Ivermectin: Potential Role in the Fight against Cancer

Ivermectin: Potential Role in the Fight against Cancer

by | Mar 13, 2025 | Uncategorized

The purpose of this blog is to present information on topics that are under-reported in the news using an evidenced-based, scientific, approach to the content. Potential beneficial cutting edge but controversial information is a challenge to share. However, the reader can decide whether it is helpful or not.

The Controversy Over Ivermectin
When the COVID-19 pandemic broke out the rush was on to ascertain if there were any medications that had FDA approval and could help reduce the severity of the illness. A great deal of research had emerged that Ivermectin had anti-viral properties and could be helpful. Many doctors on the front lines treating patients were anxious to prescribe it but encountered multiple roadblocks. Some pharmacists refused to fill their prescriptions. Americans were told it was a horse dewormer not fit for human consumption. The truth was ambiguous and Ivermectin became a political football.

Repurposed Drugs
Repurposed drugs are developed and approved by the FDA for one use but later found to be helpful in other conditions. Aspirin is a great example which was first prescribed to reduce fever. Years later it was found to be an effective blood thinner by reducing platelets from forming blood clots during a heart attack or clotting stroke. In some people it can lead to bleeding which is why if it came on the market today it would probably be a prescription.

Sublingual nitroglycerin was first prescribed to treat angina or chest pain from narrowed arteries around the heart. Later it was learned it could also treat male impotence. Scientists are beginning to explore the repurposed benefits of Ivermectin to enhance immunity.

The Benefits of Ivermectin
Ivermectin was developed by Japanese researchers Satoshi Omura and Irish Researcher William C. Campbell, released by Merck and approved by the FDA in 1978 as an antiparasitic drug. Millions of people around the world have been safely treated for parasitic diseases such as river blindness, elephantiasis and scabies. The researchers were awarded the Nobel Prize in Physiology and Medicine for their discovery in 2015.

In addition to the antiviral and antiparasitic benefits of Ivermectin recently some oncologists are beginning to use it as an anti-cancer therapy in conjunction with traditional chemotherapy and radiation treatments. Ivermectin inhibits cancerous cell growth and enhances immunity to destroy cancerous cells. It’s been shown to be beneficial in breast, GI, urinary, blood, brain, respiratory and melanoma cancers. Currently, it is considered promising emerging research, but large randomized controlled trials are needed to verify effectiveness over time.

Side Effects
Ivermectin has been tolerated very well with minimal side effects by people of all ages around the world. Although rare dizziness, visual disturbances, joint pain, fever, swollen lymph glands and allergic reactions may occur.

Questions Remain
If it has such wonderful benefits, one wonders why there has been such resistance to prescribing it for other nonparasitic purposes? Interestingly, Ivermectin lost its patent in the 1990’s. It could now be made in a generic form significantly less expensive than its brand name patented drug.

Secondly, in order to get FDA approval for a new drug it’s tested in lab petri dishes, then in animals usually mice and then in people. Large randomized controlled clinical drug trials in people are needed to monitor for safety, effectiveness and potential side effects before FDA approval is granted. These are very expensive! There may be less motivation to run large clinical trials in cheaper generic repurposed drugs.

Most healthcare providers follow their national guidelines when making decisions to prescribe a medication. Without FDA approval it’s unlikely the repurposed drug will be included in those guidelines. Ivermectin needs large clinical trials using it as an antiviral or anticancer treatment in order to gain FDA approval.

Finally, compounding the problem is that some of the FDA members may have relationships with the very pharmaceutical companies whose drugs they are tasked to approve.

On A Personal Note:
In the summer of 2020, the Israelis released an important study that was overlooked by most media outlets. They examined 1,400 patients who had a COVID-19 blood test from February to April in 2020 and also had a Vitamin D level result in their chart. If the Vitamin D level was above 30 ng/ml only 10 % tested positive for COVID-19. However, if it was lower than 30 ng/ml 90% tested positive. Those who tested positive with low levels of Vitamin D and were over 50 years old were more likely to be hospitalized with COVID-19.

This study should have immediately led to other research to confirm the validity of their findings. Governments around the world could have checked everyone’s Vitamin D blood level and encouraged healthcare providers to treat low levels to boost natural immunity. Vitamin D supplements are cheap!

Science is ever changing. It’s still unclear exactly the mechanism of how Ivermectin and Vitamin D enhance immunity. Certainly, more research is needed but what is available is encouraging. The National Institute of Health (NIH) needs to fund more research of repurposed drugs.

For now…do your own research. Boost your Vitamin D and get it tested to ensure the level is appropriate for you. The boost to your immunity will help whether you’re fighting a cold or cancer. Speak with your healthcare provider as some people must be careful when increasing Vitamin D. Keep your eyes and ears open for new information on Ivermectin. I’ve been following Dr. John Campbell Today and found his podcast information is evidenced-based, cutting edge and extremely helpful!

God bless you all as you deal with your own health issues. May they be small ones.

Fear not, for I am with you; be not dismayed, for I am your God; I will strengthen you, I will help you, I will uphold you with my righteous right hand (Isaiah 41:10).

Reference:

  1. Tang et al. “Ivermectin, A Potential Anticancer Drug Derived from an Antiparasitic Drug,” Pharmacological Research (September 21, 2020). https://pmc.ncbi.nlm.nih.gov/articles/PMC7505114/pdf/main.pdf

“Ivermectin Systemic Adult Medication,” Memorial Sloan Kettering Cancer Center (January 1, 2022). https://www.mskcc.org/cancer-care/patient-education/medications/adult/ivermectin-systemic

  1. Lupkin, “A Look at How the Revolving Door Spins from the FDA to Industry,” Shots Health News from NPR (September 28, 206). https://www.npr.org/sections/health-shots/2016/09/28/495694559/a-look-at-how-the-revolving-door-spins-from-fda-to-industry

Merzon, et al., “Low Plasma 25(OH) Vitamin D Level Is Associated with Increased Risk of COVID-19 Infection: An Israeli Population Based Study,” The FEBS Journal, July 23, 2020. https://doi.org/10.1111/febs.15495

Dr. John Campbell Today Podcast, https://www.youtube.com/channel/UCF9IOB2TExg3QIBupFtBDxg

 

I’m a Christian nurse who helps people navigate the murky waters of healthcare.

Beloved, I pray that all will go well with you and that you may be in good health,

Author of Wake UP Call 911: It’s Time to Reduce your Risk for A Heart Attack and Stroke (2015) and Helping the Hurting: Nursing Ministry in the Body of Christ (2022).

You may visit my website for additional information: jenniejohnsonrn.com

All rights reserved 2025, Jennie E. Johnson, RN-BC, PhD

Paperback copies of both books for sale. Email me for details at:  ask@jenniejohnsonrn.com.

Heart Attack Risk: Test to Determine Hidden Plaque Buildup

Heart Attack Risk: Test to Determine Hidden Plaque Buildup

by | Feb 5, 2025 | Healthy Living

February is Heart Month, a time to consider one’s risk for a heart attack. The Non-contrast Coronary Artery Calcium (CAC) Score Screening test accurately detects subclinical (silent) buildup months or years before the heart attack may occur. However, few healthcare providers prescribe it for high-risk patients. Most people are completely unaware of this life saving technology.

Are You at Risk?
The major risk factors for a heart attack are:

  1. Men over 45, women over 55
  2. History of a heart attack in a mother before the age of 55 and a father before 45
  3. Smoking
  4. High blood pressure
  5. High blood glucose
  6. Elevated LDL cholesterol
  7. Excess weight
  8. Unhealthy diet
  9. Inactivity
  10. Stress
  11. Excess alcohol
  12. Inadequate sleep
    It’s often been said that genetics loads the gun, but lifestyle pulls the trigger. However, living a heart healthy lifestyle is a challenge for most of us. If your blood pressure, glucose or LDL cholesterol remains too high it’s time to consider medications to protect your heart, brain and kidneys from damage.

    The calcium score test is the tie breaker. If the number is 0 or low, it will buy you some time. However, if it is higher, it’s time to get more aggressive to prevent further buildup.

How Do Blockages Develop?
Blockages develop from a variety of factors. High blood pressure causes a sandpaper effect to occur on the inside lining of the arteries. Higher blood glucose scratches the lining as it moves through the blood. The body recognizes the danger and launches an assault to repair the damage. Those areas become red and swollen and white blood cells move in to heal it. LDL cholesterol traveling through the blood becomes lodged in the damaged areas.

With any inflammation that has gone on long enough (TB, cancer or coronary artery disease) calcium deposits are left behind to wall off the area. Plaque buildup is just another name for this inflammatory process. The calcium deposits are measured on this test and provide a window into how much damage may be occurring.

 

Non-contrast Coronary Artery Calcium (CAC) Score Screening Test
This test became available 30 years ago. During one breath hold, approximately 40 images are taken of the 4 main coronary arteries that surround the heart. The radiation dose in a non-contrast CAC screening scan is about equal to a mammogram. The accuracy of the CAC score test is a strong predictor of future events.

What Do the Results Mean?

0 CAC Score                          Encourage a healthy lifestyle, consider a statin if LDL cholesterol >190 mg/dL, repeat in 3 to 5 years depending on risk factors.

1 to 99 CAC Score                 Healthy lifestyle, treat LDL cholesterol to <100 mg/dL and treat high blood pressure and other risk factors.

100 to 299 CAC Score           All above + treat LDL cholesterol to <70 mg/dL and consider low dose aspirin (some people are at risk for bleeding- always check with your doctor before taking).

300 to 999 CAC Score           All above + treat LDL to < 55 mg/dL and use low dose aspirin in people who can tolerate it.

Over 1,000 CAC Score         All above + consider other tests and treatment options.

It indicates the level of plaque buildup (none, small, moderate or large amount). It doesn’t mean there is a blockage but the higher the number the greater the buildup and the bigger the problem.

However, remember the best stress test may only detect a blockage > 70%. Heart attacks may occur in much smaller blockages. If someone has a normal stress test and several risk factors, it’s a good idea to get a CAC score to rule out potential buildup unseen by the stress test.

Who Should Get a Calcium Score Test?

—Men 55 to 80 years old, women 60 to 80 years old.

—People 40 to 55 years old with multiple risk factors.

—People with abnormal cholesterol levels concerned about taking a statin.

Who Should Not Get a Calcium Score Test
If you’ve already had a heart attack or stroke you have plaque buildup and should be treated aggressively. The score will not add any value.

Where Can I Get the Test?
Most radiology centers provide this screening. It may be covered by insurance or Medicare if you have a strong secondary plan. The cost out-of-pocket is around $200. Some states require a healthcare provider’s order while others do not. The test is ordered as Non-contrast Coronary Artery Calcium Score Screening or simply Cardiac Calcium Score. The screening non-contrast test has a much lower dose of radiation exposure than the contrast test.

On A Personal Note:
I counseled nearly 1,000 people in Chicago after they had this test. We measured their blood pressure, cholesterol and glucose, asked them about their lifestyle habits and provided information on their findings. We found many people who were living normal lives completely unaware of the silent danger building up in their arteries.

In the early 2000’s minimal research existed on what happens when you give people that information. I enrolled nearly 200 high risk people and measured how the results changed their lives.

Whether they were CEO’s of major Fortune 500 companies, farmers or housewives they had similar questions. I found that the higher the CAC score motivation to take prescribed medications and make healthier choices was enhanced. 

Frankly, I’m frustrated that physicians in my area are not ordering this test for at risk people. It’s quick, easy and painless and provides incredible information. The guidelines recommend it in high-risk individuals.  

If you’re at risk…speak with your healthcare provider today. Provide a hard copy of this article. If you’re in a state that doesn’t require an order…call and get more information. I’d love to hear your experiences in the comments below and answer any questions.

Finally, my book Wake Up Call 911: It’s Time to Reduce your Risk for a Heart Attack and Stroke is available through my website for $10 (jenniejohnsonrn.com), email (ask@jenniejohnsonrn.com), Amazon or Ebay. It includes the information that I gave my patients: the simple steps to change your life.

The oldest and strongest emotion of mankind is fear, and the oldest and strongest kind of fear is fear of the unknown(science fiction writer, H. P. Lovecraft).

Reference:

Lifestyle Changes to Prevent a Heart Attack, American heart Association (January 2, 2025). https://www.heart.org/en/health-topics/heart-attack/life-after-a-heart-attack/lifestyle-changes-for-heart-attack-prevention

  1. J. Maron et al. “Coronary Artery Calcium Staging to Guide Preventive Interventions: A Proposal & Call to Action,” JACC Advances (November 11, 2024). https://www.jacc.org/doi/10.1016/j.jacadv.2024.101287

Cardiac Stress Testing: What It Can & Cancot Tell You, Harvard Health Publsihing, Harvard Medical School (April 15, 2020). https://www.health.harvard.edu/newsletter_article/cardiac-exercise-stress-testing-what-it-can-and-cannot-tell-you

  1. E. Johnson et al. “Does Knowledge of Coronary Artery Calcium Affect Cardiovascular Risk Perception, Likelihood of Taking Action, and Health-Promoting Behavior Change?” Journal of Cardiovascular Nursing (2015). https://pubmed.ncbi.nlm.nih.gov/24434820/

    I’m a Christian nurse who helps people navigate through the murky waters of healthcare.

Beloved, I pray that all will go well with you and that you may be in good health,

Author of Wake UP Call 911: It’s Time to Reduce your Risk for A Heart Attack and Stroke (2015) and Helping the Hurting: Nursing Ministry in the Body of Christ (2022).

You may visit my website for additional information: jenniejohnsonrn.com

All rights reserved 2025, Jennie E. Johnson, RN-BC, PhD

Paperback copies of both books for sale. Email me for details at:  ask@jenniejohnsonrn.com.

Lessons Shared from Knee Replacement Surgery: What You Should Know

Lessons Shared from Knee Replacement Surgery: What You Should Know

by | Jan 15, 2025 | Healthy Living

Recently, my husband and I had total knee replacement surgeries… his left and my right. Even though I have a PhD in nursing I was stunned how much I didn’t know about it and wanted to share our lessons with you. Aging causes arthritis to develop, destroying the joint cartilage that separates bones. Pain follows and one wonders if surgical repair is needed? What’s involved? How long before I’m back to normal? What are the complications? What can I do to have a positive outcome?

When Is Surgery Needed?
At first the damage is barely noticeable. It’s annoying but overtime the pain worsens. It’s a good time to see an orthopedic physician to learn strategies to protect the knee to delay surgery. Various injections ease the pain for a very short time, but it returns when the drug wears off. Physical Therapy helps to strengthen the muscles around the damaged joint to reduce pain and discomfort. Braces are also recommended to support and strengthen the injured knee. Ultimately a knee replacement operation may be required. When the pain begins to interfere with sleeping or normal daily activities, it’s a good time seek options.

10 Point Questionnaire
Our surgeon Dr. Joseph Bowen developed the Measuring Impact of Diagnosis 1 to 10 scale to help determine if we were ready for surgery. The lower number 1 meant – Nothing will keep you from the activity while 10 meant –  The pain is so bad that you avoid the activity. I loved to go for walks while listening to music but eventually that ended (10). I hated entering big box stores for fear of pain from long walks finding an item (8). The 1 to 10 scale provided clarity. If I answered a 1, 2 or low number the surgery would probably be more traumatic than helpful. Other strategies would be more useful. However, if I answered 8, 9 or 10 the surgery would improve my quality of life.

Physical Therapy (PT)
The most challenging and least understood aspect when facing a knee replacement operation is what one will face in the post operative period. Immediately after surgery healing begins and scar tissue forms which can freeze or limit range of motion (ROM) in the joint. Strategies are employed to start moving the impacted leg. While some activity begins immediately after surgery, you can expect to start outpatient PT at the center within a few days after surgery.

The battle continues to prevent scar tissue adhesions from forming. Each day the activity increases as healing occurs. The goal of the PT session is to bend and straighten the surgical leg and lasts 2 months, generally twice a week and is invaluable! I was shocked to learn that some orthopedic surgeons don’t even order it. However, if you want to get back to an active life… you must get the range of motion back and that takes work. Life will return to a more normal routine after 2 months but allow 3 months before you’re able to help someone else. 

The Best Surgeon
The first most important step is to find the best orthopedic surgeon in your area. We had 2 opinions which were covered by insurance. Ask other healthcare providers who they would have do the surgery. The second appointment was invaluable. We found an amazing surgeon. Literally everywhere we went nurses and other staff told us, He is the only one who’d do my surgery. Do they treat you kindly and answer all your questions? How many do they do in a year? You want someone who focuses primarily on the knee for the best outcomes. 

Importance of Protein for Healing
Another orthopedic surgeon told me to begin drinking a protein shake daily 1 month before surgery to promote healing. My appetite was poor after surgery. The daily supplementation provided the extra nutrition needed. It’s also important to increase fluid intake as well. However, if you have any kidney, heart or diabetes disease be sure to get clearance from your healthcare provider before you push fluids and protein.

Pain Control
The post operative pain was well controlled. Between the numbing agents used prior to surgery and the narcotics given during the operation, pain was greatly reduced for 24 hours. Tylenol and Tramadol were ordered around the clock every 6 hours initially. Oxycodone which is a strong narcotic is used for breakthrough pain. Despite taking Tylenol and Tramadol, if the pain consumes you and it’s all your thinking about…it’s time for an Oxycodone. I weaned myself down to ½ which took the edge off when the others weren’t working.

However, during PT at certain points in the bending and straightening… pain returns. It’s a helpful idea to premedicate before PT to get the most motion and progression out of it.

Tramadol and Oxycodone are addictive. Opinions vary on how long it may be needed following knee replacement surgery. Our surgeon wanted us using the pain meds, so we’d do the PT to keep the knee bending and straightening. It’s a good conversation to have with your surgeon.

Reduce Swelling
Swelling limits motion and increases pain. It’s important to focus on reducing it as much as possible. Our physical therapists highly recommended above the knee compression stockings. My husband is 6’4” tall and it was difficult to find them long enough. A wonderful company in North Carolina sent them out which fit him perfectly.

Everyone recommended ice after any kind of PT activity for 20 minutes applied above and under the knee. Our PT team recommended 2 Comfort Gel packs (from Amazon). In addition, several orthopedic surgeons recommended the continuous Breg Polar Care Circulating Cold Water Flow system. It doesn’t damage the skin like direct contact from ice but keeps cool water circulating to reduce swelling and pain. You can insert frozen water bottles in the Breg Cube instead of ice.

Complications
Baby aspirin is ordered to reduce blood clot formation along with hourly movement and flexing of the feet. Frequent walking is very important. Walkers are used for the first weeks to prevent falling.

Bleeding may occur but is less common due to improvements in surgical techniques.

Infection is a major concern. You will monitor your temperature and report any elevations to your surgical team. Constipation also occurs. We were given daily doses of Senokot to promote the emptying of the colon slowed down by narcotics. Two glasses of prune juice a day was ordered along with Milk of Magnesia if needed for constipation. 

Medications
Keep track of all your medications, especially the pain meds. Write the times beginning with 7am through the next 24 hours in rows on the left side of a page. Create columns across the top of the page for each medication. There will be many new ones and it’s far too easy to get confused. It’s important to be accurate. Add a 1 or 2 in the time slot for how many pills you are to take with each scheduled dose. Record when all pain meds are taken as well. You may have to print a new page each day as the pain med times may change.

If you have high blood pressure, diabetes or kidney disease work with your healthcare provider to maintain balance in your numbers. This is a major surgery with a great deal of temporary medications that can make these problems worse. Monitor those numbers and report any concerns to your doctor. 

Metal Allergies
If you are someone who developed a rash from cheap jewelry or any metal, you need to have a conversation with your surgeon. After 25 years of wearing a white gold wedding band the protective coating rubbed off and I developed a nasty itchy allergy under the ring. I was concerned about what metal would be in the orthotic implant and did a lot of homework on this issue.

Unfortunately, the information is uncertain. There hasn’t been much research on this concern. Over time orthotics may fail. One wonders, was it related to an undiagnosed allergy to the metal in the device? Some orthopedic surgeons don’t think this is a real issue. However, one surgeon told me that he uses a hypoallergenic orthotic in all his patients. Another minimized my concerns. Our surgeon listened and placed a hypoallergenic implant in me.

Metal testing is an emerging area of research. I believe one day it will be standard practice especially in people with a history of a metal allergy. An orthopedic nurse in Oklahoma told me they offer metal testing to all their knee replacement patients before surgery. You can search Orthopedic Analysis for more information on the test they use. My test showed that I was highly reactive to nickel.

Interestingly, I also developed a rash underneath the dressing the surgeons used to cover the knee. Apparently, I’m also allergic to the adhesive used to secure the dressing. Let your surgeon know if you have any tape allergies as well.

On A Personal Note
My husband developed a severe knee injury while playing basketball in college 50 years ago. Over the years he saw many orthopedic doctors and physical therapists who helped him buy time. He reinjured it last summer and finally needed it repaired. I injured my knee 8 years ago playing my first and last game of Pickleball. My severely bowed leg altered my gait causing hip pain too. We never expected to have surgery just 5 weeks apart to say the least.

Remember that this is a major operation unlike any other one you may have had because it’s a joint and bone operation. Realistically, you should have help for at least 2 weeks after surgery.

You will be working very hard to get your range of motion back and relearn how to walk with a normal gait. Most of the work is simple stretching exercises but the final bending and straitening is painful but mandatory. By week four I was doing 1 hour of PT at home or the center twice a day followed by 20 minutes of ice packs on top and below my knee. Listening to music really helped.

Interestingly, we learned that when the weather changes…knee discomfort increases, and the Lord created bodies that heal unbelievably rapidly. Each day we saw improvements.

Life is returning to normal and we’re looking forward to more active lives. If you have questions or comments, please share your thoughts and experiences. You can also email me, and I’d be happy to talk one on one as well.

May this new year  bring a more peaceful world.

For I will restore health to you, and your wounds I will heal, declares the Lord (Jeremiah 30:17).

References:

“Knee Replacement,” Mayo Clinic, (November 15, 2024). https://www.mayoclinic.org/tests-procedures/knee-replacement/about/pac-20385276.

Dr. Joseph Bowen, Kootenai Clinic Orthopedics, (2024). https://www.kh.org/.

  1. Nguyen Pharm D. & D. Synder MD, “Tramadol and Oxycodone: What are the Differences?” Very Well Health, (July 24, 2023). https://www.verywellhealth.com/tramadol-vs-oxycodone-7508613.

Rescue Legs Medical Compression Stockings. https://www.rescuelegs.com//.

I’m a Christian nurse who helps people navigate through the murky waters of healthcare.

Beloved, I pray that all will go well with you and that you may be in good health,

Author of Wake UP Call 911: It’s Time to Reduce your Risk for A Heart Attack and Stroke (2015) and Helping the Hurting: Nursing Ministry in the Body of Christ (2022).

You may visit my website for additional information: jenniejohnsonrn.com

All rights reserved 2025, Jennie E. Johnson, RN-BC, PhD

Paperback copies of both books for sale. Email me for details at:  ask@jenniejohnsonrn.com.

Research on the Shroud of Turin and the Blessing of Church Worship

Research on the Shroud of Turin and the Blessing of Church Worship

by | Dec 22, 2024 | Healthy Living

Whether you’re a Christian or not, this year I’m sending you some fascinating evidenced-based information on the Shroud of Turin as my Christmas gift to you. I’ve followed Dr. John Campbell for years. He usually updates his listeners on a variety of health-related topics providing a myriad of evidenced based facts. Recently, he presented some astonishing information on the presumed burial cloth of Jesus.

In 1978 researchers from around the world were allowed to examine the cloth for authenticity. However, new technology has revealed facts that can’t be explained nor denied. After viewing Dr. Campbell’s video, let me know your thoughts in the comments below.

Finally, a friend sent me this Letter to the Editor which speaks volumes as we celebrate Christmas. If anyone knows the source, please share it with me.

A Church goer wrote a letter to the editor of a newspaper and complained that it made no sense to go to church every Sunday.

He wrote: “I’ve gone for 30 years now, and in that time, I have heard something like 3,000 sermons, but for the life of me, I can’t remember a single one of them. So, I think I’m wasting my time. The preachers are wasting theirs by giving sermons at all”.This started a real controversy in the ‘Letters to the Editor’ column.

Much to the delight of the editor, it went on for weeks until someone wrote this clincher:

 “I’ve been married for 30 years now. In that time my wife has cooked some 32,000 meals. But, for the life of me, I cannot recall the entire menu for a single one of those meals. But I do know this: They all nourished me and gave me the strength I needed to do my work. If my wife had not given me these meals, I would be physically dead today.

Likewise, if I had not gone to church for nourishment, I would be spiritually dead today!”

When you are DOWN to nothing, God is UP to something!

Faith sees the invisible, believes the incredible, and receives the impossible!

Thank God for our physical and our spiritual nourishment!

IF YOU CANNOT SEE GOD IN ALL, YOU CANNOT SEE GOD AT ALL!

  1. B. I. B. L. E. simply means: Basic Instructions Before Leaving Earth!

When you are about to share this to others, the devil will discourage you.

So go on! Share this to people who are DEAR to you and TRUST GOD.

On a Personal Note:

I couldn’t have said it better. Attending church services is one of the greatest stress busters for me. I’m bathed in His Word through readings, the message and hymns. We meet as strangers and eventually become friends. You won’t find perfect people in any church. We all mess up, but we are forgiven. So please come visit of course over the holidays but do come back. You may feel awkward for a time but that will pass too.

To the church members…when you see a newcomer, please go out of your way to make them feel welcome. That’s your job!

May you all have a 2025 year filled with rich blessings and new friends from church fellowship. From my house to yours, have a very Merry Christmas.

Praise the Lord, all you nations! Worship him, all you peoples! Because God’s faithful love toward us is strong, the Lord’s faithfulness lasts forever! Praise the Lord (Psalm 117: 1-2)!”

Reference:

“The Shroud Studies,” Dr. John Campbell Today Youtube, (October 28, 2024). https://www.youtube.com/watch?v=YT1R2kDPHFA.

Beloved, I pray that all will go well with you and that you may be in good health,

Author of Wake UP Call 911: It’s Time to Reduce your Risk for A Heart Attack and Stroke (2015) and Helping the Hurting: Nursing Ministry in the Body of Christ (2022).

You may visit my website for additional information: jenniejohnsonrn.com

 

  I’m a Christian nurse who helps people navigate the murky waters of healthcare.

All rights reserved 2023, Jennie E. Johnson, RN-BC, PhD

Paperback copies of both books for sale. Email me for details at:  ask@jenniejohnsonrn.com.

Role of Vitamin D in the Fight Against Cancer

Role of Vitamin D in the Fight Against Cancer

by | Nov 7, 2024 | Healthy Living

It’s well known that higher levels of Vitamin D enhance immunity to fight colds and flu, but new research shows a tremendous benefit not only in preventing cancer but also enhancing the effectiveness of chemotherapy treatments.

The Role in Cancer
World renowned oncologist and researcher Dr. Angus Dalgleish conducted a variety of studies investigating how cancer vaccines, Ivermectin and Vitamin D improve survival in melanoma, pancreatic, and other cancers. Amazingly, he found that chemotherapy medications were more effective when people had higher levels of Vitamin D (>35ng/ml).

Dr. Dalgleish chastises healthcare providers in cancer centers around the world to check Vitamin D levels and raise them to healthier levels to improve outcomes!

It’s important to work with a healthcare provider regarding Vitamin D3 supplementation. Begin with a blood test. Some people must use caution if kidney damage is present or have certain genetic vulnerabilities to ensure that Vitamin D levels are not too high. However, most people have very low levels and tolerate vitamin D3 supplementation extremely well.

The Role in COVID and other Viral and Bacterial Infections
Researchers examined over 20 studies that examined the role Vitamin D played in COVID-19 infections between 2020 to 2024 that included thousands of patients from around the world. They found that people with Vitamin D levels <30ng/ml were more likely to get a COVID-19 infection and suffer greater complications than those with higher levels. The defined levels were:

—<12ng/ml as a severe deficiency

—12ng/ml to 20ng/ml as deficient

—<30ng/ml still requires supplementation

—30ng/ml to 60ng/ml is Optimal

The Importance of Vitamin D
When the body is attacked by viruses, bacteria, abnormal cancerous cells or any irritated inflamed process, Vitamin D is needed to activate the immune cells. White blood cells and killer agents go to the area to destroy the pathogen and heal the area. Each immune cell must have Vitamin D to activate the white blood cell fighters. After the attack, levels of Vitamin D plummet and need replaced. Some adults and children keep getting sick primarily because there just isn’t enough Vitamin D left over to be ready for the next invader.

How Is It Made?
When the sun hits the skin, a reaction occurs that sends a chemical to the liver where Vitamin D is made. Vitamin D is also absorbed in the gastric track when certain foods are eaten (oily fish…). Supplements such as D2 and D3 (best) also become absorbed in the gastric system and taken up by the liver.

It takes about 3 weeks from the time the supplement is swallowed for the liver to convert it into a form that the body can use! If you get a serious cold or flu the day you begin taking Vitamin D3 it won’t be available yet to help you fight the infection. It’s important to start taking it in the early fall and stay on it through the winter.

A Quicker Form of Vitamin D
Calcifidiol is a prescription that is ready to work within 1 to 2 hours while D3 supplementation takes around 3 weeks to work. It is increasingly being used in very ill patients.

Disappointingly, studies were done during Covid looking at whether Vitamin D improved outcomes in very sick, hospitalized patients. The results showed no benefit, but they gave the slower form of D3 which wouldn’t be ready to help for another 3 weeks. However, Japanese researchers gave the fast-acting form Calcifidiol with very positive results.

Scientists are beginning to learn a great deal about the benefits of this amazing vitamin but there is still much to learn. For now, protect yourself and your loved ones. Most people tolerate it very well and the benefits far outweigh the risks. Do your homework and get a level checked. Speak with your healthcare provider and increase your D3 dose as directed. Stay on it all throughout the fall and winter. If you become really ill, ask about the fast-acting form of Vitamin D, Calcifidiol.

On A Personal Note:
Most of us have watched as a loved one or friend suffered from cancer, dangerous viruses or diseases that cause chronic inflammation. Research is emerging that Vitamin D3 supplementation definitely boosts immunity to extinguish the fires of many diseases. Yet, one wonders, how many had a simple blood test to check a Vitamin D level?  

When I speak in front of audiences or speak with a patient I ask about their Vitamin D level. Most haven’t had it done. My goal now is to instruct others on the benefits of this simple thing that enhances health. The moral of this story is to increase your Vitamin D levels now. Don’t wait for a running nose to start. Be proactive! May you all be blessed with a healthier Low Vitamin D Season.

Beloved, I pray that all will go well with you and that you may be in good health,

as it goes well with your soul (3 John 1:2).

Reference:

“Angus Dangleish, Full Interview,” Dr. John Campbell Today Podcast (October 23, 2024).

https://www.youtube.com/watch?v=c0nx6aBpUj4.

Canazi, Mudan, Dunne, Belonwu & Dalgleish, “Long-term Survival & Outcome of Patients Originally Given Mycobacterium Vaccae for Metastatic Malignant Melanoma,” Human & Immunotherapeutics (July 9, 2013). http://dx.doi.org/10.4161/hv.25618.

Dagleish et al., “Randomized, Open-Label, Phase II Study of Gemcitabine with & without IMM-101 Advanced Pancreatic Cancer,” British Journal of Cancer (September 6, 2016). https://www.nature.com/articles/bjc2016271.

 

“New Vitamin D Paper,” Dr. John Campbell Today Podcast (October 23, 2024).  https://www.youtube.com/watch?v=ENuGXJB06o0

 

  1. Sabit et al. “Vitamin D: A key Player in COVID-19 Immunity & Lessons from the Pandemic to Combat Immune-Evasive Variants, Inflammatopharmacology (October 16, 2024). https://link.springer.com/article/10.1007/s10787-024-01578-w.

Murai et al. “Effect of High Dose Vitamin D3 on Hospital Length of Stay in Patients with Moderate to Severe COVID-19 (March 16, 2021) JAMA. https://pubmed.ncbi.nlm.nih.gov/33595634/.

Ogasawara et al., “Effect of 1-hydroxy-vitamin D Treatment in Hospitalized Patients with COVID-19: A Retrospective Study,”(October 10, 2023), Clinical Nutrition. https://pubmed.ncbi.nlm.nih.gov/37677909/.

Author of Wake UP Call 911: It’s Time to Reduce your Risk for A Heart Attack and Stroke (2015) and Helping the Hurting: Nursing Ministry in the Body of Christ (2022).

You may visit my website for additional information: jenniejohnsonrn.com

 

 

 I’m a Christian nurse who helps people navigate the murky waters of healthcare.

All rights reserved 2023, Jennie E. Johnson, RN-BC, PhD

Paperback copies of both books for sale. Email me for details at:  ask@jenniejohnsonrn.com.

Stress from Political Unrest: What to Do When We Disagree

Stress from Political Unrest: What to Do When We Disagree

by | Oct 15, 2024 | Healthy Living

We live in a divided nation where it’s become increasingly difficult to disagree about how this nation is run. Half of us wear red, half blue and some in the middle don purple. Negative emotions and fierce partisan opinions run high. Too many ponder, “What calamity will befall the nation if our chosen candidate doesn’t win?” Saying, “Can we agree to disagree?” just doesn’t seem enough to extinguish the fires from raging arguments.

The stress explodes into a surge of adrenalin that impacts health, resulting in higher blood pressure and glucose. Risk for a heart attack, stroke, diabetes, cancer increase while immunity to fight infections is diminished.


However dangerous to health, conflict has been a part of the human condition from the very beginning. Cain rose up against his brother Abel and killed him (Genesis 4:8). Regarding politics, a PEW poll taken in February of 2024 found: 65% of US adults always or often felt exhausted by politics and 55% always or often felt angry. Only 10% said they were mostly hopeful.


Compounding the problem is that far too many people feel impotent to do anything about the troubling issues of the day. Interestingly, in the 2020 election only 60% of Americans voted. Lack of interest and being too busy was cited as the most common reason for not voting. Perhaps lack of understanding the issues may have contributed as well.


As US citizens we’re guaranteed the freedom to hold opposing points of view, no matter how unpopular. If those voices are allowed to be heard…then the best ones will rise to the top. But sharing those views respectfully is certainly the challenge of today.


The following article Here’s How to Respectfully Disagree may be helpful to foster a positive conversation and reduce anger while allowing both sides to be heard.

—Thank you for your input. I have never heard it that way.

—I can tell we both care about [insert value]. Thanks for sharing.

—Tell me more.

—I appreciate that you mentioned [insert point]. Would you be open to hearing my perspective?

—I would love to continue this conversation, but I want to ensure that I am respectful. Can we come back to it another day?


Further, Professors Sean McDowell and Tim Muehlhoff provide additional insight in their new book, End the Stalemate: Move Past Cancel Culture to Meaningful Conversations (2024):

—Ask questions and listen to seek understanding of the other’s point of view.

—Look for common ground.

—Remember the goal is not to win the argument because you might lose the war. The goal is to understand.

—If tensions rise, they suggest saying: I’ve enjoyed our conversation, but it feels like we’ve reached a stalemate. Thank you for our conversation.

—Pray for the person.


Finally, Dale Carnegie’s book How to Win Friends and Influence People (1981) provide great insight into looking at an issue or problem from the others point of view.

Hopefully these tips help. You tried them but the tension is building, and you were not allowed to share your perspective. If not…then end the conversation politely. The listener is simply too entrenched to be open to any other possibility. However, you did leave a positive impression on how best to handle conflict. As Jesus said, Blessed are the peacemakers, for they shall be called the sons (and daughters) of God (Matthew 5: 9).


Tips to Reduce Stress after Uncomfortable Conversations:

—If your anger is building…deescalate…change the topic or leave the situation.

—Deep breathe. Head to the nearest bathroom where no one can bother you and calm down.

—Get up and move. Go for a walk or go up and down stairs.

—Seek something that is calming and beautiful that you can see, hear, smell or touch.

—Distract yourself with a different activity.

—Phone a friend.

—Pray for wisdom and forgiveness and that the other person will see the truth.

—Avoid caffeine if you know you’re about to have a challenging conversation.


On A Personal Note:

Often the angriest people have been traumatized by a past event. Their anger is displaced onto anyone who opposes them. It’s not about you. Have compassion.  Be patient, kind and forgiving. Pray for them.


Further, don’t sit out the elections. Our government representatives make decisions that impact us every day. Be a well-read supporter and get involved. You’ll feel greater empowerment and enjoy meeting other likeminded people. It will help reduce your election frustrations and stress. God is still in control no matter the outcome.


God bless you as you execute your right as a United States American citizen and vote this fall. May God bless our nation with the leaders that we need to heal our land. For whomever wins, it’s good to remember:

A gentle word turns away wrath (Proverbs 15:1).

and

Let every person be subject to the governing authorities. For there is no authority except from God, and those that exist have been instituted by God (Romans 13:1).

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Author of Wake UP Call 911: It’s Time to Reduce your Risk for A Heart Attack and Stroke (2015) and Helping the Hurting: Nursing Ministry in the Body of Christ (2022).

You may visit my website for additional information: jenniejohnsonrn.com

References:

“Stress Management,” American Heart Association. https://www.heart.org/en/healthy-living/healthy-lifestyle/stress-management.

Tom Infield, “Navigating the Challenges of the US Political Landscape,” Trust Magazine (February 2, 2024). https://www.pewtrusts.org/en/trust/archive/winter-2024/navigating-the-challenges-of-the-us-political-landscape.

“How Many Americans Voted in 2020?” (October 22, 2022), USA Facts. https://usafacts.org/articles/how-many-americans-voted-in-2020/. 

Justin Jones-Fosu, “Here’s How to Respectfully Disagree,” Oprah Daily, (April 4, 2024). https://www.oprahdaily.com/life/a60465629/how-to-disagree-respectfully/.

S. McDowell & T. Muehlhoff, End the Stalemate: Move Past Cancel Culture to Meaningful Conversations (2024).

 I’m a Christian nurse who helps people navigate the murky waters of healthcare.


All rights reserved 2023, Jennie E. Johnson, RN-BC, PhD

Paperback copies of both books for sale. Email me for details at:  ask@jenniejohnsonrn.com.

Osteoarthritis – Dealing with Chronic Pain

Osteoarthritis – Dealing with Chronic Pain

by | Sep 12, 2024 | Healthy Living

One of the complications of aging is the annoying, chronic pain from osteoarthritis (inflammation of the cartilage that separates bones). The cartilage cushions the ends of bones in the joint and becomes injured or wears down with age until it’s completely gone. Bone on bone results leading to deformities, an altered gait and pain that prevents normal activities and a good night’s rest.

The risk factors for osteoarthritis are older age, being female, obesity, injury, overuse, genetics, bone deformities, diabetes and hemochromatosis (elevated iron levels in the blood).


What are the Symptoms?

—Pain in the affected area that hurts with movement.

—Stiffness which is noticeable upon waking or following inactivity.

—Tenderness in the joint that might be painful when touched.

—Loss of Flexibility or the inability to move the joint completely.

—Grating Sensations occurs when a pop or crackling sound is heard or a grinding feeling with movement.

—Bone Spurs are hard lumpy bone protrusions in the joint that may cause pain.

—Swelling results from inflammation in the joint.


You should see a doctor when the pain interferes with your activities of daily living. Orthopedic surgeon Dr. Sanchez-Sotelo from the Mayo Clinic describes several tips to keep joints healthy as one ages.

—Modify Activities and include bicycling which is great for the knee and hip.

—Lighten the Load and use a cane to shift weight off the injured hip or knee. A knee stabilizer brace may help.

—Over-the-counter medications may reduce pain and inflammation such as Tylenol or ibuprofen but watch for side effects and check with your doctor before taking them.

—Joint Injections such as Cortisone (steroid) or Toradol (nonsteroidal anti-inflammatory drug NSAID) are injected into the joint to temporarily reduce pain.

—Hyaluronic Acid simulates the knee joint to help lubricate it and reduce friction.

—Experimental Injections such as stem cells and platelet-rich plasma may help heal the damaged area but research in them is still emerging.


Dr. Sanchez-Sotelo says:

In the past, older people just accepted joint pain. Now people are living longer and want to remain active as they age. We are not all destined for joint replacement. There are some people in their 80s and 90s who have great joints.


On A Personal Note: I injured my right knee 7 years ago while playing my first game of Pickleball. I didn’t notice a great deal of swelling at the time but over the years the injury has worsened. Two years ago, an X-ray showed half of the cartilage on the injured side remained. Now it’s completely gone. A year ago, I was on a 10-foot ladder painting our new house but today walking is uncomfortable. I’m facing a knee replacement this fall to correct a new bowleg deformity.


Surprisingly, my husband’s college basketball knee injury from 1975 has finally caught up with him. He’s facing a knee replacement surgery 6 weeks before mine. We do everything together, but this is too much.


If you hurt from joint pain, don’t ignore it. Try a heating pad or ice pack and simple over-the-counter medications. Make sure any medications or supplements are cleared by your healthcare provider. Motion is lotion so check with your doctor before increasing your activity to avoid further injury to the joint. Physical therapy is a helpful way to safely stabilize and strengthen injured joints. Special braces or shoes prescribed by an orthopedic physician are also available and may be covered by insurance. Finally, you may contact the Arthritis Foundation at arthritis.org for more information.

May God bless you as you get older and enter another chapter in your life.
It’s not the years in your life that count. It’s the life in your years. Abraham Lincoln

Author of Wake UP Call 911: It’s Time to Reduce your Risk for A Heart Attack and Stroke (2015) and Helping the Hurting: Nursing Ministry in the Body of Christ (2022).

You may visit my website for additional information: jenniejohnsonrn.com

References:

Rhoda Madson, “Mayo Clinic Expert Offers Tips on How to Keep Joints Healthy as You Age,” Mayo Clinic (October 11, 2022). https://newsnetwork.mayoclinic.org/discussion/10-11mayo-clinic-expert-offers-tips-on-how-to-keep-joints-healthy-as-you-age/.

Quote Investigator (July 14, 2012). https://quoteinvestigator.com/2012/07/14/life-years-count/.

Arthritis Foundation,

  

       I’m a Christian nurse who helps people navigate the murky waters of healthcare.


      All rights reserved 2023, Jennie E. Johnson, RN-BC, PhD

      Paperback copies of both books for sale. Email me for details at:  ask@jenniejohnsonrn.com.

      Dementia: What You Should Know

      Dementia: What You Should Know

      by | Aug 6, 2024 | Healthy Living

      Recently, dementia has been in the news a great deal. Further, most of us have watched helplessly as a beloved relative suffered from it. Questions remain about dementia, symptoms, diagnosis, treatments and concerns.

      Vascular Dementia

      The brain requires a great deal of open, healthy blood vessels to provide oxygen for proper function. High blood pressure and excess blood glucose (sugar) damage arteries leading to atherosclerosis or a blockage in the brain vessel. Over of 87% of strokes are caused by a blood clot that blocks one of the arteries. Anything distal to the blockage will die without oxygen. Blood thinners are available to open up a blocked artery, but few people reach the hospital in time to be able to use them. They must be given within 3.5 to 4 hours after the first symptoms of the stroke appear.

      The other 13% of strokes are caused by a rupture or tear in a damaged artery leading to hemorrhage (bleeding). Anything near or distal to the bleeding will die. Hemorrhagic strokes are treated with watchful waiting or immediate surgery.

      A special x-ray called a CT of the brain will determine whether the stroke was caused by a clotting problem (87%) or ruptured blood vessel (13%).

      Symptoms of a Stroke (FAST)

      F          Face Drooping Ask the person to smile. Is the face drooping on one side?

      A         Arm Weakness Ask them to raise both arms. Does one arm drift downward?

      S          Speech Difficulty Is their speech garbled or confused?

      T         Time to call 911! Get them to the hospital quickly to find out if they’re a candidate for a blood thinner. It can only be given within a 3 to 4.5 hour window from first symptoms).

      A bleeding stroke may also cause a severe headache. Don’t ignore it!

      Finally, silent tiny strokes may occur without the person even being aware of it. In fact, a great deal of brain damage may occur before the function of the brain is altered.

      Neurological Dementia

      There are various neurological problems that can damage the brain such as Alzheimer’s and Parkinson’s Disease. They are diagnosed with an experienced neurologist. Alzheimer’s Disease results in a buildup of harmful proteins in the brain that interfere with function. Parkinson is a disease of the nerves which develops slowly and progressively gets worse. It begins with a tremor then progresses to slow rigid movements, speech and writing impairments. Either type impairs brain function and cognitive abilities.

      10 Early Warning Signs of Dementia

      1. Memory loss that disrupts daily life.
      2. Challenges in planning or solving problems.
      3. Difficulty completing familiar tasks.
      4. Confusion with time or places.
      5. Trouble understanding visual images or spatial relationships.
      6. New problems with words and in speaking or writing.
      7. Misplacing things and losing the ability to retrace steps.
      8. Decreased or poor judgement.
      9. Withdrawal from work or social activities.
      10. Changes in mood and personality.

      Diagnosis of Dementia

      Neurologic exams, cognitive and functional life testing, CT and MRI scans, blood work and brain biopsies may all be used to determine the cause of a poorly functioning brain. Most aging adults with dementia are reluctant to give up independence. They often don’t comprehend their level of impairments and are reluctant to receive assistance and give up driving. The cognitive and neurologic exams are a powerful tool to assist families in understanding the extent of the brain dysfunction in their loved one.

      Treatments for Neurological Dementia

      A variety of medications and strategies are used to treat Alzheimer’s and Parkinson’s neurological disorders. The earlier they are given, the better the long-term outcomes but dementia remains a progressive debilitating disease process. It gets worse with time.

      On A Personal Note:

      My Mom and mother-in-law both suffered from vascular dementia. Eventually driving and living at home had to be removed and assisted living options utilized to provide safe care. Losing the freedom to drive was probably the most difficult. I asked, Mom, if a ball flew across the road would you be able to take your foot off the gas and hit the brake fast enough to avoid hitting the small child chasing it? Her answer was no and her driving days were over. My mother-in-law needed a neurologist from the Mayo Clinic to deliver the news to her. She failed the cognitive/functional tests and her brain MRI showed massive areas of brain damage.

      We obtained Medical and Financial Power of Attorney for them. It helped when we asked, Mom, who will pay your bills if something happens to you? Neurologists have a plethora of tools to determine competency and ability to carry on activities of daily living. You can contact the Alzheimer Association (alz.org) for additional information.

      Finally, all of us are aging. Our brains begin to shrink and so does some of our memory and brain function. Healthier lifestyles and activities that exercise the body and brain slows the normal aging process down for most of us. However, others develop a stroke or neurological disorder that leads to dementia and may not be aware of the damage in the brain. Those sufferers are a danger not only to themselves but to society.

      Interestingly, airline pilots are mandated to retire at 65 years old to protect the public from a host of aging maladies that may impact their ability to fly people safely. Perhaps it’s now time for Americans to consider age limits for governmental leadership positions as well.

      So even to old age and gray hairs, O God, do not forsake me, until I proclaim your might to another generation, your power to all those to come (Psalm 71:18).

      Reference:

      “Let’s Talk about Stroke Fact Sheet,” American Heart Association (2024),  https://www.stroke.org/en/help-and-support/resource-library/lets-talk-about-stroke

      “What Is Dementia?” Alzheimer’s Association, https://www.alz.org/alzheimers-dementia/what-is-dementia

      “FAA Tells Congress Not to Raise the Mandatory Retirement Age of Pilots Until It Can Study the Issue,” PBS News (February 2, 2024). https://www.pbs.org/newshour/economy/faa-tells-congress-not-to-raise-the-mandatory-retirement-for-pilots-until-it-can-study-the-issue

      Jennie E. Johnson, “Wake Up Call 911: It’s Time to Reduce your Risk for a Heart Attack and Stroke,” Living for A Healthy Heart, LLC, (2016).

      If you’d like to read my other blogs you may visit my website for more information (jenniejohnsonrn.com). Author of Helping the Hurting: Nursing Ministry in the Body of Christ (2022) and Wake Up Call 911: It’s Time to Reduce your Risk for a Heart Attack and Stroke (2015).

      Jennie E. Johnson, “Wake Up Call 911: It’s Time to Reduce your Risk for a Heart Attack and Stroke,” Living for A Healthy Heart, LLC, (2016).

         I’m a Christian nurse who helps people navigate the murky waters of healthcare.


        All rights reserved 2023, Jennie E. Johnson, RN-BC, PhD

        Paperback copies of both books for sale. Email me for details at:  ask@jenniejohnsonrn.com.

        Panic Attack Disorder: Strategies to Control Adrenalin Surges

        Panic Attack Disorder: Strategies to Control Adrenalin Surges

        by | Jul 7, 2024 | Healthy Living

        The 4th of July is reminding us of the blessings of living in America. However, our divisions and international threats can easily bring on a great deal of stress and anxiety. Moments of panic may follow. While there are many things that increase one’s vulnerability to panic attacks, the root cause is an excess of adrenalin. Unfortunately, some people are much more vulnerable to those effects than others.

        Fight or Flight Response
        We were born with an automatic gift of fight or flight. When the brain recognizes a threat, it signals the release of a powerful hormone called adrenalin (epinephrine). Immediately, heart rate, pulse, blood pressure, respiratory rate among other things will rapidly increase. Blood is moved into the muscles to prepare one to run away from the threat or fight it. That response is great when in a burning building and you need to get out. However, adrenalin and the annoying symptoms linger long after the threat dissipates.

        In some people the symptoms following the adrenal surge are really uncomfortable. The heart is pounding, blood pressure is higher, and it can feel awful! The discomfort is frightening and further increases adrenalin making the annoying symptoms even worse.

        Patients have described it to me like they’re having a heart attack. Appropriately they head to the ER only to be told the cardiac tests were normal. It’s confusing for sure. We instruct patients who have the symptoms of a heart attack to do exactly that…head to the ER to get checked.

        A Review of the Symptoms of a Heart Attack:

        –Any discomfort from the chin to the naval, into the back or the jaw or arm.

        –Shortness of breath.

        –Unusual fatigue, lightheadedness, cold sweat.

        If you experience any of these symptoms…seek medical help immediately.

        However, there are a lot of organs in these areas which can also cause similar symptoms. If the tests come back normal it’s helpful to ask about a potential panic attack issue.

        Panic Disorder

        Panic Disorder is characterized by episodic, unexpected panic attacks that occur without a clear trigger. Panic attacks are defined by the rapid onset of intense fear (typically peaking within about 10 minutes) with at least four of the physical and psychological symptoms.

        The abrupt surge can occur from a calm state or an anxious state.

        1. Palpitations, pounding heart, or accelerated heart rate.
        2. Sweating.
        3. Trembling or shaking.
        4. Sensations of shortness of breath or smothering.
        5. Feelings of choking.
        6. Chest pain or discomfort.
        7. Nausea or abdominal distress.
        8. Feeling dizzy, unsteady, light-headed, or faint.
        9. Chills or heat sensations.
        10. Paresthesias (numbness or tingling sensations).
        11. Derealization (feelings of unreality) or depersonalization (being detached from oneself).
        12. Fear of losing control or “going crazy.”
        13. Fear of dying.

        No wonder people feel like they’re having a heart attack.

        Tips to Control Adrenalin Surges

        As frustrating and frightening as panic attacks can be there are ways to shut down the adrenalin surges. It’s helpful advice for all of us who are faced with a stressful event. We can learn to lower the amount of adrenalin released which will help us to maintain a healthier blood pressure, heart and brain. The trick is to stop the cycle.

        –Remind yourself what this is…an adrenalin surge and you can control it.

        –Take some slow deep breaths.

        –Get up and move.

        –Call a friend.

        –Focus on something beautiful.

        –Turn on a program you usually enjoy.

        –If you’ve been described medication…take it.

        –Pray for relief.

        –Speak to your spiritual advisor or a cognitive behavioral counselor.

        While adrenalin works great if you need to run away from a predator, too much is a real nuisance if it’s triggered by a rude person on the telephone, an argument with your spouse or worries over an ever-changing dangerous world threat. Remember that some people are simply more sensitive to adrenalin surges than other people. You’re not crazy. Prayer is the most powerful antidote for me…may it be for you as well.

        Do not be anxious about anything, but in everything by prayer and supplication with thanksgiving let your requests be made known to God. And the peace of God, which surpasses all understanding, will guard your hearts and your minds in Christ Jesus. Philippians 4: 6-7

        I hope you had a fun and blessed 4th of July with your friends and family.

        Reference:

        “Warning Signs of a Heart Attack,” American Heart Association, (December 5, 2022). https://www.heart.org/en/health-topics/heart-attack/warning-signs-of-a-heart-attack

        Guillermo Firman, “DSM-5 Diagnostic Criteria for Panic Disorder,” MedicalCRITERIA.com (August 27, 2020). https://medicalcriteria.com/web/panic-disorder/

        Jamie Smith, “How Can You Stop a Panic Attack?” Medical News Today, (November 30, 2023). https://www.medicalnewstoday.com/articles/321510 .

        Jennie E. Johnson, “Wake Up Call 911: It’s Time to Reduce your Risk for a Heart Attack and Stroke,” Living for A Healthy Heart, LLC, (2016).

         I’m a Christian nurse who helps people navigate the murky waters of healthcare.

        If you’d like to read my other blogs you may visit my website for more information (jenniejohnsonrn.com).

        Author of Helping the Hurting: Nursing Ministry in the Body of Christ (2022) and Wake Up Call 911: It’s Time to Reduce your Risk for a Heart Attack and Stroke (2015).


        All rights reserved 2023, Jennie E. Johnson, RN-BC, PhD

        Paperback copies of both books for sale. Email me for details at:  ask@jenniejohnsonrn.com.

        Sleep Apnea & Restless Leg Syndrome: Is Tossing & Turning Keeping You Up at Night

        Sleep Apnea & Restless Leg Syndrome: Is Tossing & Turning Keeping You Up at Night

        by | Jun 13, 2024 | Healthy Living

        It’s estimated that 65% of Americans don’t get the recommended 7 to 9 hours of sleep at night. Many are impacted by sleep apnea due to an obstruction in the airway, but others may have a sleep disorder called Restless Legs Syndrome. It’s more common than Type 2 Diabetes and tragically few know that they have it. It’s estimated that 8% of the population suffer from this neurological condition. Of those 3% need medication to control it to improve their quality of life.

        Importance of Sleep
        It’s vital to get between 7 to 9 hours of sleep each night for good health. During certain stages of sleep the brain clears the metabolic debris from daytime usage which helps prevent dementia. In addition, the immune system destroys abnormal cells that could lead to cancer and fights infections. Two chronic reasons that good sleep is disrupted is either sleep apnea and or restless legs syndrome. Both can be present at the same time.

        Sleep Apnea
        Sleep apnea results in times throughout the night when you literally stop breathing. The brain detects the low oxygen level and stimulates the release of adrenalin to wake you up. You resume breathing and improve oxygenation but at a price of higher blood pressure, heart rate and a host of other adrenalin side effects. Continuous Positive Airway Pressure (CPAP) devices deliver small amounts of pressure to keep the airway open.

        Restless legs syndrome is still poorly understood. It’s a neurological problem coming from the brain that results in twitching and or leg movements throughout the night during certain cycles of sleep. Low oxygen in the brain may stimulate the problem or the leg movements may come from something occurring in the brain. It’s unclear but good sleep is disrupted.

        Five Characteristics of Restless Legs Syndrome (RLS)
        While loud snoring is a key sign of sleep apnea, restless legs syndrome may be less obvious as a cause for your sleep disorder. If you notice your bedding is in disarray in the morning or your partner complains of you tossing and turning throughout the night you may have it. The following are the five key symptoms:

        • You have a strong urge to move your arms and legs.
        • Symptoms are worse when you’re resting, sitting or inactive.
        • Symptoms are relieved with movement.
        • Symptoms are worse in the evening or at night.
        • You may have Periodic Limb Movements (PLM’s) which are jerking of the arms or legs that interferes with sleep.

        If you think you may have sleep apnea or restless legs syndrome don’t suffer any longer. Get it checked out. The consequences of poor sleep and chronic adrenalin surges may include stroke, stress on the heart, high blood pressure, heart disease, damaged heart valves, irregular heart rhythms, poor mood, daytime sleepiness, loud snoring, diabetes, obesity, gastroesophageal reflux disease, sexual dysfunction, frequent nighttime urination, colds, dementia, cancer, or sudden death.

        Diagnostic Sleep Studies
        There are 2 major types of sleep studies. Your healthcare provider will generally begin with a Take Home Sleep Study Test. You pick up the device and are provided with simple instructions on how to use it. At bedtime a nasal canula is applied to your nose, much like when taking oxygen. A small monitor goes on top of your chest while a pulse oxygen saturation device is attached to your finger. The equipment is returned the following morning and analyzed by a technician.

        Throughout the night data is gathered of oxygen levels, respiratory rates and snoring. It detects the frequency that your breathing was interrupted, the length of time and how your oxygen levels were altered while you slept. However, it doesn’t provide any information on restless leg activities. You need an In-house Sleep Lab Test for that information.

        The Sleep Lab Study is done in a clinic or hospital setting where you spend the night and is a much more comprehensive test. In addition to measuring oxygen levels, respiratory depth, frequency, and apneas (when you stop breathing), you’re connected to electrodes that measure neurological data. The number of times twitching, or leg movement occurs is noted and the relationship with sleeping and apnea episodes.

        What is not detected is the cause for the neurological sleep disorder. Is the sleeplessness caused by being awakened several times at night because the legs are moving? Or are the legs moving because the brain is lacking oxygen? Researchers are beginning to better understand restless legs syndrome, but much is still unknown.

        Sleep Specialists
        Most sleep clinics are run by pulmonologists who specialize in sleep apnea. It’s more difficult to find a neurologist who specializes in Restless Legs Syndrome. However, you can locate the one nearest to you via the Restless Legs Syndrome Foundation (rls.org) which also has a wealth of information. For both problems the National Sleep Foundation (thensf.org) has helpful information as well.

        Lifestyle Treatments for Sleep Apnea and Restless Legs Syndrome
        Lifestyle changes may help and are worth a try. The National Sleep Foundation (www.thensf.org) and the Restless Legs Syndrome Foundation (www.rls.org) have a great amount of bedtime hygiene ideas which may help.

        • Reduce caffeine, alcohol, refined sugars and chocolate.
        • Keep physically active during the day.
        • Avoid long naps (>20 minutes).
        • Go to bed at the same time each night.
        • Maintain a healthier weight as obesity is a leading cause of sleep apnea.

        Treatments for Restless Legs Syndrome
        Low iron levels have been associated with Restless Legs Syndrome. The typical hemoglobin blood test may look normal but further exploration with a ferritin level may show a problem. Other iron level tests are done as well to look for abnormalities. Guidelines to control RLS encourage a ferritin level >75. Low levels are treated with oral or IV iron. There are a variety of medications that may relieve symptoms, but they also have potential side effects.

        The Restless Legs Foundation has set up a website for healthcare providers to answer their questions at RLS Curbside (www.RLSCurbside.org). If you suffer from this problem, join the RLS Foundation (www.rls.org) or the national sleep foundation (www.thensf.org) for more information to advocate for resolution and better sleep.

        Bedtime Prayer
        Dear Lord, as I prepare to sleep, I thank you for all the blessings that you have showered upon me this day. Forgive me for any sins of omission or commission. Help me to rest deeply tonight so that I may be ready and eager to serve you tomorrow. In His heavenly name, our Father, Son and Holy Spirit. Amen

        It is in vain that you rise up early and go late to rest, eating the bread of anxious toil; for He gives to His beloved sleep (Psalm 127:2).

        If you’d like to read my other blogs you may visit my website for more information (jenniejohnsonrn.com). Author of Helping the Hurting: Nursing Ministry in the Body of Christ (2022) and Wake Up Call 911: It’s Time to Reduce your Risk for a Heart Attack and Stroke (2015).

        Paperback copies of both books for sale. Email me for details at:  ask@jenniejohnsonrn.com.

        References:

        “NSF Poll Highlights Strong Link between Sleep and Depressive Symptoms in US Population,” National Sleep Foundation, (March 9, 2023) https://www.thensf.org/nsf-poll-highlights-strong-link-between-sleep-and-depressive-symptoms-in-us-population/

        “Symptoms & Diagnosis,” Restless Legs Syndrome Foundation, (February 24, 2024) https://www.rls.org/understanding-rls/symptoms-diagnosis

        1. Silber et al. “The Management of Restless Legs Syndrome: An Updated Algorithm,” Mayo ClinicProceedings(July 2021). https://www.mayoclinicproceedings.org/action/showPdf?pii=S0025-6196%2820%2931489-0

          ã All rights reserved 2024, Jennie E. Johnson, RN-BC, PhD