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LUPUS: “THE WOLF”

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Forty years ago, a teacher at a Catholic elementary school invited the faculty members and their husbands and wives to a Christmas party in her home.  It was an opportunity to socialize, to have fun together.  The women wore their long dresses, and the men wore suits.  Everyone was excited to attend.

Since these faculty members worked together every day, they were at ease with each other.  As each couple arrived, the hostess and guests greeted them.  The house was filled with chatter and laughter.

When all guests had arrived, the hostess announced that she had a surprise for them.  She had enlisted the services of a palm reader, who would tell their futures.  Each person would meet individually with the palm reader in a separate room.  The palm reader would examine the individual’s hand life lines, love lines, and give a reading.  It was simply a party game.  What could go wrong?

Everyone was having a good time until Marie came out of her meeting with the palm reader.  Marie’s face was ashen.  She walked directly to her husband and whispered something to him.  The room became unnaturally quiet.  It was as if all of the air had gone out of a balloon.

Apparently, Marie had received bad news, very bad news.  The palm reader had told Marie that she had lupus, a fatal illness.  How would a palm reader know that?  And what is lupus?

According to WebMD, “Lupus is one of many disorders of the immune system known as autoimmune diseases.  The (patient’s) immune system turns against parts of the body it is designed to protect.  This results in inflammation and damage to various body tissues.  Lupus can affect many parts of the body, including the joints, skin, kidneys, heart, lungs, blood vessels, and brain.”

A National Resource Center on Lupus article at https://www.lupus.org/resources states that lupus was identified in the classical period (1230—1856).  The word lupus (Latin for “wolf”) is attributed to the thirteenth century physician Rogerius who used it to describe the erosive facial lesions which were reminiscent of a wolf’s bite.

If you have a family member who suffers from lupus 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

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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

Education, Information

MUHAMMAD ALI’S FIGHT WITH PARKINSON’S

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MUHAMMAD ALI AND WIFE LONNIE
WASHINGTON, DC
JUNE 11, 2001

In 1964, a twenty-two-year-old boxer known by his birth name, Cassius Clay, Jr. entered the ring for a match with Sonny Liston, who had been the world heavyweight boxing champion since 1962. Clay had spent the weeks prior to the match trash-talking Liston’s fighting abilities, trying to get inside his opponent’s head. Clay won the fight in a major upset. He then changed his name from Cassius Clay, Jr., which he called his “slave name,” to Muhammad Ali.

Ali described his fighting style as “Float like a butterfly, sting like a bee. The hands can’t hit what the eye can’t see.” He considered himself “The Greatest.”

In 1966, two years after winning the heavyweight title, he refused to be drafted into the United States military. He gave as reasons his religious beliefs and opposition to U.S. involvement in the Vietnam War. He was arrested, found guilty of draft evasion, and stripped of his boxing titles. He was sentenced to five years in prison, fined $10,000, and banned from boxing for three years. The U.S. Supreme Court overturned his conviction in 1971.

Ali was provocative and outlandish and arrogant and fearsome. Before his famous “Rumble in the Jungle” match with George Foreman in 1974, Ali continued his pattern of verbal assault. “I wrestled with an alligator, I tussled with a whale, I handcuffed lightning, thrown thunder in jail. I’m a bad man. . . last week I murdered a rock, injured a stone, hospitalized a brick. I’m so mean I make medicine sick.”

Ali retired from boxing in 1981 at age 39. In 1984 at the age of 42, he was diagnosed with Parkinson’s disease. Some reports attributed his condition to boxing-related injuries, but both Ali and his physician disputed this.

In 1998, Ali began working with actor Michael J. Fox, who has Parkinson’s disease, to raise awareness and fund research for a cure for Parkinson’s disease. In 2002, they made joint appearances before Congress to push the case. Ali worked with the Michael J. Fox Foundation for Parkinson’s disease to raise awareness and encourage donations for research.

As his condition worsened, he made limited public appearances. He was cared for at his home by members of his family. Muhammed Ali died June 3, 2016 at age 74 after a 32-year battle with Parkinson’s disease.

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

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WITH A LITTLE HELP FROM CNAs

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Fifty years ago, subdivisions were sprouting in the cornfields and bean fields in Illinois. The 1960’s and 1970’s were a time of rapid growth in the housing stock at the edges of major metropolitan areas such as Aurora, Rockford, and Bloomington-Normal.

Ranch houses, tri-levels, and two-story homes were popular styles. Most had attached garages, and the backyards were often enclosed with chain link fences. The homeowners planted shade trees on the boulevard and in the backyard. They spent time and money mowing, watering, and fertilizing the grass. They took pride in ownership of a beautiful new home.

Margaret, her husband, and their four children lived in one of these new houses. She was a stay-at-home mom, and her children were allowed to be free range children. That meant they roller skated on the sidewalks, shot basketballs into hoops mounted on rooftops above the garages, and played baseball on the diamond at the elementary school. The boys on the street made a go-cart out of wood and an old lawnmower chassis and gave rides to the younger boys.

AND THERE WERE THE DIRT HILLS. Since this was a new subdivision, the last row of houses backed up to a large piece of vacant land. The builder had dug a retention pond, installed concrete sewer pipes, and piled up a huge mound of dirt next to the retention pond. Many a young boy rode his dirt bike down from the top of the mound of dirt. In fact, some became so skilled that they could ride at full speed down the dirt hill and land on a raft in the lake.

The children grew up, got married, and moved away. Margaret and her husband continued to live in the house. When Margaret was in her late seventies, her health began to fail. She could no longer climb the steps into the house so her husband built a ramp in the garage.

As Margaret’s illness progressed, she needed 24/7 care from CNAs who came to her home. This was a tremendous help to Margaret and to her husband. It allowed her to continue to stay in her own home for a period of time. Later, she was admitted to a hospital and died there at age eighty-one.

If you have a family member who needs private duty nursing, call American Home Health at (630) 236-3501. The agency can provide round-the-clock nursing care by Registered Nurses and (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.

To hear the Beatles, the English rock band, sing “With A Little Help From My Friends” from their 1967 album Sgt. Pepper’s Lonely Hearts Club Band, go to With A Little Help From My Friends—You Tube at https://www.youtube.com/watch?v=0C58ttB2-Qg.

—By Karen Centowski

Education, Information, Status

CAN WE GO OUTSIDE?

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What fun and creative things can an American Home Health pediatric private duty nurse do with a child? Think about it. A whole world exists outside the walls of the house or apartment. With the permission of a parent, a nurse can take a child outside for a walk or to the neighborhood playground or even to a movie theater.

Almost every child old enough to walk loves to be outside. This provides not only a chance to take a break from the indoor routine but also to explore the sights and sounds of nature. Take a walk in the neighborhood. Explore the outdoors.

Encourage a young child to listen for animal sounds. If you say, “I hear puppy barking. What does puppy say?” The child will answer, “Woof, woof.” If you say, “I hear birds singing. What do the birds say?” The child will answer, “Tweet, tweet.” Any child who has a Fisher-Price See ‘n Say The Farmer Says Toy will already know the recorded sounds of many farm animals. Now’s an opportunity to hear the sounds of animals in the neighborhood.

Encourage the child to look for animals in the yards and trees. It is easy to find dogs and cats. With a little luck, you will find rabbits and squirrels. Stop to watch the animals. It is amazing to see a squirrel’s nest high up in the trees or to watch a squirrel come scampering down the trunk of a tree. Cottontail rabbits are common in yards and gardens in Illinois. You might even come upon a rabbit’s nest with baby bunnies. Look for nests in safe, sheltered places such as under a bush or in a crevice between rocks or even in a hollow log.

Young children are fascinated by things they find on these walks. Pinecones of various sizes, leaves, flowers, insects, and worms interest them. You’ll probably have to have a standard rule of “Look, but don’t touch.”

Make an exception for leaves from trees. Collecting leaves can be fun and educational. An older child can even press colorful leaves between pages of a book or catalog. Then the child can learn to identify the type of tree by studying its leaf.

When you were a child, did you ever use colored chalk to draw pictures on sidewalks? Do you remember playing hopscotch on the sidewalk? Perhaps you remember sitting on the steps of the front porch blowing bubbles. These old-fashioned pastimes still delight children today.

Have you ever laid on the grass on a sunny day and watched the clouds? You and the child can do this, too. The two of you can talk about what you see. Do the clouds look like mashed potatoes? Are they moving across the sky? You might even try having the child draw a picture of the clouds in the sky.

If you have a grand old movie theater within walking distance, you might be able to take an older child to an afternoon matinee. Whether you are a child or an adult, there’s nothing like seeing a Walt Disney classic on a big screen.

Outdoor activities will give your client a change of scenery and enrich his life. Try it. I guarantee that a few days later the child will ask you, “Can we go outside?”

—By Karen Centowski