Tuesday, November 29, 2005

Real Life Fiction

As you may have guessed by now, we made it back safely from our vacation. A fun time was had by all, especially the no-see-ums that attacked me on our first night there. Around about Wednesday of our vacation week, I discovered that my sister-in-law had a copy of Harry Potter & the Half-Blood Prince. By the time we left on Sunday, I had read *almost* all of it and then for the next week I kept thinking about the various plot twists and character development.

All of this got me to thinking about whether or not reading fiction is good for our spiritual life. I mean, it shouldn't take up so much of our mental energy, right? Surely that can't be good... except I think it can be good, actually. I think reading about these fictional characters offers us a chance to examine our own inner fabric without having to experience the same traumas and challenges as the characters we read about. Sometimes I find a new way to relate to God by thinking about how fictional characters relate to one another (anyone else think Dumbledore is a bit like a Bishop?).

So did people who lived in earlier times have anything similar to the modern fiction novel to assist them in analyzing their emotions and relationships? At first I thought probably not, but then I got to thinking about certain stories in the lives of the saints. Some saint's lives are *so* unrealistically portrayed that there is no way they can be literal. I'm sure that they are based on fact at some level, but they have obviously been embellished with re-telling over the centuries. So I think some of these truly over-the-top stories might have had the same effect as the modern fiction novel in that they allowed people to examine how they might respond to a spiritual crisis before finding themselves face-to-face with temptation. I am reminded of a story from the life of my own patron saint, St. Marina the Great Martyr... at one point she was apparently swallowed whole by the devil in the form of a great dragon. While in the stomach of the beast, the martyr made the sign of the cross and immediately burst forth from the dragon, killing it. I'm not convinced the saint had that exact literal experience, but I'm quite sure that her faith and devotion to Christ assisted her in overcoming temptation and sin in her holy life.

The embellishment makes us more likely, in our fallen human state, to find the hagiography interesting and to dwell on the spiritual mysteries it contains, doesn't it? That's what I think is probably most important. Spending a lot of time thinking about the intricate relationships within the Harry Potter stories doesn't help me spiritually as much as cogitating on the lives of holy people who actually existed and fought the great fight. If it takes stories of being swallowed by dragons to get me to pay attention, then I thank God for the opportunity to learn from these stories.

Tuesday, November 22, 2005

Study: Nursing May Prevent Moms' Diabetes

Great news for those of us at risk for Type II diabetes due to PCOS... Four years I've been nursing now (wow) ... according to this study, that lowers my risk for diabetes by 60%!

Excite News

Study: Nursing May Prevent Moms' Diabetes

Nov 22, 4:11 PM (ET)

By LINDSEY TANNER

CHICAGO (AP) - Breast-feeding is thought to protect babies from developing diabetes. Now research suggests it might even help keep their mothers from getting the disease, too.

A study found that the longer women nursed, the lower their risks of developing diabetes.

The findings are far from conclusive, but the researchers say breast-feeding may change mothers' metabolism in ways that make the possible connection plausible.

These metabolic changes may help keep blood sugar levels stable and make the body more sensitive to the blood sugar-regulating hormone insulin, said Dr. Alison Stuebe, the study's lead author and a researcher at Boston's Brigham and Women's Hospital.

That theory is partly based on evidence in rats and humans showing that breast-feeding mothers had lower blood-sugar levels than those who did not breast-feed.

The new study, published in Wednesday's Journal of the American Medical Association, involved 157,000 nurses who participated in two long-running health studies. They filled out periodic health questionnaires and were followed for at least 12 years. During the study, 6,277 participants developed type 2 diabetes.

Women who breast-fed for at least one year were about 15 percent less likely to develop type 2 diabetes than those who never breast-fed. For each additional year of breast-feeding, there was an additional 15 percent decreased risk.

However, both breast-feeders and bottle-feeders studied faced very low absolute risks of developing the disease.

In the first study, which began in 1976, 6.3 percent of women who breast-fed less than one year or not at all developed diabetes, compared with 5.5 percent of women who breast-fed for more than a year. In the second study, which began in 1989, the rates were 1.9 percent and 1.1 percent respectively.

"If it does have an effect, it's very small," said Dr. Lisa Schwartz of Dartmouth Medical School, co-director of a research group that studies how medical information is sometimes hyped. She was not involved in the breast-feeding study.

With diabetes the nation's sixth-leading cause of death and 82 million U.S. women of childbearing age, even a small risk reduction could have a big effect, Stuebe said.

Continuous breast-feeding for at least one year appeared to be slightly better than breast-feeding each child for shorter durations, but the differences were minimal, Stuebe said.

Schwartz said the results may reflect the healthy lifestyles of women who breast-feed rather than breast-feeding itself. But the researchers said that taking habits such as exercise, diet and smoking into account did not change the results.

Dr. Ruth Lawrence of the University of Rochester in New York, author of a medical textbook on breast-feeding, called the results compelling.

She noted that previous research has suggested that breast-feeding might reduce women's risk of breast and ovarian cancer and osteoporosis. If diabetes could be added to that list, the effect would be substantial, Lawrence said.

Breast-feeding has numerous health benefits for babies, too, so encouraging mothers to nurse "is kind of a win-win from a public health standpoint," Stuebe said.

Thursday, November 10, 2005

God's Love - redux

A good friend told me a couple of months ago that one day I would simply wake up and realize that God loves me. I was skeptical. But, you know what? I think it's happened. When I re-read the whole miracle of Emmelia's conception and the time before that, I came to some sort of realization that I am, indeed, a child of God. He has blessed me with many good things...

If I sound hesitant, it's because I hope I've really realized this and that it's not just an artifact of my life going pretty well right now.

I have been so busy asking, nay begging, God to SHOW me His love ("O that we might see some good!...") & being angry about what happened to me that I'd nearly forgotten that all of that is in the past - before I was even baptized. I am a new creation. I've forgotten to appreciate God's providence and blessings in my life lately.

Next week I'm going to ponder all this while I relax on the beach and listen to the sound of the waves. Say a prayer for us that our journey will be safe and rejuvenating!

Answer me when I call, O God of my right! Thou hast given me room when I was in distress. Be gracious to me, and hear my prayer. O men, how long shall my honor suffer shame? How long will you love vain words, and seek after lies? But know that the Lord has set apart the godly for himself, the Lord hears when I call to him. Be angry, but sin not; commune with your own hearts on your beds, and be silent. Offer right sacrifices, and put your trust in the Lord. There are many who say, "O that we might see some good! Lift up the light of thy countenance upon us, O Lord!" Thou hast put more joy in my heart than they have when their grain and wine abound. In peace I will both lie down and sleep; for thou alone, O Lord, makest me dwell in safety. (Psalm 4)

Monday, November 07, 2005

Managing in the Liturgy

Just a quick post because I've been pulling my hair out for quite a while now about having the kids at church... I fully believe they need to be there and will get *something* out of it. But they are both SUCH a handful lately that I've thought about just staying away completely until they are in college.

Well, this past weekend I actually found a little extra time on Saturday night and said the "Akathist to the Mother of God, Nurturer of Children." It's a great little prayer and, lo and behold, this week went much better. Of course, we also did coffee hour this week to celebrate Em's birthday. So it was either extra help from the Mother of God or that bagel I fed them before we went up to the Liturgy (okay, it was likely a lot of one and a little of the other).

The other thing we did differently is sit with a childless couple I know so I had four extra hands helping. I'm going to do that again and we'll see if we have a pattern here (but not for a few weeks since we're going on vacation soon!!).

Thursday, November 03, 2005

Happy Birthday, baby.

My miracle baby is FOUR years old today. I'm still in shock about it - she's so grown-up all of a sudden. It makes me happy to say that she is still nursing on her fourth birthday - it's how we started out the day, actually. Even though she's growing up, she's still my baby.

It's long, but I thought I'd share the story of how our little miracle came to be:

As a teenager, I was diagnosed with an endocrine condition called PCOS, or Polycystic Ovarian Syndrome. It causes a disparity in my hormone levels such that my body apparently cannot ovulate on its own. For over a decade my doctors had me take the birth control pill to lower my risk of developing endometrial cancer and try to regulate my hormone levels to mask other nuisance symptoms of PCOS.

In January of 2000, my husband and I decided that it was time to try to have children – to at least see if having them was God’s will. We made the decision with advice from a Reproductive Endocrinologist (RE), to go off the birth control pill and see if the hormonal adjustment “tricked” my body into ovulating just once. I followed my cycle closely by taking my temperature every morning and charting the temperatures. The charting revealed that our trick hadn’t worked and there was still no ovulation occurring. I went to see the RE again. He ran many tests to make sure the only problem was that I wasn’t ovulating. Through all the testing and imaging, we became very familiar with my entire reproductive tract and I was beginning to despair that children were not part of God’s plan for our lives. There was nothing physically wrong besides the fact that my body “has no rules,” as the RE put it, and it just would not release an egg. Not sure where to turn, we asked the priest at the OCA Cathedral in Denver,CO, to pray a molieben for us before a miraculous icon of the Mother of God Joy of All Who Sorrow. Other women have been known to have been granted children after venerating this icon.

At the end of May, 2000, we traveled to St. Tikhon’s Monastery in Pennsylvania to take part in the glorification of St. Raphael of Brooklyn. My spiritual mother reminded me before we left that the veneration of the new saint’s relics offered a grand opportunity to ask him for his prayers for something specific. I struggled with how selfish to be in my prayer request – there were so many needs to pray for involving our friends and family. Still, when the opportunity came to venerate the relics of the newly-glorified St. Raphael I asked him to pray that God would grant us a happy, healthy & holy child. Later, I told my husband about my request to St. Raphael and he told me that he had asked for the same thing when he venerated the relics of the new saint. I was beginning to feel more hopeful with both the Theotokos and St. Raphael interceeding on our behalf.

Soon after our return from Pennsylvania, I went to see the RE yet again and we decided to try a drug called Clomid that is used to stimulate the ovaries to release eggs. It carries risks – including that of causing multiple births (twins, triplets, etc.). I was more than willing to take that risk and went on the Clomid hopefully while continuing to chart my temperatures. But, unfortunately, the Clomid didn’t work. My body is apparently resistant to its effects, something which occurs in many women with PCOS.

We discussed our options with the RE. We prayed about them and discussed them with each other and our spiritual advisors and decided that we needed to “draw a line in the sand” of how far scientifically we were willing to go to have biological children, given moral concerns. We decided to try the pharmaceutical options available to us but to stop trying for a child before reaching the level of in vitro fertilization (IVF). IVF is extremely costly (about $10,000 per procedure) and often involves “reductions” of fertilized embryos, which we were unwilling to allow. If it got to that point we would transfer our energies to the adoption of a child. Since the Clomid hadn’t worked, it looked like our next option was going to be so-called “injectibles” – drugs that women have to inject themselves with for several days each cycle in the hopes of stimulating the ovaries. They are very strong drugs with nasty side effects along with being difficult to use.

But then the many internet forums and websites I frequented to learn about my condition began to discuss a new drug that had actually been developed to treat insulin resistance, a symptom (or side effect, no one really knows) of PCOS. Metformin (a.k.a. Glucophage) was beginning to be used by some women with PCOS – even those without clinical insulin resistance – and they were finding that it alters the body’s response to Clomid to lower resistance to the drug. It has severe effects on the gastro-intestinal system and can cause liver damage, but it also has positive results in raising metabolism levels and evening out the hormonal disparity found in PCOS. I was excited about the possibility and discussed it with my RE. He was skeptical that it would benefit me, but we decided to give it a try. I took Metformin for two months and then added Clomid to the mix in August, 2000. I went in for an ultrasound at the appointed time after taking the Clomid and the RE told me I would be ovulating in the next few days!

We got pregnant for the first time at around the same time my husband was ordained to the holy deaconate at St. George Cathedral in Wichita, KS. While at the Cathedral, I spent some time before the icon of St. Raphael asking for his continued prayers. Amazingly, the pregnancy test two weeks after my ultrasound was positive! We were incredibly excited – we told everyone we knew about the little one we were expecting to arrive in early May. But, on September 12th, just 3 days before we were due for another ultrasound to see our little baby’s heartbeat I began bleeding. We kept our ultrasound appointment with the RE even though it was very clear by then that I had miscarried. It was a very difficult time, made worse by having to go back and tell everyone about the loss of the pregnancy. I was devastated. The next weekend our Bishop Basil was in Denver and we attended Vespers at the church he was visiting. When leaving, I asked for his blessing and he noticed my profound sadness and counseled me to pray to St. Anna, the mother of the Theotokos. She knew what I was feeling as she had also experienced the extreme sadness of not being able to have a child before she was granted a great gift from God. I venerated her icon on the way out of the church and her prayers brought me much comfort in my grief.

After recovering somewhat from the disappointment following the miscarriage, I resumed asking for St. Raphael’s prayers for a child. I had been on Metformin since October and in December of 2000 we decided to try again. I took the Clomid, went in for another ultrasound and saw two eggs developing – one in each ovary! We found out we were pregnant again on the first day of 2001. Not knowing if only one egg or both eggs had released made it even more exciting. But, two weeks after that positive pregnancy test I began spotting. I went to see my doctor and he ran blood tests that confirmed that the pregnancy was no longer viable. My RE had me collect the fetal tissue and drive what would have been our child to a hospital in Denver for genetic tests. It was hard to release the “sample” to the hospital – what the world considered just an undeveloped clump of cells was our CHILD. It carried with it so many lost dreams. The genetic tests showed that our little girl (they did chromosomal testing which also revealed the gender) had no genetic problems so the miscarriage must have been caused by something else.

For the second time, I had the prayer for a woman who has miscarried read over me by a priest. It is an extremely comforting prayer, but hard to have to hear more than once.

After 4 weeks, I went to see my RE again for a “miscarriage follow-up.” We discussed what could be causing the miscarriages and options for preventing more from occurring. We had finally found a way to make my body ovulate but now I was unable to sustain a pregnancy longer than 6 weeks.

The RE was planning to just talk to me about options during that visit and possibly prescribe a few things like antibiotics for my husband and me in order to treat any underlying infection that could be causing the miscarriages. However, because there had been the possibility of two eggs releasing, I asked him to perform an ultrasound to check that nothing remained in my uterus (a part of me was hoping that I was one of those rare cases you hear about where one twin miscarried but the other stayed put). Nothing was there – my uterus was perfectly clear. But at the same time, we saw something which surprised both of us – an egg was developing in my right ovary. According to its size, it would be releasing within the next 3-4 days. No one expected this at all because I hadn’t taken any drugs to stimulate my non-cooperative body to ovulate!

My husband and I discussed it. We prayed about it. We decided to take the opportunity God had set before us and found ourselves looking at a positive pregnancy test a couple of weeks later. At 6.5 weeks gestation we saw a tiny fluttering heartbeat via ultrasound and knew with feelings of exultation and great thankfulness to God that this one was sticking with us. I had morning sickness for seven months straight and was grateful every day for the reminder that our baby was continuing to grow inside me.

Our miracle baby was born a week before her due date at 8:26 am on Saturday, November 3, 2001. It was the first Saturday in November – the feast day of St. Raphael of Brooklyn.

Glory to God for His incredible mercy and unending thanks to St. Raphael for his prayers on our behalf! And happy birthday to (not so little anymore) Emmelia Raphaela!

Tuesday, November 01, 2005

Was there a Fall in the Garden of Eden?

Okay, that title was too punnilicious to pass up. Yes, of course there was a "fall" in the Garden of Eden. What I've been curious about lately, though, is whether or not there was a season of fall/autumn in Paradise. It's been such a beautiful autumn here - the weather has been lovely and the trees changing color truly adorn the world around us and make me think it can only be by Design.

I find myself wondering often about how things must've been in the Garden of Eden - before our human sinfulness introduced death and decay into the world. It's a popular theory that all life that now exists in the world also existed in the Garden of Eden and was created by God in the beginning. But at the time of the Fall, some of those things - such as viruses - took on a more malevolent existence that contributed to disease and death. So was the changing of the seasons part of the original experience of Man, or something that happened after we lost Paradise?

Since the trees don't die by losing their leaves each year, I'm leaning towards the colorful leaves being something that God created in the beginning to adorn His creation. It's nice to realize that God cares so much about us that He took the time to create such a beautiful place, even knowing we would squander it. Part of the Christian experience involves trying to live in such a way that we re-capture Paradise in our hearts. When I see that glimpse of Paradise in the world around me, it lightens my heart and encourages me to trudge on along this road. No wonder autumn is my favorite season!