September Fears

Technically, it’s 2 months away but my brain screams … It’s ONLY 2 months away! 

Yes, K is on the horizon and pre-K, a distant stressor. 

Now, this is not just kindergarten. We are talking Special Ed Kindergarten. We are talking adjustment disorder, melt downs, routine changes, constant sea lion noises, loss of familiar faces, places and not knowing where to find the gold fish snacks! 

Do you know how long it took to learn “pull up your pants?” Let’s just say we are still working on it. It’s less than 6 months since being potty trained and his verbal stims are at at all time high so I have a few reason to fear September. 

But fears are meant to be conquered. My fears are meant to be preplanned to death. And I’m game. How?

At a recent Sp. Ed PTA meeting, I learned that I could take my fears to the playground: the “new school” playground. That’s right. No typo. Show up, walk the outer premesis. Swing on the swings. Like a boss!

So off we went! And with 2 months to go, we regularly take to the road, in my CRV, where you can over hear me saying “Noly, we are going to see your new school. You will have a new teacher. You will love it!” Because I brain wash my kids like that! 

I’m a strong believer in the power of positive persuasion. Combine that with the positive reinforcement of a playground and I predict that we will have a winner !

Got September fears. Give this a try. 

Dislike Running

I used to say, “If you see me running, you should probably run too because it’s for my life.” I even wrote a recent blog on how I hated running. So why am I feeling so betwixt?

After completing my first 5k last weekend, I got to thinking … Hate is such a strong word. All of a sudden, I dislike it. Hm… Next thing you know, it might be … ok!

I will forever be a walking girl but walking is what got me to this point in the first place.  It’s amazing how much walking has helped me to develop stamina and strength but more so, mental coping of distance.

I used to think, “1 mile! That’s far enough” and now it’s like a walk to the fridge. So there is a lot to be said for getting out there or just setting your Treadmill on 1% incline and going for an indoor stroll.

Soon you might dislike running too, because hate is such a strong word.

It Bit You!

And you are pretty sure that it was a tick! Well, here are your top 5 reasons to phone a physician.

But first thing’s first. Remove the tick using a tweezer. This is where glamour meets medicine and “Eye Brow Plucking” can save a life.

Dr Nathanael Desire, a local Internist Physician and expert on Lyme Disease on Shelter Island, NY says “Everyone on Shelter Island should own a pair of tweezers. Use it. Grab a hold of the body of the tick and pull up.”

So, when DO you worry about infections and the dreaded Lyme Disease?

Well, you already know that not every tick bite equals Lyme Disease, akin to not every dog bite causes Rabies.  In fact, the majority of bites do not.

And you already know that only an infected deer tick will transfer the bacteria that causes Lyme Disease.

And you already know that just about any bug bite will leave a mark, a lump or a rash.

But is this THE rash?  And has THIS tick been hiding and presiding on your posterior for days?


Here are your top 5 reasons to phone a physician.

1)Your rash is growing or has circular patches. Your typical mosquito appearing rash after a bite that is less than 24 hours old is unlikely to be an issue. But if your rash has the size of currency and starts giving the quarter coin size competition, make an appointment.

2)You are unsure of when you were bitten or you know that it has been more than 24 hours or your new tick friend looks pretty fat compared to its legs. Just do like the doctor said, Squeal! Well, I’m sure he said “Pluck it Off.” However, bringing that little buggard in does not much for your diagnosis. Aside for speciating it and determining how yummy it thought you were, it tells us nothing about you and your status. And that is what we care about. We will only toss it for you as it is not recommended to determine the tick’s bacteria burden, only yours.

3)You spiked a fever or have flu-like symptoms. That is your first true cause for concern because something has triggered your immune response beyond local irritation and inflammation. And the most dreaded “something” among the many “somethings” is the bacteria called borrelia burgdorferi. So come in!

4) You begin experiencing GI distress such as nausea, vomiting and loss of appetite. This is a pretty vague symptom and it does not pinpoint a cause but, as doctors, we like putting puzzles together and this new symptom along with a new tick bite may be the puzzle piece needed to raise a red flag.

5)Your develop achy joints or muscle pains. My, that could mean anything from strenuous exercise to arthritis but if you didn’t have it before, let us review your constellation of findings.

After all, Lyme Desease is not only preventable, it’s treatable and curable when caught prior to permanent damage.

So there it is. Your top 5!
Fortunately, our fears did not make the list.

There’s no mistaking that fears are real or that our fears have saved lives. But the one thing that is for certain is that our fears regarding tickbites are treated with education. 

So before you break out that co-pay and brace for the next bill from the lab, know this … education in a doctor’s office is just as costly as that prescription. So if you live in an area endemic to Lyme Disease, read up more on the topic and stay smart.

Image Credits
Healthwise, incorporated

Should I Take A Laxative?

You know that you’ve asked yourself that question before. I know that I’ve been asked that by many. I’ve written prescriptions to assist the poo and prescriptions to suppress the poo. But when does this question become a problem?

As a weight watcher, a pound of poo can mean the difference between a new bling and a bravo. That weekly weigh in can become a source of stress to many and the use of laxative for weight loss is, at times, entertained.

Or maybe you have the opposite problem and you just want to explore the world beyond the bowl.

Whichever team you are on, just remember, poo is toxic. It is waste matter. And if it wants to go, let it be free. 

But if you decide to assist in its freedom, just remember, it will steal your electrolytes and can make you ill. So, stay hydrated and consider having an electrolyte drink.

And if you go too little, walk more and increase your dietary intake of fiber and water.

Have more questions, just ask Dr. Ann. 

I Hate Running

I know that I hate running. Not the same hate as “kids hate vegetables” because unlike them, I’ve actually tried it.  I was young and fit and in college in a running for fitness class and almost failed it. So I can tell you from experience! I hate running.

So why is it that, 25 years later,  I am looking forward to running? Why am I signed-up for a Half Marathon ( at 45?

Why? I will tell you why… PERSISTENCE !

A year ago, I re-joined Weight Watchers. I was again uncomfortable in my skin. Don’t get me wrong, I was never skinny, #NeverWillBe, but 2 kids and daily fast foods later, I took up residence in Two-Terville. And boy, I still remember the day I re-joined … I went and ate my last supper at a nearby bistro.

I look back and smile sometimes because if you had told me that fast forward a year later, I would be running, my most definite reply would have been “If you see me running, you should probably run too, because it’s for my life.”

But I walked. And almost daily, I walked. Not for speed or exercise but for steps. Because, surprise, surprise, I also hated exercising.  So, I researched that I needed to do at least 10,000 steps a day and that became my goal. It wasn’t exercise, it was stepping. And I was willing to play whatever mind games needed to get me stepping.

I wish that I could say that I met my goal daily but I didn’t, however, I learned a lot in trying to reach this daily goal, especially that my lifestyle alone was not providing 10,000 steps. I was …gasp…sedentary.

But I had returned to Weight Watchers with a new way of thinking. And it was that “I want to be comfortable.” I wanted to eat comfortably and be active comfortably. So I set out to staying within my allotted eating points (chocolate and ice cream included) and walking…more. Whatever that more was.

Soon, I surrounded myself with a social media group that was all about mind full eating, non-scale victories and staying active. (Weight Watcher APP – Connect).  At first I was afraid of being a doctor on Weight Watchers? You know…”Physician, heal thyself,” but I got over that … and fast because it was keeping me isolated, eating and uncomfortable.

Now, I’m running short distances. Not because I love it. Remember, I hate running. But because I’m comfortable. Because persistence over the past year has reset my comfort zone. Because my body can now comfortably run a mile after walking a lot over the span of one year.

So, I still hate running . But I will comfortably push myself to run 13 more miles, at once, in 6 months.

#WishMeLuck #Persistence #DrAnnDesire #HalfMarathon #NowInOnederland