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November 5, 2008

Confronting medical challenges

Posted: 01:45 PM ET

By Georgiann Caruso
CNN Medical Associate Producer

Anxiety, despair, hopelessness... all feelings people may have when recovering from a major illness. That's why I feel very fortunate to have crossed paths with Shelia. A two-time stroke survivor, she impressed me immediately with her zest for life and hopeful attitude that many people with medical challenges are not as fortunate to share. I confronted my own life-changing illness three years ago. Our experiences were very different, yet very much the same.

Shelia explained that recovering from stroke presents her with many day-to-day challenges. She has trouble maintaining her balance, and even falls occasionally. She explained that she picks herself up and keeps on moving. She has made the best of what she's been given and hopes to help others recover from their own illnesses.

I turned to psychologist Dr. Helen Grusd to discuss how others can keep a similar attitude, or how their friends and family may best help them to do so.

Getting one out of his or her pity party is key, Grusd says. This can be empowering because, she says, even though we can't have unrealistic expectations or control what is going to happen in our lives, we can remain hopeful and take action.

She recommends keeping in mind these 3 C's:

-Keep on viewing the illness as a CHALLENGE instead of a threat.

-Stay COMMITTED and involved in your life as much as possible, to keep a sense of purpose.

-Take CHARGE and be in CONTROL. Examine what is working in your life and those things for which you are grateful.

For those trying to help friends or family members in difficult situations, taking on a role of a "coach" often helps, Grusd says. She recommends getting the person out of the house as much as possible by making him or her feel good through things he or she likes.  An example would be saying, "I know you love to hide, but I'm picking you up and we're spending the day at the beach." Other things include setting up a social network for the person. She pointed to a strong support network as important because many people are anxious during their recovery when, sometimes, the illness may return. Equally as important is having someone to open up to about their fears.

We can have great expectations and a sense of joy in our lives, according to Grusd. We just have to choose to say positive things to ourselves. Over time, the American Psychological Association says, negative feelings can cause depression, leading to other health complications. Those with cardiovascular disease are more inclined to future strokes or heart attacks.

Were you ever touched by a medical challenge that affected you or someone in your life? How did you keep your emotional health strong or help that person to remain emotionally strong?

Editor's Note: Medical news is a popular but sensitive subject rooted in science. We receive many comments on this blog each day; not all are posted. Our hope is that much will be learned from the sharing of useful information and personal experiences based on the medical and health topics of the blog. We encourage you to focus your comments on those medical and health topics and we appreciate your input. Thank you for your participation.

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Filed under: Health • Mental Health


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Nancy Irwin   November 6th, 2008 8:07 am ET

Georgiann,

What a great article! I know you have first hand experience in this issue and I am proud to say that you take such good ownership in your own rehabilitation! You are a living example of what successes can happen after a life altering illness!! I'll be watching for more stories from you that I can share with my own patients!

Love ya!
Your former Occupational Therapist
Nancy
Youngstown, Ohio

S Callahan   November 6th, 2008 10:26 am ET

Truth be told..after a near death experience in 1996, I turned to God...
put my soul on the straight path so to speak...and it has been a glorious ride despite still having medical issues that are hinderances but not roadblocks..... Positive, hopeful, thinking and knowing there is more than just this life down the road is healing in itself.

Rachel Ruff   November 6th, 2008 12:03 pm ET

Georgiann,

Kudos to you! You have done such a great job getting the message out about such and important issue with great sensitivity. Keep up the good work!

Best,
Rachel Ruff
Denver, CO

Lee, Yorktown Virginia   November 7th, 2008 10:00 am ET

I agree with everything in this blog. This is why online forums specifically related to a person's particular illness are so helpful. Not only do they provide ideas on how to pursue recovery (heloing with the three C's), but they are also key in providing the coaching and positive social network that a person needs when the person gets anxious or depressed.

sue   November 10th, 2008 8:47 pm ET

Thank you for sharing the three C's. I have been looking for one easy way to explain how I plan on coping with a event that has challenged me both physically and emotionally and this is a great.

Kendall   November 11th, 2008 1:50 pm ET

I have a chronic illness-bipolar disorder-that's very debilitating. It's a shape shifter that leaves my MD & I racing to catch up with its latest trick. I will borrow the 3 "C"'s to help me stay positive & accept the illness while remembering I do have some control!

Thx!

Kendall

Elvira Beracochea   November 12th, 2008 9:28 am ET

I agree with the CCC. The 3Cs put rightly the much responsibility for the recovery in the patient's hands. However I would also add that the health system needs to create an "enabling environment" for the three Cs to be applied. What about those that have not by chance read your blog? The US has a medical system, not a health system that protects our health and supports our recovery. Our public health system is fragmented and vague. Most of the time the actual delivery of mental health services is left to charity or non-profit organizations that run self-help groups with the help of volunteers. Mental health services are essential to support people to develop the 3Cs and gain the confidence they can actually take care of themselves again. In addition, a sound organized and well funded and managed public health system would prevent and/or detect many life-threatening conditions early shortening the recovery of life's medical challenges. We need to address the fact our country has a decent public education accessible to everyone, but not an organized public health system that addresses the physical, social and mental health well being of our citizens in a cost-effective manner. Not all our citizens have access to a nutritional and exercise education program for weight loss and prevention of cardiovascular conditions, including stroke, drug abuse prevention and rehabilitation services, mental health services to recover from homelessness, child abuse and domestic violence which affect all social classes, pap smears, mammograms, HIV testing and counseling for all ages (particularly the elderly, who do not use condoms), at also early screening for prostate cancer and depression. I dream of the day when each community will have a public health center where our taxpayers' dollars bail out our health and make the US, the wealthiest country, a healthier nation. I envision the day when anyone in America can visit a public health center int their own community to get preventive information tailored to their needs and a plan to get healthy and fit and the support to make it happen and stay that way.

CA Portsmouth, NH   November 14th, 2008 12:30 pm ET

Great article!

I've found my own experiences in dealing with a couple of chronic conditions, including one that could kill me if I'm not vigilant, is influenced more by my attitude than anything else. The biggest challenge I find is to keep reminding myself to focus on what I can control, and let go of what I can't. The cost of the care is by far more of a stressor than the actual illnesses themselves, but it would be too easy to get caught up with the stress over something I cannot control. I pay for what I can, and keep myself at least in crisis management mode. Not great for long term prognosis, but I would be wasting what time I do have left worrying if I let it get to me.

Thanks for the reminder I am not alone!

beth   November 20th, 2008 11:40 am ET

My son recently was diagnosed with epilepsy due to a congenital abnormality. He is 16 yrs. old and has witnessed his older sister deal with retractable epilepsy and postictal psychosis due to grey matter heterotopia. With all the heartache and difficulties he's seen his sister endure, he is meeting his own condition with amazing grace and courage. He sees it as a challenge that will build his character and make him grow as a person. Fortunately, he isn't embarrassed by his epilepsy and feels the more others know about it the better for him and others who live with this condition. Needless to say I am incredibly proud of my son and believe he will do well due to his positive attitude.

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Get a behind-the-scenes look at the latest stories from CNN's chief medical correspondent, Dr. Sanjay Gupta, and the CNN Medical Unit producers. They'll share news and views on health and medical trends -- info that will help you take better care of yourself and the people you love.

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Medical news is a popular but sensitive subject rooted in science. We receive many comments on this blog each day; not all are posted. Our hope is that much will be learned from the sharing of useful information and personal experiences based on the medical and health topics of the blog. We encourage you to focus your comments on those medical and health topics and we appreciate your input. Thank you for your participation.

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