January is Cervical Health Awareness Month

http://www.nccc-online.org/

-Tennessee Williams

January 2003

The holiday season has come and gone. We have taken much needed time to reflect, renew our faith, spend time with family and friends, attend parties and shop for those perfect gifts! Now we settle into the winter months and with them come the winter doldrums. In this edition, we explore seasonal issues as well as ongoing issues that impact our lifestyles and daily living.

Timely topics include: Seasonal affective disorder (SAD) and how to cope with it; in response to overwhelming inquiries by our readers, we’ll chat a bit more about the disease GERD, take a closer “look” at Vision Health and share some tips for the season.

You’ve heard that laughter is the best medicine—we’ll try to help beat the winter doldrums and warm you up with a chuckle or two in “The Comedy Minute” then share a few recipes that will keep you toasty when it’s cold outside. Try them out on family and friends and don’t forget this month’s wine picks!



Seasonal Affective Disorder (SAD)

Seasonal affective disorder (SAD), sometimes called “cabin fever”, is a form of depression that occurs in autumn and winter - between September and April, particularly during December, January and February. It is estimated that 10 million Americans suffer from seasonal depression, preventing them from functioning normally without continuous medical treatment. An additional 25 million more develop milder, but debilitating versions of the disorder causing discomfort but not severe suffering.
SAD is caused by a biochemical imbalance in the hypothalamus due to the shortening of daylight hours and the lack of sunlight in winter.
As the days become shorter and daylight hours begin to wane, a restlessness nestles into the spirit. We long for the spring and summer days gone by and outdoor activities and sunlight that infused us with essential vitamins and nutrients that invigorate and sustain us.

We have learned from mom how to deal with the physical aspects of the ensuing season: fuzzy slippers, flannel jammies, bulky knit sweaters and corduroy slacks, a roaring fire in the fireplace while cuddled up with a good book or DVD and that favorite hot beverage. The psyche, however, can prove to be a bit more challenging.

Some symptoms of seasonal affective disorder are:

• Depression
• Sweets and Carbohydrate craving
(usually resulting in weight gain)
• Excessive sleeping with difficulty staying awake
(in some cases sleep disturbance or early awakening)
• Social withdrawal and Irritability
• Anxiety
• Lethargy
• Mood Changes and short periods of hypomania (overactivity)
• Loss of Libido

Studies have shown most sufferers show signs of a weakened immune system during the winter months and are more vulnerable to infections and other illnesses.

Extensive research over the past few years has shown that very bright light (at least ten times the intensity of ordinary domestic lighting) in the morning is an effective treatment for seasonal depression. Light therapy (up to four hours per day: average 1-2 hours), has been proved effective in up to 85 per cent of diagnosed cases.

For help with SAD, contact your health care provider or local mental health association.







"because a little knowledge can make a big difference!"


GERD

Since November, we have featured a PSA on Gastroesophageal Reflux Disease (GERD). Due to the overwhelming response from our readership, many who have suffered with this disease for years without knowing where to go for help or support, we have decided to provide more information. As always, our first recommendation is to consult with your health care professional or your alternative medicine practitioner.


“…Keeps me burning, baby for you…” “…Burn baby burn…” – how did these song lyrics of yesterday take on such significance today? The answer is Gastro Esophageal Reflux Disease (GERD).

No doubt, you’ve seen those commercials where the stomach checks in to “Heartburn Hotel” for relief. Have the symptoms described seemed to hit too close to home?


So… what is GERD?

Gastroesophageal reflux disease, or GERD, is a very common disorder. Gastroesophageal refers to the stomach and the esophagus. Reflux refers to the back-flow of acidic stomach contents into the esophagus. There is no known single cause of GERD. It occurs when the esophageal defenses are overwhelmed by acidic gastric contents that reflux into the esophagus.

GERD affects at least an estimated 5% to 7% of the global population—men, women, and children. (Prevalence based on once per day heartburn). Heartburn and/or acid regurgitation experienced weekly has been found to occur in 19.8% of individuals. Although it is common, GERD is often not recognized, thus, its’ symptoms are misunderstood which is unfortunate because GERD is generally a treatable disease. The most frequent symptoms of GERD are so common that they may not be associated with a disease and even the most well-intentioned self-diagnosis can lead to mistreatment. If left unchecked or if improperly treated, serious complications may be the result.

A consultation with your health care professional and/or subsequent referral to a Gastroenterologist - is essential to the proper diagnosis and treatment of GERD.

What causes GERD?

Acid is produced in the stomach every day. Normally, a small amount of acid passes into the esophagus through a valve between the esophagus and stomach called the lower esophageal sphincter. When the frequency or amount of acid in contact with your esophagus increases, symptoms and damage to your esophagus can occur. The damage can cause erosion of the lining of the esophagus, leading to ulcerations and even more serious consequences.

What are the symptoms?

The most common or frequent symptom of GERD is a burning discomfort behind the breastbone - a persistent heartburn or acid indigestion, experienced at least two or more times per week. Other complaints are:

• chronic indigestion
• "sour" stomach
• chest pain (some sufferers liken the sensation to a heart attack)
• upper abdominal pain
• regurgitation of food
• a bitter, acidy liquid (bile) in the mouth
• the excessive production of saliva

Typically, women first experience heartburn during pregnancy. In fact, there are studies which suggest that more than 50% of pregnant women will experience heartburn during pregnancy, due to hormones of pregnancy and pressure from the growing fetus. Fortunately, the symptoms of heartburn resolve in most of these women, subsequent to delivery.

Health care providers recognize GERD is a chronic disease and that long-term treatment generally must be maintained even after symptoms have been brought under control. The methods vary in the effective treatment of GERD; however, the consensus cites the following protocol:

• Changes in lifestyle
• long term usage of prescribed medications
• patient support
• education
• follow-up medical care, as required.

If you are one of the millions who suffer persistent heartburn or other chronic and recurrent symptoms of GERD, there is help available. Contact your healthcare practitioner for an accurate diagnosis and the treatment plan that is best for you.

For more information about GERD, call the International Foundation for Functional Gastrointestinal Disorders, Inc. - IFFGD Heartburn Helpline at 1-888-964-2001 to receive information and support regarding GERD.



A Minute on Healthy Vision


Millions of Americans don’t take care of their eyes. Let the “eyes” have it… participate in free vision screening or check with your eye care professional.

Many physical conditions and prescription medications can affect your eyesight, which is why presenting your eye care professional with your complete health history is so very important. These records will be helpful in evaluating your vision health and assessing vision needs. General guidelines for how often you and your family should have an eye exam:

• under 18, once a year
• over 18, every eighteen months
• over 65, once a year
• diabetics of any age should have an exam every year


The Comedy Minute

A man running a little behind schedule arrives at a movie theatre and goes in to watch the movie that has already started.

As his eyes adjust to the darkness, he is surprised to see a dog sitting beside its master in the row ahead, intently watching the movie. It even seemed to be enjoying the movie: wagging its tail in the happy bits, drooping its ears at the sad bits, and hiding its eyes with its paws at the scary bits.

After the movie, the man approaches the dog's owner, "Gosh, your dog really seemed to enjoy the movie. I'm amazed!"

* * *

A man and his wife are awakened at 3 o'clock in the morning by a loud pounding on the door. The man gets up and goes to the door where an intoxicated stranger standing in a pouring down rain is asking for a push.

"Not a chance" says the husband - "It's three o'clock in the morning!"
He slams the door and returns to bed. "Who was it?" asks his wife.

"Just a tipsy stranger asking for a push" he answers.

"Did you help him?" she asks.

"No, I didn't - it's three in the morning and raining like heck out there!"

"Well you've got a short memory" says his wife. "Can't you remember about three months ago when we broke down on the freeway and those two guys helped us? I think you should help him."

The man does as he is told and gets dressed and goes out into the pounding rain and calls out into the dark. "Hello… are you still there?"

"Yes," comes the answer.

"Do you still want a push?" calls out the husband.

"Yes, please!" comes the reply from the dark.

"Where are you?" asks the husband.

"Over here on the swing" the fellow replies.


* * *
Marie's father has five daughters:

1. Chache
2. Cheche
3. Chichi
4. Chocho
5. ????

Question: What is the fifth daughter's name?
Think quickly...you'll find the answer below...

Answer: Chuchu??? WRONG!!!!!

It's obviously Marie!!! Read the question properly!!!!!

You are clearly the weakest link!

GOODBYE!!!

* * *


“Be the change you wish to see in the world.”
- Gandhi



Self-Expression… In Our Lives



Recommended Aperitifs:

Thornton Winery produces the European-style sparkling wines: Brut, Cuvée Rouge, Blanc de Noir, and Cuvée de Frontignan, that have received some of the highest of praise and ratings for California Méthode ChampenoiseSparkling Wine/Champagne. Its’ varietals are excellent Rhône and Italian- from wine grapes perfectly suited to California’s South Coast appellation.

Chose from the numerous offerings available at the Winery:

2000 Pinot Blanc 1999 Côte Red 1999 Sangiovese
2000 Muscato 1999 Syrah
2000 Viognier 1999 Cabernet Sauvignon Reserve
2000 Grenache Rosé 1999 Aleatico


To learn more about these and the entire family of Thornton wines, logon to: http://www.thorntonwine.com, and for the best in live smooth jazz in Southern California, from April to October each year, logon to: http://www.jazzconcerts.com.

Our thanks to the Jan Schneider, Kristin, Tonya, Vintner Jon McPherson and the staff at Thornton Winery, for their warm hospitality and invaluable assistance with this piece.

Recipes to warm the Spirit, Mind and Body


Butternut Squash Soup

You will need:
1 medium butternut squash (about 2 1/4 pounds)
nonstick vegetable oil spray
1 medium onion, chopped (about 1 cup)
1 tablespoon freshly grated ginger dash of nutmeg
2 tablespoons unsalted butter
3 cups chicken broth
2 cups water
Salt and pepper to taste (Mrs. Dash can be substituted)

Preheat oven at 350 degrees. Prepare shallow nonstick baking pan by spraying with nonstick vegetable oil spray.

Cut squash in half lengthwise, scoop out the seeds and arrange halves cut side down in prepared baking pan. Bake squash at 350 degrees for 40-45 minutes or until it is very tender. Remove from oven, set aside and allow it to cool. Do not let it to get completely cold.

Add butter, onion, ginger and nutmeg to medium saucepan, cook at low heat until onions become translucent (approximately 5 minutes). Gradually add chicken broth and simmer in a covered saucepan for 10 minutes.

Extract the cooled squash from the shell and combine with mixture in the saucepan, then slowly pour mixture into food processor and puree until it has reached a smooth consistency, gradually adding in the 2 cups of water. Return ingredients to the saucepan and cook over moderate heat until it is hot, seasoning to taste.

Serve hot with Lavosh or crusty breads.


Simple Spinach Salad

You will need:
2 cups fresh baby spinach
1 small red onion, sliced and separated into rings
1/2 - 8-ounce can (one half cup) sliced water chestnuts, drained
mandarin orange slices
2 tablespoons orange juice
1 tablespoon olive oil 1 tablespoon honey
1 teaspoon toasted sesame seed
1 teaspoon Dijon mustard


In a large salad bowl place spinach, onion rings, and water chestnuts. Sprinkle with 1/2 teaspoon pepper.

For dressing, combine orange juice, oil, honey, sesame seed, and mustard in a blender. Blend until ingredients are incorporated well. Pour dressing over salad, lightly toss, garnish with orange slices and immediately serve. Dressing may also be placed in cruet or individual soufflé cups.

Serves 2.

Recommend: Thornton South Coast Moscato 2000. Combining Old Vine Muscat of Alexandria for aromatic richness and Muscat Canelli for honeysuckle and spice, these two varieties create a wine with spicy, tangerine and tropical fruit aromas which leap from the glass. Finished just off-dry and balanced with a crisp acidity, this Muscat demonstrates wonderful varietal character and superb drinkability. Enjoy by itself, with fruit, salads and soups.



©January 2003 Smooth Notes and News