Eating!!! by swethareddytaduru


									                                                                                                                                                    Cyan B1 magenta B1 yellow B1 black B1

The Gazette                                                                                                                                                                    Wednesday, April 7, 2010            B1

                          Health & Fitness
Fully-Alive Living:
                                        Becoming A Fool In All The Right Ways
   You've seen people like this,                                                                                                                  I don't mean to repeat a           wasn't easy, but they took that
right?                                                                                                                                         point I made last week, but if        step.
   I was in a parking lot near a                                                                                                               what we put down during the             So if you're one of those
main road in town, having just                                                                                                                 last census is true - if 2/3 of       "two-thirds of Medina County
come out of a meeting and                                                                                                                      the people in our county really       Census" people, care to join
about to run some errands.                                                                                                                     do "attend church" and are            me in following through on
The auto-pilot side of my                                                                                                                      "Christian" - then why is it          our faith?
brain began to pull my car out,                                                                                                                easier to find more people on           Might our homes actually
when suddenly I became                                                                                                                         religious auto-pilot than it is       become lighthouses in the
aware of two active figures                                                                                                                    to find those whose lives are         darkness? Could offices, fac-
who'd entered into my periph-                                                                                                                  led by Jesus in a way that its        tory lines, and classrooms
eral vision and hearing.                                                                                                                       contagiously changing our             become more than a paycheck
   "Check this out!" said one            TONY MYLES                                                                                            community?                            or a grade but a chance for us
voice.                                                                                                                                            The Bible shares about a           to make a difference in the life
   "You won't find a better deal       You've seen people like this,                                                                           high-level religious leader           of another? Is it possible for
than this!" said another.           right?                                                                                                     named Nicodemus who won-              us to love our neighbors with a
   Turning to get a better look,       There are other people in                                                                               dered what real faith looked          genuine care and concern
I saw two young men twirling        life with a different attitude      Andrew Crooks (left) and Zach Ryan were recently                       like. He saw something gen-           unlike anything they've ever
around signs that said, "$5         than Zach and Andrew.               observed overflowing with enthusiasm while earning a                   uine in Jesus, and yet for some       experienced?
Large Pizza." They were Little      They've allowed the routine                                                                                reason only wanted to talk              I'm in. And I cannot be
                                                                        few extra bucks during their spring break.
Caesar's employees, doing           they keep every day to suck                                                                                with Him at night. Jesus told         bought, compromised,
their best on a beautiful day to    the joy out of anything they                                                                               Him:                                  deterred, lured away, turned
gain the attention of drivers       do. A number of my friends                                                                                    "I tell you the truth, no one      back, diluted, or delayed. I'm
passing by (who likely were on      who have worked monoto-               • Are you a "shaker?" Does        something flighty or tempo-        can see the kingdom of God            hoping you're in, to. Let's
auto-pilot as well).                nous jobs have noted how the        your enthusiasm for some-           rary, but something significant    unless he is born again." (John       become a fool for the right
   Keep in mind, this wasn't        repetition tends to create co-      thing you believe in vibrate        and eternal.                       3:3)                                  things in all the right ways.
the first time I'd seen a pizza     workers no one wants to be          others out of their apathy?           As mentioned last week,             Do you catch the irony?
place doing something like          around, from language to atti-        • Are you a "taker?" Has          many of us want to say we do       Here's a guy so afraid to ask          Until then, see you next
this. Still, there was some-        tude.                               your cynicism for life and          but often create routines -        genuine questions about his           week… if not around town.
thing about these boys that            You've seen people like this,    anger against how stuck you         even religious ones - that work    faith in the public daylight
was different. I pulled my car      right?                              feel caused you to steal the joy    against us. On Easter Sunday,      that he comes to Jesus at               "Fully-Alive Living" offers
over and said, "You guys have          Then there are still others      out of others?                      churches set up extra chairs       night. Christ responds with a         you weekly insights to serve
the most enthusiasm I've seen       who smile a lot when they're          • Are you a "faker?" Might        and add more service times.        declaration that in order to          you in taking another step for-
in a while."                        looking your way… and it's          your desire to get ahead be         Then a week later, all those       find eternal life, one has to be      ward in matters of the heart,
   "Awesome," one of them           kind of creepy. You can tell        causing you to use people and       seats get put away until           willing to start over - which         soul, mind, body, and relation-
said. "We love our jobs!" It        they want something from            love things (instead of the         Christmas and weekly gather-       might sound foolish to some-          ships. With over 20 years of
turns out these two guys - Zach     you, and so any enthusiasm          other way around)?                  ings revert backward.              one like Nicodemus who'd              experience and advanced edu-
Ryan and Andrew Crooks -            they put forth comes off as           What caught my attention            Why is this? When it comes       "earned" a respectable title.         cation in working with people
were on spring break from           inauthentic and self-serving.       that day wasn't a clever mar-       to matters of our soul, are we        I have watched and helped          of all ages, Tony Myles and his
Medina High School. Both were       You merely represent a way for      keting plan by a local pizza        shakers, takers, or fakers?        so many people over the years         family live in Medina where he
taking advantage of the oppor-      them to get ahead.                  place. I was a witness to two         I've found that not too          take this step of faith. Even         serves as the Lead Pastor of
tunity to gain a few extra bucks       You've seen people like this,    guys who were willing to give       many people want to ask and        my own mom and dad on sep-            Connection Church.
by putting in some extra hours.     right?                              something all they had, from        answer that question. We live      arate occasions claimed a new
   Zach explained, "It's actu-         Out of these three cate-         losing their voice to running       in a culture that tells us that    starting point with God. Both                Visit Tony online...
ally a great place to work and      gories, which most represents       with genuine joy alongside of       spiritual tolerance is a greater   grew up with a knowledge                 Personal blog: http://dont
the people are great. I'm sav-      your life? Consider how the         cars.                               value than spiritual passion,      about Him, and yet each had  
ing up to try to get my own         people in your household,             Is there anything like that in    and so we click into auto-pilot    the courage to recognize that                  Leadership blog:
place after I graduate, so I fig-   workplace, classroom, or            your life you believe in so         and never really let ourselves     this knowledge needed to     
ured I might as well have fun       neighborhood would describe         much that you're willing to         look foolish about the things      become something more rela-                     Contact email:
doing it."                          you.                                look foolish about it? Not          we say we believe in.              tional and interactive. That  

Eating Disorders: Part I
   Anorexia Nervosa: Popular Culture and Body Image
   Some of you may recall the                                           for inpatient psychiatric treat-    often fasting and not eating      • Intense fear of gaining                   Co-morbid psychiatric
emaciated image of Nicole                                               ment.                               much. Despite family con-       weight.                                              conditions
Richie on the cover of several                                             Gabby described herself as a     cerns and insistence, Gabby       • Distorted view of body size             It is important to realize that
tabloids awhile ago. Of                                                 perfectionist ever since she        refused to see a health profes- and/or shape.                            people with anorexia nervosa
course, that led to speculation                                         was 6 or 7 years old. She           sional.                           • Unusual eating habits such           often have other emotional
that she may have anorexia                                              believed her parents wanted            While in the hospital, Gabby as avoiding meals, dieting,              disorders which need to be
nervosa. But is it not uncom-                                           her to be 'perfect' as she was      was found to be in poor physi-  fasting, sticking to only a few          treated as a part of overall
mon for many of our female                                              the older of the two sisters.       cal condition. She seemed to    food items, eating very small            treatment strategy. The most
celebrities, whether actresses                                          She also stated that between        be in mild heart failure, and   meals, weighing food before              common co-occurring condi-
or models, to be super-thin. It                                         her two parents, her father         she had also developed          eating, counting calories on             tions include major depres-
is not surprising, given the                                            was the most demanding.             swollen joints, anemia and dry  anything eaten, etc.                     sion, obsessive-compulsive
undue value that is placed on       DR. RAKESH RANJAN                      Around age 10, Gabby began       skin. A team of internists,       • exercising excessively.              disorder, generalized anxiety
thinness in the western cul-                                            'feeling fat'. She recalled her     dieticians, therapists and psy-   In addition to the above               disorder, panic disorder, etc.
tures.                                                                  family religiously ate supper       chiatrists provided concerted   symptoms, for somebody to
                                 and her academic perform-
                                                                        together, but often she would       treatment for several weeks     be diagnosed with anorexia                  Medical complications of
                                 ance suffered. A feeling of
    How common are eating                                               make excuses not to eat with        before Gabby began to recover   nervosa, he/she must:                            anorexia nervosa
                                 dejection set in and Gabby
             disorders?                                                 them. She also joined the           both physically and emotion-      • Weigh at least 15% below                When untreated, anorexia
                                 was suddenly thinking about
   Anorexia nervosa is one of                                           gymnastic team at school, so        ally.                           for age and height.                      nervosa can have devastating
                                 ways to end her life. Fortu-
the three most common eating                                            she could exercise regularly.                                         • Show refusal to maintain             effects on one's body. These
                                 nately, her roommate at col-
disorders in the U.S.A. The                                             She was able to hide her              So, how can we recognize      minimum normal body                      include:
                                 lege called her parents who
other two are: bulimia nervosa                                          obsession with her body             anorexia nervosa in someone? weight.                                        • Slow heart rate.
                                 brought her back home. She
and binge-eating disorder.                                              image until she was a sopho-          The following are some of       • Miss at least 3 consecutive             • Low blood pressure.
                                 was taken to her internist who
The symptoms of anorexia                                                more in high school when her        the tall-tale signs of anorexia menstrual cycles, if a female of            • Heart failure.
                                 was alarmed by her level of
nervosa appear early, usually                                           parents noticed Gabby was           nervosa:                        child-bearing potential.
                                 malnutrition and referred her
between the ages of 11 and 13.                                                                                                                                                                     See ANOREXIA, B2
In this country 1 or 2 out of
every 100 kids struggle with
some form of eating disorder.         Facing surgery shouldn’t be a confusing and overwhelming experience. That’s why it’s     advanced surgical techniques, you can heal faster and feel better. If you should
It is also estimated that 42% of      important to have all the information you need to make the right decision about          someday be faced with the reality of surgery, rest assured that in selecting
first-to third-grade girls want       your surgery. Akron General makes it possible for you to meet ahead of time              Akron General, you will have a better overall surgery experience and the expert
to be thinner and 81% of 10           with the members of your surgical team to learn what to expect before, during                  care you need. For more reasons to make Akron General your first choice
year olds are afraid of being         and after your surgery. We offer highly respected, board-certified surgeons                    and to find an Akron General surgeon who’s right for you, please visit
fat. More than 90% of those           and one of the area’s top anesthesiology departments. And with our                              and click on “Find a Doctor.”
with eating disorders are
      The story of Gabriella
   I first met Gabriella* when
she was 19 and under my care
at the psychiatric ward of a
                                                       Deciding where to have surgery? Make sure it’s
local hospital. She was admit-
ted to the hospital because she
had become depressed and
                                                                         an informed choice.
suicidal over the last several
months. At 5' 3" and weighing
just 80 lbs, Gabby believed she
was fat!
   Gabby came from a close-
knit family - her parents were
first generation Italians and
she had one younger sister,
age 16. She had just moved
from home to attend college
and had started dating for the
first time. The pressure of
school, social life and being                                                                                                                                         Two more outstanding reasons to make
away from her family for the                                                                                                                                        Akron General your first choice for surgery:
first time intensified her inse-                                                                                                                                                        Department chairmen
curity about her body image.                                                                                                                                                       Dr. Daniel Guyton, Surgery
                                                                                                                                                                                       and Dr. Lance Talmage,
Although she kept restricting
her diet and increasing her
exercise time, she remained
concerned about her appear-
ance. She became withdrawn

                                                                                                                                                   Cyan B1 magenta B1 yellow B1 black B1
B2    Wednesday, April 7, 2010                                                                                                                                                        The Gazette

                          Health & Fitness

     Th est
        t   ACUPUNCTURE
        Successfully treats a
                                                                    Balance Of Life Clinic                                        ANOREXIA                            The most important goal is
                                                                                                                                                                   to restore a healthy body
     variety of conditions & their                                  Supporting Your Commitment To Better Health
                                                                                                                                  From B1                          weight. The best approach in
                                                                                                                                                                   treatment is a multi-discipli-
          underlying causes!                                        Physician Specializing in Integrative,
                                                                                                                                     • Brittle hair and nails.
                                                                                                                                     • Dry and yellow skin.
                                                                                                                                                                   nary approach i.e. treatment
                                                                                                                                                                   team should consist of psychi-
 ACUPUNCTURE TREATMENTS $20                                         Preventive and Complementary Medicine                            • Anemia.                     atrists, therapists, internists
                 Limited Time Offer                                                                                                  • Swollen joints.             and nutritionists. The first
                                                                    Clifford M. Sonnie, M.D., M.P.H.                                 • Reduced muscle mass.        step in treatment, depending
       Dr. Nicholas Cambouris, D.C., FIAMA                                                                                           • Loss of bone density
             1930 Pearl Rd., Brunswick                                                       (increased risk of fractures).
                                                                                                                                                                   on the severity of symptoms
                                                                                                                                                                   may be hospitalization (as was
                     330-220-2001                                   3985 Medina Road Suite 250, Medina, OH 44256 (330) 764-4242    What is the Best way to treat
                                                                                                                                         anorexia nervosa?
                                                                                                                                                                   the case with Gabriella).
                                                                                                                                                                      Individual and family psy-
                                                                                                                                                                   chotherapy, cognitive-behav-
                                                                                                                                                                   ioral therapy, supportive group
                                                                                                                                                                   therapy and self-help groups

       Meet Summa Physicians
                                                                                                                                                                   are all useful.
                                                                                                                                                                      Psychotropic medications
                                                                                                                                                                   are typically not very effective
                                                                                                                                                                   in treating anorexia nervosa,

       Behavioral Health Team
                                                                                                                                                                   but sometimes selective sero-
                                                                                                                                                                   tonin reuptake inhibitors
                                                                                                                                                                   (SSRI's) may be useful.
                                                                                                                                                                      Any co-occurring psychi-

       at Summa Barberton Hospital.
                                                                                                                                                                   atric condition should be
                                                                                                                                                                   properly treated.
                                                                                                                                                                      It is known that the earlier
                                                                                                                                                                   the treatment is offered the
                                                                                                                                                                   better the long-term outcome.

                                                                                                                                                                     * Name has been changed to
                                                                                                                                                                   protect patient's privacy

                                                                                                                                                                     Next Week: Eating Disor-
                                                                                                                                                                   ders Part 2 - Bulimia Nervosa

                                                                                                                                                                      The purpose of this article is
                                                                                                                                                                   for educational purposes only.
                                                                                                                                                                   It is not intended to diagnose
                                                                                                                                                                   or treat any medical or psychi-
                                                                                                                                                                   atric issue. Dr. Rakesh Ranjan
                                                                                                                                                                   is a practicing psychiatrist and
                                                                                                                                                                   a researcher. He is a recipient of
                                                                                                                                                                   several research awards and
                                                                                                                                                                   has authored several peer-
       Alf Bergman, M.D.             Rajeev Mehta, D.O.                  Sarah Reimer, Ph.D.                  They are accepting new                               reviewed journal articles and
       • Medical Degree from Saint   • Medical Degree from Ohio          • Doctorate degree in                patients. For an appointment                         book chapters on psychiatric
                                                                                                                                                                   illnesses and their treatments.
         Eustatius/Saba School of      University College of               Psychology from The Ohio           call (800) 237-8662, ext: 234                        He is a national speaker for
         Medicine, Netherlands         Osteopathic Medicine                State University                                                                        several organizations and
                                                                                                                                                                   serves on the medical advisory
         Antilles                    • Completed Northeastern            • Specializing in health                                                                  board for the NAMI of Greater
                                                                                                                                                                   Cleveland. If you or a loved
       • Completed University of       Ohio University College of          psychology including
                                                                                                                                                                   one is experiencing any symp-
         Connecticut Psychiatry        Medicine Psychiatry                 oncology, palliative care,                                                              toms that would lead you to
         Residency Program             Residency Program                   geriatrics and                                                                          believe that there could be a
                                                                                                                                                                   mental imbalance, please e-
       • Specializing in general     • Specializing in general             general psychology.                                                                     mail your questions to Dr. Ran-
                                                                                                                                                                   jan at askthedoctor@charakre-
         psychiatry, therapy and       psychiatry
                                                                                                                                                          Each Wednesday,
         medication management                                                                                                                                     Dr. Ranjan will address some of
                                                                                                                                      these questions in this column.
                                                                                                                                                                   All contact info will be kept
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The Gazette                                                                                                                                                           Wednesday, April 14, 2010            B1

                          Health & Fitness
Eating Disorders: Part II
                                    Bulimia Nervosa: A Yo-Yo Syndrome
  If you want to learn about                                           middle of the night and                                                                               lead to life threatening cardiac
bulimia nervosa, an interest-                                          helped herself to food. Haley                                                                         complications.
ing means may be to familiar-                                          was attending a local college                                                                            • The obvious goal is to
ize yourself with the well-                                            and was a cheerleader for the                                                                         eliminate binging/purging
chronicled struggle of TV                                              football team. She was known                                                                          behavior. Behavior therapy,
celebrity Kirstie Alley. As                                            to spend a lot of time daily at                                                                       individual and family therapy
stated in part I of this article,                                      the gym. Recently, she was                                                                            (when applicable), and psy-
bulimia is one of the three                                            diagnosed by her family doc-                                                                          chotropic medications should
most common eating disor-                                              tor as having ulcers and severe                                                                       all be utilized. SSRI's (Selec-
ders in our country. Like                                              constipation. Haley had                                                                               tive Serotonin Re-upatke
anorexia nervosa, the majority                                         recently divulged to her family                                                                       Inhibitors) have been found to
of people affected with                                                that she had been using large                                                                         be helpful.
bulimia nervosa are young           DR. RAKESH RANJAN                  amounts of laxatives for the                                                                             • All co-morbid psychiatric
females between the ages of         with Kirstie Alley) which is not   past 4-5 years in an apparent                                                                         conditions should be treated
12 and 25.                          common in those with               attempt to lose weight.                                                                               concurrently.
                                    anorexia.                          Haley's parents were also con-                                                                           • Self-help groups and group
    What are the symptoms?                                             cerned about her shopping                                                                             therapy may be helpful.
   The hallmark symptoms of            Bulimic people are more         sprees, sexual promiscuity and
bulimia nervosa are two-fold:       likely to suffer from conditions   increased risk-taking behav-                                                                            * Name has been changed to
binge eating and purging.           such as bipolar disorder, body     iors. It was of great concern                                                                         protect patient's privacy
Binge eating consists of con-       dysmorphic disorder, impulse       that she had recently con-
suming an enormous amount           control disorders and sub-         tracted genital herpes as well.                                                                         Next Week: Eating Disorders
of food in one sitting. Purging     stance abuse disorders than           Upon thorough evaluation                                                                           Part 3: Kids
consists of an attempt to get       those with anorexia.               of Haley, she was diagnosed
rid of eaten food shortly after                                        with bulimia nervosa and                                                                                 The purpose of this article is
consuming it with various              Is bulimia common only          bipolar disorder. She was                                                                             for educational purposes only.
means. These include self-             among actresses/models?         placed on a mood stabilizer                                                                           It is not intended to diagnose
induced vomiting, use of laxa-         Not at all. Mental health       and referred to a nutritionist                                                                        or treat any medical or psychi-
tives or water pills (diuretics),   professionals treat a good         and a therapist. Her family                                                                           atric issue. Dr. Rakesh Ranjan
excessive exercise etc. This        number of ordinary people          doctor was notified about the                                                                         is a practicing psychiatrist and
pattern of behavior is known        who have bulimia. One of           need for regular medical
                                                                                                                                                                             a researcher. He is a recipient of
as the binge-purge cycle.           these people I treated was         check-ups. She was promptly
                                                                                                                                                                             several research awards and
                                    Haley* who, at the age of 22,      given treatments for ulcer and
                                                                                                                                                                             has authored several peer-
     Anorexia vs. bulimia           was brought to me by her par-      genital herpes.
   For the sake of proper           ents. Haley was apparently                                                                                                               reviewed journal articles and
recognition and treatment of        having significant mood                  Are there any medical                                                                           book chapters on psychiatric
these two eating disorders, it is   swings and fleeting suicidal          complications of bulimia?                                                                          illnesses and their treatments.
important to understand the         thoughts. Around age 13, she          Like anorexia, bulimia can       • Stomach ulcers.               addressed first.                  He is a national speaker for
similarities and differences        began having extreme fluctua-      lead to several medical com-        • Pancreatitis (swelling of        • Any serious medical com-     several organizations and
between the two.                    tions in her weight. Her           plications, some of which can     pancreas)                         plications such as irregular      serves on the medical advisory
   The common threads               mother recalled that during        be life threatening. These          • Chronic constipation.         heart beat and/or heart failure   board for the NAMI of Greater
between anorexia and bulimia        the past two years, Haley's        include:                            • Electrolyte imbalance.        need to be treated immedi-        Cleveland. If you or a loved
include an intense fear of          dress size had fluctuated             • Damage to teeth.               • Irregular heartbeat and/or    ately. This may require hospi-    one is experiencing any symp-
gaining weight, purging and         between 8 and 20. Her family          • Damage to and swelling of    heart failure.                    tal admission.                    toms that would lead you to
sometimes compulsive exer-          had noticed that she would go      inner lining of the esophagus       • Deaths.                          • A thorough medical work-     believe that there could be a
cising.                             from not eating much to eat-       (a tube that connects mouth                                         up is essential. This must        mental imbalance, please e-
   Anorexic people are almost       ing large quantities of food.      to stomach).                      Treatment of bulimia nervosa      include a physical exam, lab      mail your questions to Dr. Ran-
always underweight while            Her brother, whose bedroom            • Swelling of parotid glands     • The first step is a proper    tests, EKG, etc. Low potas-       jan at askthedoctor@charakre-
those with bulimia tend to be       shared a bathroom with             (glands that make saliva) near    diagnosis including any co-       sium is common among     Each Wednesday,
normal weight or overweight.        Haley's, would frequently hear     cheeks. This can produce a        morbid psychiatric conditions     bulimic patients (especially      Dr. Ranjan will address some of
   Those with bulimia tend to       retching sounds in the bath-       'chipmunk face' which has         and medical complications.        those who engage in self-         these questions in this column.
have significant fluctuations in    room shortly after Haley had       been associated with long-          • If substance abuse disor-     induced vomiting) and should      All contact info will be kept
weight (as has been the case        gone to the kitchen in the         term bulimics.                    der exists, that needs to be      be treated promptly as it can     confidential.

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The Gazette                                                                                                                                                                         Wednesday, April 21, 2010                   B1

                            Health & Fitness
Fully-Alive Living:
                                                                                  There is Hope
   The title of this article is like                                         this, which is perhaps why          thing seemingly more noble,          each other and so there was a        ing a 50th wedding anniver-
profanity, isn't it?                                                         what happened during the            like building our lives around       moment of awkwardness, yet           sary who says, "Yeah, we made
   It seems like people are                                                  service was so powerful. Sup-       our kids. Yet when those kids        we all did it - not because I'm      it 50 years. Years 13-17 were
more afraid to say that phrase                                               portive people from all walks       grow up the "empty" part of          a charismatic speaker but            horrible, and we thought it
out loud than they are to curse                                              of life filled chairs, stood        an "empty nest" is realized by       because every one of us in that      was going to fail, but we hung
like a sailor (my apologies to                                               against walls, and sat in an        parents who never invested           room knew something to be            in there." What in life is horri-
any sailors). Marriages are on                                               overflow area with a video          into their their own souls.          true in that moment.                 ble now but has the potential
edge, people we love are sick,                                               feed. We all went one-on-one           There is hope.                       There is hope.                    to be talked about in that way
jobs seem questionable, past                                                 with the same reality - "one           Hope isn't located in                Prior to that moment many         years down the road? Espe-
mistakes haunt us, relational                                                out of one people die," no          another person, yet another          were stuck in the quiet vac-         cially if you allow God to place
issues appear unsolvable, and                                                matter how much success we          person can help us locate            uum of their shock or a cycle        His hand on your shoulder.
                                            TONY MYLES
the list goes on.                                                            achieve or stuff we buy.            hope. I'm still on my honey-         of hot tears. On the heels of           Is it time to get healthy spir-
   "There is hope?" Can you                                                                                                                           the song Amazing Grace,              itually in order to gain this
say it? Can you even conceive          the possibility of anything                                                                                    though, we all stood for that        perspective? I'm not talking
it?                                    hopeful.                                                                                                       moment of touch without              about belittling that to an
                                          I find it intriguing that most                                                                              reserve. It was as if that tactile   hour of religion a week, but
  The movie The Shawshank              people forget the lines that                                                                                   senation of another person           about going one-on-one with
Redemption follows a 1940's            come before that famous                                                                                        invading our space reminded          a daily truth you can't ignore
man falsely accused of double          movie quote. Just after the                                                                                    us that we live in a much big-       any longer. You'll need to
murder and sentenced to life           lead character subversively                                                                                    ger Story than we usually rec-       become humble enough to
in prison. While he quickly            broadcasts four minutes of                                                                                     ognize.                              confess your need for itand
adapts to the mechanics of             beautiful music over the                                                                                          Speaking of that Story, the       believe that it's out there (even
prison life, his enduring spirit       prison's P.A. system, he's sen-                                                                                chapter we're currently in isn't     if you can't fully see it), but the
and perspective inspire the            tenced to time "in the hole."                                                                                  God's ideal. The original plan       payoff is that God will help
inmates. One famous quote              He later tells his fellow                                                                                      of creation didn't include           you live life from the inside-
many people remember from              inmates:                                                                                                       words like "cancer" and              out instead of the outside-in.
the movie comes from an                   "I had Mr. Mozart to keep me                                                                                "divorce." Yet after humanity           I'd love to help you if you're
older character named Red:             company. [taps his head] It was                                                                                rejected that gift and the One       interested, because there is
  "Let me tell you something,          in here. [gestures over his heart]                                                                             who gave it to us, we now live       hope.
my friend. Hope is a dangerous         And in here. That's the beauty                                                                                 "in the meantime" where pain
thing. Hope can drive a man            of music. They can't get that                                                                                  is real… but not the last word.       Until then, see you next
insane. It's got no use on the         from you… here's where it                                                                                      Jesus said:                          week… if not around town.
inside. You'd better get used to       makes the most sense. You need                                                                                    "I have told you these things,
that idea."                            it so you don't forget… that                                                                                   so that in me you may have              "Fully-Alive Living" offers
  If you've tasted bitter set-         there are places in the world                                                                                  peace. In this world you will        weekly insights to serve you in
backs in life, you may feel this       that aren't made out of stone.                                                                                 have trouble. But take heart! I      taking another step forward in
way. Some consider holding             That there's somethin' inside                                                                                  have overcome the world."            matters of the heart, soul,
out hope, only to feel intimi-         that they can't get to; that they                                                                              (John 16:33)                         mind, body, and relationships.
dated by the risk and faith it         can't touch. It's yours… hope."                                                                                   Whether you buy into Christ       With over 20 years of experi-
requires. It's easy to pull back,         Can you say it yet? "There…                                                                                 or not, I do know His promise        ence and advanced education
not wanting to put effort into         is… hope."                              The little blanket we wrap        moon with my bride of 16             is true and what you're experi-      in working with people of all
something you ultimately                  This past week I served a          around ourselves that says "I       years, but I know that my wife       encing today doesn't have to         ages, Tony Myles and his family
believe isn't going to change.         family in our church who              control everything in my            can't complete me. However,          be where the story ends. Real        live in Medina where he serves
  Isn't that why divorce hap-          experienced a sudden loss. A          world" can get pulled away at       she can (and does) remind me         hope doesn't depend on cir-          as the Lead Pastor of Connec-
pens? Or why suicide occurs?           life is now gone, and a good          any moment.                         of a larger reality than what        cumstances changing but on           tion Church.
Or why people of all ages drop         friend of mine now faces the            Of course, when the funeral       I'm experiencing.                    you finding a way to change
out of school? Or why we turn          task of helping his two kids          ends we often move back into          I saw this happen among            even if circumstances don't.               Visit Tony online...
to a substance to make us feel         understand life without their         making life all about the iPad,     people attending the funeral,        Jesus did that in me years ago         Personal blog: http://dont
"different" in some way…               mother.                               another financial portfolio         too. Toward the end of the           when I recognized the differ-
even if only for a half-second?           There is hope?                     achievement, our home, a            service, I had a leading to ask      ence between religion and a                  Leadership blog:
  Somehow we blindly buy                                                     compliment on how we look,          everyone to stand and place a        relationship, and He can do it
into the idea that what's hap-           No words seem adequate in           or more pop culture entertain-      hand or arm on someone next          in you, too.                                  Contact email:
pened to us is more real than          horrible circumstances like           ment. Sometimes it's some-          to them. We didn't all know             Picture an older couple hav-

Eating Disorders: Part III
           Children and Adolescents: Much to Worry About
   When it comes to eating dis-                                                 • Inexplicable heartburns.       problem.                             are the same as those                illnesses and their treatments.
orders and our youth, the                                                       • Dramatic fluctuation in           • Mobilize your resources by      described for treatment of           He is a national speaker for
trend is alarming. They are                                                  weight.                             talking to and consulting the        adults in the preceding parts        several organizations and
being diagnosed at a much                                                       • Undue preoccupation with       family physician, teachers,          of this article.                     serves on the medical advisory
younger age and more often.                                                  exercise/food                       clergy and close relatives.             NEXT WEEK: The Mind of a          board for the NAMI of Greater
It is estimated that about 1%                                                type/calories/body size etc.           • Have the child/teen evalu-      Sexual Predator                      Cleveland. If you or a loved
of teenage girls have anorexia                                                  Parents should also bear in      ated both medically and psy-            The purpose of this article is    one is experiencing any symp-
while 5% have bulimia. About                                                 mind that kids with eating dis-     chologically/psychiatrically.        for educational purposes only.       toms that would lead you to
42% of first-to-third graders                                                orders tend to be perfection-          • Address psychological           It is not intended to diagnose       believe that there could be a
want to be thinner. And about                                                ists and with low self-esteem.      issues e.g. low self-esteem by       or treat any medical or psychi-      mental imbalance, please e-
46% of 9 year olds and 81% of                                                                                    being supportive and/or              atric issue. Dr. Rakesh Ranjan       mail your questions to Dr. Ran-
10 year olds report fear of get-       DR. RAKESH RANJAN                         Medical consequences of         involving a therapist.               is a practicing psychiatrist and     jan at askthedoctor@charakre-
ting fat. The earliest diag-                                                     eating disorders in youth          • Establish a healthy eating      a researcher. He is a recipient of Each Wednesday,
nosed case of anorexia stands          to be genetic or biological              Theses could be devastating      lifestyle for the whole family:      several research awards and          Dr. Ranjan will address some of
at age 4.                              which is the case with most           and in cases of anorexia and        this should include better           has authored several peer-           these questions in this column.
   Eating disorders have also          neurobiological disorders.            bulimia, include:                   choice of foods, at least three      reviewed journal articles and        All contact info will be kept
become more common                     Most eating disorders seem to            • Delayed or arrested            balanced meals a day, eating         book chapters on psychiatric         confidential.
among boys, ethnic groups              run in families. However, fam-        puberty.                            together, parental determina-
other than whites and lower            ily dynamics (e.g. how family            • Delayed breast develop-        tion of daily menu (child/teen
socioeconomic classes. About           views thinness or eating              ment (girls).                       should determine the portion)
10% of all young people with
eating disorders are now boys.
Five percent (5%) of those
                                       habits), sociocultural issues
                                       (e.g. pressure to be thin) and
                                       psychological factors (e.g. low
                                                                                • Growth retardation
                                                                                • Decreased muscle and
                                                                             bone mass.
                                                                                                                    • Establish an active lifestyle
                                                                                                                 for the whole family: this
                                                                                                                                                               Get Some Spring
                                                                                                                                                                In Your Step!
with anorexia, 15% of those            self-esteem, poor body image             • Decrease in blood pressure     should include regular but
with bulimia and 35% of those          etc.) all play important roles.       and heart rate.                     modest exercise, avoidance of
with binge eating disorders are                                                 • Irregular heart beat           excessive sedentary activities
boys.                                       Warning signs of eating             • Electrolyte imbalance          e.g. watching T.V. or playing
   Eating disorders also cause                  disorders in youth              In contrast, kids/teens with     video games, family physical
                                                                                                                                                              To see how we can add some spring to your step,
significant medical morbidity             It is clear that the earlier the   binge eating disorders may          activities e.g. walking, jogging,                 please visit
in young people. In this con-          treatment begins for eating           develop (due to excess weight)      etc.
text, the third most common            disorders, the better the out-        the following:                         • Create a supportive and
chronic illness in adolescent          come. So, early detection is             • High cholesterol and           cohesive family environment:
females is eating disorders.           crucial. However children and         triglycerides.                      this should include doing non-
   Finally, almost 87% of all          adolescents are very adept at            • High blood pressure.           physical activities together e.g.
diagnosed with eating disor-           hiding their symptoms for                • Atherosclerotic heart dis-     reading, refraining from com-
ders in this country are               years. Parents are usually the        ease.                               menting on child's/teen's
younger than 20.                       first people to notice any indi-         • Diabetes.                      weight or shape, listening,
                                       cation of an eating disorder.                                             promoting healthy communi-
   Types of eating disorders              Now, besides the obvious              What are the other risks?        cation, encouraging expres-
  The most common types                behaviors associated with eat-           Like adults, kids and teens      sion of feelings, promoting
include anorexia nervosa,              ing disorders, the following          with eating disorders are more      self-worth of child/teen etc.
bulimia nervosa and binge              may serve as the 'red flags' if       likely to suffer from mood dis-        • Examine and adjust (if
eating disorder. We discussed          your child or teen has an eat-        orders, anxiety disorders, sub-     needed) your attitudes
the symptoms of the first two          ing disorder:                         stance abuse disorders, body        towards eating, body weight
disorders among adults in                 • Inexplicable dizziness or        dysmorphic disorder etc.            etc. Remember your                                                                             MEDINA COUNTY
parts I and II of this article.        weakness.                                                                 child/teen will most likely                                                                   Reader’s
The symptoms are very similar             • Chronic constipation.                 What to do when your           model after you                                                                                 Choice
in young people.                          • Intolerance to cold e.g. fre-     child/teen has warning signs                   Treatment                   DRS. JOE &                                           BEST
                                                                                                                                                                                                                 of the
  Binge eating disorder is a           quent flu-like symptoms.                    of eating disorders?             Again, to re-emphasize, the
condition in which a                      • Declining school perform-           The most important thing         earlier the treatment is started,
                                                                                                                                                         LISA HERBERT                                         BEST
child/teen engages in devour-          ance                                  for parents to realize is that it   the better the long-term out-
ing a large amount of food in a           • Inexplicable mood                will not get better on its own      come. As in adults, treatment
short period of time, but does         changes                               and that your child/teen will       should be provided by a multi-
                                                                                                                                                                    1329 High St. (Rt. 94)
not engage in purging.                    • Undue hyperactivity.             not be able to 'will it away'.      disciplinary team consisting of                  Suite 109 Wadsworth, OH 44281
  What causes eating disor-
ders in our youth?
                                          • Frequent nightmares.
                                          • Inexplicable dental prob-
                                                                                Here is what to do:
                                                                                • The first step is to gently
                                                                                                                 family physician, psychiatrist,
                                                                                                                 therapist, dietician etc. Vari-
  The overriding factor seems          lems.                                 talk to child/teen about the        ous components of treatment                    

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