A Dozen Tips to Endure Back Pain

I am up before dawn to see my chiropractor for the early bird special. With a 7 a.m. appointment, there is no wait; we beat the city traffic, and best of all Le Frenchman can chauffeur me there. For as long as I can remember I have suffered from chronic back pain. The decline began in college when a Big Mama landed on my back on a rebound in a basketball game. After that I walked so crooked that my college roomies tilted the pictures in our apartment to make me feel better. I have tried every treatment that exists, except surgery, and have become resigned to the fact that, okay, my back hurts, but life goes on.

Take one spine; add two herniated lumbar disks, three compressed dorsal vertebrae, four whiplashes and five concussions, and what do you get? One heck of a backache! My bod has undergone a lifetime of trauma. Bad back is an understatement. Yet if you look at me, you’d never know, because I keep on keeping on.

Here is how I cope with a full-time job, cross Atlantic travel and a semi active life.

laying down in Central Park, 1980s

Take mini breaks. I have a yoga mat in my office at school; I lay down and stretch in the middle of the day.
Wear tennis shoes with orthopedic soles. If your feet are imbalanced, your spine will misalign. Heels are a big no-no !
Use both sides of the body equally especially when lifting.
Invest in a good recliner and firm mattress to sleep on and a great pillow.
Alternate heat and cold. Sometimes only an anti inflammatory medicine can help the healing process begin as the muscles will become inflamed to protect the injured area.
Find a good chiropractor!
Try a combination of alternative medicine – physical therapy, massage, relaxation and meditation techniques.
Maintain mobility by staying fit – sometimes it is too painful to sit, but usually I can walk without too much discomfort.
If you have acute pain, limit riding in a car. If you do have to travel, stop, get out, and stretch every half hour.
If it hurts to sit, stand, or walk–then crawl. My Swiss chiropractor recommends getting down on « quatre pattes » as the crawling movement is natural before we became upright, back breaking bipeds.
Swim – there is no pressure on the joints and the water soothes the soul.
Find a good partner even if it means going halfway across the world.
… and above Mürren, Switzerland, 2012

When I get discouraged from the pain, I try to focus on someone else’s troubles. There is always a student, a colleague or a friend that is facing challenges far greater than a bad back. Anyway, I won’t be upright forever in my next life, I’ll be a fish.

Who Says Girls Can’t Get Dirty? Dad’s & Daughter’s Bond in Warrior Dash

As soon as I was old enough to walk, I was off running. Before racing was fashionable for females, I dashed around the block of old East 19^th Street neighborhood. In the winter, I ran circular laps around Jefferson, the first round school in town. In Jr. high, the coach let me run cross-country with the boys. In high school, when the law finally mandated equal opportunities for girls, I joined the track team.

Though my running days are long gone due to injuries, much to my delight my niece Marie was a runner. Though she no longer belongs to a team, she still enjoys a good race. Every July she competes in the Warrior Dash, a fun run where 600 runners lined up every half hour from 8am to 5 pm all weekend.

Her dad, Dick, a heart attack and cancer survivor, dedicated to fitness, joined her. After surgery in April to remove cancerous thyroid tumor, his goal was to run the Warrior Dash with his daughters. This type of cross-country run was fitting for his younger daughter, Hannah, a two time state championship rugby player, because it included army crawls and obstacles climbing.

Dick Carlson & John Pupkes coached daughters in team sports

The five-K run set on a ski slopes at Afton Alps Ski Resort in Minnesota was mostly uphill. Every 100 yards, an obstacle including a ten-foot high wall, had to be scaled by rope. Dick, ever the gentleman, sat on top of the wall to help women struggling to swing their bodies over the barrier. Then as soon as the contestants’ feet hit the ground, they crawled under barbed wire through mud.

“It gets tougher as you go cause your body is weighed down in muck,” Dick said, “and your feet slip and slide.”

But for Marie, a recent college graduate, the whole experience is “fun, fun, fun!”

To add to the gaiety, many competitors dressed in costume. At the end of the race, runners hosed off the mess and enjoyed a beverage, which for many was beer. Food booths sold chicken wings, turkey legs and hot dogs adding to the carnival atmosphere.

“Wear old clothes cause you’ll throw everything away,” Dick said, “except your shoes which are donated to charity.”

The entrance fee was $50 and competitors went home with T-shirts, buffalo warrior hats, participation medals, heads filled with pride and hearts bursting with joy.

“This year was better than last cause my friends ran,” Marie said, “ and so did my pops and sister!”

Thanks to Title IX dad coached daughters in soccer

According to the fifty-six year old dad, “It takes a lot of upper body strength to climb over obstacles and the run uphill was much harder than I expected!

But Marie, insisted, “It was awesome! I can’t wait till next year!

If you love to run and roll in mud, check out this site http://www.warriordash.com/ to find the Warrior Dash in your area. Hit the treadmills and pump that iron! Work it this winter, so you can roll with the warriors next summer!

Basketball Lessons Transfer to Medical Career

When my daughter was born in Paris on a cool October day nearly three decades ago, I prayed for the strength to help make her resilient. No easy task as I was still enduring chronic pain from a car accident and I would be raising her in France in a cross-cultural marriage. As she grew, I dreamed of watching her run, jump and play. Like my dad once taught me, I showed her how to shoot baskets in the driveway and before long I was following her to games in the French and then later Swiss club leagues.

playing ball in apartment in Paris

When Nat entered the international school, I coached her and her friends. Every time she came out of a game pouting about an elbow to the face or knee in the back I encouraged her to brush it off and get back in the action.

Was I pushing her too hard or not enough?

When I had her play one-on-one against a boy and he accidentally broke her ankle, I could’ve kicked myself. I always pressed the limits. Nat played with exercised induced asthma, so I subbed her out of games, insisting, “Breath, Nat, breath. But tell me as soon as you can go back in.”

In all fairness, what coach likes their 6’2” center to sit out? After all, I had been raised by get-up-and-walk-it-off father and grandfather coaches.

I never knew if what I said made sense to a girl growing up in Europe where the emphasis is less about winning and more about participating. What good were my lessons?

However after shining in the Swiss basketball league, as a freshman Nathalie moved to the States and as a college freshman played in the DIII Final Four tournament for University of Wisconsin-Stevens Point under Shirley Egner, who became the most decorated coach in the Wisconsin Intercollegiate Athletic Conference (WIAC).

mom & daughter share triumph & defeat

The final game of Nat’s career ended in an upset. The athlete in her collapsed, but her fighting spirit will remain in the gym, another brick in the wall, forming the foundation of UWSP Pointer’s tradition. That athlete kicked the bleachers and cried in the shower, but the scholar in her rose early the next morning to ace the biochemistry exam.

I who once majored in “basketball,” floundered, searching for a career. So driven by my obsession with the game, I was lost when I could no longer play. My daughter knew instinctively that brains would outlast the body. Four days, after the disappointing end to her basketball career, Nat nailed her interview gaining admittance to the University of Minnesota Medical School.

But I will always remember that night when we stumbled off the purple and gold court at UWSP. I slipped my right arm around her waist as she draped her left arm over my shoulders. She leaned on me for support and I clung to her waist for balance; where my strength ended, her courage began. I drew on her calm, logical ability to see the big picture; she relied on my humor and spunk to make it through the moment. I marveled at her ability to memorize the chemical compositions of molecules, she admired my tenacity to keep fighting each day faced with debilitating pain. We are tougher, more resilient, and more compassionate because of each other.

When I was a child, women had no more chance of playing pro basketball than being CEOs, neurosurgeons or college professors. Yet during her college career, Nat guarded the superstar of Milwaukee School of Engineering, a woman whose job at NASA awaited her graduation. Nathalie became the first international player in the WIAC to receive the Scholar Athlete Award (2006-2007). She juggled the demands of academics, college basketball, and dual nationality, crossing between cultures. And in 2011 she took the Hippocratic Oath at University of Minnesota Medical School to become the first doctor in the family.

Today Dr. Lechault uses that same tenacity she learned on the basketball court to work incredibly long hours teaching adolescents good health habits, answering a pager in the middle of the night, calming distraught parents, and making tough, split second decisions in her work as a pediatrician. Happy Birthday, Nat, and hey, thanks for listening!

Med school grad

Autism: A Cause To Stand Up For

What affects more Americans than diabetes, AIDS, cancer, cerebral palsy, cystic fibrosis, muscular dystrophy or Down syndrome combined?

Autism.

Over 2 million Americans fall under the umbrella of brain developmental disorders referred to as Autism Spectrum Disorders. ASD creates social and behavioral challenges, which often include repetitive mannerisms. Researchers are yet to identify the cause, but attribute it to a combination of genetic make up and environmental factors.

Every spring, since 1970, the U.S. celebrates National Autism Awareness Month, so before April slips away I wanted to get on board. http://www.autism-society.org/

Although the exact cause of ASD remains a mystery, what specialists do know is that the numbers are increasing at an alarming rate. The CDC estimates as many as 1 in 88 children or 1 out of every 54 boys and one out of every 252 girls is born with ASD.

Statistics indicate that more than ten million individuals are afflicted worldwide. Five years ago the United Nations declared every April 2nd as World Autism Day. Across the continents, people are encouraging others to stand up for autism to increase awareness and funding for research. http://www.youtube.com/watch?v=csYs_aSXFcQ

Unfortunately in many parts of the globe, autistic children are institutionalized due to ignorance and lack of early intervention measures and public health programs. The more obvious signs of autism usually emerge between the age of 2 and 3 and behavioral therapies can be most effective the earlier the disorder is diagnosed. http://www.cdc.gov/ncbddd/autism/index.html

A career change in my teaching role led to work in my school’s learning support department, which coincided with a time when I became more limited by illness and a medical treatment that required minimal light exposure and maximal eye protection. While walking in the shadows, wearing black glasses and gloves, I bump into obstacles. I am forced to see the environment through different parameters too. Working with special kids is a great fit; I am a quirky adult.

Everyone who has ever worked with ASD individuals knows that every step forward in understanding their universe is a move in the right direction for they may not have the capacity to understand ours. To comprehend the world of autism demands infinite patience and persistence, but the rewards are immeasurable.

Please take time to witness the triumph of an Asperger’s boy and basketball. Stand up and raise the roof for autism!

J Mac Greatest Basketball Story Ever

A Free Christmas Gift – Hugs

I treated myself to a massage today as an early Christmas gift. As the holidays approach our teeth clench, our shoulders tighten, and our low backs throb, as we attack our endless to-do list of holiday preparations.

Across Europe people share good cheer; but whereas the French blow air kisses to the cheek and the British shake hands, Americans hug, especially in the Midwest, especially in my family. Maybe it goes back to my Viking ancestry when close body contact meant survival. At any rate the Olson -McKinzie clan I grew up in were huggers, whether it was a big bear hug from mom or a special squeeze from Papa Mac.

Ironically during the Internet age in our fast paced, high tech society, we can access people across the globe instantly electronically, yet we have become more physically disconnected to others than ever.

People in the helping professions, like my nurse friends, have long understood the healing power of touch. Medical studies prove that touch decreases anxiety, increases the number of white blood cells, lowers blood pressure, increases endorphins, and helps you sleep better. The ancient ritual of hands on healing has been part of religious practices for centuries.

I love words, but words fall short. No written expression can heal the mind, body, and spirit as greatly as the power of touch.

Though we associate this time of year with razzle-dazzle holiday glitz euphoria, for many people it is also a time of sorrow as they remember lost loved ones. Days are short and dreary; nights are long and lonely. Everybody needs the touch of other human beings especially now. Even though economic times are tough, and we can’t all buy extravagant Christmas presents or afford a massage, hugs are free.

The greatest gift we can give is this season is ourselves.

Who have you hugged today?

Getting Sick Abroad

Getting sick sucks, especially if you are away from home, homeland. There is nothing worse than having a medical emergency while traveling abroad. But don’t let that scare you off the plane. Take a few travel tips from a seasoned traveler…aka your fav ex-patriot.

My parents have made dozens of cross Atlantic trips to visit our Norwegian relatives and me without a hitch. After a recovering from 4 different surgeries, my 79-year-old dad attained his goal to fly to Switzerland and almost didn’t make it back when he became gravely ill. Fortunately our daughter, a pediatrician, insisted we call an emergency doctor who demanded we take him to the hospital immediately where they put him on intravenous antibiotics and saved his life. A simple urinary tract infection had developed into a life threatening sepsis. Luckily, we had a Frenchman aboard, who spoke both English and French and could interpret in the ER. But in the course of ensuing chaos, it made me realize how frightening illness can be for someone traveling abroad especially if you don’t speak the local language. When packing your bags be sure to include these items.

Medication for the duration of your stay in your carry on bag
Carry insurance and medical cards and a photocopy of prescriptions
Type up a short resume of your recent medical history
List emergency numbers of contacts in your homeland
If possible, obtain the number of a friend living in the area you are visiting (this is especially reassuring to parents when their sons/daughters go abroad)
In the event of serious illness call SOS Médecins
When in doubt, go directly to the emergency room

In Switzerland and France, public hospitals will admit you, but you may have to pay a fee, like the $500 up front that my dad paid at the Hospitale de Nyon before services could be rendered.

Jim & Lenore McKinzie in Switzerland

The medical system varies in each European country. In some places, doctors still make house calls. Many medical people have independent practices in apartment buildings or a room of their homes. Unlike our clinics or convenient urgent care centers in the states, often times in Europe you will have to go to separate laboratories to have blood drawn and/or X rays taken. Pharmacies display the universal sign, a green cross. In Europe pharmacists will answer simple medical questions and can advise you on minor problems. Major hotels have a doctor on staff or will call a local doctor for you.

Accept that medical practices in other countries, though different from those at home, are not necessarily bad. For example in France and Switzerland, prescriptions are not counted out by the dose, but boxed in plastic in 7 day to one month doses.

During my overseas stint, I have been hospitalized after accidents and illnesses, for surgery and childbirth. I‘ve seen my fair share of doctors, but I can assure you that like people, there are good and bad ones everywhere regardless of nationality.

Alors santé! (Here’s to your health) Bon voyage!