Hey Universe, I Hear You This Time!

Juanita-Lewis Universe is callingThis post is about a tremendous AHA moment I experienced on Friday. It is so powerful that I needed to share it with all my fellow seekers out there. You see, like many others I am aware of way too many moments in my daily life where stress, anxiety, depression, and a sense of despair threaten to undermine if not destroy my happiness. With all the daily practices I have in place to increase my conscious awareness, I still am a work in progress and prone to ruminating about the tragedies in my past and fretting over my future.

I begin each morning with a silent gratitude session, before my feet even touch the floor. This small ritual is a fabulous way to set the tone for the day. After I drink my deliciously flavored coffee, finish with my personal hygiene, and dress – I then have my morning meditation session. There are days when I am not as religiously adherent to this schedule as I would like myself , but on the whole it is a steady routine of mine. Later on, typically about 6 PM, I have an evening meditation session and finally about thirty minutes before I go to sleep…..or attempt to go to sleep at least…..I put on one of my self-help relaxation CD’s and drift off. Sounds good, right? So what is the problem…..you might ask? Well, even though these steps have positively impacted my physical, mental,emotional, and spiritual health…..I still find myself in states of extreme anxiety throughout the day with a feeling that there is a giant boot poised right above my neck about to stomp down and crush the life out of me.

So, I muddle through day by day, seeking solutions and tools that will help me increase my life satisfaction. I am a firm believer in the concept of Go Give. I find that by giving back and helping others…..even in small ways such as offering a smile to a stranger…..I gain just as much satisfaction as the person I am helping if not more. One activity I do in that vein is volunteering as a legal advocate in the local courthouse for people who want to file for PFA’s…..or protection from abuse orders. This is where, on Friday this week, I met her.

She was a well dressed middle-aged woman with piercing green eyes wearing what looked like elasticized bandaged sleeves on both her arms. She was glad she had made it here….. in the tiny coat closet sized room given to the woman’s advocacy center I volunteer for in the basement of the courthouse.  As is my custom, I offered her a seat and a box of tissues and asked her how could I help her and what brought her to here this day. As she began to tell me her story, I found myself so captivated that time just seemed to stop. Over the next hour, she shared with me story and why she was seeking a protection order that day. But it was not so much her story that hit me like a bolt of lightning hurdled from the sky…..it was her attitude, the peace and love that radiated from her, and the sense of unflappability that she displayed. The universe was speaking to me, through the form of this brave woman…..and I was listening this time.

She is a survivor of childhood incest and adolescent rape. By 24 she had given birth to four children and escaped from a tortured and abusive marriage. At 37, a devastating car accident landed her in a coma for 17 days and more metal in her body holding her together than I can imagine. Then at 45 she started the journey of dealing with the  big C…..stage 2b metastatic breast cancer. This lead to lymphedema which is why she was wearing support sleeves on her arms. She had psychiatric hospitalizations for earlier suicide attempts and takes medication daily for bipolar depression. During that time of mental health crisis, she found herself in the wrong place with the wrong people and is now facing two separate legal battles that could potentially send her to prison for decades. Oh, and they found tumors in her uterus so she is undergoing a hysterectomy at the end of this month. She found herself on this occasion filing for a PFA for her 3-year-old grandson against his biological mother’s new boyfriend. Wow…..and that is the short story.

As I was struggling to comprehend the enormity and pain of her journey through life and offer her support and compassion, I realized that I was more shook by her account than she was. Is it my imagination or is she just exuding this amazing steadiness and calm? And it wasn’t an act…..she truly gave off a vibe of peace and serenity that I have only witnessed before in yogis and advanced meditators. I politely asked if she would be willing to tell me her secret for seeming so happy and at peace while facing what seemed like overwhelming circumstances. She paused for a moment, taking a deep breath, and said she would be happy to share it with me.

“It didn’t happen overnight, and it hasn’t been easy,” she replied “but I have finally learned to deeply love the person I am. You see, I have been at rock bottom for most of my life and it got to the point that I only had two options left….end my life or turn things around and go up. Naturally, I tried the former approach first and when that didn’t work I began to research and look for ways to radically transform my life. I spent my whole life trying to give…..it was my job to keep everyone else as happy as possible. I didn’t mind giving to my children. I wanted them to have a happy life. But I didn’t give to myself and I didn’t know how to receive anyone else trying to give me help. ”

Boy, did that hit a nerve with me. How many of us are programmed to give but don’t have a clue about how to receive? I was just mesmerized by her and wanted to hear more. “I learned that if I am constantly putting energy out and not allowing any back in, the message I am sending out into the universe is there is no space for abundance in my life. I also needed to learn to love myself and appreciate the moments, people, and things I did have. I spent so much time and energy worrying about what HAD happened to me and what MIGHT happen to me that I never got to appreciate what really WAS happening. When I finally learned how to be present in the moment…..to live in the now as they say…..I feel like my whole life changed and I became almost reborn.”

I have read about this concept before. I do try to practice being present and enjoying the moment that is. Yet, I heard this from her as though it was a brand new revelation. For whatever reason, this time and in this space with this woman, I got it. If she can take the practice of living in the now and implement it in her life in a true deep way to make it automatic, then I can too. This woman came into my life looking for my assistance and help, but instead gave to me a gift that is truly so precious. Live each moment as if it is the only moment, because it is truly the only moment that ever matters. And practice loving yourself as deeply, truly, and profoundly as you give love to others. Pay attention, bring conscious awareness to your thoughts and emotions. Allow yourself to feel and to think as you may, but stop and witness these thoughts and feelings and consider that you do not have to act on any of them…..only acknowledge them and watch them. Live in the now…..what a concept! Hey universe, I heard you this time.

sign from universe

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The Startling Case For Abuse Prevention Education In Schools

Upon opening my email this morning, I scrolled down to my daily MEDPAGE TODAY update. As I browsed through the latest medical news and updates, I found this new continuing medical education article available for credit. What caught my eye instantly was the title. It is provocative, disturbing, and delivers a sense of urgency to the reader. In my opinion, this article and the research behind it should be justification enough for any school district to incorporate dating violence awareness, abuse, and stalking prevention programs into their curriculum immediately.  Below is the article in its entirety.  PLEASE share this article. Let’s break the silence and the cycle of violence.

Sexual Violence Common Among Adolescents

Published: Oct 7, 2013

Nearly one in 10 of the 14- to 21-year-olds surveyed reported perpetrating sexual violence in their lifetime, researchers found.

Of the 9% who committed some type of sexual violence, 8% engaged in forced sexual contact (kissing, touching), 3% persuaded someone to yield to their sexual demand (referred to as coercive sex), 3% attempted rape and were unsuccessful, and 2% completed rape, according to Michele L. Ybarra, MPH, PhD, of the Center for Innovative Public Health Research in San Clemente, Calif., and Kimberly J. Mitchell, PhD, of the University of New Hampshire in Durham, N.H.

Most often (73%), the victims were a romantic partner and 50% of perpetrators said the victim was responsible for the sexual violence. Most perpetrators also said no one had found out about the incidents, so contact with the justice system was uncommon, researchers reported in the Oct. 7 issue of JAMA Pediatrics.

Perpetrators of sexual violence tended to have more frequent exposure to sexually-charged and/or violent material on television, in music, in games, and online compared with non perpetrators.

For example, 33% of those who attempted rape were exposed to violent and/or sexually explicit material compared with 4% of non perpetrators.

Ybarra and Mitchell found that most young people who reported trying to force or forcing someone to have sex reported using coercive tactics, such as arguing, pressuring someone, getting angry or making someone feel guilty, more commonly than using threats or physical force.

The most common age at the first perpetration of sexual violence was 16 (40%), and males were overwhelmingly more likely to have their first episode at 15 or younger (98%) compared with females. Boys ages 16 and 17 had similarly high rates of first sexual violence (90%).

However, by ages 18 or 19, “the split of male to female perpetrators was nearly equivalent,” researchers reported.

“Although I was saddened by the results of this study, I was not surprised,” Emily Rothman, ScD, an associate professor in the department of community health services at Boston University School of Public Health, told MedPage Today.

“We have known for decades that the prevalence of sexual violence victimization among youth is unacceptably high, and that youth are responsible for 30% to 50% of the perpetration of childhood sexual abuse,” Rothman said.

She pointed to aspects of the study that are “novel and important,” and show for the first time:

  • Nationally representative estimates of the proportion of young people who are perpetrating sexual abuse against peers
  • Information that the majority of this sexual abuse (73%) is actually dating violence (the sexual coercion happens in the context of a romantic relationship)
  • Information that the proportion of those who believe that they are not responsible for having been sexually coercive is very high (one in seven of those who had done it)
  • Information that there is a strong association between exposure to sexually explicit material (i.e., pornography) and reporting sexual abuse perpetration among youth

 

Rothman noted the emergence of school-based prevention curricula that have demonstrated through randomized controlled trials that they can reduce the perpetration of dating and/or sexual violence.

cluster randomized trial by David Wolfe, MD, from CAMH Centre for Prevention Science in London, Ontario, and colleagues found that a 21-lesson curriculum delivered during 28 hours by teachers with additional training in the dynamics of dating violence and healthy relationships reduced physical dating violence and increased condom use up to nearly 3 years later.

Rothman also said continued support for research that examines the link between sexually explicit media and youth sexual violence is important.

“We need to ensure that youth have access to comprehensive sex education that teaches them media literacy skills so that when they are exposed to pornography or other sexually explicit media they understand how to interpret it and how it may be impacting them or their peers,” she told MedPage Today.

For the study, Ybarra and Mitchell analyzed data in the Growing Up with Media study.

A majority (52%) of perpetrators met their victims at school, with 12% meeting at an outside school activity.

Many perpetrators engaged in more than one type of sexual perpetration — forced contact, coercive sex, unsuccessful rape, and completed rape — with 12% reporting two different behaviors, 11% reporting three, and 9% reporting all four types.

There were differences in the type of sexual violence by age of first perpetration. Up to age 15, oral sex was the most common (65%), followed by vaginal sex (46%), and anal sex (40%). At ages 18 or 19, vaginal sex was the most common perpetration (96%), followed by anal sex (13%).

The researchers did not find differences by race/ethnicity or household income in terms of those who reported sexual violence perpetration.

One important limitation of the study is that the sample was drawn from an Internet panel, and there may be biases in terms of who participates in those surveys, Rothman noted.

Another limitation is that results were based on self-reports and are therefore likely under-reported, Rothman suggested.

The study received support from the Centers for Disease Control and Prevention.

Erroneous Death Certificates: The True Epidemic Exposed …..Direct From The Disgusted Doctors

There is a blogger here in our WordPress family that I have great admiration and respect for. You see, she is a Mom whose adult son died under very suspicious circumstances. She firmly believes her son was murdered and is looking for justice to be done in his name. But the medical examiner did not rule his death  a possible homicide or even suspicious. The police report states UNATTENDED DEATH, and six sentences of explanation.  The case was closed in 1.5 hours.  No investigation into cause of death.

She reports, “It has been five years and still the local coroner refuses to release all of the autopsy report or allow an investigation into the strange circumstances surrounding his death – or the poison that was in his blood.It has taken all these years to discover that NO ONE oversees the coroner, they are not required to have a medical degree (only high school diploma or equivalent) and do not have to account for their findings to anyone.

It is because of her courageous, exhausting, and unrelenting fight to find answers into the death of her beloved son that I paid very close attention to the article below posted on the exclusive website Medscape. Shirley, this one is for you. Yet, it really concerns us all.

 

Cause of Death: 50% of Medical Residents Fib

by Diedtra Henderson

Some 48.6% to 58.4% of residents from more than half of the residency programs in New York City have knowingly entered the incorrect cause of death on death certificates — errors that have implications for epidemiology, public health research, and disease surveillance — according to result from a recent study.

Barbara A. Wexelman, MD, MBA, from St. Luke’s–Roosevelt Hospital Center, Columbia University College of Physicians and Surgeons, New York City, and coauthors report their findings in an article published in the May 9 issue of Preventing Chronic Disease, published by the Centers for Disease Control and Prevention.

As fewer autopsies are performed, Dr. Wexelman and coauthors note, death certificates have become even more important sources of information about how Americans die. Public health researchers rely on death certificates to gauge the leading causes of death and to identify disease outbreaks, and the certificates also influence funding policies and research priorities.

In most teaching hospitals, it falls to resident physicians to complete the forms. To examine their experiences and opinions, the researchers conducted an anonymous, Internet-based, 32-question survey of New York City’s 70 internal medicine, emergency medicine, and general surgery residency programs in May and June 2010. Some 521 residents from 38 residency programs responded to the survey; 178 of the residents were termed “high-volume” respondents, meaning they had completed 11 or more death certificates in the previous 3 years.

Forced to Do It

“Almost half of all respondents (48.6%) and 58.4% of high-volume respondents reported they had identified a cause of death on a death certificate that did not represent the true cause of death. More than half of the residents (54.0%) reported they were unable to list what they felt to be the correct cause of death after guidance from the admitting department in their hospital,” Dr. Wexelman and colleagues write.

“Of all respondents, 70% believed they were forced to identify an alternate cause of death when the patient died of septic shock (compared with 83.5% of high-volume respondents), and 34.2% believed they were forced to identify an alternate cause when the patient died of acute respiratory distress syndrome (compared with 44.3% of high-volume respondents),” the researchers continue.

Only 20.8% of respondents knew they could hedge the death determination by calling it “probable,” “presumed,” or “undetermined.” When the death certificate system would not accept the true cause of death or hospital admitting staff overruled them, 64.6% of respondents reported cardiovascular disease, 19.5% pneumonia, and 12.4% cancer as the cause of death.

Study participation was voluntary, and residents with stronger feelings about the accuracy of death certificates may have been more interested in participating. Other study limitations include the potential for recall bias.

“Residents routinely reported diagnoses on death certificates that did not match their medical judgments. These errors may have lasting effects on the public health priorities of the community. Reform is needed both in the training and education of residents and in the system itself,” the authors conclude.

 

What! Seriously!

Okay, so as a PhD candidate for a Doctorate of Natural Medicine, I find this sickening and disturbing. But what about all the doctors, nurses, administrators, and other licensed healthcare practitioners who deal with this on a frequent and regular basis? What do they think about all this? Below are just a small handful representative of  the comments received about this finding. I have tried to present a wide cross-section of respondents from various locations in the US and even a few international. These comments blow my mind, and I hope they give you pause for thought.

Lane Longo|  Health Business/Administration

 1 day ago
 “Dear Sirs,
Let me say, at the outset, that the  the title of this article would be more properly worded by removing the innocuous sounding euphemism “fib” with the  correct word  “lie”.  That is, to deliberately mislead by falsehood.
Further, the article stated that residents were “forced” by hospital admitting staff or because the program would not accept he actual cause.  While I do not have direct knowledge of the death certificate program used, I assure you that the program did not design the criteria.  Some governing board, after throwing out any sense of .ethics,  weeded out any possible incriminating causes which might redound to the hospital or physicians account. Do you imagine that because the patient is dead that the cause doesn’t matter to the family or the state?

And the final insult…”Study participation was voluntary, and residents with stronger feelings about the accuracy of death certificates may have been more interested in participating.”  This implies that there are many more who do not give a damn about the truth.  Who are you people?

One would think that the much vaunted medical community would eschew debauched ethics.  If you do it in the smaller things, you will blunt your conscience to the larger ones.”

 

Dr. WOOD DEMING|  Cardiology, General

 2 days ago
 “It does not sound like a resident training problem , but rather administrators bent on falsifying records to make billing more enriching or to portray the hospital in a different light .  I would also guess that this issue is discussed openly at meetings for hospital managers..”
Sal Campo|  Other Healthcare Provider

 11 days ago
 “I believe this is happening much more due to hospital errors and trying to avoid law suits. More inspections should be used for larger institutions and the state should not just shrug off family complaints when there family member dies.”
Dr. stephen c

 12 days ago
 “Why does no one mention the elephant in the room? When older patients are admitted with known pathology it is all too easy to let them die of iatrogenic causes such as acute respiratory failure due to over prescription of opiates. When my mother was admitted in light coma with a moderate middle cerebral bleed at 83, I arrived 24 hours later to find she was on regular morphine and already cheyne-stokeing. Apparently, she had groaned on being turned and a relative had asked for pain relief. I got the morphine stopped, she woke up and is now at home with no neuro deficit and only mild confusion enjoying her grandchildren for another year or two. Her death certificate would have read “Cerebro-vascular Accident”. It would have been a lie.”
 

Dr. Raymond Vergne|  Cardiology, Interventional

 12 days ago
 “For the living, medical “coders” love “NSTEMI” and “congestive heart failure”.  NSTEMI is the choice diagnosis for anyone with a minimal elevation of troponin levels, regardless whether it is due to sepsis, stroke, acidosis, respiratory failure,  pancreatitis, pulmonary embolism or atrial fibrillation.  Congestive heart failure is preferred over COPD, acute lung injury, thyroid storm, acute bronchitis or idiopathic pleural effusion.  NSTEMI and CHF yield better reimbursement from Medicare.  One learns fast not to argue with the coders.”
Dr. Anton-Lewis Usala|  Pediatrics, General

 13 days ago
 “This is an excellent description of what happens in the absence of quality systems.  Medicine is the last major industry that doesn’t have quality system assurance built into the delivery of its service.  While pharmaceutical companies are required to have design-reviewed processes in place, with point-of -process quality systems to assure they were completed as intended, the only part of drug development that does NOT require quality system enforcement is the clinical trial portion involving human subjects.  Many hospitals have quality departments, but they review after the fact events, and are not the same as industry quality systems that assure each step in process occurs as intended to prevent an unqualified product at the end.  I think such an approach would be initially difficult to implement (as they are when first applied to any service or industry) but would have profound beneficial effects for our patients, our institution, and our profession.”
Dr. Michael Dubriwny

 May 13, 2013
 “Aside from public health priorities, inaccurate reporting of cause of death is related to health grades and ultimately hospital reimbursement.”
 

I could go on and on, with many more comments, but I think you see the pattern and general consensus emerging. For anyone who wants to view all 79 and counting comments, let me know and I will send them to you. See, I can’t just post the link and have you look it up yourself because it is part of a private, members by subscription only site. All I can do is “Select All”, then ” Copy”, and then “Paste”. What does this mean? Well for one thing it means the news media and ethical investigative journalists of this world probably do not have access to this information to bring it to the public’s attention. And what does this revelation mean when it comes to all the data collected by various organizations that track the rise and or fall in the number of deaths related to a certain disease? Or to biologic family members that might be left in the dark about a possible genetic time bomb in their lineage that was inaccurately stated as the cause of death? The system is broken folks. How are we going to fix it?