Living with hope, courage, and power

In her podcast Lina interviews a variety of women and men who are following their calling to make a difference in the world. In a recent episode, I was excited to hear from Jan Silvious since I reviewed one of her books here on my blog. I learned that like me Jan is married to a veteran of the Vietnam war. Jan has had a long speaking career, working with well known Bible teacher Kay Arthur and with Women of Faith and writing books.

View post to subscribe to site newsletter.

In my early years of practice I worked with another woman physician, Mona. She and I became friends as there weren’t many women in medicine then. We both eventually left that clinic for other opportunities, but would see or hear from each other occasionally.

A couple of years ago I attended a conference for women physicians- where almost all the attendees and speakers were women, far different from my early years of practice. One of the speakers was a dynamic young woman who talked so fast you had to pay attention or else you would miss what she had to say. I think she just naturally talks fast, but also because she is so passionate about her subject.

Originally from Lebanon, Lina is a pediatric emergency doctor, Bible teacher and writer, and at that conference she was speaking on the Bible, not medicine. I wanted to meet her so I went up and introduced myself. When I told her where I lived, she said, “My aunt lives there, and she is a doctor.”

Suddenly I knew why she looked so familiar. She is Mona’s niece! I was shocked at the coincidence. I started following her on social media , reading her blog and listening to her podcasts. I especially like the podcast she started a few months ago, The Hope Podcast.


Lina AbuJamra , M.D.

“Lina AbuJamra is a Pediatric ER doctor and founder of Living with Power Ministries. Her vision is to bring hope to the world by connecting biblical answers to everyday life.

A popular Bible teacher, blogger, and conference speaker, Lina has authored several books including: ThriveStripped, and Resolved. Lina is the host of Today’s Single Christian on Moody Radio and of Morning Minutes, a daily audio devotional available on her website.

Lina’s most recent adventure has taken her back to the Middle East and her birth country, Lebanon, where she is running several projects that give hope and healing to Syrian refugees. Born in Beirut, Lebanon, Lina now calls Chicago home. She is single and a huge Packers fan, and would not survive without her iPhone. ”

Connect with Dr. Lina here-


Lina’s blog at the Living with Power website

Living with Power iPhone App

Lina’s podcast -The Hope Podcast

In her podcast Lina interviews a variety of women and men who are following their calling to make a difference in the world.

In a recent episode, I was excited to hear Lina interview author Jan Silvious since I reviewed one of her books here on my blog. I learned that like me Jan is married to a veteran of the Vietnam war. Jan has had a long speaking career, working with well known Bible teacher Kay Arthur and with Women of Faith and writing books.

Here is a link to the interview with Jan.

My review of Jan’s book

This post does contain affiliate links; purchases through them help me fund this blog and share the heart of health.

COURAGE for the UNKNOWN SEASON

Navigating What’s Next with Confidence and Hope

By Jan Silvious

Even though Jan Silvious titled her book, Courage for the Unknown Season, we know what that season is-the season of aging and its inevitable, relentless progression toward death.

We’ve seen it, some of us are already in it, and it can be a scary place, with many unknowns other than the end. Jan refuses to let aging intimidate her, and wrote this book to help others take on our fear of aging, loss, illness, disability, and death with confidence and hope.

COURAGE for the UNKNOWN SEASON, a book
COURAGE for the UNKNOWN SEASON

She starts the book with a chapter titled “Resilience”, followed soon by “Fight Fear”. She advises us “Don’t Forget to Laugh”, and to “Clean Up after Yourself”- that is, deal with our personal possessions so our family doesn’t have to when we are gone.

I like that she offers practical tips on staying healthy that she learned from a physician friend. In the chapter “Head Toward Ninety” she lists several steps to maintain wellness-exercise, get adequate sleep, eat health promoting foods ,  and pursue a healthy mind and spirit.  She writes,

“Read, stay curious, forgive, drop the bitterness, and pursue peace.”

She points us to Psalm 92 from the Bible, and suggests meditating on it to gain a “wealth of spiritual health.”

“It is good to give thanks to the Lord
And to sing praises to Your name, O Most High;
 To declare Your lovingkindness in the morning
And Your faithfulness by night,

For You, O Lord, have made me glad by what You have done,
I will sing for joy at the works of Your hands.”

Psalm 92: 1-4 (NASB)

New American Standard Bible (NASB)

Copyright © 1960, 1962, 1963, 1968, 1971, 1972, 1973, 1975, 1977, 1995 by The Lockman Foundation

Later, she takes us by the hand, without mincing words about the pain we will experience with loss, and walks us through steps to navigate “Grief and Hope”.

Jan uses examples from her life, her family, friends, and colleagues of using our later years to cherish old memories while continuing to make new ones. She doesn’t try to convince us that aging isn’t painful, but encourages us to find new ways to find joy and fulfillment when the old ways are no longer possible.

Written especially for Baby Boomers-those of us born between 1946 and 1964- Courage for the Unknown Season offers sound advice and encouragement to anyone who wants to be prepared for aging. For those younger, it will help you understand and deal with the challenges your parents and grandparents are encountering now; but stow away a copy for 10, 20, 30 or more years when you will appreciate its wisdom for your own life.

I enjoyed reading it since I have or am experiencing much of what she discusses, and her perspective validates my own. For those things I have yet to encounter, I appreciate her suggestions and warnings.

As Jan wrote,

“No matter what season you are in, there are truths that can help you approach the unknown with confidence and hope. Trust that God is the God of our season, no matter what it looks like, no matter how unknown.”

Jan Silvious

Jan Silvious is a long-time speaker, professional life coach, wife, mother, and grandmother. She is author of eleven books, including Big Girls Don’t Whine and Fool-Proofing Your Life. Jan and her husband, Charlie, live in Tennessee, and have three grown sons, two daughters-in-love, five charming grandchildren and a very bright rescued pit-bull, Rocky-Buddy.

Jan Silvious, author
Jan Silvious, author
 
 

Disclosure: I read an advance review copy of this book which I received complimentary from  Tyndale via NetGalley in return for writing a review.

Dr. Aletha

Women’s health – meds to control pain and prevent disease

This post reviews drugs for women’s health issues. Elagolix treats endometriosis pain but not infertility. Elagolix and ulipristal may help with uterine fibroids. Prasterone relieves dyspareunia and improves sexual desire. Botox and monoclonal antibodies prevent migraine pain. HPV vaccine prevents cervical cancer, and Shingrix prevents shingles more effectively.

updated May 2, 2024

In this post, I review drugs that treat conditions exclusive to or common in women. These are broad topics so I have linked to several authoritative sources.

This information is current as of the date of original publication or update. It may have changed by the time you read this. I invite you to fact-check what you read here.

This information is not intended for diagnosis or treatment. Before making health decisions, discuss with your physician or other qualified healthcare provider to decide what is right for you.

Photo by rawpixel.com on Pexels.com

Relieving the pain of endometriosis

Women with endometriosis suffer infertility, excessive bleeding, painful periods, and pelvic pain unrelated to periods. In endometriosis, uterine tissue grows outside the uterus.

Endometriosis can be difficult to diagnose, requiring invasive procedures to discover. Treatment depends on the goal, whether pregnancy, pain relief, or both. Short of surgery, hormonal therapy has been the mainstay of treatment.

A hormonal drug, elagolix, brand name Orilissa, is the first of its kind specifically developed and approved to treat “moderate to severe” endometriosis pain. It does not help with infertility.

 

Stop bleeding fibroids

Researchers are studying elagolix and another hormonal drug ulipristal for treating uterine fibroids. Fibroids are growths within the uterine that can cause pain and excessive bleeding. Initial trials show both of these drugs can significantly decrease bleeding and pain. However, neither is currently FDA-approved for treating fibroid.

Easing dyspareunia

After menopause many women develop atrophy of the vagina, making it thin, dry, and easily irritated, leading to painful sex, or dyspareunia. An intravaginal medication, prasterone, brand name Intrarosa, can help relieve the discomfort. Studies show it may also help improve sexual desire and arousal, but it is not labeled for this.

Manufactured by AMAG Pharmaceuticals, it is for “moderate to severe” symptoms. Also known as DHEA, it is a steroid that transforms into estrogen in the vagina, administered as a once-daily vaginal insert at bedtime, applied with an applicator.

Other options for treating vaginal atrophy symptoms are oral or vaginal estrogen and/or vaginal lubricants.

Prevention of migraine pain and disability

Migraine, although not exclusive to women, occurs more frequently in them than in men. For infrequent headaches, non-prescription pain relievers are effective and recommended. But for severe, frequent, or persistent symptoms prevention is recommended to improve quality of life.

Botox, onabotulinumtoxin A, has been FDA-approved for treating chronic migraine, meaning patients with frequent headaches and other migraine symptoms for at least 3 months.

Yes the same drug used to treat wrinkles, Botox, can prevent migraine. For migraine, the drug is injected into the upper facial muscles by a physician specifically trained in its use.

A calcitonin gene-related peptide (CGRP) receptor is responsible for transmitting migraine pain. Monoclonal antibodies bind to the receptor, blocking the pain.

The antibodies are produced in a laboratory but work like antibodies naturally produced by the body. These drugs are given by injection.

  • Erenumab-Aimovig
  • Galcanezumab-Emgality
  • Fremanezumab-Ajoovy

Gepant drugs also block the CGRP receptors, both preventing and relieving migraine. These are in pill form so are taken by mouth.

  • Rimegepant-Nurtec ODT
  • Ubrogepant-Ubrelvy 

I also discuss migraine in this post.

Preventing cervical cancer with the HPV vaccine

Infection with the HPV, human papillomavirus, causes genital warts and changes in the cervix called CIN which can lead to cervical cancer.

According to a review of clinical trials by Cochran, vaccination against this virus effectively prevents infection and thus fewer cases of CIN. Since a significant percentage of CIN progresses to cancer, we can expect fewer women will develop invasive cervical cancer, the 4th most common cancer in women worldwide.

The vaccine, Gardasail 9, originally approved for use in females ages 9 to 26 years, received FDA approval for use up to age 45 years.

Stopping shingles with the zoster vaccine

And speaking of vaccines, a new zoster (shingles) vaccine, Shingrix, prevents the painful rash much more effectively than the original vaccine Zostavax. It ranges in effectiveness from 91% to 97% at preventing shingles, depending on age. The first vaccine was 51% effective.

Zoster is a reactivation of the varicella virus that causes chickenpox. It causes a painful rash known as shingles; the pain may continue after the rash is gone. It can happen at any age, but symptoms tend to be worse in older persons.

exploring the HEART of women’s health

I’d love for you to follow this blog. I share information and inspiration to help you turn health challenges into health opportunities.

Add your name to the subscribe box to be notified of new posts by email. Click the link to read the post and browse other content. It’s that simple. No spam.

I enjoy seeing who is new to Watercress Words. When you subscribe, I will visit your blog or website. Thanks and see you next time.

Dr. Aletha