by Dr. Randy Kamen Gredinger on August 30, 2010
The short conversation on the phone left my husband, Martin with a look of shock. “What was that about?” I asked. Martin stood in silence, took some forced deep breaths and softly spoke. “There’s been an accident. A terrible accident.” As it turned out, one of my son, Max’s dear childhood friend was killed in a car crash hours before. He left a party in the early morning hours feeling it would be safe to drive. He got into his car, still slightly intoxicated from the night before neglecting to put on his seat beat. He drove off and almost immediately crashed into a tree. He wanted to get home; it was such a short distance. This was a great kid who made a terrible decision.
My son was on his way to a concert in Boston, ready to savor his last night in town and then finish up the packing [click to continue…]
August 30, 2010
by Dr. Randy Kamen Gredinger on August 10, 2010
Years ago I conducted workshops and seminars to physicians at the Boston University School of Medicine. The well-attended meetings were about “Who Takes Care of the Physician?” This subject continues to warrant attention, however I’ve come to realize that nurses, aides, home health care providers and our reliable family members, also need to be cared for. They too need tools for their own self-care during these stressful times.
Of course the primary focus is on the sick or post-operative patient, but little attention is paid to the family members that are in the trenches day in and day out with their loved ones. The responsibilities thrust upon the spouses and children can be not only overwhelming, but disorienting [click to continue…]
August 10, 2010
by Dr. Randy Kamen Gredinger on August 9, 2010
Getting a difficult medical diagnosis is challenging at best. Elizabeth Kubler Ross wrote extensively about the five stages of grief that accompanies the experience of loss. Although her work originally described the reaction to the death of a loved one, the same cycle applies to those experiencing health issues [click to continue…]
August 9, 2010
by Dr. Randy Kamen Gredinger on April 26, 2010
Only in recent years have we come to understand the positive effects of exercise on the brain and mental health. Exercise is also good for one’s physical health. Reduced body fat, stronger muscles, bones, and heart, and lower blood pressure are among the benefits. It also helps us look and feel healthier and fit.
During exercise the levels of neurotransmitters – the “feel good chemicals” serotonin, dopamine, and norepinephrine – increase. Exercise, therefore, has powerful antidepressant properties. In a study conducted at Duke University researchers found that 60% of the participants who exercised for 30 minutes 3x week over a four week period successfully overcame their depression without the use of antidepressant medication. This is the same percentage as people who benefit from taking antidepressant medication. This is not to suggest that people stop taking medicine for depression, but it does suggest that exercise would significantly help in the management of this prevalent psychological disorder. [click to continue…]
April 26, 2010
by Dr. Randy Kamen Gredinger on March 14, 2010
Maggie, a single thirty-six year old teacher, began each school year feeling energized and optimistic. Once daylight savings time arrived, her mood spiraled downward. Invariably in the weeks following the winter break Maggie’s energy dragged. It became harder for her to get out of bed in the morning and her enthusiasm for work subsided.
Maggie told me she hibernated in the winter. By each February her level of fatigue felt deep and relentless. Her social life suffered to the point that she did not attend social activities because getting together with friends required too much effort. She essentially isolated herself during the darkest months yet felt deep pangs of loneliness. [click to continue…]
March 14, 2010
