Category Archives: Menopause

Boosting Women’s Health, Powering Women’s Hearts and Minds

They say people die of a broken heart. I must be walking dead then since it’s happened twice in the last three years. Two deaths in a row is more than one heart can handle.

Seriously though, I was intrigued when the topic of the Women’s Business Council’s WomenBizPH Talks last week bannered “Boosting Women’s Health, Powering Women’s Hearts and Minds.” WBC was honored to have two women leaders as guest speakers.

IMG_8058First was prominent cardiologist Dr. Maria Adelaida “Leni” Iboleon-Dy, chair of the Philippine Heart Association Council on Women’s Cardiovascular Health. As Mylene Abiva, president of Felta Multi-Media Inc., introduced Leni’s many accomplishments including being Assistant Medical Director for Medical Education at St. Luke’s Medical Center, Associate Dean for Clinical Sciences, amongst a long list of positions held and honors received, what struck me most was here was a tall, gracious and beautiful woman who has made it to the top in a field dominated by men. What an outstanding testament to womanhood! And instead of just resting on her laurels, she has been leading the campaign to help other women take charge of their health.

Takotsubo Cardiomyopathy. That’s what they call the broken-heart syndrome, Leni shared. Most often seen in post-menopausal women, Takotsubo is brought about by recent severe emotional or physical stress. Emotional stress can be triggered by the death of a loved one, relationship break-ups, arguments with a spouse, or constant anxiety due to financial problems. Physical stress examples include acute asthma, surgery, chemotherapy and stroke.

First studied in Japan, this stress-induced cardiomyopathy, according to Wiki, is characterized by the bulging of the left ventricular apex with a preserved base, making the heart look like a “tako tsubo” or octopus pot. The symptoms are similar to a heart attack, and can be lethal. Leni said this could clear up in four months if treated right.

In her talk entitled “Why hearts need to mend: Yes, broken hearts can kill!,” Leni urged the guests to take care of their health, as heart disease is the #1 leading cause of death in women regardless of race or ethnicity. In fact, she said one of three women die of heart disease, compared to one of 30 who die of cancer. Now those are alarming figures.

Leni is on a passionate quest to wake up women to the reality that cardiovascular disease (CVD) is a major public health issue for women, and to get them to take the necessary steps to lead healthy lifestyles as a preventive measure. Because women have a higher tolerance for pain (due to childbirth), women are more difficult to diagnose, and are more likely not to get appropriate treatment following a first heart attack. As Leni said, we tend to “tough it out” more than men. Women also have different symptoms from men, ranging from a “doomed” feeling, or being “suddenly very tired,” vomiting or having indigestion. Now, who of us haven’t felt these before? By this time, I was already beginning to feel hypochondriac.

Leni categorized the risk factors for CVD into what can be changed and what cannot. The bad news is that we can’t do anything about heredity, about being women, or about getting older, especially when we hit menopause. The good news is we can adopt healthier lifestyles by quitting smoking (and staying away from second hand smoke), eating healthier, exercising, controlling our weight gain, and taking the necessary medication for conditions like high blood cholestrol, high blood pressure, and diabetes.

Another wake-up call was the definition of hypertension in adult women. Normal blood pressure should be less than 120 systolic (higher number) and less than 80 diastolic (lower number). So if you have a blood pressure of 120 over 80, you are already pre-hypertensive.

Leni recommended that women do vigorous activity like brisk walking, running or swmming or even dancing for at least 30 minutes, six days a week to get their hearts and lungs in top condition.  I guess I should start doing Zumba soon.   Either that or start running.

As for nutrition, Leni cautioned the group to stay away from vein-clogging cholesterol-rich food and fad diets that promise quick results. This prompted a lot of fond ribbing of fellow WBC member Evelyn Singson, Chairman and President of Philippine Hotelier’s Inc. for serving kare-kare with bagoong for our lunch at Dusit Thani.  A healthy, balanced diet will give the best results, Leni said. And a glass of red wine a day will keep heart attacks away (my line, not hers).

Unfortunately, we cannot stop the clock, and menopause will eventually catch up on all of us. This greatly increases the risk of CVD. So, we need to manage our stress levels if we want to be around to enjoy our children and grandchildren.

Another casualty of ageing is our minds. “My yesterdays are disappearing, my tomorrows are uncertain, so what do I live for? I live for each day. I live in the moment.” Quoting neuroscientist and author of Still Alice, our second speaker Gina Lumauig, Director of Communications of Neeuro Pte. Ltd., Singapore, highlighted the importance of early diagnosis and early intervention to close the treatment gap for dementia.

Dementia, a syndrome caused by different brain illnesses, affects memory, thinking, behavior and the ability to perform everyday functions. There are an estimated 44.4 million people worldwide suffering from dementia. Meanwhile, according to the Dementia Society of the Philippines, an estimated 200,000 Filipinos suffer from dementia, with many more having to live with the problems the illness brings, not just as patients but as caregivers. This I know from experience as my late maiden aunt suffered from dementia in her senior years. Little by little, dementia wormed itself into her brilliant mind destroying her ability to function normally. It was difficult for all of us seeing her deteriorate.

There are things that we can do to keep our brains fit, such as being fit physically (Gina suggested yoga), getting enough sleep (hard note to self: Monette, you need eight hours of sleep!), eating healthy, laughing, and volunteering.

Writing is one of the best ways to sharpen our mind. Gina urged us to write a letter, write a postcard, write a gratitude journal, write to our children and our parents, and to write by hand.

Gina pointed out that her 82-year old parents who have been married 60 years and have so many children, granchildren and great grandchildren, have keen minds because of their healthy and active lifestyle. I was seated beside Gina’s mom during the talk, and she was certainly keen of mind and humor, keeping me entertained so much so that Gina would stop once in awhile and ask her mom to tone down her talking.

Founded by a team of experienced technopreneurs and neuro-scientists, Neeuro Pte. Ltd. where Gina works is about to launch a headworn gadget supported by computer games that challenge memory, attention and more to keep the brain healthy and fit. I asked her to alert me when this happens so I can get a set for myself and start doing mental Zumba.

We all had so much fun while learning how important it is to keep our bodies, hearts and minds healthy. But more than the fun and the learning, it was great bonding with other women at the Women’s Business Council .

Ably led by its chairperson, Ma. Aurora “Boots” Geotina- Garcia, WBC provides a platform for discussing women’s issues in business and finding solutions to challenges women face in the conduct of their business.  WBC is working with the Department of Trade and Industry to organize the Public Private Dialogue on Women and the Economy (PPDWE) for APEC Women and the Economy in September 2015.  And it looks like we’ll be very busy mounting this.

So, is it possible to die of a broken heart?  According to Leni, yes. Can it be cured?  Yes.  Can we delay the onset of dementia?  According to Gina, yes.  So, ladies, let’s start living healthy.

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

 

Tempest in a Teapot Six Years Ago

I was browsing over Mike’s Facebook this morning, and came across this note I had written almost six years ago.  I had completely forgotten about it, but it is too funny not to share, so here goes…

June 28, 2009.  Every morning after prayers, I would weigh myself. The scale always reported back an acceptable 110 to 115 lbs. depending on the workload (the more stress, the more I eat). Last week, however, was different. I registered at 117, then 118, then 119 the next day. I shook the scale, then checked again. Still 119! This can’t be, I thought, but the pants have been getting tighter. Horrors! I must start to diet and exercise. 

Then, cuddled up with Mike on the sofa watching my favorite soap, Desperate Housewives, we had a good laugh over Linette’s getting pregnant with twins at 40+. And then Mike teased me, “Maybe that’s why you’re becoming voluptuous.”

That can’t be, I argued. I’m supposed to be menopausal by now. But doubt had started to creep in. When did I have my last period? The last I remember was two months ago. But I haven’t experienced any of the touted symptoms: hot flashes, irate temper, etc. Oh, no!

Over evening snacks in the kitchen, I casually mentioned the possibility of having a new addition to the family to my grown-up daughters and teenage son. I was not prepared for their reaction. Jaws dropped, hands clapped over their eyes and ears, and protests of “What? Are you serious?,” “Mommy, how could you?,” and “Noooooo!” filled the room. After the shock had passed, Bea turned to Cara and said, “I’ll take care of Niccolo. You take care of the new one.”

Cara, my middle child, whipped out her laptop and started to check for menopausal symptoms. She read out the long list. At each point, she asked, “Are you feeling this?” After about 20 symptoms including migraines and aching joints, she concluded that she’s menopausal. Except for migraines which I’ve had since my teenage days, I was clear.

Yesterday afternoon, Cara still could not shake off her feeling of doom, and so she convinced me to go to the drugstore to buy a pregnancy test. We were both embarrassed to buy it, but I finally summoned courage to approach the counter. In the car on the way home, she called her older sister to help me with the test because she said she would faint if it were her. Since the test instructions recommended an early morning test, we had to wait till the morning.

Last night, I attended the birthday party of a dear friend in the village. I confided my worries to a friend who promptly announced it to the group. I naturally became the object of a lot of friendly ribbing, so I retorted, “If this pushes through, you’ll all be ninangs.” This drew another round of ribbing. Imagine our octogenarian friends hosting a baby party? Or a child of six asking me where her ninangs are? We were in stitches all night. Good thing, the conversation moved on Michael Jackson, Farrah Fawcett, Vicki Belo and Hayden Kho.

“Don’t worry, Monette, we’ll all be rooting for you,” another friend said as we parted ways last night. But worry, I did. I thought of all the things I’d have to go through again… maternity dresses, pedia visits, all-nighters, pre-school, park and zoo trips… And questions, such as, “Why is the lola accompanying the baby instead of the mom?” Heavens! I’d be 70 by the time debut happens.

Bright and early this morning, I did the test. While waiting for the results, I prayed. Those were probably the longest, most excruciating three minutes I had to endure.

One bar! Negative. Thank you, Lord! Now, I can just look forward to cuddling apos one of these days. That, I wouldn’t mind at all.