a confidential, 24-hour health information and support telephone line, staffed by Regis-tered Nurses, Registered Psychiatric Nurses and Social Workers. HealthLine is available to anyone in the province, free of charge. HealthLine is not for emergency situations. Call 9-1-1 if you are experiencing a medical emergency.
HealthLine is here to support you and your health care team. It is not designed to replace the advice of your primary care provider, eliminate the need for regular check-ups, or provide a diagnosis. HealthLine services are offered in English, with translation available in over 100 languages. TTY access for the hearing impaired is available at 1-888-425-4444. HealthLine is a Saskatchewan Government program, with service provided by Regina Qu'Appelle Health Region. For more information on services available in your health region, visit the Saskatchewan Health website at www.health.gov.sk.ca
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Viewpoint Fundamental research at primary care level*Two Canadian medical schools may have appointed aapparently researchable.1 Other important problems arefamily physician as dean, but in most of the developedthose involving large numbers of people, many days in painworld primary care is held in low esteem in academicor suffering, many days lost from work or school, and thoseestablishme