Being Tired All the Time

Advice about always being tired.

Last year, we looked at how to Increase Your Energy When You’re Too Tired to Workout. Now, we examine being tired all the time. This is something that I regularly face. How about you?

As Ana Lopez writes for Sharecare:

“Do you often feel exhausted with more than your run-of-the-mill fatigue? Hypothyroidism, an underactive thyroid, may be to blame. We talked to endocrinologist Parveen K Verma, DO, FACE, of Our Lady of Lourdes Medical Center in Camden, New Jersey, to learn more about hypothyroidism and how it’s treated.” 

What is hypothyroidism?  Dr. Verma: “It is a problem with the thyroid gland, a gland in the base of your neck that controls metabolism. It can be caused by an infection and may be a transient problem … that gets better without treatment. It may also be the result of an autoimmune disease,  where the thyroid doesn’t make enough thyroid hormone.”

What are symptoms of hypothyroidism? Dr. Verma: “Typical symptoms include fatigue, weight gain, decreased energy, depression, dry skin and hair,  and constipation. A lot of people just feel like everything has closed down. For women, they may have fertility issues or abnormal menstrual cycles.”

When should I see my healthcare provider? Dr. Verma: “If common things that cause fatigue (not getting enough sleep, nutritional issues, multitasking) have been ruled out and you don’t feel better after a few weeks, then you should seek a medical evaluation. An initial workup may include a discussion about sleep habits, nutrition, work schedule, personal stressors, and blood work that looks for things like anemia or other metabolic problems, such as hypothyroidism.”

How is hypothyroidism treated? Dr. Verma: “The typical treatment is to use a form of thyroid hormone called levothyroxine. There are some other formulations that are considered more natural, such as Armour Thyroid. To decide which would be an appropriate choice for you, discuss your options with your primary care doctor or endocrinologist.”

To read a lot more, click the image.

https://www.sharecare.com/health/hypothyroidism/article/tired-all-the-time-is-that-normal
 

Encore – Surviving Cancer: Personal Glimpses of Resilience

Hear from three cancer survivors.

Another aspect of my personal good fortune is the continuing popularity of interviews I have done.

Thus, it is with great pride that I present the most recent airing (October 24, 2019) of Surviving Cancer: Personal Glimpses of Resilience. Hosted by Dr. Suzanne B. Phillips:

“In this episode Professor Joel Evans, Patricia Malone, and Dave Berger will share personal glimpses of their diagnosis, treatment and survival from cancer. You will hear about the impact of diagnosis, the role of family and friends. The question of stigma and the response of colleagues. You will hear about the expected and unexpected, the trust in medical teams and the personal factors that each drew upon to keep on going at the roughest of times. These are stories of pain, persistence, fear, gratitude and possibility. These are stories of people who were helped by the wisdom of others who had faced cancer. In this episode, Joel Evans, Patricia Malone and Dave Berger want to pass on their experiences to benefit others. You will not forget them or the resilience they share.”

 

 

Inflammation Can Affect Overall Health

Seek medical support for any persistent inflammation.

Yes, we know that inflammation in our knees, shoulders, ankles, etc. can be painful. And chronic inflammation may be quite annoying. But do you know how inflammation can affect one’s overall health? Not just the affected body part.

The best advice? Do not let a substantial inflammation be under-treated or improperly monitored. Consult with your medical professionals. And listen to their suggestions.

According to observations for Elemental by Markham Heid, a health and science writer:

“Doctors today have a better understanding of inflammation and its role in illness. But their best attempts to define inflammation still lack the precision Ziegler found elusive more than a century ago.”

“The authors of a 2015 British Journal of Nutrition (BJN) study found inflammation is the immune system’s primary weapon in the ‘elimination of toxic agents and the repair of damaged tissues.’ But when inflammation persists or switches on inappropriately, they write, it can act as a foe rather than a friend. Hardly a week goes by in which researchers fail to discover new links between inappropriate inflammation and a common disease or disorder.”

“From Alzheimer’s and heart disease to arthritis, cancer, and gastrointestinal disorders, elevated or out-of-whack inflammation is a common thread that ties together these seemingly unrelated ailments. For now scientists are still exploring the ways it changes the body, for better and for worse.”

To learn more, click the image.

Inflammation Can Affect Overall Health
Illustration: Kieran Blakey  

 
 

Do NOT Say This to a Person in Pain

FIFTEEN tips to be more thoughtful.

Speaking from personal experience, I have had people say various hurtful things. Or things that are not helpful. Often unintentionally. 

For example, as Linda Esposito notes for US News & World Report:

“People with chronic pain have heard it all – over and over. Acquaintances say, ‘You look fine to me,’ or ask, ‘Why aren’t you better yet?’ Doctors and nurses advise, ‘There comes a point when you must accept a new normal.'”

“For someone coping with continual pain, possibly for years, none of this is necessarily original or helpful. You may know someone with chronic pain and just not be sure what to say. Read on as people living with pain share their biggest pet peeve remarks from family, friends, and health care providers – and suggest more thoughtful, supportive comments.”

Click the image to learn FIFTEEN things not to say. 

Do NOT Say This to a Person in Pain
Credit: Getty Images

 

Health Care Coverage by Age Category

Uninsured rising. Young adults losing coverage.

For many of us, good medical care is essential. But, in fact, how much does the use of health care insurance vary by age category? The answer : A lot!!!

According to Katharina Buchholz, writing for Statista:

“The number of Americans who have no healthcare insurance increased again in 2018, the first time since 2010, which was the year the Affordable Care Act went into effect. From 2017 to 2018, the number of people with no health care plan rose most steeply among those 35 to 64 years old.” <a

According to the CDC, it is young adults in the age group of 19 to 34, however, who are most likely to be uninsured in the U.S. In 2018, 14.3 percent of 19-to-25-year-olds and 13.9 percent of 26-to-34-year-olds had no health insurance. After 2010, the share of uninsured Americans decreased in all age groups.  Recently, public healthcare enrollment has declined due to eliminating 90 percent of the ACA’s advertising budget in 2018″

Take a look at the Statista chart.

 
Health Care Coverage by Age Category
 

Walking for Cancer Cures

Read about my journey with the Lustgarten annual pancreatic cancer research walk. With photos and videos.

October is a big month for cancer research walks, especially since it is breast cancer awareness month. It’s also a big month for me, as my family and friends participated with me in the Lustgarten Pancreatic Research Foundation Walk on this past Sunday (October 6).

WE CAN EACH MAKE A DIFFERENCE. It is up to us to support more cancer research.

The October walk is Lustgarten’s largest fundraiser of the year. With thousands of walkers and nearly $1 million raised. 100% of funds raised go to research because all of Lustgarten’s administrative costs are paid by a private donor.

Before sharing a few photos and video clips, let me describe my feelings about the walk.

    • Although my Whipple surgery was in February 2015, this was my first walk. So I was both excited and nervous.
    • My fundraising efforts were through Team Joel. Our team was supported by more than 70 donors. And we raised $5,400.
    • Team Joel  had 14 walkers.
    • Somehow or other, the cameras found me. I appeared in a News 12 Long Island TV  clip. And because I was asked to do the ribbon cutting, I got featured online by Newsday.
    • I was disappointed that I was only able to walk the 1 mile course rather than the 3 mile course.  Once again I am reminded of a Clint Eastwood quote: “A man has to know his limitations.” And I have to always accept my “new normal.” I gave myself a 15 minute pity party; and then I returned to my usual “live life every day” and “live as long as you as well as you can.”
    • Last, but not least, I want to thank all of the donors to Team Joel and those who walked with me.

The original Evans Four

Walking for Cancer Cures

THE EXTENDED FAMILY

Walking for Cancer Cures

TEAM JOEL

WHY I WALK

RIBBON CUTTING

 

Avoid Genetic Testing Scams

Not every testing company is legit!!

Genetic testing has become an enormous business, with millions of people wanting to learn more about their backgrounds. BUT, not all genetic testing firms are legitimate.

For that reason, Health and Human Services recently issued a fraud alert:

Avoid Genetic Testing Scams

The U.S. Department of Health and Human Services Office of Inspector General is alerting the public about a fraud scheme involving genetic testing. Genetic testing fraud occurs when Medicare is billed for a test or screening that was not medically necessary and/or was not ordered by a Medicare beneficiary’s treating physician.

Scammers are offering Medicare beneficiaries “free” screenings or cheek swabs for genetic testing to obtain their Medicare information for identity theft or fraudulent billing purposes. Fraudsters are targeting beneficiaries through telemarketing calls, booths at public events, health fairs, and door-to-door visits.

Beneficiaries who agree to genetic testing or verify personal or Medicare information may receive a cheek swab, an in-person screening or a testing kit in the mail, even if it is not ordered by a physician or medically necessary. If Medicare denies the claim, the beneficiary could be responsible for the entire cost of the test, which could be thousands of dollars.

Protect Yourself

  • If a genetic testing kit is mailed to you, don’t accept it unless it was ordered by your physician. Refuse the delivery or return it to the sender. Keep a record of the sender’s name and the date you returned the items.
  • Be suspicious of anyone who offers you “free” genetic testing and then requests your Medicare number. If your personal information is compromised, it may be used in other fraud schemes.
  • A physician that you know and trust should assess your condition and approve any requests for genetic testing.
  • Medicare beneficiaries should be cautious of unsolicited requests for their Medicare numbers. If anyone other than your physician’s office requests your Medicare information, do not provide it.