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Some people with spinal cord injury take lots of risks, and risk-taking may have been an important part of their predisability behavior. And after injury, risk-taking can be important in allowing them to keep up their interests.
What is risk-taking? It’s a bit like gambling. You weigh the odds that you can accomplish your goal against the odds that you will fail. For example, river rafters calculate the odds of safe passage through white-water rapids against the odds that they will collide with hidden boulders and capsize. To “better” their odds, they prepare themselves and chart the passage carefully.
A willingness to take risks is usually helpful in rehabilitation as you are challenged to test the limits of your physical abilities. If you’re someone who likes to take risks, however, you may need to examine your pattern of seizing risky opportunities without adequately assessing the consequences. This is not to say that taking risks is to be discouraged – on the contrary, it is vital to living. The key is to weigh the potential benefit of the risky situation (achieving the goal, joy, excitement, growth) against the potential harm (physical damage, emotional pain, creating burdens for others).
Sally was a seasoned sailboat operator, having sailed from the West Coast to Hawaii on several occasions. After a speeding car rammed her pick-up truck at an intersection and left her with paraplegia, she dreamed of returning to the sea. But she was fearful about her abilities to do what was essential in helping to sail the boat. She talked with fellow nautical enthusiasts, and they worked with her to come up with safety precautions and tasks that she could perform. This, for Sally, was a reasonable way of doing what she loved to do, because the planning helped her control some of the risky variables.
We have had several decades of teachers and counselors feeding the population the untruth that people do not love themselves. Most people I have counseled in the Weigh Down Workshop^” had been told their problems arose from not caring for themselves and taking time for themselves. The solution that had been suggested was: learn to love yourself, care for yourself, pamper yourself, and take time for yourself. Many advisors have suggested that this tends to affect women more than men because women are, by nature, care givers, and they find themselves doing a lot for others—as if this is a problem! People are taught to make sure they indulge themselves with TV, sports, beer, and fast cars. “Grab all the gusto you can get! After all, no one else is going to look out for you.”
By now, I am sure it does not surprise you that “I protest!” The world has misdiagnosed the root of our problems again.
First, I believe that we do naturally love ourselves. We feed, clothe, wash, and spend money on ourselves. We hide food for and worry about ourselves. In fact, we love ourselves very much; we can get down because we obsessively think about ourselves, overfeed ourselves, and spend too much for our clothing. We buy all the latest skin products, cosmetics and extra toiletries to pamper ourselves. We spend too much money on ourselves, and we horde food to the exclusion of our own children. We adore “Number One” too much!
Why do you think Jesus told us to love our neighbor as ourselves if we were not programmed by God at birth to love ourselves? Look at this passage from Ephesians where husbands are instructed to love their wives:
In this same way, husbands ought to love their wives as their own bodies. He who loves his wife loves himself. After all, no one ever hated his own body, but he feeds and cares for it, just as Christ does the church — for we are members of his body. (Ephesians 5:28-30)
Second, it is a blessing—not a problem—to be a care giver by nature. People who truly do this for the Lord are renewed, not distressed; for when you focus on God and others, He takes care of your needs. As we have said before, the flesh inside us loves the “save yourself” cry from Satan and his demonic team, while Jesus quietly whispers, “There is a God, a good God.” In fact, the teachings that Jesus brought us from the Father cry out the opposite of the world’s teachings, so much so that you almost have to do a double-take when you read the Bible.
” Blessed are the poor in spirit, for theirs is the kingdom of heaven.
Blessed are those who mourn, for they will be comforted.
Blessed are the meek, for they will inherit the earth.
Blessed are those who hunger and thirst for righteousness, for they will be filled ….
Blessed are those who are persecuted because of righteousness, for theirs is the kingdom of heaven.” (Matthew 5:3-6,10) “Do not save yourself,” the Word of God cries out, like a voice in the wilderness. What God calls us to is the opposite of world thinking. Even churches that supposedly uphold the “old rugged cross” offer “How to Build Self-Esteem” and “How to Love Yourself More” seminars. Yet, the Bible teaches that self-love is a given, and that self-denial is also a part of the will of the Father. If we have made Him happy, then we will be at peace with ourselves. Obedience to God is the key to self-esteem, for it brings acceptance of God to our heart. If the God of the universe is for us, who could possibly be against us?
In this deviation one person takes more than one partner at a time. When three people are involved, one may be male and two females or the opposite of it. As simultaneous coitus is not possible oral genital stimulation is adopted.
Who are wife swapers?
In this two couples enjoy combinedly and willingly, with each other’s spouse. Involvement in wife swapping exposes basic flows in the marriage relationship and conversely it indicates a desire to preserve the marriage by finding such means of satisfaction.
A couple may be fundamentally unsuited to each other sexually or their relationship for each other may have gradually soured due to non sexual reasons and they may be reading sex literature and seeing blue films to condone such practices.
Wife swapping gives an opportunity to fulfill their desire of particular type of sex activity, position and emotional terms which they cannot find in their relationship within marriage.
This may be a source of initial joy and excitement but brings ultimate misery.
The feeling about exercise during pregnancy has changed drastically over the past several decades. In fact, the phrase “period of confinement” is rarely used nowadays as a synonym for pregnancy. And for good reason.
As long as proper precautions are observed, most doctors are in favour of exercise for pregnant women. Exercise can not only tone you up for labour by strengthening your abdomen, pelvis, pubic muscles, and lower limbs but can also help control and coordinate your breathing as well. Some doctors even feel that you can safely continue your pre-pregnancy exercises – with the exception of jogging, aerobic dancing, or any involving jumping and bouncing. (Some exercises that are done lying down on your back are also contraindicated because they could force the fetus on top of the placenta and cut off its nutrition and oxygen.)
Nonetheless, there are circumstances when, and individuals for whom, exercise is not recommended.
Exercise during pregnancy is not advised if . . .
- you have a history of miscarriage;
- you have high blood pressure, anemia, diabetes, or any serious health problem;
- you haven’t checked with your doctor.
Caution: Discontinue any exercise at the first sign of vaginal bleeding, pain, heart palpitations, or shortness of breath. Never overexert yourself!
The first two weeks of this diet are the hardest—for you, not him. You are:
• going it alone, since he doesn’t even know what’s happening;
• adjusting to a new type of cooking;
• forced into a few white lies that may keep you walking a tightrope;
• wondering if you’re going to see results, or if you will have gone through all this for nothing.
But there’s also something very exciting about this period. You have a special secret (not as exciting as a love affair but much safer and you’ll be caught up in the game like nature of the challenge). This is something special only you can do, and if you tackle it with zest, you’ll find your enthusiasm will carry you over the tight spots.
For your husband, the first two weeks will be the easiest, although he may look back at them and think you behaved a little oddly. He may wonder about the sudden shift in food, the sudden home improvements, and why the table is looking more elegant. Playing dumb will get you through these awkward moments.
Most people have some kind of a plan of daily living, and for those who have to subject themselves to a special regimen it may be a wise thing to make it quite definite. Broadly speaking, the day is divided up into two periods: about fifteen hours for the waking period and nine for rest and sleep. The waking period is divided again by the three-meal plan, which is the most suitable for the majority of people.
Those who are under active treatment for skin complaints should allow enough time after waking in the morning and before their breakfast to enable them to take care of the needs of the skin. This should mean the exposure of the whole body to the air and a brisk rub down. As a general rule this time of the day is the most suitable time for stretching exercises. During the sleeping period the muscles of the whole body have been rested, and there is a natural desire to stretch – as the cat does after a sleep. In this way the circulation is stimulated and the various joints are limbered up. No heavy or straining movements should be done at this time. The drinking of a glass of cold water first thing in the morning is a good thing and tends to stimulate the bowels into action.
Breakfast should consist of some kind of fruit, with the addition of a little milk. In the colder weather whole-wheat toast or a whole-wheat biscuit should be added. Butter should be taken, but sweet foods, such as marmalade, should be avoided. Some dried fruit may be taken, or a little honey makes a pleasant addition to the fruit and milk. Fatty foods of all kinds should be strictly avoided, and fried foods abandoned completely. If tea is taken it should be freshly made, with a little added milk but no sugar, and it is better to take it just before the meal; certainly not with each mouthful of the food.
From three to four hours should elapse before another meal is taken, and the only thing to take between the meals is water. In most cases it is advisable to take at least two glasses during the morning. If the weather is hot this will be found to be quite an easy thing to do; in colder weather it may be more difficult but it should be done. It is not advisable to add anything to the water, certainly not sweetening, which would be bad for the skin trouble. There is no harm in just breaking the flatness of the water by adding a couple of teaspoons of lemon juice.
If fomentations, compresses or baths are being used it is better to arrange for them to be taken between meals and never just after a meal. At that time the blood is drawn into the tissues of the digestive organs so as to deal with the extra work entailed by those parts, and to try to stimulate the circulation at such a time is clearly a mistake. This point is of real importance to those who are undergoing treatment that is intended to stimulate and reactivate the skin.
Do not choose a heavy pizza before bed, especially if you are trying to lose weight. You are better off choosing Thai or other Asian dishes featuring fish, chicken, meat or tofu with vegetables and a little rice.
Equally, do not choose Indian food for a meal late in the evening. The sauces are very rich and your digestive system will still be going in the middle of the night while you are struggling to sleep.
The best takeaway for health is a simple Thai meal, a light Chinese meal (no MSG) or a bowl of vegetable or minestrone soup.
Try and include some of the anti-oxidants in your food, such as garlic, turmeric, rosemary, orange vegetables and of course some green vegetables.
Ask for fresh herbs – mint, rosemary, parsley, thyme, coriander – in salads to help your digestion.
Wealth will determine environment both between countries and within countries; again, nowhere is the effect of wealth more apparent than in the United States. As ever, it is difficult to separate this factor from those of race or occupation.
The sociology of cancer has been the subject of intense research in the United States, where the risk of getting cancer was studied in relation to socio-economic status in the TIM National Cancer Survey (published in the early 1970s). Irrespective of age or geographical location, a higher cancer incidence was observed in people with low income, with a steady fall in incidence as income increased, and with the lowest incidence of all being found in those with high incomes. The difference was about 20 per cent between the lowest and the highest income groups but was not uniform between different cancer sites. In men, the low-income groups did particularly badly for cancer of the lung, stomach and oesophagus, probably reflecting more smoking and drinking in the lower-income groups. In women, cancer of the cervix was more frequent in lower-income groups but there were two important exceptions to the general trend, with cancer of the breast and cancer of the body of uterus being less frequent in the low-income groups (perhaps reflecting nutritional differences or differences in child-bearing and menstruation).
The answer to this question is … as often as possible] If you know what your blood glucose is, you have the freedom to do exactly what you want to do with your life. That’s one of the benefits of frequent blood glucose monitoring.
This does not mean you have to perform this procedure every hour on the hour. On a more practical level, you will measure your blood glucose on different schedules at different times in your life.
Right now, since you are new to diabetes, you may want to measure your glucose several times a day – when you get up in the morning, before and after every meal, and before you go to sleep.
You may keep on this kind of schedule daily until you become comfortable with your new lifestyle (diet plan and exercise programme) and your high blood glucose levels come down into the normal range.
After you achieve control over your blood glucose levels, you may be able to go on a more relaxed monitoring schedule – you may do frequent measurements every other day or every third day, plus a single morning check each day.
If you change your lifestyle – move to a new home, switch jobs, retire, etc. – you will want to increase the frequency of blood monitoring until you get through the stressful periods.
If you come down with an illness, even a minor cold, you’ll want to increase the frequency of blood glucose monitoring until you’re fully recovered.
If you want to learn how certain foods or combinations of foods or specific exercise routines affect your blood glucose levels, then you’ll want to measure your blood glucose before and after you eat or exercise.
You and your doctor will decide on what sort of monitoring schedule you should and are willing to stay with. You also can, on your own, increase the frequency of blood glucose monitoring whenever you want more information about what is going on in your body.
For many newly injured persons, entry into the rehabilitation hospital inspires an odd mixture of hope and uncertainty. After surviving the initial trauma and hospitalization, they may see the rehabilitation process as the next step to recovery and getting back to normal, a sign of no longer being in imminent danger. Most of the time, however, the real challenge has just begun. No longer is the injured person a passive recipient of care, a broken body waiting to be healed by doctors. Full recovery depends on the ability to shift from a passive to an active role, to do more for oneself, to make decisions and choices about care and management, and to take a hard look at how to live with the disability.
As a person with spinal cord injury, you are expected to start doing things for yourself from the first day in the rehabilitation program. You won’t be treated as a sick person. But in trying to be self-sufficient after so recently being so dependent on others, and having undergone a dramatic change in function since last being independent, you are immediately confronted with the impact and extent of your physical limitations.
The game plan is different in rehabilitation – instead of submitting passively to treatments that will “cure,” the injured person is expected to participate actively in tasks that teach how to manage daily activities with, or in spite of, the disability. This is when you come face to face with the altered reality of your life. In the acute hospital you may have wondered, “Will I survive?” Now the question becomes, “How will I live, and what can I do?”