book review

Book review of Red by Erica Spindler.

FF0549F6-0E3F-40AF-96F5-978A9AAF359D

So I’ve finally finished reading this book,Red was such a great book and I am so sad that I wasn’t able to read it earlier. This is the first book from Spindler which I was able to read and I am so happy I found this book since it was so amazing.

This is one of those glorious and an unforgettable story that has you believe that dreams can and do come true. From the first page it grabs your heart and never lets go.

Becky Lynn is one of the most incredible characters I have read. Despite her painful and cruel childhood, coming from the wrong side of the “tracks” and labeled as “poor white trash” and all the heartbreak and obstacles in her life, she remained the kind, sweet and caring person she was, never giving in to the sordid, fickle world that is Hollywood. I became so emotionally involved in her life, sharing her rise from an unknown to the top as a supermodel and touched by her courage and her strength and how she slowly started to believe that she was a person of worth.

People using each other to get to the top – Giovanni, the egotistical famous photographer, Carlo, his sad and unhappy son, struggling with his dark secrets and trying to please his father, Jack Gallagher, the bastard son whose ambition is to show the father who has never recognized him that he can become even a bigger star than him without his help and without realizing, becomes just like the father he despises.

Betrayed by Jack who breaks her heart, Becky Lynn allows Carlo to make her into a supermodel and along the way discovers that both men have been using her for their own selfish purposes. Zoe, who had hurt Becky Lynn so much. And despite it all, never gave up on her humanity to care and help others. So much emotional baggage.

You will travel to locations that are exciting and beautiful, from Paris, Milan, LA, St Barts, New York, live in gorgeous homes, drive fabulous cars, attend parties and meet the rich and famous….a world most of us will never be part of but here….you can be!!!!

Carlo and Jack – two brothers who realize too late how much they care for each other and who allowed their cruel father to keep them apart – such sadness, such loss, such waste. Sins of the fathers who damage their children so badly that some never fully recover from it.

Letting go of the past, and finally coming to terms with what they truly feel for each other, Jack and Becky Lynn overcome the obstacles that have stood in the way for them to be together.

Synopsis:

Growing up on the wrong side of the tracks in Bend, Mississippi, Becky Lynn Lee doesn’t have the luxury of dreaming. With an abusive father and a broken mother, she always thought that this was it. But after the ultimate betrayal, Becky Lynn can no longer live the nightmare.

Determined never to go back, Becky Lynn escapes to Hollywood. As a photographer’s assistant, she discovers a talent for spotting beauty and capturing the perfect shot. When the camera eventually turns on her, the awkward, shy Becky Lynn of her childhood disappears. But when the success she’s achieved is threatened, Becky Lynn must find the strength to embrace her new identity and put the ugliness of her past behind her forever.

Becky Lynn was a nobody in Mississippi, or so everybody told her. So she fled to a world where dreams come true. Jack wanted to be a somebody. He wanted to be the top fashion photographer in the world. Now, supermodel Becky Lynn and high-priced photographer Jack Gallagher are in constant demand. But beneath the surface lurk secrets that threaten to destroy all they’ve achieved.

You will be touched by this unforgettable story, filled with passion, love, sadness, surviving the odds and how believing in yourself will really make your dreams come true. A modern, believable fairytale that will have you wanting to read it again and again.

And I absolutely loved the cover with the red hair and lips. Gorgeous….somehow just as I imagined Becky Lynn to look like.

Advertisements
book review

Review of Soft thorns by Bridgett Devoue

904FC792-F61E-40E5-8827-E1188889A1AE.jpeg

Review of Soft thorns by Bridgett Devoue

 

i wish we lived in a world

where it was safe to keep

our hearts unlocked

🥀

 

Wow, this book is Powerful.I’m not usually a poetry-reader, even if I like it sometimes. When the author says that she is better writing in poems, I thought I was more a “prose” person. But I cannot deny that this book is very good. I felt everything. I felt the damages, the bad things, the assaults, the anger, the loneliness. I felt everything. So, I think that less words can work as much as lot of phrases, sometimes.

I liked every section of the book. This is one of my first poetry book and I’m glad I find a well written and deeply interesting story. We are human, we are like roses with thorns, but we can also be gentle and positive about ourselves.

This book talks about a lot of subjects: assault, abuse, anorexia, mental health, broken hearts, self confidence and self esteem. The most powerful theme is Self care, I think. This part was so important in my eyes and I cannot stop thinking about it. Love is the biggest theme: not only love for someone else, but love for ourselves. Ant this is so Important.

Every line can be meaningful to someone, in every time of their life people can find inspiration and new power to embrace their worlds and built something better.

 

we feel so alone because there is a

whole universe inside each of our minds

that we will never get to experience

together.

 

So, I recommend this book because it’s powerful, relatable, truth and has beautiful but simple images (which I liked a lot).

 

Poetry and prose

Just don’t let them beat the sun

E84B148D-911B-43F1-AA56-1BDEF7C028A9

Here we are again, another late night finds me in fear of all that I face in my mind throughout the day. It keeps me awake, it keeps me pacing and it keeps me tossing and turning. I only pray that all the things that I fear of catching up and getting a hold to me tonight, Just don’t let them beat the sun.

Lord, let the daylight rise before my fears catch up to me. I run and I run but I can hear them right on my heels. I’m scared, I’m alone, but I can see the dawn in the distance. So, I keep running. I know that if I can hang on, just a little longer, I will have the light of day to bolster my confidence and to strengthen my ranks. I only pray that all the things that I fear of catching up and getting a hold to me tonight, Just don’t let them beat the sun.

But it shall come a day, soon and very soon that I fear no longer the night, nor any problems that may approach me within it. In all honesty, day by day, I am striving to get better and to be less afraid, of myself. Yes, I’ve lived in fear up until now. When I should have been respecting, regarding and learning to properly evaluate my own. 

So now, I’m not so afraid. As a matter of fact,  now, in the light of my own thoughts and a proper understanding, I can handle and fully deal with anything that may approach me in the darkness. 

So now, I could care less….. Just don’t let them beat the sun!🌸

Physio Diary

Effects Of Vitamin D And Calcium Deficiency And Related Diseases.

Finally, winters has arrived everywhere in America. Sudden change in weather and cold chilly wind , heavy snowfall can caused laziness and weakening of the bones. Most commonly old age peoples are prone to this conditions. By the age, as we become older our muscles and bones loosen its flexibility and strength. Which leads to many different disorders and diseases of bones.

What are the main cause of bone deficiency? Most of the  people are still unaware of it. To make our bones strong we need to take calcium and vitamin D in our diet. Make your life style healthy as I said to my patient “ Rest less, work more”  that helps you more fit and active.

In a recent study conducted by Loris Pironi (1) suggested that parenteral nutrition (intravenous or central – venous feeding that is employed in patients with chronic diseases interfering with oral food intake or those who underwent major surgeries) is one of the leading causes of weak bones and resulting bone diseases. Pironi conducted this study in patients who were on parenteral feeding for a period of at least 6 months. Results suggested that:

  •  35% of all the enrolled patients reported frequent episodes of intense bone pain
  •  10% reported one or more bone fractures

Pironi concluded:

“Bone disease was present in most of the patients on HPN, was of severe degree in one-half of them and symptomatic in one-third. The BMD Z-score appeared predictive of the risk of fracture”

Now, it’s fair to say that improper and unhealthy diet that include calcium and vitamin D deficiency may lead to several bone diseases.

In fact, it is so common that The American Journal of Clinical Nutritionist called it a world wide problem which is recognized as a pandemic.  Also a survey in the UK showed that more than half of adults in the UK did not have enough vitamin D, and in the winter and spring about 1 in 6 people have a severe deficiency.

Most importantly our  body needs calcium and vitamin D and enough exercise to build and keep strong bones.

Food sources of calcium includes, dairy products , green leafy vegetables, green beans, almonds.

Sources

Other foods that are high in calcium include:

  • Spinach.
  • Kale.
  • Okra.
  • Collards.
  • Soybeans.
  • White beans.
  • Some fish, like sardines, salmon, perch, and rainbow trout.
  • Foods that are calcium-fortified, such as some orange juice, oatmeal, and breakfast cereal.

 

Vitamin D is a fat-soluble vitamin and steroidal in nature. It is also called ergocalciferol ( vitamin D2 ) chole calciferol (vitamin D3).

It is resistant to heat as well as oxidation. Vitamin D can be formed in the skin of human beings by ultraviolet-rays.

Vitamin D promotes calcium absorption from intestine after being converted into 1-25 dihydroxy  cholecalciferol. That is essential in development of healthy bones and teeth.

Synonyms Of Vitamin D:

  • Calciferol
  • Ergosterol
  • Anti-ricketic Vitamin.

Sources:

  • Foods that provide vitamin D include:
  •  Fatty fish, like tuna, mackerel, and salmon.
  • Foods fortified with vitamin D, like some dairy products, orange juice, soy milk, and cereals.
  • Beef liver.
  • Cheese.
  • Egg yolks.

 

Deficiency Of Vitamin D :

Limited exposure to sunlight . In  some of people who  lives in northern latitudes, wear long attire , or have a job that is mostly indoors place. That also inhibits vitamin D production.

People who have dark skin color  and also have high amount of melanin produced in their skin, that blocks the sun rays and  reduces the skin’s ability to make vitamin D when exposed to sunlight.

  • Vitamin D deficiency  is caused by most importantly due to insufficiency of exposure to sunlight.
  • Mainly caused by lack of dietary intake.
  • May also get chronic kidney and liver diseases.

 

Digestive problems also may seen certain medical conditions, such as Crohn’s disease, cystic fibrosis, and celiac disease can reduce the ability of the intestines to absorb vitamin D from food.

Obesity.May cause low vitamin D levels. Research suggests that vitamin D may become ‘trapped’ inside fat tissue so less of it is available in our blood circulation.

 

Vitamin D Deficiency Related Diseases & Conditions

Maintaining proper vitamin D levels is one of the good habits for a great health. Researchers are still working to fully understand how vitamin D works within our body and how it affects our overall health, but it is believed to be a link between vitamin D deficiency to quite a number of ailments:

 Cancer :

In recent research on cancer, researchers say “UC San Diego School of Medicine researchers find Higher Levels of Vitamin D Correspond to Lower Cancer Risk”.

Research in the laboratory suggests that vitamin D has anti-tumor properties, regulating genes involved in the multiplication and spread of cancer cells, Churilla tells WebMD.

For the study, the researchers collected blood samples from 160 men and women with cancer and measured their levels of vitamin D. The five most common diagnoses were breast, prostate, lung, thyroid, and colorectal cancers.

Among people in the study, 42% had vitamin D insufficiency, defined as levels between 20 and 30 nanograms per milliliter (ng/mL) of blood. An additional 32% had vitamin D deficiency, with levels less than 20 ng/mL.

Osteoporosis 

An adequate amounts of calcium and vitamin D are important for maintaining bone density and strength. A lack of vitamin D causes calcium-depleted bone, which further weakens the bones and increases the risk of fractures.

Osteomalacia 

Is an acquired condition (in most cases) caused by deficiency of vitamin D in adults (vitamin D deficiency in children is referred to as rickets). Moderate to severe deficiency of Vitamin D impairs the bone building process, leading to soft and weak bones that may present as.

  •  Moderate to severe bone pain
  •  Weakness of muscles
  • Changes in normal gait
  • Lower muscle tone and impaired grip.
  • Risk factors-Following conditions significantly increase the risk of developing Osteomalacia.

Low exposure to sunlight (vitamin D is synthesized by skin cells upon sun exposure).

Osteogenesis Imperfecta

Osteogenesis imperfecta as the name suggests, is a disorder of bones with genetically pattern of inheritance. This disorder is marked by bone fractures that are mostly pathological (which means without any force of impact or injury).

The severity of lesions vary from person to person (some people develop fractures readily and frequently while others develop less than 3 fractures in the entire lifetime).

Paget Disease Of Bone

Paget disease of bone is another common musculoskeletal issue that may also involve other systems like hearing. This disorder is characterised by high growth potential of bones that primarily affect long bones of the body. The bones not only increase in size but are also weak and vulnerable to injuries, fractures and dislocations. It is marked by excessive bone resorption with abnormal bone formation that eventually replaces the marrow with fibrous and vascular tissue.

Rheumatoid Arthritis

Low vitamin D may play a role in developing rheumatoid arthritis. Studies have found that women who get more vitamin D seem less likely to get rheumatoid arthritis. Also among people who already have rheumatoid arthritis, those with low vitamin D levels tend to have more active symptoms.

Type-2 Diabetes

Studies have demonstrated correlations between low vitamin D levels and the development of type 2 diabetes. Different studies provide evidence that vitamin D may contribute to glucose tolerance through its effects on insulin secretion and insulin sensitivity.

Cholesterol

Vitamin D regulates cholesterol levels in the blood: it has been shown that without adequate sun exposure, vitamin D precursors turn to cholesterol instead of vitamin D.

Physio Diary

How To Get Rid Of Adhesive Capsulitis?

A 50-year-old lady who presented to the clinic complaining of a 6 week history of left-sided shoulder pain and restricted movement. These symptoms started insidious onset but over time they began to affect her daily life style. Pain aggravate, particularly the pain worsens at night, sometimes disrupting sleep and she started to experience problems to dress up clothes, can’t wash her face , hair or brush her teeth (with the arm involved), can’t get her hand to her face, can’t put a shirt overhead, she struggle to tuck herself in if wearing jeans or skirts. She can’t lift things, can’t move her arm more than a few inches in any direction.

I took a full history from my patient about her presenting symptoms and also her previous medical and surgical history. While this process she corresponded how she had moderately began to feel more sluggish over the past few weeks.

After doing the evaluation of my patient with shoulder dysfunction, that included assessment of active and passive range of motion (ROMs), other physical examination and some different maneuver techniques. These maneuver are also very useful to diagnosed frozen shoulder. By this examination, its identified frozen shoulder. Thus I diagnosis her this is Adhesive Capsulitis.

Later than I conducted a session with my patient and communicate her and described about frozen shoulder and there precautions. Take her in my confidence then tell her about my treatment protocols. I highlighted that advanced intervention was key to assign the duration of the frozen shoulder and therefore as her condition was comparatively initial stage. I am very positive that I would be able to clarify considerable improvement.

I am pleased to address that after 3 months of treatment session. My patient has made a very good speedy recovery. Now she is completely pain relief and has nearly attain full range of motion in her affected shoulder.

So now on, I will discuss about the beneficial information regarding to frozen shoulder.

 

What is Frozen Shoulder?

(What exactly happened with our shoulder? Well, the word FROZEN tell its meaning by itself.)

Frozen Shoulder:

Is medically term as Adhesive Capsulitis. It was first coined by an American Surgeon E.A. Codman back in 1934. Adhesive Capsulitis is a painful, stiffness and disabling disorder. In which shoulder capsule and connective tissue surrounding the glenohumeral joint.  When shoulder capsule become thick, stiff, and inflamed that may lead to restrict or limits the range of movement of your shoulder and causing chronic pain.

frozen shoulder most commonly strikes at the  age between 40 to 60 years of people.

 

Causes of Frozen Shoulder?

Any injury to the shoulder that result in scarring, thickening and shrinkage of joint capsule leads to frozen shoulder. Sometimes caused by lack of use due to pain but also often arises idiopathically. The more frequently occur in patients with risk factors of diabetes, chronic inflammatory arthritis of the shoulder, or after chest or breast surgery. Long-term immobilisation of the shoulder joint can be at risk to develop a frozen shoulder. After shoulder trauma or surgery.

 

Sign and Symptoms of Frozen Shoulder?

Pain and persistent stiffness in the shoulder joint are the two main symptoms of a frozen shoulder. This makes it painful and limits the full range of normal shoulder movements.

The hallmark signs of a frozen shoulder is a pain and loss of movement  that may start very suddenly.

The symptoms typically associated with three stages.

  1. Phase one is the freezing or painful phase. This stage mostly lasts for  2-9 months. Pain is the  initial  symptom, then rigidity and constraint  in movement also slowly increased. The pain gets worsen at night and keep you  awake, if you lie on  affected side of  shoulder.
  2. Phase two is the frozen or adhesive phase. This stage mostly lasts for 4-12 months. Pain usually diminishes but stiffness in movement remain and can gets worse by the time. In this stage of frozen shoulder all the movements are affected,  most severely affected movement is external rotation. Shoulder range of motion reduced due to immobilization of shoulder.
  1. Phase three is the thawing or  recovery phase. This stage usually lasts between one and three years. The pain is subsides and stiffness progressively  goes away and range of motion returns to normal, or near normal.

 

How is Frozen Shoulder Diagnosed?

Frozen shoulder can be diagnose from clinical sign and symptoms.

In some cases, X-rays and MRI must be performed to rule out what exactly happened to shoulder joint.

One of the best way to diagnosed frozen shoulder is physical examination. In this physiotherapy play a  best role.

As we discussed this in above, how I took information from my  patient.

 

Treatment of Frozen Shoulder.

Based on three protocols ; medication , surgical therapy and physical  therapy.

Now here comes one of the most important part of treatment, basically what protocols should be used for rehabilitation of frozen shoulder?

Yes  start up plan always  initiate with Medication!

Every treatment starts with medications  cause its help to reduce pain and swelling  . Doctors mostly prescribes medicines  such as Non Steroid Anti Inflammatory Drugs. And if its severe then corticosteroid injection is give to person. Along with this heat should be apply on affected area. Stretching , icing and Physical therapy helps to increase the range of motion , flexibility and strength of shoulder.

If the conservative  treatment will not rule out, then Surgery is sometimes help to released the tightened tissue around the shoulder joint. Two kind of surgeries mostly done manipulation under anaesthesia, MUA (Manipulation under anaesthesia)is a procedure where patient is anaesthetised then physician arm is moved into positions that stretch the tight tissue.

The other surgery uses  is shoulder arthroscopy, In this procedure surgeon insert tiny camera called arthroscope that inspects all the surrounding  tissues of  shoulder. And make a cut through tight tissues and scar tissue. These surgeries can both be done at the same time.

 

Physical therapy:

Treatment of patient depends on what stage of frozen shoulder he/she is suffering from? Keep in mind! we always have to match up the sign and symptoms with the correct treatment for that cause of frozen shoulder.

After evaluation of physical assessment of patient, we designed a treatment session based on condition and stage of patient.

Patient coordination and cooperation valued a lot in treatment session.

Rehabilitation For Freezing Stage:

Pain relieving techniques includes,

o  Muscle releases acupuncture.

o  Dry needling.

o  Gentle shoulder mobilisation.

o  Muscle releasing exercises.

o  Kinesiology taping.

When pain is unbearable intracapsular corticosteroid injection is  considered.

Rehabilitation For Frozen Stage:

o  Shoulder joint mobilisation.

o  Stretching exercises.

o  Muscle releasing techniques.

o  Acupuncture.

o  Dry needling.

Rehabilitation For Thawing Stage:

o  Shoulder mobilisation and stretching exercises are best to gain full shoulder range of motion.

o  Muscle strengthening exercises.

book review

Book Review ~About The Secret garden by Frances hodgson burnett.

Book review of “The Secret garden” by Frances hodgson burnett. 

BA133F3C-6D40-4766-8CBD-E77E27EA3AD7

Really interesting book, taking you into a magical world, where you can escape reality yet become so familiar with it at the same time. Burnett captures your heart, taking it to places never heard of before.

This is a wonderful book full of twists.The main character, Mary Lennox, grew up in India. Her parents left her to be raised by servants who would bow to her every whim. After her parents died due to a Cholera epidemic, Mary was sent to live with her uncle. Through the discovery of a secret garden and people around her who care enough about her not to let her always have her own way, Mary gradually changes from a sullen, unhealthy and selfish child to one who cares and loves others. In the process she also helps Collin her cousin who was talked into believing he was an invalid regain his health and desire to live. 

Truly a beautiful story!This book was one of my favorites.I liked it so much,I missed it after I finished it.A must read for kids of all ages. Highly recommended!!