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	<title>The Saturday Evening Post &#187; fatigue</title>
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		<title>An Apple a Day</title>
		<link>http://www.saturdayeveningpost.com/2011/11/15/health-and-family/medical-update/ankylosing-spondylitis.html?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=ankylosing-spondylitis</link>
		<comments>http://www.saturdayeveningpost.com/2011/11/15/health-and-family/medical-update/ankylosing-spondylitis.html#comments</comments>
		<pubDate>Tue, 15 Nov 2011 16:30:21 +0000</pubDate>
		<dc:creator>Wendy Braun</dc:creator>
				<category><![CDATA[Medical Update]]></category>
		<category><![CDATA[Wellness]]></category>
		<category><![CDATA[ankylosing spondylitis]]></category>
		<category><![CDATA[arthritis]]></category>
		<category><![CDATA[AS]]></category>
		<category><![CDATA[back pain]]></category>
		<category><![CDATA[eye health]]></category>
		<category><![CDATA[fatigue]]></category>
		<category><![CDATA[muscle stiffness]]></category>
		<category><![CDATA[psoriatic arthritis]]></category>
		<category><![CDATA[Remicade]]></category>

		<guid isPermaLink="false">http://www.saturdayeveningpost.com/?p=43454</guid>
		<description><![CDATA[<p>Artist and blogger Jenna Visscher has been painting apples for a cause—finding a cure for her disease, ankylosing spondylitis, the most overlooked cause of persistent back pain in young adults. </p><p><a href="http://www.saturdayeveningpost.com/2011/11/15/health-and-family/medical-update/ankylosing-spondylitis.html">An Apple a Day</a>

<a href="http://www.saturdayeveningpost.com">The Saturday Evening Post</a></p>]]></description>
				<content:encoded><![CDATA[<p>Artist, blogger, and social media health activist Jenna Dye Visscher has been painting apples—lots and lots of them.  Why? To draw attention to the most overlooked cause of persistent back pain in young adults—a type of arthritis called Ankylosing Spondylitis (AS) that attacks joints in the backbone and those between the spine and pelvis. Ankles and other parts of the body can also be affected.</p>
<p>“For an entire year, I painted an apple a day to help raise awareness and funds for the Spondylitis Association of America—and just to have fun! Apples symbolize that health and healing are possible despite dealing with a difficult and painful disease,” explains Visscher, who is one of approximately 2.4 million Americans living with AS.</p>
<p><div class="recipe"></p>
<p><strong>Here’s Jenna’s story as told to the <em>Post</em>:</strong></p>
<p>For me, AS began suddenly with unexplained pain and fatigue, and it changed my life completely. I was afraid to sleep because of severe stiffness upon waking. Every bump in the road made me wince, and I only ate at restaurants with soft benches or chairs.</p>
<div style="float: right; margin: 0pt 0pt 10px 10px; background-color: #ffffff; padding: 10px; width: 280px;"><strong>Who is Most at Risk?</strong></p>
<p>The exact cause of Ankylosing Spondylitis (AS) is not yet known. Factors that raise one’s chances of developing AS include:</p>
<ul>
<li>A positive blood test for the HLA-B27 protein</li>
<li>A family history of AS</li>
<li>A personal history of frequent GI infections</li>
<li>Being a male age 17 to 45*</li>
</ul>
<p>*AS can also occur in women and children, and in older adults.</p>
<p>—Spondylitis Association of America</p>
</div>
<p>And that’s only part of it! When the condition was having its heyday, my eyes became painfully sensitive to light—eye inflammation is another symptom of AS. And I learned to skillfully hide my fingers, elbows, and ears when the AS-related problem called psoriatic arthritis was shredding them apart.</p>
<p>It took six years of searching before I was diagnosed with AS. I had been treated with pain medications and tried physical therapy, but not until I started Remicade therapy to stop inflammation on a cellular level did I regain a measure of my life back.</p>
<p>With each infusion my body seemed to straighten up just a bit and move with more ease. My mind began to clear as the constant pain released some of its grasp. Most importantly, I was showing signs of being me again.</p>
<p>After a few months I was smiling, laughing, and able to contemplate what to do with my life again. The colors I had become unable to see came flooding back and, along with them, I began to feel the pull of my creativity. The change was overwhelming to me.</p>
<p></div></p>
<p>AS can’t keep Jenna down.  She is a power writer for <a href="http://www.thefightlikeagirlclub.com/">The Fight Like a Girl Club</a> and <a href="http://www.WEGOHealth.com">WEGOHealth.com</a>, and her daily blog, <a href="http://thefeedingedge.com/">&#8220;The Feeding Edge,&#8221;</a> urges people to “Be part of the Story, Be part of the Cure!”</p>
<p><div class="recipe"><br />
<strong>Again, here’s Jenna:</strong></p>
<p>I am a lover and a fighter, a dreamer and an idealist. I have a painful disease and don’t know what my future holds. AS is not curable, but I will not live in fear of the “what ifs.” I fought hard during years of pain and fatigue before finding a diagnosis and a course of treatment that restored my health and my spark. I choose to fight for awareness of a disease called Spondylitis that affects so many, but is known by so few.</p>
<div style="float: left; margin: 0px 10px 20px 0px; background-color: #ffffff; padding: 10px; width: 280px;"><strong>What Might Help?</strong></p>
<p>• Medications: NSAIDS (ibuprofen, naproxen, aspirin), anti-rheumatics (corticosteroids, sulfasalazine, methotrexate), and biologics (Enbrel, Remicade, Humira)</p>
<p>•Daily exercise</p>
<p>•Good posture techniques</p>
<p>•Applying heat to stiff joints and cold to inflamed areas</p>
<p>•Alternative treatments: acupuncture, massage, yoga, implanted TENS unit to block pain signals to brain</p>
<p>— Spondylitis Association of America</p>
</div>
<ul>To the newly diagnosed, and to those facing symptoms and still seeking a diagnosis:</p>
<li>Know that you can lead a good life: it is just going to look different than what you thought.</li>
<li>Educate yourself about the disease and available treatments, and advocate for the best care possible with your doctors and insurance providers.</li>
<li>Be strong. The AS journey can and will be extremely difficult. You CAN regain a measure of quality of life. Good care is your responsibility – and no one can do it for you.</li>
<li>Search out support. Good information is available at the <a href="http://www.spondylitis.org">Spondylitis Association of America</a><em> (spondylitis.org, 1-800-777-8189)</em> and support groups can be a blessing. Check out online support as well. Many people blog or use social media to share their thoughts, feelings, and knowledge about AS.</li>
<li>Seek acceptance. Denial and anger are inevitable. But when you move past these stages of grieving your old self, work to find a place of acceptance and happiness. Most days will be difficult, but knowing you can absolutely get past them will make you stronger than almost anyone you encounter in life. Be proud and stand tall in that knowledge.</li>
<li>Dare to dream! I’m taking a vacation after my 365 days of apples. But then I’ll be looking for new outlets for my advocacy and art and perhaps one day found a non-profit that uses art for good causes. Big dreams! But I’ve learned that if you fight past the tough challenges and minor setbacks, dreams can happen.</li>
</ul>
<p></div></p>
<p><a href="http://www.saturdayeveningpost.com/2011/11/15/health-and-family/medical-update/ankylosing-spondylitis.html">An Apple a Day</a>

<a href="http://www.saturdayeveningpost.com">The Saturday Evening Post</a></p>]]></content:encoded>
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		<title>Fast-Track Research on Conquering Chronic Fatigue</title>
		<link>http://www.saturdayeveningpost.com/2011/10/24/health-and-family/medical-mailbox/cfs.html?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=cfs</link>
		<comments>http://www.saturdayeveningpost.com/2011/10/24/health-and-family/medical-mailbox/cfs.html#comments</comments>
		<pubDate>Mon, 24 Oct 2011 19:19:37 +0000</pubDate>
		<dc:creator>Wendy Braun</dc:creator>
				<category><![CDATA[Medical Mailbox]]></category>
		<category><![CDATA[Wellness]]></category>
		<category><![CDATA[biomarkers]]></category>
		<category><![CDATA[CFS]]></category>
		<category><![CDATA[chronic fatigue syndrome]]></category>
		<category><![CDATA[Depression]]></category>
		<category><![CDATA[Dr. Suzanne Vernon]]></category>
		<category><![CDATA[fatigue]]></category>
		<category><![CDATA[Health]]></category>
		<category><![CDATA[joint pain]]></category>
		<category><![CDATA[Medical]]></category>
		<category><![CDATA[memory problems]]></category>

		<guid isPermaLink="false">http://www.saturdayeveningpost.com/?p=40031</guid>
		<description><![CDATA[<p>Suzanne Vernon, Ph.D., discusses the latest developments in battling chronic fatigue syndrome in this web-exclusive interview.</p><p><a href="http://www.saturdayeveningpost.com/2011/10/24/health-and-family/medical-mailbox/cfs.html">Fast-Track Research on Conquering Chronic Fatigue</a>

<a href="http://www.saturdayeveningpost.com">The Saturday Evening Post</a></p>]]></description>
				<content:encoded><![CDATA[<p>Chronic fatigue syndrome (CFS): No cause, no cure, no hope? No way, says Suzanne Vernon, Ph.D., Scientific Director of the Chronic Fatigue and Immune Dysfunction Syndrome (CFIDS) Association of America in the Nov/Dec installment of the <em>Post</em>&#8216;s Medical Mailbox. For those not familiar with CFIDS, it’s important to understand that this kind of fatigue isn’t merely feeling tired after a busy day or a lousy night of sleep. It’s severe, all-encompassing, and often accompanied by persistent problems with memory, joint pain, and feeling sick after exertion (see &#8220;Quick Guide to CFS&#8221; after the interview below). But the chronic disease has a misleading name, an unclear cause, and symptoms you can’t see. In this web-exclusive report, we continue our conversation with Vernon about the challenges surrounding chronic fatigue syndrome and the “tremendous urgency” of researchers to better understand, diagnosis, cure, and even prevent the distressing and persistent problem.</p>
<p><strong>Post: </strong><strong>Is CFS a &#8220;real&#8221; disease?</strong></p>
<p><strong></strong>Vernon: There are more than 4,500 papers in the medical literature that describe disturbed or altered biology in people with CFS, so, yes, the disease is very real. The U.S. Centers for Disease Control &amp; Prevention estimates that at least one million American men, women, and children have CFS. But its devastating effects are sometimes hard to see; people with CFS can look relatively well, especially to those who see them only on a relatively “good” day. Confusion also stems from the possibility that the disease may have several causes, and the fact that it has been described by different names at different times, such as post-viral fatigue syndrome, myalgic encephalomyelitis (ME), chronic fatigue and immune dysfunction syndrome (CFIDS), and ME/CFS.</p>
<p><strong>Post: </strong><strong>Is there a specific test or symptom that signals CFS?</strong></p>
<p>Vernon: None have yet been identified, and CFS remains a diagnosis of exclusion. This means doctors diagnose CFS by ruling out other medical and psychiatric diseases that could explain a patient’s symptoms. The medical definition of CFS crafted in the late 1980s is woefully nonspecific. Today, we are addressing the need for better diagnostics and treatment through strategically guided research based on knowledge gained over the past 25 years of CFS research and from other areas of science and medicine.</p>
<p><strong>Post: Are researchers making strides in finding the cause or causes of the disease</strong><strong>?</strong></p>
<p>Vernon: There is a great deal of published evidence that acute infection with a variety of different pathogens can lead to CFS in about 10 percent of the cases. So, infection is a plausible cause, possibly in combination with an underlying immune system vulnerability. Understanding who is at greatest risk for severe infection, detecting these infections early, and learning more about the immune response are important approaches to preventing CFS in the future.</p>
<p>Keep in mind that we don’t know the cause of most chronic diseases, yet progress is possible. For example, the “War on Cancer” signed into law by President Richard Nixon in 1971 was aimed at improving cancer treatment and finding cures by increasing research. Indeed, there has been important progress, especially in cancer screening and treatment, even though we still don’t know the cause of most cancers.</p>
<p>Likewise, important findings from more than two decades of CFS research gives me hope that effective treatments will be identified. Currently the handful of physicians in the U.S. who have dedicated their medical careers to caring for CFS patients use a combination of treatment strategies to help patients improve function and quality of life. It requires a partnership and a trial-and-error approach that can be time-consuming and frustrating to both patient and physician. In the future, chemical biomarkers identified by CFIDS Association-funded researchers could help guide treatment using more objective and targeted approaches.</p>
<p><strong>Post: </strong><strong>What are biomarkers?</strong></p>
<p>Vernon: Biomarkers can be thought of as indicators not only of disease, but also of response to treatment or even good health. Think of cholesterol, for example. Cholesterol is vital for life, but high levels of bad cholesterol are a biomarker indicating increased risk of cardiovascular illnesses. Biomarker research<strong> </strong>has found certain molecules on blood cells that occur at different levels in CFS patients compared to healthy people and people with other diagnoses. Other studies on CFS biomarkers may help identify characteristics of people who do not recover from an acute infection and why that might happen.  In addition, we are finding that differences between CFS patients and other groups often show up more clearly when the subjects are studied after a short exercise challenge. Post-exertional relapse is one of the hallmarks of CFS, and it seems to provoke a different biological response than testing patients at rest.</p>
<p><strong>Post: </strong><strong>What do people struggling with CFS need to know?</strong><strong></strong></p>
<p>Vernon: There is hope. Right now, awareness about and interest in CFS are at an all-time high and there is tremendous urgency within the scientific community to address the need for better diagnostics and treatment through strategically guided research based on knowledge gained over the past 25 years of CFS research and from other areas of science and medicine.  While some research is not panning out, other areas are heating up. There are new technologies such as genomics, proteomics, and imaging that give us new tools to understand biological abnormalities at the molecular, cellular, and clinical level. The CFIDS Association is laser-focused on making CFS widely understood, diagnosable, treatable, and preventable, and we are making faster progress than ever before.</p>
<p><strong>Quick Guide to Chronic Fatigue Syndrome (CFS)</strong></p>
<p>* People of every age have CFS, but the illness is most common in those ages 40 to 59.</p>
<p>* More than 80 percent of CFS patients in the U.S. don’t know they have it.</p>
<p>* CFS includes four or more of the following characteristics (in addition to fatigue): symptoms that relapse after physical or mental exertion; unrefreshing sleep; substantial memory or concentration problems; muscle pain; pain in multiple joints; headaches of a new type, pattern, or severity; sore throat; and tender neck or armpit lymph nodes.</p>
<p>* CFS is not caused by depression, although the two illnesses often coexist. Many patients with CFS don’t have any psychiatric disorder.</p>
<p>&#8211;CFIDS Association of America<strong><em></em></strong></p>
<p><strong>RESOURCES: </strong><a href="http://www.cfids.org">www.cfids.org</a></p>
<p><strong> </strong><a href="http://www.research1st.com">www.research1st.com</a></p>
<p><a href="http://www.saturdayeveningpost.com/2011/10/24/health-and-family/medical-mailbox/cfs.html">Fast-Track Research on Conquering Chronic Fatigue</a>

<a href="http://www.saturdayeveningpost.com">The Saturday Evening Post</a></p>]]></content:encoded>
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		<title>How Fish Oil Can Help Cancer Patients</title>
		<link>http://www.saturdayeveningpost.com/2011/04/14/health-and-family/medical-update/how-fish-oil-can-help-cancer-patients.html?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=how-fish-oil-can-help-cancer-patients</link>
		<comments>http://www.saturdayeveningpost.com/2011/04/14/health-and-family/medical-update/how-fish-oil-can-help-cancer-patients.html#comments</comments>
		<pubDate>Thu, 14 Apr 2011 14:00:13 +0000</pubDate>
		<dc:creator>Wendy Braun</dc:creator>
				<category><![CDATA[Medical Update]]></category>
		<category><![CDATA[Wellness]]></category>
		<category><![CDATA[Cancer]]></category>
		<category><![CDATA[chemotherapy]]></category>
		<category><![CDATA[fatigue]]></category>
		<category><![CDATA[medical research]]></category>
		<category><![CDATA[omega-3s]]></category>
		<category><![CDATA[supplements]]></category>
		<category><![CDATA[weight loss]]></category>

		<guid isPermaLink="false">http://www.saturdayeveningpost.com/?p=31606</guid>
		<description><![CDATA[<p>A new study shows that fish oil supplements can help cancer patients maintain their weight, and their energy.</p><p><a href="http://www.saturdayeveningpost.com/2011/04/14/health-and-family/medical-update/how-fish-oil-can-help-cancer-patients.html">How Fish Oil Can Help Cancer Patients</a>

<a href="http://www.saturdayeveningpost.com">The Saturday Evening Post</a></p>]]></description>
				<content:encoded><![CDATA[<p>A new study finds that taking fish oil supplements counteracts muscle and weight loss that often make cancer patients undergoing chemotherapy feel fatigued and unable to continue treatments.</p>
<p>Earlier research suggests that fish oil—which contains omega-3 fatty acids such as eicosapentaenoic acid—may help patients maintain or gain muscle. To test the hypothesis, a research team led by Vera Mazurak, PhD, of the University of Alberta in Edmonton, Canada, compared the effects of fish oil with that of standard care (no intervention) on weight, muscle, and fat tissue in people newly diagnosed with non-small cell lung cancer.</p>
<p>In the trial, 16 patients took fish oil (2.2 grams of eicosapentaenoic acid/day) during initial chemotherapy treatments which lasted about ten weeks and 24 patients did not.</p>
<p>Data show that patients not taking fish oil lost an average of 2.3 kilograms (5 pounds, 1.13 ounces) whereas patients receiving fish oil maintained their weight. Sixty-nine percent of patients in the fish oil group gained or maintained muscle mass. In contrast, 29 percent of patients in the standard care group maintained muscle mass, and overall, patients in this group lost 1 kilogram (2 pounds, 3.27 ounces) of muscle. No difference in total fat tissue was observed between the two groups.</p>
<p>“Fish oil may prevent loss of weight and muscle by interfering with some of the pathways that are altered in advanced cancer,” said Dr. Mazurak. “This holds great promise because currently there is no effective treatment for cancer-related malnutrition,” she added.</p>
<p>In addition, the investigators think that fish oil may be beneficial to patients with other forms of cancer and chronic diseases that are associated with malnutrition, as well as to elderly individuals who are at risk for muscle loss.</p>
<p>Click <a href="http://www.nlm.nih.gov/medlineplus/druginfo/natural/993.html">here</a> for more health benefits of fish oil.</p>
<p>Do you take fish oil? Tell us why.</p>
<p>Article Source: “Nutritional intervention with fish oil provides a benefit over standard of care on weight and skeletal muscle mass in non-small cell lung cancer patients receiving chemotherapy.” Rachel A. Murphy, Marina Mourtzakis, Quincy S.C. Chu, Vickie E. Baracos, Tony Reiman, and Vera C. Mazurak,. CANCER; Published Online: February 28, 2011 (DOI: 10.1002/cncr.25709).</p>
<p><a href="http://www.saturdayeveningpost.com/2011/04/14/health-and-family/medical-update/how-fish-oil-can-help-cancer-patients.html">How Fish Oil Can Help Cancer Patients</a>

<a href="http://www.saturdayeveningpost.com">The Saturday Evening Post</a></p>]]></content:encoded>
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		<title>Feeling Sleepy? You&#8217;re Not Alone</title>
		<link>http://www.saturdayeveningpost.com/2010/03/17/health-and-family/medical-update/feeling-sleepy.html?utm_source=rss&#038;utm_medium=rss&#038;utm_campaign=feeling-sleepy</link>
		<comments>http://www.saturdayeveningpost.com/2010/03/17/health-and-family/medical-update/feeling-sleepy.html#comments</comments>
		<pubDate>Wed, 17 Mar 2010 13:00:04 +0000</pubDate>
		<dc:creator>Wendy Braun</dc:creator>
				<category><![CDATA[Medical Update]]></category>
		<category><![CDATA[daylight savings time]]></category>
		<category><![CDATA[fatigue]]></category>
		<category><![CDATA[sleep disorders]]></category>

		<guid isPermaLink="false">http://www.saturdayeveningpost.com/?p=19822</guid>
		<description><![CDATA[<p>The springtime shift to Daylight Saving Time cost Americans an hour of sleep—an already endangered commodity for many. Here’s why sleep matters.</p><p><a href="http://www.saturdayeveningpost.com/2010/03/17/health-and-family/medical-update/feeling-sleepy.html">Feeling Sleepy? You&#8217;re Not Alone</a>

<a href="http://www.saturdayeveningpost.com">The Saturday Evening Post</a></p>]]></description>
				<content:encoded><![CDATA[<p>Daylight Saving Time (DST) advances the clock to add an hour of sunshine to the afternoon. Getting enough sleep just might add time to our biological clocks, too.</p>
<p>“The first week of DST is not the only time to think about sleep loss,” says Dr. Ronald Chervin, director of the University of Michigan Sleep Disorders Center and a professor of neurology at U-M.</p>
<p>Even though one hour of lost sleep can make it harder to wake up and to stay alert, many people get less than the recommended 8 to 8.5 hours of sleep each night—an often hard-to-break pattern that sometimes gets its start during childhood.</p>
<p>“We generally spend one-third of life sleeping—or at least we should,” Dr. Chervin explains. “And we’re learning more and more about how that one-third has critical impact on the other two-thirds.”</p>
<p>It’s hard to find any area of health untouched by the amount (and quality) of sleep that we get. Here are some of the health problems that researchers link to chronic insomnia and sleep disorders such as sleep apnea:</p>
<blockquote><ul>
<li>Depression</li>
<li>Anxiety disorders</li>
<li>Emotional instability</li>
<li>High blood pressure</li>
<li>Heart disease</li>
<li>Colds and flu</li>
<li>Weight gain</li>
<li>Type 2 diabetes</li>
<li>Dying early</li>
</ul>
</blockquote>
<p></p>
<div style="clear:both;"></div>
<p>Dr. Chervin and his team at the UM Center for Sleep Science <a href="http://www.med.umich.edu/umsleepscience/">http://www.med.umich.edu/umsleepscience/</a> are researching the best ways to get the right amount of rest. Current clinical projects focus on aspects of sleep in newborns, pregnant moms, and Parkinson’s patients. They are also testing a new telephone-based therapy for chronic insomnia.</p>
<p><a href="http://www.saturdayeveningpost.com/2010/03/17/health-and-family/medical-update/feeling-sleepy.html">Feeling Sleepy? You&#8217;re Not Alone</a>

<a href="http://www.saturdayeveningpost.com">The Saturday Evening Post</a></p>]]></content:encoded>
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