Monthly Archives: January 2019

Education, Information

EISENHOWER’S BATTLE WITH CROHN’S DISEASE

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Born October 14, 1890 in Denison, Texas, Dwight David Eisenhower was raised in Kansas.  He graduated from West Point in 1915 and began his military career.

During World War II, he was a five-star general in the United States Army and served as supreme commander of the Allied Expeditionary Forces in Europe.  According to Wikipedia, he was responsible for planning and supervising the invasion of North Africa in Operation Torch in 1942-1943 and the successful invasion of France and Germany in 1944-1945 from the Western Front.

In 1953 at the age of sixty-two, Eisenhower was elected the 34th President of the United States.  On May 10, 1956, six months before being re-elected for a second term, he was diagnosed with Crohn’s disease.

What is Crohn’s disease?  According to the Mayo Clinic article “Crohn’s Disease—Symptoms and Causes” at https://www.mayoclinic.orgdiseases-conditions/crohns-disease. It is an inflammatory bowel disease which causes inflammation of the digestive tract.  It can lead to abdominal pain, severe diarrhea, fatigue, weight loss, and malnutrition.  Symptoms can range from mild to severe.

The exact cause of Crohn’s disease is unknown.  According to the Mayo Clinic article, risk factors for Crohn’s disease may include the following:

  • Age.  Crohn’s disease can occur at any age, but most people are diagnosed before they are thirty years old.
  • Ethnicity. Crohn’s disease can affect any ethnic group, but whites and people of Eastern European (Ashkenazi) Jewish descent have the highest risk.
  • Family history. If you have a close relative with the disease, such as a parent, sibling, or child, you are at higher risk to develop the disease.
  • Cigarette smoking. Cigarette smoking is the most important controllable risk factor for developing Crohn’s disease.
  • Nonsteroidal anti-inflammatory medications. These include ibuprofen (Advil, Motrin, and others), naproxen sodium (Aleve), diclofenac sodium (Voltaren) and others.

Eisenhower served two terms in office from January 20, 1953 to January 20, 1961.  He died March 28, 1969.

If you have a family member who has a serious illness and needs private duty nursing, call American Home Health at (630) 236-3501.  The agency can provide round-the-clock nursing care by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs).  Our service area covers fifteen counties in Northern Illinois including Cook, Lake, McHenry, Boone, Winnebago, Ogle, Lee, DeKalb, DuPage, Kane, Kendall, LaSalle, Grundy, Will, and Kankakee.  American Home Health is licensed by the State of Illinois and accredited by the Joint Commission.  For further information, go to www.ahhc-1.com, or call (630) 236-3501.

Education, Information, Status

DIAGNOSIS: RHEUMATOID ARTHRITIS

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Sandra was forty years old when she first noticed that the joints in her hands and toes were tender, warm, and swollen. In the mornings, the joints were stiff, and her body ached. She said she felt like she had been run over by a Mack Truck. She knew something was wrong so she made an appointment with her doctor.

The following week she met with her doctor. Sandra described her current symptoms (pain, stiffness, tenderness, warm and swollen joints). The doctor examined each joint, looking for tenderness, swelling, warmth, and painful or limited motion. He noted that the joints on both sides of her body were affected. (Rheumatoid arthritis tends to affect joints on both sides of the body.)

Next, the doctor ordered blood tests to measure inflammation levels. The blood tests also look for biomarkers such as antibodies (blood proteins) linked with rheumatoid arthritis.

Finally, he ordered a magnetic resonance imaging scan (MRI) to look for joint damage, such as loss of bone within the joint and narrowing of joint space. Note that the lack of joint damage does not rule out rheumatoid arthritis. It may mean that the disease is in an early stage and hasn’t yet damaged the joints.

While she waited for the results of the tests, Sandra researched osteoarthritis and rheumatoid arthritis on her computer. She discovered that osteoarthritis is the most common form of arthritis. According to https://www.everday health.com/rheumatoid-arthritis, it affects over 30 million adults in the United States. It is also known as degenerative arthritis, and it is also called wear-and-tear arthritis. Osteoarthritis typically occurs in older adults.

By contrast, rheumatoid arthritis is an auto-immune, inflammatory, systemic disease. The immune system attacks healthy cells in the body by mistake. This results in inflammation, pain, and swelling in affected body parts. Rheumatoid arthritis typically attacks several joints symmetrically. It may also affect organs such as the heart, lungs, and eyes.

The test results showed that Sandra did indeed have rheumatoid arthritis. What caused this? Doctors don’t know what causes rheumatoid arthritis. However, according to https://www.mayoclinic.org, the following risk factors have been identified:

  • Being female.
  • Your age. Rheumatoid arthritis most commonly begins between the ages of 40 to 60.
  • Family history. If a member of your family has rheumatoid arthritis, you may have an increased risk of getting the disease.
  • Smoking. Cigarette smoking increases your risk of developing rheumatoid arthritis.
  • Environmental exposure. Exposure to asbestos or silica may increase your risk for developing rheumatoid arthritis.
  • Obesity. People who are overweight or obese appear to be at somewhat higher risk of rheumatoid arthritis, especially women diagnosed with the disease when they were 55 or younger.

If you have a family member who has a serious illness and needs private duty nursing, call American Home Health at (630) 236-3501. The agency can provide round-the-clock nursing care by Registered Nurses (RNs), Licensed Practical Nurses (LPNs), and Certified Nursing Assistants (CNAs). Our service area covers fifteen counties in Northern Illinois including Cook, Lake, McHenry, Boone, Winnebago, Ogle, Lee, DeKalb, DuPage, Kane, Kendall, LaSalle, Grundy, Will, and Kankakee. American Home Health is licensed by the State of Illinois and accredited by the Joint Commission. For further information, go to www.ahhc-1.com, or call (630) 236-3501.

—By Karen Centowski