Tips To Help You Stay Out Of The Hospital

The old adage “an ounce of prevention is worth a pound of cure” has always been pretty good advice. Prevention is all about staying healthy, in particular having a healthy diet, combined with fresh air and exercise. We all know the drill.

We all get sick from time to time regardless. As we age, the chronic diseases, cancers, heart disease, stroke, and accidents top the list for what could put us in the hospital (aside from covid, flus, and various other respiratory infections).

We simply do not have any guarantees in life. I might not be here tomorrow for all I know. I have managed to stay away from doctors and hospitals for the most part, with the exception of working in hospitals. As things unfold with covid, and health care becomes less reliable, I am more determined than ever to steer clear.

If I fail in my quest to stay alive and drop dead, there might be some finger pointing, and dire warnings “See I told you so”. Maybe I will plan to wear a pink sequinned mini skirt to my own funeral (very bad) so the tongue-wagging could have some bling in the orbits of the obits. What a place to end up when the party is over! Notice how older people take very few selfies? They add at least seven years to your life!

One of the things I cannot comprehend surrounding privacy and confidentiality in health care, is why they allow media into the ICU’s now, to take pictures of people who are critically ill, or on their death beds. Especially when you consider they will not even allow family to visit. Are all those cameras, tripods, and lenses sterile or even clean? Where else have they been?

I really do not think anyone should consent to that kind of macabre voyeurism. We are not getting out of this world alive, and we certainly don’t need to be used as covid mascots when we are at our most vulnerable. Those ICU pictures published in the newspapers, are intended to scare people into compliance, when no one knows the history or various other factors that put them in ICU.

People ended up on ventilators in ICU long before covid came along, yet we never allowed media into a hospital room. Now if you end up in ICU, it’s a reality TV show with a biased slant, at a time when you have no hope of defending yourself or your reputation. Vanity aside, privacy in health care is being eroded faster than an unstable embankment, without any roots to hold it in place.

I would far rather go out of this world dressed up, than tied and bound up in tubes on a ventilator, at the mercy of mobile hazmat suits, with people you could never recognize outside the place. So when people say, would you forgo medical care if you need the ICU? I always think – Sure I would. Faith and fate are part of life. Give it your best shot, and then fall out of the tree. Nature is what it is.

It has come to the point where it is simply safer to stay away from doctors and hospitals if at all possible. They are understaffed and overwhelmed as it is, and things appear to be getting worse. They don’t want us there.

The chances of medication errors, diagnostic errors, and a lack of advocacy – makes hospitals increasingly formidable. There are many good people who work in hospitals, but inadequate staffing levels can lead to inhumane treatment. Plus people are under a great deal of stress right now. Many people who work in hospitals have strong opinions about what is happening, yet they are not free to speak what they believe. The idea of facing the financial crisis that comes with loss of income, or worse yet the license to practice your profession, for people in mid career with families to support – is a huge stressor. The strong differences of opinion cause conflicts, mistrust, and instability in the workplace. I am so glad to be out of it.

Hospitals do have a fair bit of drama, and each experience is unique. For example, if a person is post op with a big abdominal surgery, has had the catheter removed, and cannot urinate – they will get a full bladder pressing on a fresh incision, and be in a great deal of pain. If they let the nurse know they are in extreme pain, and she does not palpate or notice the distended bladder, she might give sedation without alleviating the cause. She might not get back to the patient for another two or three hours. It is a very long time to be in that much pain, steadily increasing, as the IV is running, and the bladder becomes fuller.

The same thing can happen if there is internal bleeding, or a big clot pressing on the incision or other organs. The nurse may be inclined to give more sedation without recognizing the post op complication for several hours. Oftentimes it is a family member who acts as a patient advocate, and will seek help when they see something is not going well.

But if family is not allowed to visit, the person has no advocate. People can quickly become too weak to ring a call bell, especially if there is a post-op bleed. I truly wish there was a way to maintain a support person as a patient advocate, for every person who lands up in the hospital. From a staffing perspective, it is very helpful to have someone at the bedside who can give sips of water, adjust pillows, make sure the person is rousable, etc. Most nurses are not intentionally neglecting patients. It’s just too busy sometimes.

When a person lands up in ER, or is admitted to the ward, the treatment is in the luck of the draw. You might go in during a quiet period and get treated quite well. You might happen to get sick when a really good team of doctors and nurses are working. Or you may get a dud for a doctor, and nurses who are burnt out and beyond caring. The consistency of care is compromised by an overworked system.

Accidents and the resulting traumas, make up a percentage of tragic hospital admissions. In addition to car accidents, this includes falls within and around your own home. If you are over fifty and fracture your hip, the chances of dying within a year is very high. Falls can lead to brain injuries, and/or lifelong disabilities.

Therefore, assess and minimize your chances of getting injured before taking any risk. When indoors, use a stable two or three step ladder with an arched handle to get things out of upper cupboards. Never grab a bar stool or some other unstable piece of furniture to stand on, even for a minute. The same applies to all ladder use, inside or out. Always hold railings on stair cases. Use proper body alignment when lifting things.

For every project, create a safety filter, whether it is chopping vegetables, cutting frozen tuna, fixing things, using glues and chemicals, decorating, painting, gardening, lifting, and loading things. The notion of physical invincibility starts to wane at about age fifty five. If you add insult to injury, it hampers healing, and could lead to chronic pain, arthritis, and dependency on pain medications.

All injuries, like illnesses, need rest and healing therapies. Massage, water exercises, stretching, elevating, and application of warmth – will aid healing. Whether injured or ill, always keep your circulation flowing by moving around, changing position, deep breathing, rotating your ankles, tightening up your calf muscles, and stretching. Many people will develop pneumonia, just from not moving enough. Moving also helps keep the circulation flowing, which is especially important to prevent blood clots from developing in the lower legs.

We should not blame ourselves if we do get sick or injured. It’s bad enough to have to deal with a health crisis, without beating ourselves up even more. But even so, it is wise to do an objective evaluation of the cause, to help us recover, heal, steadily improve, and then make the necessary changes to boost our overall health.

To take responsibility for our own health, we have to gain some confidence and basic knowledge. One of the best ways to gain confidence is to overcome the fear of death. If we are living in fear, we are easy to manipulate and control. If we go for every pre-screening option available, we are bound to get diagnosed with something. Once that happens, it is much more difficult to back out of the treatment plan laid out for you. It is the same with prescription drugs. If you go to a doctor with any problem at all, you are likely to get a prescription of some sort.

I believe we all get inflammation, cancers, infections, and autoimmune diseases of varying degrees, sooner or later. Wellness is a lifelong journey, and many times, it is an uphill battle. A battle of self-discipline, will power, getting a proper balance in life, managing stress, getting enough sleep, solving problems, overcoming childhood trauma, addictions, and so on.

Years ago I was quite taken by a nutrition based self-help book about emotionally induced illnesses. The author claimed 80% of illnesses are emotional in origin. It seems excessive, but at the same time quite believable. During the years I worked as an RN, I could certainly see plenty of evidence to support those claims. Almost all frequent flyers presenting in ER departments are riddled with emotional pain, addiction, and an over arching physical complaint. Being referred to as a frequent flyer was a negative thing, with the undercurrent of what was then termed as “drug seeking behaviours”.

It is not simply a matter of thinking positive, although a decision to be happy, with an optimistic outlook, can help a great deal. You cannot stay positive if you have constant struggles, and never-ending problems to deal with though. So the key is to do what you can each day to solve the problems, in bite size pieces. Once you outline what you can do each day, then the problems can be broken down, without casting a complete shadow over all the positive things in life. If you have a hundred pounds to lose, you cannot lose it overnight anyway. It has to be a day by day, and step by step action plan.

In many cases we land up in a cycle of some sort. If it is negative and swings to the extremes, it means there are patterns to break and restructure. We have to ask ourselves what we might be doing to contribute to our own bad luck or instability.

Sometimes it is a matter of “to thine own self be true” but you end up getting punished for the decision. Other times, it is a pattern, a coping mechanism from another era. Sometimes it is interlocked with a co-dependant or destructive relationship. It is hard to be objective when you are in the thick of it. You have to get free first.

In a similar way, if you have a raging addiction, it will not be cured in a day. It takes abstinence, followed by a day to day plan with the objective to get feeling better. All addiction, depression, poor diets, chronic illness, etc. require a dedication to improve energy, stability and vitality. The dopamine levels, serotonin levels, gut biome, and methods of stress management must be sorted out. For some, healthy living has been fairly easy to make into a lifelong pattern. For countless others though, optimal wellness is burdened with, or snuffed out by emotional and psychological baggage.

Over the years, I will readily admit my own shortcomings in handling emotional stress in a healthy way. I allowed coping mechanisms from early childhood to rule. In hindsight, I wish I would have known then, what I know now. When things go wrong with our health, we feel awful. We don’t have the energy to get our work done. It is difficult to feel happy and optimistic while feeling physically ill. In a similar sense, it is difficult to feel physically well, if we are emotionally stressed, downtrodden, or over burdened, and without the resources to deal with things.

One of the core values I have developed, is to avoid most medications, non-herbal drugs, and alcohol. They might be needed for a brief period, but dependency on medications or chemical mood elevators, means masking symptoms, and creating a roller coaster of mood instability. Eventually the (self) medications do not work as well, or else they cause intolerable and cumulative side effects. Alcohol and many prescription medications are addictive, and can cause severe withdrawal when stopped suddenly. Benzodiazepines require a very careful tapering, which can take many months.

The main objective is to stay stable, regardless of what is going on around you. This means having surety in your decision making abilities, forgiving your own mistakes, and doing your best each day. Keep stable routines, stable diet, stable home life, and keep working out the priorities and details. If there are major changes, don’t add more, just deal with what is tangible. Any time something is threatening to spiral, pull it back to the baseline.

As far as physical health is concerned, the principles are similar. Pay attention. When there is a problem developing, evaluate it, research it, and trust your intuition. If you feel unwell, often rest is the antidote. Some people panic if they see a tablespoon of blood. Apply pressure. If you have an arterial bleed, or an injury that won’t stop bleeding, you do need medical attention. In such a case, there will be a significant amount of blood. Some things do require a 911 call, but often people tend to over react.

Many people get scared if they get short of breath, or if they get a positive mammogram result, or told they “might have this or that”. Ask yourself how you feel, what is different, when did it start, what might the cause be? No one knows your medical history better than you do. It helps to become dispassionate for periods of time, while we make an assessment, as it increases objectivity and rational thought.

From my own perspective and experience, diet, exercise and adequate sleep, make up the basics of maintaining health. If you feel ill, it means you need rest and some early therapies. Things that are therapeutic, and contribute to helping the body heal, are steeped in old fashioned remedies. Therapies are basically comfort measures with healing benefits.

Yes home made chicken soup and lots of clear fluids, in between resting, will help you get back on your feet in a few days if you catch a cold. It is worthwhile to study up on the use of essential oils. They have many well documented health benefits, and contribute to a sense of well-being. Most of them have antimicrobial and anti fungal properties as well. Aromatherapy is pleasant, and full of olfactory flavour. You do get your favourites among them. My favourites are rose, jasmine, cypress, thyme, marjoram, and juniper. Some people love the mints, and others prefer the citrus essential oils. Once you get into it, there is an awesome range to choose from, and become familiar with.

You have to research the usages, carrier oils, and dosages of essential oils carefully though, especially if you choose to use them medicinally. It is fine to use them in aromatherapy or the bath without concerns. But anything taken internally, or even put onto the skin, must be done with caution. Some of them cannot be taken internally at all. Others can be taken in very small amounts depending on the concentration.

It is wise to keep in mind, there are many healthy and natural remedies, including the overuse of some foods and spices that can be toxic. Some food examples with potential for toxicity are cinnamon, Brazil nuts, nutmeg, green potatoes, and large amounts of leafy greens.

Essential oils, nutraceuticals, and supplements must be evaluated and researched based on what ailment they are directed at, before using them medicinally. They need to be managed as carefully as any other kind of medication. You have to include them in a list of medications you are taking if you do end up in the hospital. Some of them can lead to bleeding disorders, or can react with other medications. Steroids and anticoagulants are especially high risk for serious drug interactions when taken in conjunction with certain herbs or supplements.

I was surprised to learn the upper limit on cinnamon is a teaspoon a day, and Brazil nuts, must be limited to less than five nuts a day. Normally a person could not consume too many leafy greens, since you would have to eat a very large volume for it to be toxic. But now with the popularity of smoothies, a person could get toxicity, if they consume too much spinach and kale, if they assume the more you consume, the better. Moderation is always the key.

I do see many health related YouTube videos telling people they need multiple supplements and trace minerals, often promoting very obscure supplements. Be very wary of adding large amounts of trace minerals, when we are only meant to have tiny amounts, not overkill. We get most of those beneficial trace minerals from a healthy diet. Even if you take supplements that the body can detoxify and excrete, this places an excessive burden on the liver and kidneys. If four or five Brazil nuts has too much selenium, what happens if selenium is packed into a supplement you do not even need?

Clearly, we need to keep our priorities straight. One of the things I noted when working for a few years in large long term care facilities, is that you would often see people who were cognitively intact, but immobile due to knee, back or hip injuries. Another group of them were on the dementia wards, and would have a disproportionate number of very active people. They could walk all day, yet could not remember their name.

One key question to ask ourselves is why we seek a diagnosis for every ailment? We want someone else to fix us. We want a label put onto our ails, so we can find a treatment? Or find a reason for feeling unwell. We have been indoctrinated into believing that we must get an early diagnosis or die. For those with anxiety or fear of getting cancer or diabetes, then by all means seek diagnosis and treatment. Many people credit an early diagnosis with survival. But I think we have become too dependent on quick fixes. If something took years to develop, there is probably not a quick fix.

When I did diabetic teaching for awhile, I had to follow a certain accepted protocol. This involved telling people to test their blood sugars four times a day, and use sugar substitutes like Splenda. The diabetic teaching office would receive boxes and boxes full of free Splenda to hand out, along with the free blood glucometers. One thing most diabetic teaching nurses will notice, is there is a strong correlation between diabetes and depression. I felt like telling them not to check their blood sugars so often.

Why? Because if you are not going to do anything different, why depress yourself over it? It’s like telling an alcoholic to measure their blood alcohol levels when they are drinking. Obviously they are going to be elevated. I think it is better advice to tell people to outline some changes, do them daily, and then check their blood sugars to see if the results are better. Maybe things have progressed since I did the diabetic teaching. I hope so, because there were so many facets of it that I found to be counter intuitive.

Perhaps it is better to make a game plan. What will I do if I get sick? Stay home of course, especially if it is a cold, flu, or communicable disease. Drink plenty of clear fluids, eat soup, and rest. Other self treatments at home can include fasting and hydrotherapy.

As we go forward in our technology based world, we are simultaneously going backward in health care. It makes me think we might return to the back-on-the-farm treatments with mustard plaster compresses, and thermofuge poultices. Human beings are amazingly resilient. There is no way of knowing why some are more resilient than others.

As far as making the grand exit in a pink miniskirt, there is really no chance of that anymore. If I had a choice in the exit costume, I would substitute the sequins for a calf length green silk tea dress with a full skirt. Then spin off into the sky, and blend in with the aurora borealis. But alas, little does it matter what we are wearing when we draw our last breath on this earth. When we leave our bodies, we not only leave our clothes behind like in the movies, but the body itself will be abandoned, clothes and all. At least that’s how I see it.

When people over a hundred years old are asked to share their secrets of longevity, the answers are widely varied. Some smoked and ate ice cream every day, while others ate spinach, and walked five miles a day. But the one common denominator, is most of them are quite cheerful and grateful. That’s probably the crux of it. So cheer up, and have some ice cream with that spinach!

Copyright Valerie J. Hayes and Quiet West (2021). Unauthorised use and/or duplication of this material without express and written permission from this blog’s author/owner is strictly prohibited. Excerpts and links may be used, provided that full and clear credit is given to Valerie J. Hayes and Quiet West with appropriate and specific direction to the original content.