COVID-19 and Children


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Hi there my beautiful lovelies! I hope you all are doing well and staying safe. As a public health person, I constantly try my best to keep me updated about the latest research and findings in public health. That’s why when I saw the latest article by researchers at Massachusetts General Hospital on COVID-19 and children, I was really concerned.

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The article, “Pediatric SARS-CoV-2: Clinical Presentation, Infectivity, and Immune Responses” has been published in the Journal of Pediatrics. The study looked at 192 children between the age of 0 to 22, with an average age of 10.2 years. This is the most comprehensive study of COVID-19 pediatric patients to date.  In this study, 49 children tested positive for COVID-19, and an additional 18 children had late-onset, COVID-19-related illness. The infected children were shown to have a significantly higher level of virus in their airways than hospitalized adults in ICUs for COVID-19 treatment, according to Harvard-affiliated Massachusetts General Hospital (MGH) and Mass General Hospital for Children (MGHfC).

Transmissibility or risk of contagion is greater with a high viral load. And even when children exhibit symptoms typical of COVID-19, like fever, runny nose and cough, they often overlap with common childhood illnesses, including influenza and the common cold. One of the interesting finding from the study is that half of the children with COVID did not have fever. Hence, contact less temperature check as a mean of screening children in school may not be effective.

According to the lead author of the study:

“… the viral loads of these hospitalized patients are significantly lower than a ‘healthy child’ who is walking around with a high SARS-CoV-2 viral load.”

My dear lovelies, the reason I am mentioning this study is due the current debate about the reopening of schools, daycare centers and other locations with a high density of children and close interaction with teachers and staff members. According to Alessio Fasano, director of the Mucosal Immunology and Biology Research Center at MGH and senior author of the manuscript. “During this COVID-19 pandemic, we have mainly screened symptomatic subjects, so we have reached the erroneous conclusion that the vast majority of people infected are adults. However, our results show that kids are not protected against this virus. We should not discount children as potential spreaders for this virus.”

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Children has higher level of viral load, meaning they are more contagious, regardless of their susceptibility to developing COVID-19 infection. According to Harvard Medical School, As MGHfC pediatricians, both Yonker and Fasano are constantly getting questions from parents about the safe return of their children to school and daycare. They agree that the most critical question is what steps the schools will implement “to keep the kids, teachers, and personnel safe.” Recommendations from their study, which includes 30 co-authors from MGHfC, MGH, HMS, Massachusetts Institute of Technology, Brigham and Women’s Hospital and Harvard T.H. Chan School of Public Health, include not relying on body temperature or symptom monitoring to identify SARS-CoV-2 infection in the school setting.

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Additionally, the researchers emphasized the relevance of infection control measures, including social distancing, universal mask use (when implementable), effective hand-washing protocols and a combination of remote and in-person learning. They consider routine and continued screening of all students for COVID infection with timely reporting of the results an imperative part of a safe return-to-school policy.

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As we debate about school reopening, our leaders should take this study into consideration. This is the most comprehensive study to date. We should all question our state representatives and leaders. Our children are not immune from coronavirus. Just today a six year old child has become the youngest victim of COVID in Florida. Let’s not put any more children and educators’ lives at risk. I urge you to demand your lawmakers to do the right thing. Let do this for the children who don’t have a voice of their own.

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Washington

Pandemic


Hi there my beautiful lovelies! Hope you all are doing well and staying safe. According to Johns Hopkins University as of yesterday, more then 5.3 million Americans have been infected with coronavirus and over 170,000 people have died from the virus. The average rage of new infection in the United States is 50,000 new cases per day. We are the only affluent nation in the wold with the worse possible outcome of the virus.

Today I want to share with you a poem by beautiful little sister, Sarnina. She is straight forward and doesn’t hesitate to speak her mind. Please give her the same support that you have given me. It’s my utmost privilege to introduce my best friend and my sister, Sarnina.

 

Pandemic

By Sarnina Khan

Looking out the window, I wonder,
What has happened here,
Instead of enjoying the sunshine,
We are living in fear.

We are losing people, near and far,
From an invisible enemy we can’t fight.
Yet, the people we count on the most,
Are ignoring what is safe and right.

One good thing that came from this,
Spending family time together.
It also brought out the kindness,
Of humanity and care for each other.

So, I ask you to look in your heart,
And do what’s in your hand.
By wearing masks and avoid social gathering,
Against COVID-19 take your stand.

My dear lovelies! Please stay safe and I know together will overcome these tough times, because together we can do and overcome anything.

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Intention to Gratitude – Meditation for Compassion


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Hi there my beautiful lovelies! Hope you all are doing well and staying safe. Today I will share with you about setting intention to gratitude. Sankalpas, as intentions are known in yoga, are your heartfelt, intuitively sensed attitudes that unfold within you over time. They are powerful internal agreements that you make with yourself and then express through your actions, whether it’s in your relationships, at work, or on your yoga mat or meditation cushion. Hence, I have compiled a video of guided meditation with the voice of Sean Fargo of mindfulnessexercise.com.

The things for which we are grateful are vast. From lessons to people to the raw nature of the breath itself, we have much to be grateful for. This guided mindfulness meditation by Sean Fargo is an invitation to set intentions for living a full day with gratitude.

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Through this meditation, we are guided to consider all the ways we can feel into our capacity for gratitude and how we might express it. Simply by setting the intention to be grateful, we will likely begin to see shifts in our experience, or at the very least, in our perception of our experience. Gratitude fills us with a sense of lightness and love, aligning us with the heart center at the core of our being. This is turn, will allow us to appreciate not only climbs but the journey itself.

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We can set multiple intentions of gratitude, but we can also begin with something simple:

I will welcome this day with my open and grateful heart.

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At any moment in the day, we can tune into the heart center to explore our present level of awareness. My grandfather used to always tell me that whenever I am in any dilemma to dig into the depth of my heart, because I will be able to hear God. I have always taken his words to my heart. Following those words have kept me going in life without regrets. I learned to be grateful.  In each moment, we can ask ourselves: what is within me that I must be grateful for? What can I appreciate about the natural world around me? What lessons have I learned today that will fuel my growth?

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Regardless of whether we perceive the day to be ‘good’ or ‘bad,’ we can expand our field of vision by opening to our experience with a compassionate heart. The gate to human well-being and transformation swings open when we practice living with a grateful.

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heart. When we find gratitude, we find freedom and love. This teaching and meditation invites you to gratitude. I hope it allows you to appreciate yourself and the contribution you have towards your journey. I will say the same thing that my grandpa always told me, when in doubt, just listened deep into your heart. There you will find your conscious, your guardian angel, God.

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My dear lovelies! Please stay safe and I know together will overcome these tough times, because we are the people of the United States of America. United we can do and overcome anything.

In the meantime don’t forget to checkout my Facebook Page, YouTube channel, and bloglovin page, My Amazon recommendations. Please follow me.

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My Roller Coaster Journey With Chronic Migraine


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Hi there my lovelies! Hope you all are doing well and staying safe. I wonder if I ask you to virtually raise your hand if you have/are suffering from chronic migraine. A lot, I guess. I am rising my as well. However, my relationship with migraine has been a wavy one, full of ups and downs. I involved all stages of grief. Now, I have learned to leave with it. However, does it have to be like this? Why do I have to learn to live with migraine, and make it a part of my daily life?

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I have been suffering from chronic headache since I can remember. However, if you are a desi person, (someone from the South Asian background), you know that chronic headache is only seen as an excuse to get out of school or doing homework. I always heard nice try, you still have to do your homework and go to school. Hence, began my daily struggle to live my life without the support I needed. To be honest, it was the 80s and 90s and there were not much awareness about chronic migraine in my culture.

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When I went to high school, my struggle increased, I guess triggered by the chronic stress of adolescent high school life. My pediatrician gave me Tylenol and Naproxen to take, though my stomach did not agree with that choice. Imagine constantly going to the nurse’s office either because of chronic headaches and cramps. My life became a prisoner of chronic pain. I was finally diagnosed with tension headache and was just told to use painkiller, and that was the beginning of my struggle with gastroenterological reflux disease or GERD.

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In college, I was diagnosed with fibromyalgia, I know one more pain diagnosis. I was put on muscle relaxant and anti anxiety medication for my anxiety, along with painkiller for my headaches and cramp. I remember, I was always told when the doctors can’t come up with anything they give it the name fibromyalgia. Being in my early 20s, I was keen to what other people’s opinion, and I decided to go off my medications. Yes, I was non-compliant with my treatment because I did not want to be called a hypochondriac. I did not want that extra attention.

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In my late 20s, after decades of struggle, I was finally referred to a neurologist, who ordered a MRI exam. At that time, I was more naive and did not disagree with the neurologist’s decision. The present me would have said no, because my current self do not believe in low-value care,  “[s]ervices that provide little or no benefit to patients, have potential to cause harm, incur unnecessary cost to patients, or waste limited healthcare resources,” and contributes to over $345 billion annually in wasteful health spending in the United States (stay tuned for more on this). Long story short, I had my very first MIR exam, with a somewhat false positive result.

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The very first MRI of my life showed a possible Chiari Malformation, in which brain tissue extends into your spinal canal. It occurs when part of your skull is abnormally small or misshapen, pressing on your brain and forcing it downward. Well, imagine the reaction from my desi parents and family. I started getting all these visits from my aunts, uncle, all worried. My dear lovelies, I love my extended family who are very supportive and caring, but imagine my mindset at that time. Being in public health, I naturally had to go online to PubMed, a National Institute of Health website with peer-reviewed articles. With anxiety, chronic pain, and everything going on at that time, I was dealing with the possibility of a brain decompression surgery.

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I had to go through another more detailed MRI, which showed that my tissue did extend into spinal canal but it was borderline. I did not have Chiari Malformation, and I did not need a brain surgery. The moral of that short story is that low-value care only leads to unnecessary treatment, the potential for harm (mental harm in my case) and wasted healthcare spending. I was put on medications, Topamax (the zombie drug), more muscle relaxant.

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My dear lovelies, after few years of treatment, no relief and struggling with constant brain fog, I had a new neurologist, my current one. He took me out of the zombie drug, put me on Botox treatment every 12 weeks for chronic migraine along with monthly anti-CRP medication known as Emgality. It is a new class of medication approved as a monthly subcutaneous treatment (or self-injection) for the prevention of medication. Here I am today, getting Botox, monthly injections for my chronic migraine and am still suffering from migraine. My migraine has landed me to the emergency room, and urgent care, and even hospitalization several times. My hair has a life of it own, very painful t touch or brushing.

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Nevertheless, I am in peace with my life now but I will not stop fighting. Chronic pain cannot take me down. As I have mentioned before, I am in a state of zen, I am not done though, I will continue to find the relief I seek. At this point, I am looking into eastern medicine for relief. I am thinking of acupuncture treatment for relief from chronic migraine. Mindfulness meditation and deep breathing have helped me reach my zenful self. Eastern medicine so far has given me the mental strength to face my struggle, acknowledge it and peacefully continue my search.

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My lovelies! Have you struggled with chronic migraine? How has it affected your daily life? What worked for you and what did not? Have you used acupuncture for chronic pain, and if yes, has it work for you? I would love to hear about your experience, good or bad. Once I go through acupuncture, I will update you on my progress.

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I may be in more pain than ever before, but I am in better mental state. I am in a place more grounded and centered. What a difference that makes! My mental peace has made a huge difference in my mind, but I have not given up. I will continue to find the relief I need for more migraine free days. As my favorite poet Robert Frost said, “and miles to go before I sleep, and miles to go before I sleep”. Hope your life if filled with good health, zen, and love. Please stay safe and health.

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Thank you

COVID-19 Update 


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Hi there my beautiful lovelies! Hope you all are doing well and staying safe. Today I will give a short update on the COVID-19 pandemic. According to the Johns Hopkins’s University, 19.5 million people has been infected with this corona virus globally, of whom 723,693 have succumbed to the virus.

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In the United States alone, close to 5 million people have been infected with COVID-19, and over 160,000 people has died. There are people who question mask use and its efficacy, but the science is clear. Mask will protect you and your loved ones from contracting and dying from COVID-19. It is the seat-belt of your life.

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New projection data suggest that as much as 300,000 people will die from COVID-19 by the end of the year. Imagine this, those 300,000 are someone wives, husbands, partners, siblings, children, parents, grandparents, grandchildren. Imagine your loved ones among those. I know it is extremely hard to imagine. Even has a public health professional it is hard for me to think that way.

However, my dear lovelies! This can happen and has happened to me. Not too long ago, my aunt was diagnosed with COVID-19, along with my pregnant cousins, my toddler niece. Those my cousins, and niece has been lucky to only have minor symptoms, my aunt with many pre-existing conditions, landed in the ICU. Now imagine, you are suffering from COVID-19, unable to breath and all hospitals are rejecting to admit you. This is exactly what’s happening in Bangladesh. People are being turned away because of the fear of transmission of the virus and left to die without treatment. Only the privileged few get the treatment because they have the political and economical power. How do I know? I have family members in Bangladesh, both in privileged and unprivileged category. My aunt was among those privileged who got added to ICU and put on ventilator for two months. She survived and is very weak, dependent on oxygen for breathing.

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My dear lovelies! New studies have shown that if we all just wear our mask, we can save 70,000 people from dying from COVID-19. Yes, I am saying 70,000 people. That’s 70,000 parents, children, siblings, grandparents, grandchildren, spouses, partner, loved ones. If you had the power of saying 70,000 lives wouldn’t you do that? We all have our freedom, but freedom that lead to the mass death of people is not freedom, it’s negligence. If we all just use our will power, to accept the situation and follow the public health measures to protect and save lives.

I will end with one thing. Please wear mask and social distance. COVID-19 is not being over-exaggerated for political reason, or due to increased testing. These are actual numbers, because the number of hospitalizations has increased and number of death has increased. You have the power to save 70,000 lives. Just as you wear your seat-belt every time you drive, wear mask. You have freedom to run around naked, but will you do it? There is some basic common sense. If you are doing everything on your power to protect you and your loved ones, just stay away from those who refuse to do the same. You have the power. Please wear mask, social distance, wash your hands often, do not touch your face. I pray everyday that we overcome this pandemic soon, and we all are safe and healthy.

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Thank you

Do This Every Day for a Zenful Life


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Hi there my lovelies! Hope you all are doing well and staying safe. Have stopped during your day just to take in your surrounding? It might sound crazy but in our daily machine-like lives, we spend majority of the time running and working like bunch of machines set out everyday to complete day-to-day jobs. However, if we just take a moment to just take in our surrounding, we can all create fulfilling lives for ours. My friends! We just need to do one thing everyday to leave a healthier life: breathe.

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I have mentioned in my previous post, how deep breathing helped me acknowledge my anxiety and let me become more relaxed and grounded. Breathing is a very powerful mechanism that will help us find zen in our life. So, let us all take the initiative to give ourselves room to breathe, take deep breathe every day. Take your time just to take deep breathe during each of the following situation:

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  1. When you wake up in the morning. It will kick start your day fresh and ready to thrive.
  2. When you are tensed take a deep breathe. It will relax you.
  3. When you are moving too fast and unable to focus, breathe. It will bring you back to the present.
  4. When you are angry, take a deep breathe. It will help you become grounded and prevent you from anything that you will regret later.
  5. When you are with your loved ones, take a deep breathe. I will help you take in the moment and capture it in our heart.

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My dear lovelies! Life is fleeting by fast. Let us all take deep moments to capture the various moments in life. After all, moments don’t last long.

I would love to hear your daily ritual to find zen in your life. What works for you or doesn’t work for you? Please share.

In the meantime don’t forget to checkout my Facebook Page, YouTube channel, and bloglovin page, My Amazon recommendations. Please follow me.

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Anxiety: The Demon Inside


Hi there my beautiful lovelies! Hope you all are doing well and staying safe. The COVID-19 pandemic has allowed me to reflect on my life and helped me to become more grounded. However, I have not been like this all my life. It took some long self-reflection and perspective change to bring me to this point. Today, I will share with about the little demon inside of me and how I finally defeated it.

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If you remember, I have always mentioned my struggle with anxiety without elaborating much on the topic. However, thanks to your support I have now learned to finally stare straight at the demon and move on. I have been fighting with anxiety since I can remember; whether worrying about the worst possible outcome each time my parents went out and was running late; or having panic attacks before every midterms and finals. However, I couldn’t talk to anyone about my feeling because I grew up in a culture where mental health is a stigma. In that culture you are either insane or sane, and there are no grey areas. I was always told that I was in control of my mind and there was no such thing as depression or anxiety because we can just control them at our wills and those only exist because doctors can make money.

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With such beliefs being pushed around me, I always felt trapped inside. It felt like an elephant was sitting on my chest all the time. I could not breath. Since I could remember, I was always very skinny and prone to sickness, and was a complete introvert. It was a big struggle for me to open up to people. Little that I knew at that time that my constant sickness was a manifestation of my mental health image-20150609-10747-18vzvsiissues, which has increased my cortisol level. As a kid, I always spent my days in my own world, afraid of self-expression and opening up. I wanted to be and made myself invisible.

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In high school, I made friends but there has always been a part of me who kept to herself and kept everything bottled up. I could not figure out why I was so prone to panic attacks. I always thought of myself as a fizzy drink inside a tightly closed bottle, which has been shaken to the point that it will burst out at any moment. I was a prisoner inside my own self.

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My dear lovelies! I grew up with the thinking that everything wrong within me was my own fault. I was too stupid and cowardly to conquer whatever was going on inside. I  was trapped and was going through a period of learned helplessness, unable to find a way out and feeling trapped in my misery. It was not until my twenties when I realized how trapped I was. It was during that time, I found my answer. I was in clinical research and found out about this study helping healthcare workers, such as nurses and clinical staffs to deal with stress.

My boss was the principle investigator and asked me to join the class without enrolling as a participant. I couldn’t officially join the study, since it would been a conflict of interest and investigator bias. I just attended class every morning. It was during one of those classes that I realized how much trapped I really was inside. During one of the sessions, we were told to close our eyes, do some guided meditations, and then let our hand draw whatever it wants with our eyes closed and mind open. Consequently, that exercise opened up our right side of the brain, the more free and creative side. To be honest, I didn’t realized before this, how much I have imprisoned my right brain. We as our rational self always tend to use our left brain, which is responsible for logic, and rationality.

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My dear lovelies! It is thought that people prefer one type of thinking over the other. For example, a person who is “left-brained” is thought to be more logical, analytical, and objective. A person who is “right-brained” is said to be more intuitive, creative, emotional, thoughtful, and subjective. My upbringing and childhood made me a complete left-brained person. It was during that guided session that I was able to bring out my right-brain from hiding. What my drawing that day showed me was eye-opening and it changed the trajectory of my life. When I opened my eyes, I saw a drawing of a girl wearing straitjackets – unable to free herself and fly. The girl had her mouth stitched shut, her eyes shut closed and she was inside a cage. When I was told to talk about my painting, I became very emotional and couldn’t stop but cry. It was the group support I received that day that opened me to a new possibility.

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It was for the first time I realized that what I was going through doesn’t need to be locked up inside. I could for the first start looking at it from a nonjudgmental way through the support of my peers. I was ready to begin my journey towards mindful living. Even though those sessions taught me to become more aware of myself, there was still a part of me who wanted to be locked out. The reasoning behind this was my long term belief that change is bad and hard, and keeping myself locked up would protect me from the harsh world. It was five to six more years before I learned to be nonjudgmental. What changed at that time was my six weeks of mindfulness meditation course.  I signed up for the course because I wanted to help out sick patients and their families. Little that I knew that it will help me so much instead.

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What I have learned during those six weeks freed me completely. I learned to use my right brain more often and be present more in the moment. I started to enjoy not only my climbs but the who journey towards that climb. I was more appreciative of myself. Before, every hard conversation, I learned to take a deep breath to center myself. My heart started to feel lighter. I was more aware of myself, and I started to respect the person I saw in the mirror.

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My dear lovelies! My life has not been always a smooth sailing since the six week course. I became caught up in life. The loss of several of my loved ones to cancer made me more anxious. I started to feel trapped again. I became, irritable, and moody. It was hard for my family to have nice conversation with me. I was slowly drifting away into the sea of misery and anxiety. I became more hopeless and judgmental about myself. I was no longer happy with the person I saw in the mirror. I started to lose everything. It was during that time I have started to take out my frustration through shopping, and before I knew it, I have racked up a hefty credit card balance, it was at that time my mom sat me down and told me to get some help. My sister was very open and supportive. It was their supports that allowed me to get some help. It was 3 years ago, when I decided to see a counselor and then go on FMLA (Family Medical Leave Act) just to reflect on my life. It was then I decided to take the next step in my life, I left my work, where I worked for over 10 years. I was not happy with the person that I was becoming while I was in my third position in that company during that time. I started a new position outside for the first time in 10 plus years.

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My lovelies! I cannot emphasize the value of support when it comes to dealing with anxiety and depression. It was in new position, where I found so much nurturing and support from my team. Before, I knew it, I gained 20 pounds in weight, and was trying to loose some in the process. It took a year more before I felt like myself again.

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It was not until last year when I started to become overpowered by the demon again. Last year, I started a new job and was having a hard time to adjust. Before I could begin to settle down both my parents and I were in horrible car accidents weeks apart. I ended up taking a short-term disability as I recovered. I was also put on anti-anxiety medication. My beautiful lovelies, before I knew it, we were bombarded by the COVID-19 pandemic. During the same time, my mom became extremely sick with lingering pneumonia, and worsening lung damage. I was devastated-. However, I knew what to do, my daily deep breathing and became more aware of myself.

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You see my lovelies! My journey with generalized anxiety syndrome has been a long one with lots of ups and downs, but it has taught me how transient life is.  What the unpredictability of the current situation taught me is that life is too short to worry about every small thing in life. If we get too caught up with what could have been and could be, we will miss out on what is out there. My journey has taught me to take a deep breath every now and then and take in the good surrounding me. I paint more and meditate. Even though I am more sleepless than ever but I am not tired. I am aware of my surroundings. I am learning every day. I may not have complete control of stress and anxiety, but at least I know to stop and tell myself “relax a little”.

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I hope you enjoyed reading this post as much as I had writing it. My dear lovelies! Believe it or not, it is your support and my family and friends that have kept me going. Now that I am back to blogging regularly, I can pour myself in the process. My family and you keep me grounded. If I have not said this before, I am saying it now, “Thank you my beautiful lovelies. Thank you for your constant support”. I would love to hear from you and what, if any, mental health symptoms have you experienced and you are dealing/dealt with it.

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“By going with what’s happening rather than expending energy fighting or turning away from it, you create the opportunity to gain insight into what’s driving your concerns”.

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Fizzy Drinks: I remember how much I used to love soda and even when I was just 90 lbs, how my stomach will swell up after drinking any fizzy drinks. According to Go With Your Gut author and nutritional eating coach Robyn Youkilis, any carbonated drink (yes, even sparking water) can cause bloating. The fizzing bubbles in carbonated drinks are actually gas, which can get trapped in your stomach and make you feel like you’ve been pumped with helium. That’s why I have eliminated fizzy drinks from my diet, and yes I have one less culprit to my extreme bloating.

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Diet: There are several diets that can cause stomach bloating. Avoiding, or even eliminating those food can be really helpful in alleviating painful stomach bloating that making it harder for you to zip up those favorite jeans for the evening party. We’re talking about the temporary abdominal distention that plagues most everyone from time to time. Michael Jensen, MD, an endocrinologist and obesity researcher at Mayo Clinic, says:

“It is a myth that bloating in the stomach is from fluid accumulation in healthy adults, because the abdomen is not a place where fluids accumulate first. Instead, you would see it in your feet or ankles as long as you are upright.”

To avoid this, eat a diet high in fiber (25 grams per day for women and 38 for men) from whole grains, fruits, vegetables, legumes, nuts, and seeds. Also, drink plenty of fluids (aim for 6-8 glasses a day). I myself try to avoid cruciferous vegetables, such as cauliflowers, cabbage, and broccoli to avoid bloating.

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Lack of exercise: Aim for physical activity for at least 30 minutes, five times a week. This is where I have failed each time. As I am mentioned before, due to my chronic pain and recent accidents, many exercises are too much for me. Each time I tried doing Pilates, and plank exercise I have broken my metatarsal bones. Let just say, I am not restricted to only low impact exercise. However, thanks to a recent video that I found online, I am beginning to challenge myself to exercise more. Stay tuned to learn more about the challenge and my journey.

eatfast

Eating to quickly: Eating fast not only increases your risk of becoming overweight and obese, it’s also linked to other health problems, including: Insulin resistance. Eating too quickly is linked to a higher risk of insulin resistance, which is characterized by high blood sugar and insulin levels. It can also lead to build up of sodium in your body, which in turn lead to water retention in your body and increased bloating. Stay tuned for my mindfulness mediation post where I will discuss more about mindful eating. So slow down and enjoy your food. Your meals should last at least 30 minutes. Also, keep in mind that digestion begins in the mouth and you can decrease bloating just by chewing your food more. I am making it a habit of chewing my food 15 to 20 times before swallowing. Yes my lovelies, I have taken this from the book of Sheldon from Big Bang Theory.

439210_1_En_3_Fig2_HTML

Dysbiosis: It is a term for a microbial imbalance or maladaptation on or inside the body,such as an impaired microbiota. Dysbiosis may be caused by such diverse things as antibiotic or mold exposure, alcohol misuse, or inappropriate diet. Disruptions in the microbiome can allow outside factors or even pathogenic members of the microbiome to take hold in the gut environment. Dysbiosis has been reported to be associated with illnesses, such as multiple chemical sensitivity, periodontal disease, inflammatory bowel disease, chronic fatigue syndrome, obesity, cancer, bacterial vaginosis, and colitis. Probiotics such as in supplement and in greek yogurts, kimchi, and kaffir to balance this microbiome and improve your gut health.

iStock-965547330-e1555431070111

IBS: Irritable bowel syndrome or IBS, is a common disorder that affects the large intestine. Signs and symptoms include cramping, abdominal pain, bloating, gas, and diarrhea or constipation, or both. I more one has been diagnosed with IBS long time ago by my Gastroenterologist. IBS is a chronic condition that you’ll need to manage long term. Many people have worse IBS symptoms when they eat or drink certain foods or beverages, including wheat, dairy products, citrus fruits, beans, cabbage, milk and carbonated drinks. Stress can also trigger IBS symptoms. Again, stay tuned for my post on stress reduction tips.

food_allergy_vs_intolerance_Most_Common

Food Intolerance: Several food intolerance can cause heavy gas and bloating. In tolerance to wheat, lactose, and even sucrose can play a big role. I suggest keep a food diary and start with a Low FOBMAP diet (Stay tuned for the post) and add one food at a time after 6 weeks on the diet. Keep track of what foods are causing symptoms. This will sure to rout out the culprit(s).

My dear lovelies! Hope this post helps you start your journey towards the a flatter stomach. Don’t forget to come back tomorrow and find out more about my stress reduction journey, where I will share with you a special video.

Hope you enjoyed my post as much I enjoyed writing it. What symptoms of swollen belly has you suffered from? What worked for you and what didn’t?

In the meantime don’t forget to checkout my Facebook Page, YouTube channel, and bloglovin page, My Amazon recommendations. Please follow me.

————————Happy Reading ———————————–

 

 

Reduce Stress Through These Simple Steps


buddha-in-the-moment

Hi there my beautiful lovelies! Hope you all are doing well and staying safe. As promised I will share with you today some simple steps to reduce stress. One thing for sure, the current pandemic and brought out stresses in our lives that we never thought existed. It is also put havoc on our body and digestion. Read the entire blog and I have a bonus for you at the end. Don’t scroll down….

mindfulness

Stress…what do we mean when to talk about stress?How do we describe stress. It’s our body’s fight or flight response. National Institution of Mental Health (NIMH) defines stress as the following:

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“Stress can be defined as the brain’s response to any demand. Many things can trigger this response, including change. Changes can be positive or negative, as well as real or perceived. They may be recurring, short-term, or long-term and may include things like commuting to and from school or work every day, traveling for a yearly vacation, or moving to another home. Changes can be mild and relatively harmless, such as winning a race, watching a scary movie, or riding a rollercoaster. Some changes are major, such as marriage or divorce, serious illness, or a car accident. Other changes are extreme, such as exposure to violence, and can lead to traumatic stress reactions.”

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Nevertheless, our exposure to stress might be it can have a big toll on our health, hence my today’s blog. I, like many of us have dealt with stress to the point that I always had palpitation, high heart rate (higher than my usual benign high heart rate), insomnia, and anxiety. However, all that changed when I decided to take the 8 week Mindful Based Stress Reduction class Dr. Gina L Sager. She is a retired board-certified general surgeon, named one of Baltimore’s Top Docs in October 2000. Gina taught us to be aware of the present and be in the moment. I am currently in the 7th week of the class and I have so much difference in the class. You can talk her class in Town for $500 or simply her CDs 10% of the proceed of which will go to HopeWell Cancer Support. I use her Yoga Nidra, a deed relaxing guided meditation CD every night help me fall asleep along with Melatonin. I have to say that has been a lifesaver for me. I also use her guided Sitting meditation CD during my one hour subway commute to work everyday that help feel focused and ready to take on the day with all my attention even with my ADD personality.

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During one my long morning commute to work in the past, a lady tapped my shoulder while I was on my meditation mode, and gave a local Washington Post Express newspaper pointing to a particular newspaper article, and saying “this is you”. What was interesting was that she observed it right. The lady in far left was like me. This is what I do everyday. So I am not alone. The article provided the following mindful commuting tips: 1) Focus on your surroundings: Focus you attention from when you will get to you destination to what you notice via your senses, like the sounds, the feel of you feet touching the ground, or places of your body that feel tense. 2) Focus on your breath: If you’re not riding a bike or driving take five slow, deep breaths, then return to normal breathing but try to notice each breath and the space between breaths. 3) Refuse your thoughts: you red lights or stops on a train or bus as a reminder notice whether you’re lost in though. Then refocus on your breathing or your senses.

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There are some great free apps with guided meditation. The one that I love that most is Calm. It’s free in both Google Play. This app can help you meditate, sleep, relax, focus and much more. Don’t let stress take over your health and life. Let’s start by focusing on the moment and being aware of the present. However, in on order to conquer stress to we have to be aware of our feeling.

Now I will share with a bonus video that I have created to help reduce step. Just follow this guided meditation everyday and improve your mental awareness and health, and reduce stress and anxiety in your life.

Please come back tomorrow to learn more about my short 7 days workout challenge toward a flatter stomach and healthier me. Also I will add a separate post on mindful eating (remember the side effect of eating fast?). Until next time, I leave you with the following quotes from Jerry Spinelli,

“Live Yesterday.
Not Yesterday.
Not tomorrow.
Just today.
Inhabit your moments.
Don’t rent them out to tomorrow.”

Hope you enjoyed my post as much I enjoyed writing it. What do you do to reduce stress. Did you find my video helpful. What more would you want do see. Please leave your comments.

In the meantime don’t forget to checkout my Facebook Page, YouTube channel, and bloglovin page, My Amazon recommendations. Please follow me.

————————Happy Reading ———————————–

Healthy Life

Fitness

Musical

My Ultimate Fight Against Bloating and Water Retention:


Hi there my lovelies! Hope you all are doing well and staying safe. Have started various diets and workout challenges just to stop and give up in the middle? Then you are not alone. I have probably now gone through several of this ‘so called’ diets and workouts just to give after few days.

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Before I talk about any workout and diet let me first give you a short background about my heath. I suffer from severe chronic pains, and being in few car accidents and a nasty fall aggravated such pains. Additionally, several gastrointestinal issues has not only restricted the diets I could get into, but also cause horrible bloating and water retention. After every meal, small or big, my stomach would bloat so much that I would look as if in my third trimester. I call is my gas baby, because that’s exactly what it is. It happens when large amounts of air or gas build up in the gastrointestinal tract. Eating is a common cause of bloating because when the body digests food, it produces gas. People also swallow air when eating or drinking, which then enters the gastrointestinal tract.

bloat2

As a public health and data driven person, I needed to find out what are the real culprit behind bloating and what happens if I eliminate one by one. So begins my search. Bloating can be caused by several culprits/

Common triggers of bloating:

  1. Stress
  2. Fizzy drinks
  3. Diet
  4. Lack of exercise
  5. Eating too quickly
  6. Dysbiosis
  7. IBS
  8. Food intolerances

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Stress: In order to address stress, I started relying a lot on Mindfulness Based Meditation (Look Out for My Repost Tomorrow). The main goal of mindfulness based meditation is living in the moment. My dear lovelies, if you are a regular to my blog you may already know about my struggle with generalized anxiety symptoms and ADD. I will post detail post about each later. One of my regular regiment for dealing with stress and anxiety is being present in the moment. I actually took part in a stress study, where biofeedback mechanism was used to control stress. It’s then I actually got a measurement of extremely high stress level. That what the beginning of my mindful meditation journey. Through techniques as deep breathing and guided meditation I have learned to control my stress and anxiety. There is a saying:

That’s exactly what I have learned from mindfulness based meditation. Through mindfulness yoga and my trusty guided tai chi app in my Occulus Quest. Do visit my blog tomorrow for more detail information about guided meditation and a bonus video.

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Frizzy Drinks:Any carbonated drink (yes, even sparking water) can cause bloating. The fizzing bubbles in carbonated drinks are actually gas, which can get trapped in your stomach and make you feel like you’ve been pumped with helium. I have eliminated fizzy drinks from my diet complete. Though I have seen some improvement but I have a long way to go.

bbff1d5c-cf26-4965-8ade-507b055e33b4-GettyImages-1129572695

Diet: Certain food in your diet can increase bloating. Diets such as, beans, lentils, carbonated drinks, onion, cruciferous vegetables (broccoli, cabbage, cauliflower), diary, garlic, apple, wheat, rye, barley (commonly found in cereal), sugar alcohol (found in sugar free gums), and beer. If you have problems with bloating, then chances are that a food on this list is the culprit. That being said, there is no reason to avoid all of these foods, only the ones that cause you problems personally. If you find that a certain food consistently makes you bloated, then simply avoid it. No food is worth suffering for. That being said, don’t stop eating every, but opt for complex carbohydrates, such as quinoa and sweet potato wedges, over cous cous and regular chips. Opt for papaya instead of watermelon and drink nut milk as opposed to cow’s milk.

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Lack of Exercise: Gas is a normal part of digestion, but how much you have depends on many variables, including your diet, when and how fast you eat, and the efficiency of your digestive system. One way to ease bloating discomfort is to get moving. Although you might feel like taking a nap after a big meal, walk for 10 to 15 minutes instead. Walking, jogging, calisthenics, and other types of exercise can help stimulate the passage of gas through your digestive tract. Lack of exercise can cause constipation, so you may feel like taking a nap after a large meal but getting in 10-15 mins of exercise can be really beneficial. Whether it’s running or walking, most forms of physical activity will help expel gas that causes pain and get your digestion moving.

eatfast

Eating too quickly: Drinking or eating too quickly increases the amount of air a person swallows, which can lead to more gas building up in the gastrointestinal tract. For people who eat or drink quickly, this may be a cause of bloating; slowing down the rate at which they eat might help to reduce the problem. Hence, I have made it a habit of chewing my food at least 10-20 times before swallowing. Yeah I know, I have taken it from the book of Sheldon Cooper from Big Bang Theory.

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Dysbiosis: Dysbiosis means that the ecosystem of microbes living in your gut has become imbalanced or dysfunctional. When dysbiosis occurs and the environment of the gut changes, levels of microbial byproducts such as methane and hydrogen can ramp up. I myself have suffered from dysbiosis, and have been put on antibiotic for that. I really did see an improvement on bloating level. Additionally, I have also found low FOBMAP diet to be very helpful. I will add another post on that diet.

iStock-965547330-e1555431070111

IBS: Uncomfortable and unflattering bloating is one of the main symptoms of irritable bowel syndrome (IBS), along with abdominal pain, gas, diarrhea, and constipation. All of the symptoms are frustrating, but bloating can really make you feel down. IBS is a common disorder that affects the large intestine. Signs and symptoms include cramping, abdominal pain, bloating, gas, and diarrhea or constipation, or both. Some people can control their symptoms by managing diet, lifestyle, and stress. Others will need medication and counseling.

food_allergy_vs_intolerance_Most_Common

Food Intolerance: A food intolerance, or a food sensitivity occurs when a person has difficulty digesting a particular food. This can lead to symptoms such as intestinal gas, abdominal pain or diarrhea. Food intolerance involve the digestive system. Food allergies involve the immune system. With a food allergy, even a microscopic amount of the food has the potential to lead to a serious or life-threatening reaction called anaphylaxis. Whether you have lactose intolerance, gluten intolerance, or even sucrose intolerance, it will effect your digestion. Talk to your physician or gastroenterologist you have any symptoms after eating certain food. I would suggest keeping a food diary and noting symptoms after each food.

My dear lovelies! I hope you enjoyed reading this post as much as I enjoyed reading this post.  I wanted to share with you things I have gone through and learned from my experience. Hope this post allows you have to move towards a more healthy and less gassy journey.

In the meantime don’t forget to checkout my Facebook Page, YouTube channel, and bloglovin page, My Amazon recommendations. Please follow me.

————————Happy Reading ———————————–

“By going with what’s happening rather than expending energy fighting or turning away from it, you create the opportunity to gain insight into what’s driving your concerns”.

stomach-bloating-causes-bloated-fizzy-drinks-soft-carbonated-987490

Fizzy Drinks: I remember how much I used to love soda and even when I was just 90 lbs, how my stomach will swell up after drinking any fizzy drinks. According to Go With Your Gut author and nutritional eating coach Robyn Youkilis, any carbonated drink (yes, even sparking water) can cause bloating. The fizzing bubbles in carbonated drinks are actually gas, which can get trapped in your stomach and make you feel like you’ve been pumped with helium. That’s why I have eliminated fizzy drinks from my diet, and yes I have one less culprit to my extreme bloating.

bbff1d5c-cf26-4965-8ade-507b055e33b4-GettyImages-1129572695

Diet: There are several diets that can cause stomach bloating. Avoiding, or even eliminating those food can be really helpful in alleviating painful stomach bloating that making it harder for you to zip up those favorite jeans for the evening party. We’re talking about the temporary abdominal distention that plagues most everyone from time to time. Michael Jensen, MD, an endocrinologist and obesity researcher at Mayo Clinic, says:

“It is a myth that bloating in the stomach is from fluid accumulation in healthy adults, because the abdomen is not a place where fluids accumulate first. Instead, you would see it in your feet or ankles as long as you are upright.”

To avoid this, eat a diet high in fiber (25 grams per day for women and 38 for men) from whole grains, fruits, vegetables, legumes, nuts, and seeds. Also, drink plenty of fluids (aim for 6-8 glasses a day). I myself try to avoid cruciferous vegetables, such as cauliflowers, cabbage, and broccoli to avoid bloating.

bicycleabexercise-4b65bd8179db4c56b7faddcbd9a5c130

Lack of exercise: Aim for physical activity for at least 30 minutes, five times a week. This is where I have failed each time. As I am mentioned before, due to my chronic pain and recent accidents, many exercises are too much for me. Each time I tried doing Pilates, and plank exercise I have broken my metatarsal bones. Let just say, I am not restricted to only low impact exercise. However, thanks to a recent video that I found online, I am beginning to challenge myself to exercise more. Stay tuned to learn more about the challenge and my journey.

eatfast

Eating to quickly: Eating fast not only increases your risk of becoming overweight and obese, it’s also linked to other health problems, including: Insulin resistance. Eating too quickly is linked to a higher risk of insulin resistance, which is characterized by high blood sugar and insulin levels. It can also lead to build up of sodium in your body, which in turn lead to water retention in your body and increased bloating. Stay tuned for my mindfulness mediation post where I will discuss more about mindful eating. So slow down and enjoy your food. Your meals should last at least 30 minutes. Also, keep in mind that digestion begins in the mouth and you can decrease bloating just by chewing your food more. I am making it a habit of chewing my food 15 to 20 times before swallowing. Yes my lovelies, I have taken this from the book of Sheldon from Big Bang Theory.

439210_1_En_3_Fig2_HTML

Dysbiosis: It is a term for a microbial imbalance or maladaptation on or inside the body,such as an impaired microbiota. Dysbiosis may be caused by such diverse things as antibiotic or mold exposure, alcohol misuse, or inappropriate diet. Disruptions in the microbiome can allow outside factors or even pathogenic members of the microbiome to take hold in the gut environment. Dysbiosis has been reported to be associated with illnesses, such as multiple chemical sensitivity, periodontal disease, inflammatory bowel disease, chronic fatigue syndrome, obesity, cancer, bacterial vaginosis, and colitis. Probiotics such as in supplement and in greek yogurts, kimchi, and kaffir to balance this microbiome and improve your gut health.

iStock-965547330-e1555431070111

IBS: Irritable bowel syndrome or IBS, is a common disorder that affects the large intestine. Signs and symptoms include cramping, abdominal pain, bloating, gas, and diarrhea or constipation, or both. I more one has been diagnosed with IBS long time ago by my Gastroenterologist. IBS is a chronic condition that you’ll need to manage long term. Many people have worse IBS symptoms when they eat or drink certain foods or beverages, including wheat, dairy products, citrus fruits, beans, cabbage, milk and carbonated drinks. Stress can also trigger IBS symptoms. Again, stay tuned for my post on stress reduction tips.

food_allergy_vs_intolerance_Most_Common

Food Intolerance: Several food intolerance can cause heavy gas and bloating. In tolerance to wheat, lactose, and even sucrose can play a big role. I suggest keep a food diary and start with a Low FOBMAP diet (Stay tuned for the post) and add one food at a time after 6 weeks on the diet. Keep track of what foods are causing symptoms. This will sure to rout out the culprit(s).

My dear lovelies! Hope this post helps you start your journey towards the a flatter stomach. Don’t forget to come back tomorrow and find out more about my stress reduction journey, where I will share with you a special video.

Hope you enjoyed my post as much I enjoyed writing it. What symptoms of swollen belly has you suffered from? What worked for you and what didn’t?

In the meantime don’t forget to checkout my Facebook Page, YouTube channel, and bloglovin page, My Amazon recommendations. Please follow me.

————————Happy Reading ———————————–

 

 

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How I got into public health!


Good morning my lovelies! Hope you all are doing well and staying safe. I have been blogging on an off for few years now. I thought, since I have not shared much about myself with you, why don’t do that. Today, I will tell you the story of how I got into Public Health. It was definitely not my first choice, but I am glad that I am in Public Health.

Growing up, I had a clear plan about my future and what I wanted from life. I had a notebook planning the detail intricate of my future. Why? Isn’t it obvious? I was a control freak, who wanted to control every part of my life. I wanted to be a doctor since I can remember, and I had every goals planned. I wanted to go to college with full scholarship (since my parents couldn’t afford to pay my tuition) and then go to medical school. So simply…but is it?

I almost fulfilled the first part of my goal. I did get 90% scholarship to attend George Washington University. I had full scholarship to other universities but GW was my first choice. In college, not have I learned about the typical educational lessons but some great practical lessons as well. It taught me that live can’t be under my control. I will need to let go of things in order to succeed. Struggling with that gave rise to the beginning of my generalized anxiety disorder (Stay tuned for a separate post about that), which led to so many panic attacks.

My dear lovelies! Each time my life did not go account to my plan, I had a major panic attack. I graduated with honors in Biology, a typical premed major. Little did I know that it will really limit my career choice if I didn’t go to medical school. Well, my dad did tell me to consider other major, but at that time my crazy teenager self thought my dad was against me. To tell you the truth, I had quite a decent MCAT (Medical College Admission Test) school but could have led to acceptance to any in-state schools, but the problem that I faced was that I was a Washington DC resident, and there were no DC in-state medical school. Hence, the competition was already tougher for me.

After graduation, I was put on wait list to medical school and what threw me out. I did not apply for work because my plan was to go to medical school, the fall after my college education. Hence, I was unemployed after graduation. When I applied for job I did not get any job offers because all potential employers believed I will leave either for grad school or other further education.

They were right. Frustrated and angry, I decided to apply for a dual masters and medical school program. One thing I knew at that time is Biology will not take me anywhere. This was the very first time in my life I did not have an answer. I decided to do some research and dig deep and hard into my soul. Those were some very long months. My research led me to realize how much I loved taking this public health course in college. I told myself may be that would be a bonus to have as a background. Well, it will add to my medical degree. Hence, I started to apply to dual MD/MPH programs.

Of course, I heard back from graduate school first. So, I started my Master is Public Health Program in Epidemiology that fall. Boy, this program opened my eyes. While being a full time student again, I was working part time at Children’s National as a research assistant. I worked as a research assistant before but they were all lab job. This was the very first time I was working in clinical research. My work and school made me release how much I liked public health, that looks at the overall big picture. In medicine I would have only been looking at individuals. That was the very first time I realized I did not know what I wanted to do in life. I ended up getting into medical school but by then I realized that medical school after all, was not for me.

Dear lovelies, it was at time I realized that things will happen to us when we are ready for it, not before or after. I graduated with a MPH is epidemiology. I graduated with a full time job offer in my hand to work in clinical research at Children’s National. I graduated and became a full time clinical research professional. I ended up working at Children’s for 10+ years with a second graduate degree for free. I am working in clinical research as an analyst and I could not have asked for me.

What the past decade has taught me is ‘to always live in the moment’. I know it’s very easy to say but very heard to do. Those very words have set me free. I remember when I first started my training in Public Health I used to be addressed as Poop Inspect. I was not taken seriously. Even when I talk about how little we are prepared for an eminent pandemic, all of us public health professionals were laughed at. Now, I am longer called a poop doctor, but at what cost?

My lovelies! I still leave every moment in the moment and l love working in the public health program. I am so glad I have grown from my experience, which has led me to being who I am today. I still have anxiety disorder but have learned to manage it quite easily. Once thing life has taught me is that live in the moment and be happy with the way things are. Well, it could have been worse. I see the world as glass half full and “Miles to go before I sleep, and miles to go before I sleep”.

My dear lovelies! That’s a small glimpse in my life. I would love to hear how you came to be who you are now. Hope will love reading this post as much as I loved writing it.

In the meantime don’t forget to checkout my Facebook Page, YouTube channel, Ticktock and bloglovin page. Please follow me and like my content.

————————Happy reading………………..