Make the most of a morning

 Do you tumble out of bed, your hair knotted up and stuck to your face...or do you spring into action, moments before the alarm sounds, in a way that would make any early bird jealous?  

Morning may not be our favorite moment in the day, but when we harness the power of the first light of day, we find that things just work out better than those times in which we stumble about, trying to coax our eyes to open. 

How can we make the most of the morning?  Here are our favorite top ten tips...

1. The morning actually starts the night before...that's right.  Plan a strong day. Prioritize the things you need to do the following day.  Be realistic in what you can reasonably accomplish.
2. Wake up before the rest of the family.  Give yourself plenty of time to get yourself ready for the day before you chase around the house, finding lost socks and lunch boxes. 
3. Even before you get out of bed, stretch your body.  Get the blood moving.
4. Don't let social media be the first thing you set your eyes on.  Spend a few minutes to meditate, read something inspiring or write a journal entry of gratitude. 
5. Make your bed.  We've heard this plenty of times but have you tried it?  It really does help to start the day organized and tidied up. 
6. Practice mindfulness.  It's easy to allow ourselves to feel overwhelmed with the tasks at hand but staying present, especially as we help our kids get ready for school, will keep the start of the day on an even keel of calm. 
7. Share a healthy breakfast with the family.  Have you heard the old adage...Breakfast like a King, Lunch like a Prince and Dinner like a Pauper?  Breakfast really is the most important meal of the day and more healthy nutrients you can pack in for your morning meal, the better you will feel. 
8. Get a little exercise.  You don't have to train for a marathon but a simple walk around the block or 10 minutes of yoga is all it takes to set you up right for a successful day. 
9. Connect with family and friends.  A quick text or email can go a long way.
10. Start your prioritized list of things to accomplish.  If it helps a wandering mind, set a time limit for each task.  It will help you work more efficiently. 

What are some things you have found to help you get your day started in the best way possible?

So you're going to have a baby

Oh, those first few days upon finding out you are expecting are often filled with a myriad of emotions from excitement to trepidation.   Where do you even start on this journey to motherhood? 

The good news is, you have Madison Women's Clinic!  We've got you covered with every change your body will go through over the next several months.  So, the first thing to do is call our office and schedule your first OB appointment.  Our friendly staff will get you well prepared for this first visit.  You can even visit our website and try out our Due Date Calculator!

As you wait for your first appointment, start taking a mental inventory of your current health status.  Are there changes you need to make in your daily habits?  If you smoke or drink, start by eliminating those habits and any others that may harm your unborn child.  Take a good hard look at your diet and see where you can add in more unprocessed, healthy foods. This is the best time to prioritize your sleep.  Making sure you get ample rest is vitally important for your own health and the health of your child.  Your body is already providing energy and nutrition for not one, but two!  It's common at this stage in your pregnancy to feel extra tired and even nauseated.  

Once you get your first appointment under your belt, you will see that there are a few important dates to mark on your calendar...

• At 10 weeks, you will have your first ultrasound.  This is done in the office with one of our great Ultrasound technicians. 
• 12-18 weeks, initial blood work will take place and typically, your first exam with one of our providers.  Of course, this date can vary with each woman and if you have concerns prior to your first exam, make sure you call and speak to one of our nurses to receive individualized care and a treatment plan that works best for you. 
• 20-22 weeks, another ultrasound.  This is typically when you will find out the gender of your baby. 
• 26-28 weeks, the dreaded Glucola drink and a Hemoglobin check.  It's really not as bad as it's made out to be.  It takes a little time, so plan on that.  We just want to make sure your blood sugar is stable and you have the healthiest pregnancy you can. 
• 35 weeks is screening week.  Now is the time to check for Group B Strep.  Group B Strep is a bacteria that can be found in the genital track.  To an unborn baby, it can cause pneumonia or meningitis in newborn babies but not to worry, it's preventable and that is why we screen for it early. 
• 38 weeks til delivery, we begin vaginal checks and make sure the baby is in a favorable position for delivery. 

Throughout your pregnancy, make sure you are eating foods that are rich in nutrients and supplement with Vitamin D and Folic Acid as these are vital in your baby's developing health.   Make sure you remain active, of course, check with your doctor and discuss any exercises or sports you want to participate in.  The recommended amount of exercise for a pregnant woman is 30 minutes a day for 4 days a week.   Again, visit with your doctor about exercising as each woman has specific needs. 

One thing we know you'll love about Madison Women's Clinic are our nurses!  They are there to answer any questions or concerns you may have between appointments and they are on call 24/7 so you will never be left with a worry of problem that leaves you without help or advice.  We love our patients and we take every measure we can in order to gain your trust and care!  

So, give us a call!  We can't wait to share in the good news of your pregnancy! 

Creating Reality

"Within the privacy of our own consciousness -- in the theater of our mind -- we create our own sense of reality, which we inhabit as our role in the great drama of life. It is a complex structure, like a skeletal system for our consciousness."   Judith Johnson

This is an interesting topic that warrants a closer look.  How much of the world in which we live, has been created by our minds?  For good or for bad, the mind is a powerful thing. Every minute of every day we make judgments in how to navigate the day; the world.  We have to in order to survive, but how do we keep ourselves from making errors in judgment?

While we clearly aren't the experts on this topic, there are some common sense things we can consider.  The reason this is so important is because the effect our thoughts have on our mental wellness.  Every day in the clinic, we see you facing your mountains of adversity, fighting against depression, anxiety, addictions and many other coping strategies we adopt to get by in this frantic world of information; a world in which news ceases to exist and in its place, we read about what ifs and maybes, even could bes. 

Neuroscientists  have studied the brain in countless ways and have determined that repetitive thoughts form neural pathways in which the neurons become linked together, thereby strengthening the thought.  When have the same thought over and over, it becomes a pattern in our thinking...our go to thought.  If we never challenge the debilitating and negative thoughts, they continue to gain traction in our minds.   It's the thought process that molds a person, a family, a community and so forth. 

The good news is, we can change those pathways and in so doing, change our experience and reality.  

Here are some simple ideas to change the thoughts in your brain that no longer serve you well.

•   First, ask yourself if the thought is true.  Is it 100% true and can you know for sure it is true. 
•   Is the thought authentic and meaningful for you?   Just because everyone is thinking it, doesn't mean you should too. 
•   Be careful where you spend your time.  If negative people impact your thoughts, avoid the negativity by lessening your exposure.  The same holds true for social media and news outlets. 
• Decide on some healthy boundaries. 
• Focus on the things you know to be true. 
• Reframe the situation to focus on the positive parts.  There are several perspectives to take for any one situation, explore your options. 

I love the story of the farmer...

"An old Chinese farmer saved up small amounts of money over a year to buy a new horse. Just a day after the farmer bought the horse, it ran away. His neighbour expressed grief, but the farmer himself was calm. “I hope you can get over this bad news” said the neighbor. “Good news or bad news, can’t say” replied the farmer.

The next day, the horse returned to the farmer’s house by itself, and brought another stray horse with it. “Cheer up, we’re going to multiply our farm income. That’s great news” said the farmer’s son. “Good news or bad news, can’t say” replied the farmer and carried on with his work.

A week later, the farmer took the first horse to his farm and his son took the second horse to follow his father to work. On the way, the second horse pushed the boy down and ran away. The boy’s leg was fractured badly. That evening back home, the farmer’s wife groaned “We will have to spend all our extra savings on our son’s broken leg. What a terrible news”. Once again, the farmer replied: “Good news or bad news, can’t say.”

A month later, the farmer’s King announced a war on the neighboring nation. Citing a lack of foot soldiers, the King ordered all able-bodied men in the nation to get drafted into the military without excuses. The farmer’s son was spared because of his broken leg. Later, the inexperienced soldiers got slaughtered in the war. “You are lucky that your son did not get drafted. Mine returned with severe injuries. Many have been handicapped or killed” complained the farmer’s best friend. Unabashed, the farmer responded: “Good news or bad news, can’t say”.

Life can take on so many different meanings and as humans, we rush to put meaning on things faster than we should for our own good.  One of my favorite techniques to control my thoughts is to allow a situation to simmer in my mind for a while before passing judgment on a thing.   Often, I find that the thought I would normally have is much worse than what really happens.  

If you are a person prone to depression or anxiety, this is a good thing to work on.  It's not a band-aid, but a tool, just one of many we can use to help us get through these difficult times. 

Supporting Our Children

It's been a rough year in case you hadn't noticed!  Whew!  Everyday presents itself with a new challenge to adapt to, and overcome.  We are still trying to thrive in a time of pandemic and uncertainty.  And while we can all agree that this may very well be the hardest thing, or one of the hardest years we have been through, we sometimes forget about the children and the impact the world has on them.  

Children have had to regroup just as many times as we have and in many ways, it can seem that they 'go with the flow' much easier than we do.   As long as they are off playing cheerfully in the backyard with their new set of imaginary friends...ya know, since social distancing is in Vogue...we think they are just fine. 

Children have a brain that is still in various stages of development, something the National Institute of Health refers to as Brain Architecture.  This leaves them susceptible to environmental adversity.  They are experiencing interruptions in their social connections, education,  physical and mental care, and many children are living in situations of poverty due to the shut downs and losses experienced by their caregivers.  They witness firsthand the stress of their caregivers and those around them who speak openly about their own anxieties.  Children just don't have the nervous system to self regulate and this is something that as adults, we often overlook. 

In just a few days, our kids will most likely be heading back to the classroom.  It will look much different than it ever did, and for some with more fragile emotional systems, it could very well create some trauma for them.  So, how do we help them adjust and give them tools to have a safe and enjoyable year, as close to normal as possible? We can help all children whether we are a mother, aunt, friend, or neighbor.   

• As the responsible adult, we need to get our own view of the world in which we live in check.  If we are scared or anxious, our children will recognize that.  We set the tone for the day. 
• Listen to them, not just their words but watch their behavior.  Humans tend to battle fear with angry outbursts and insecurity.  Its important to listen to what they aren't saying! 
• Ask what their concerns are for the upcoming school year.  Validate each point and instead of lying or sugar coating their fears, admit when you just don't know the answer.  Let them know you will do your best to advocate for them in the best way you can. 
• Work together on a plan to thrive.  Kids are smart and if we stopped to ask for their input and suggestions, we may actually find a better way. 
• Empower them in their own process of making decisions.  This is a great opportunity to teach them about critical thinking. When they get to make some of the decisions, the outcomes are typically more favorable and there is less acting out. 
• Give them the tools they need to feel safe going out in the world. Teach them about realistic hygiene goals, not obsessive thoughts.  Remember we need some healthy bacteria to keep us safe.  Too much of a good thing is still too much. 
• Help them understand what the new school is going to look like and get their feedback. What scares them about the new plan for education. 
• Create healthy spaces and activities for kids to decompress from the world.  This includes limiting their exposure to social media. 

These are challenging times and we recognize the difficulties each family in our community faces, and they are different for everyone.  These are only ideas that you can develop further for your own unique set of circumstances, and there are so many other ways to help our children.  Hopefully, this gets us thinking and preparing for the new frontier we will soon be facing.   As providers in the medical community we strive to add our support and compassion during these times.  We know the weight of the burdens you carry. 

A 15 Day Challenge

We are no strangers to daily challenges.  Currently, on any given social media feed you can find the Push Up Challenge for Veterans.  The 15 day Post a Picture of your Graduate.  The 15 day picture post for Grandmas...The Ice Bucket Challenge for ALS was wildly successful and popular...What about a challenge for our mental health?

Who's ready for this challenge?  It might be hard...I guess that's why they call it a challenge!    Mental Health often has a negative connotation and can feel almost shaming.  It can makes us feel weak and vulnerable that we just can't handle life.  That is a false!  Mental Health is not about our flaws but about the ways we can become strong...just like going to the gym or eating our fair serving of vegetables!  Let's flip the way we think about the health of our psychological and emotional parts.  When we connect our mind and body, we can really become a well oiled machine! 

Here we go... Our 15 Day Mental Health Challenge

1. Just breathe...I know we do it without thinking all day, but today, breathe while thinking about it.  Breathe deeply in and let it out slowly. Feel the calming rhythm.  As you let it out, imagine the weight on your shoulders getting lighter and lighter.  Breathing is pretty cool when you are actually aware of it! 
2. Focus on the moment.  Don't spend day two living in yesterday or borrowing worry from tomorrow.  Just be in whatever you discover this moment holds. 
3. Create a musical playlist that calms you, energizes you, invigorates you, empowers you...whatever it is you need.  Play that music...May I offer some suggestions?  The long flowing measures of Bach help slow your anxious mind.  The excitement of Mozart will energize us and excite the waves of the brain to wake us up.  Whatever rhythm you surround yourself with, your body will adjust to. 
4. Move your body...stress anxiety tends to get stuck in our minds...move it on through by moving your body.  Engage in a little dance off in the kitchen with your kids.  Take up Yoga or simply go for a walk. 
5. Create a quiet corner.  Sometimes, all we really need a little moment of peace and quiet.  Find such a place and claim it as your quiet place where you can refuel your mind and set down the burdens you carry. 
6. Connect with a trusted friend.  Sometimes, in the hustle of living, we let go of the most important connections we have in lieu of other more pressing tasks but certainly less important.  Re-establish those healthy connections.  Being isolated is hard on us and creates undo stress. 
7. Start a gratitude journal.  Don't just name the things in life you grateful for, write them down. Things are so easily and quickly lost in our brains.  When they are written down, they can be easily reviewed on the days when everything seems to be going wrong. 
8. Write down all the ways you can grow regardless of your the situation that surrounds us.  Shifting your perspective is a valuable tool we often neglect. 
9. Step away from social media, news, tv and anything else that distracts you in unhealthy ways.  Have you ever noticed a 24 hour absence from social media results in nothing?  You literally miss nothing!  
10. Discover a new hobby.  Find a way to be creative.  Did you know that creativity resides in the same area of the brain as anxiety?  Hmmm...maybe all that worry and wonder just needs an outlet to create. 
11. Practice setting and keeping healthy boundaries.  For some people pleasers, this may come as a surprise but the word NO, can actually be a complete sentence.  Now, if you need to, you can add "No, thank you." or "No, not today."  but you don't have to say 'NO' and follow up with any kind of explanation.  Like most things, this is easier said than done but just for today, practice it a little.  
12. Go to bed an hour early.  For reals...don't say your going to bed and then finish your ToDo list on the way.  Just go to bed.  
13. Select a new mantra or inspiring quote or thought.  Post it in a place where you will be reminded of it daily. 
14. Make a list of all of your accomplishments that make you proud.  It's easy to forget how far we've come.
15. Ask for help.  A good mental health practice is understanding that we weren't created to be islands, merely existing alone.  We were meant to be together.  If you are struggling to find your emotional footing, ask for help.  This is a positive move and should be the first thing we consider when we find ourselves a little bruised or even a little broken.  Reach out.  Don't suffer in silence. 

We hope that something on this list finds it's way to your life and it provides you with at least a moment or two of respite.   We need one another, now more than ever. 

The Stress is Real

I remember, some time ago, visiting the doctor for a laundry list of ailments that had finally begun to get the best of me.   All I really wanted was to grab my fist full of prescriptions, you can almost always count on, and go about my day with the renewed hope that relief was just a small pill away.  

Imagine my disgust when the doctor chalked it all up to stress!  "That's impossible!  I'm not that stressed!"  "Okay, maybe stress can account for my increased blood pressure but c'mon..." I left with a prescription to handle my stress before it handles me.  If I'm being honest, that really stressed me out. 

It also made me mad and I'm sure I rambled on in my defense, even to strangers, about what a cop out that was because clearly, something was very wrong with me and I had been so quickly dismissed.  

Stress...

The truth is, that doctor was right.  It's only been some years later that the evidence of a stressful life is littered across my medical chart. 

Today, you would be hard pressed to find a soul who isn't stressed with the current trends of angst around us.  The world is groaing under the loads and demands of politics, pandemics, prejudice, pride and privilege.  We are connected and disconnected in ways we have never been before.  Friends and family share opinions we never knew existed in their now passionate hearts, for whatever cause they deem useful.   We feel the collective stress, whether beyond the edges of the tumult or, in the heart of the matter, or heading back under the rock we wish to inhabit.  There is no escaping, even a sliver of the upheaval, and that is stressful. 

So, how do we handle this real stress before it handles us?  There are the obvious, pat answers...improve your diet, get some exercise, breathe deeply, get more sleep.  Those are valid and helpful, but perhaps there is more to it. 

Just like my response to the doctor when things didn't go my way, our first instinct when trouble arises and the stress load builds, is to defend.  We defend our truth.  We defend our views.  We claw our way out of misunderstanding.   That's just it...as humans we want to be seen.  We want to be heard.  We want to be understood.   Looking back at the interaction with my doctor, he listened closely to my concerns, he evaluated each problem,  he made a full assessment of my health. He didn't just dismiss my concerns as I had perceived at the time...  He listened, he didn't just rewrite my story of pain for a more elusive one called stress.  

Perhaps being defensive only contributes and adds to the stress of any situation. 

What if, instead, we became more accessible to the people around us?  What if we stopped for a moment to hear our children or our spouse, roommate, friend; witness their perspective, their reality.  What if we just started there, in our own circles of influence?

What if we stopped to listen and understand before rewriting the story of someone else. 

What if our behavior was more intentional than reflexive?

What if we gave more people the benefit of the doubt?

What if we spent more time in service to our family, our neighborhoods, our community to create good things instead of idly complaining about the bad?

As humans, we are oriented to recognize threat.  From the beginning of time, we were programmed to fight or flee.  Stress is a teacher of nature and it takes effort to respond to it in a way that preserves our good health but it is possible and benefits are life saving. 

What if we were the safe place to harbor the stories of those around us? 

What if we could focus more on the good things we have?  

What if we could use our words to let those around us know that we need more love, attention; more witnessing that what we are dealing with is hard.  We don't always need someone to fix the things that are wrong but we always need to be heard. 

What if we could see more clearly, that anger comes from hurt?   What if we could see more clearly that we all just want to feel safer in this little, big world that has felt like it is closing in on us all year?

What if this is how we managed our stress and took care of ourselves and others?  What if it really was this simple...?

We all have within us the capacity to be kind and compassionate.  Finding the good around us has a calming effect.  Stress is a familiar problem but we can see it in a new way if we are open to a changed perspective. 

We aren't just at the mercy of this angry world, though that is often how we feel.  Most days, it feels bigger than any small thing we can do, but don't give in to that notion.  There is much we can do to ease the discomfort for ourselves and those around us and save us from the stress we have been enduring thus far this year.  

At Madison Women's Clinic, we are here to help you through these very difficult times.  We too feel the demands of the culture in which we live. No one should suffer alone. 

When you know, you know.

When was the last time you heard a woman say, she just knew she was done having kids and you felt a little anxious because you bounce around the idea like a pinball at the nickel arcade?

Some women just know when they are done having children but that isn't all women.  For some, it really is a decision that doesn't come easily or to rest in your mind, just because your best friend wants nothing more to do with snotty noses and 2 AM feedings.  If there is anything to be learned, it's to master the art of not worrying about everyone else and what's hot or not and worry about you.  The decision to have a child or not is so utterly private and personal it belongs within the archives of your own heart and mind. 

Consider your level of satisfaction with the family you have.  Sometimes the noise of the world makes it impossible to feel anything but rushed and less than.  Spend some time in quiet thought while you consider where you are in life, where your family is.  Do you feel a void in your family or is there a feeling of contentment?

Sometimes, it's not a decision that needs to be made right now, today.  Take it one day at time.  Let the time frame be open and let the idea ride on the wave of every day.  When we live the questions, the answers often come softly, gently and clear.  

Here's where I offer a word of caution, never make a decision on a bad day.  You know the day...when kids won't stop fighting, your husband is late getting home, the laundry has piled up...that kind of a day.  Save the big decisions for when the days are calm and you have energy and strength to think clearly. 

As our stages in life change, it can be tough to accept that we are moving on to a new chapter.  It's hard to imagine how the new pages will unfold and what life will look like as everyone grows and evolves.  It's normal to have feelings of trepidation, even anxiety during these times and seasons.  Remember that it's okay to not have every minute of your life planned out.  If needed, come in and talk to one of our trusted providers.  They can offer direction and advice. 

Each stage of life brings a joy we have never known or felt before.  The decisions we make at each crossroads will be ours to make and whatever else we do, never measure your choices against the yardstick of the world.