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Vol. 1 No. 3, May 2009 Copyright 2009 by Wolf J. Rinke

IN THIS ISSUE
1. NUTRITION NEWS YOU CAN USE
2. SPECIAL OFFER FOR SUBSCRIBERS ONLY
3. WHAT TO LEARN FROM A NURSE'S HEART ATTACK
4. OTHER NEWS YOU CAN USE
5. HEAR WOLF "HOWL"--I MEAN SPEAK
6. HUMOR BREAK
7. ABOUT THE EDITOR
8. PRIVACY STATEMENT AND SUBSCRIPTION INFORMATION

INSIGHT BREAK

"We now have convincing evidence that the right mental attitude can help your immune system function more effectively."
-Issac Djerrassi
Source: Make it a Winning Life Perpetual Calendar, http://www.wolfrinke.com/calendar.html

1. NUTRITION NEWS YOU CAN USE

Manage Cardiometabolic Syndrome (CMS) Risk Factors

CMS clinically manifests with heart disease, diabetes and obesity. Approximately 24 percent of Americans have three or more of these risk factors. According to the National Heart Lung and Blood Institute (NHLBI) about 47 million adults in the United States have CMS. About 300,000 Americans die each year from obesity related diseases. The cost of obesity is a tremendous burden on the healthcare system with 120 billion dollars expended on medical expenses. Changes in life styles, economy and financial demands are encouraging people to use Complimentary and Alternative Medicine (CAM) therapy.
ACTION STEP: Read the first hand account of someone who experienced a MI below. Then read "Complementary & Alternative Therapies Modulating Cardiometabolic Syndrome Risk Factors" (C192) by Dr. V. Juturu, http://www.wolfrinke.com/CEFILES/cenutr.html#C192. This up-to-date home study course (16 CPEUs) provides in-depth information that will enable you to reduce CMS risk factors so that you and your patients can avoid suffering from these debilitating diseases.

2. SPECIAL OFFER FOR SUBSCRIBERS ONLY

Use the Recession Buster Coupon at the end of this eNL to SAVE up to 12% on ALL CPE programs at www.easyCPEcredits.com. This coupon may even be applied to already reduced "Super Bargains" to help you SAVE even MORE! Hurry coupon expires 5/15/09.

3. WHAT TO LEARN FROM A NURSE'S HEART ATTACK EXPERIENCE

This was forwarded to me by John Guynn, Supervisor, Nutrition Services, Methodist Hospital, Sacramento, CA, with the admonition to share it with as many people as possible in order to help save lives. A cardiologist maintains that we'll save at least one life if everyone who gets this mail sends it to 10 people. So please feel free to forward this eNewsletter to all your friends and colleagues.

"I am an ER nurse and this is the best description of this event (myocardial infarction in woman) that I have ever heard. Please read, pay attention, and send it on!"
Diane K. in A.

FEMALE HEART ATTACKS

Did you know that women rarely have the same dramatic symptoms that men have when experiencing a heart attack (myocardial infarction)? You know, the sudden stabbing pain in the chest, the cold sweat, grabbing the chest and dropping to the floor that we see in the movies. Here is the story of one woman's experience with a heart attack.

"I had a heart attack at about 10:30 pm with NO prior exertion; NO prior emotional trauma that one would suspect might have brought it on. I was sitting all snugly and warm on a cold evening, with my purring cat in my lap, reading an interesting story my friend had sent me, and actually thinking, 'A-A-h, this is the life, all cozy and warm in my soft, cushy Lazy Boy with my feet propped up.

A moment later, I felt that awful sensation of indigestion, when you've been in a hurry and grabbed a bite of sandwich and washed it down with a dash of water, and that hurried bite seems to feel like you've swallowed a golf ball going down the esophagus in slow motion and it is most uncomfortable. You realize you shouldn't have gulped it down so fast and needed to chew it more thoroughly and drink a glass of water to hasten its progress down to the stomach. This was my initial sensation--the only trouble was that I hadn't taken a bite of anything since about 5:00 pm.

After it seemed to subside, the next sensation was like little squeezing motions that seemed to be racing up my SPINE (hind-sight, it was probably my aorta spasms), gaining speed as they continued racing up and under my sternum (breast bone, where one presses rhythmically when administering CPR).

This fascinating process continued on into my throat and branched out into both jaws. 'AHA!! NOW I stopped puzzling about what was happening -- we all have read and/or heard about pain in the jaws being one of the signals of an MI happening, haven't we? I said aloud to myself and the cat, 'Dear God, I think I'm having a heart attack!'

I lowered the foot rest dumping the cat from my lap, started to take a step and fell on the floor instead. I thought to myself, 'If this is a heart attack, I shouldn't be walking into the next room where the phone is or anywhere else ... but, on the other hand, if I don't, nobody will know that I need help, and if I wait any longer I may not be able to get up in a moment.'

I pulled myself up with the arms of the chair, walked slowly into the next room and dialed the Paramedics ... I told her [the dispatcher] I thought I was having a heart attack due to the pressure building under the sternum and radiating into my jaws. I didn't feel hysterical or afraid, just stating the facts. She said she was sending the Paramedics over immediately, asked if the front door was near to me, and if so, to un-bolt the door and then lie down on the floor where they could see me when they came in.

I unlocked the door and then laid down on the floor as instructed and lost consciousness, as I don't remember the medics coming in, their examination, lifting me onto a gurney or getting me into their ambulance, or hearing the call they made to St. Jude ER on the way, but I did briefly awaken when we arrived and saw that the radiologist was already there in his surgical blues and cap, helping the medics pull my stretcher out of the ambulance. He was bending over me asking questions (probably something like 'Have you taken any medications?') but I couldn't make my mind interpret what he was saying, or form an answer, and nodded off again, not waking up until the Cardiologist and partner had already threaded the teeny angiogram balloon up my femoral artery into the aorta and into my heart where they installed 2 side by side stints to hold open my right coronary artery.

I know it sounds like all my thinking and actions at home must have taken at least 20-30 minutes before calling the paramedics, but actually it took perhaps 4-5 minutes before the call, and both the fire station and St. Jude are only minutes away from my home, and my Cardiologist was already to go to the OR in his scrubs and get going on restarting my heart (which had stopped somewhere between my arrival and the procedure) and installing the stints.

'Why have I written all of this to you with so much detail? Because I want all of you who are so important in my life to know what I learned first hand:

1. Be aware that something very different is happening in your body, not the usual men's symptoms but inexplicable things happening (until my sternum and jaws got into the act). It is said that many more women than men die of their first (and last) MI because they didn't know they were having one and commonly mistake it as indigestion, take some Maalox or other anti-heartburn preparation and go to bed, hoping they'll feel better in the morning when they wake up ... which doesn't happen. My female friends, your symptoms might not be exactly like mine, so I advise you to call the Paramedics if ANYTHING is unpleasantly happening that you've not felt before. It is better to have a 'false alarm' visitation than to risk your life guessing what it might be!

2. Note that I said 'Call the Paramedics.' And if you can, take an aspirin. Ladies, TIME IS OF THE ESSENCE!
Do NOT try to drive yourself to the ER - you are a hazard to others on the road.
Do NOT have your panicked husband [drive you], who will be speeding and looking anxiously at what's happening with you instead of on the road.
Do NOT call your doctor -- he doesn't know where you live, and if it's at night you won't reach him anyway, and if it's daytime, his assistants (or answering service) will tell you to call the Paramedics. He doesn't carry the equipment in his car that you need to be saved! The Paramedics do, principally OXYGEN that you need ASAP. Your Dr. will be notified later.

3. Don't assume it couldn't be a heart attack because you have a normal cholesterol count. Research has discovered that a cholesterol elevated reading is rarely the cause of an MI (unless it's unbelievably high and/or accompanied by high blood pressure). MIs are usually caused by long-term stress and inflammation in the body, which dumps all sorts of deadly hormones into your system to sludge things up.

Pain in the jaw can wake you from a sound sleep. Let's be careful and be aware. The more we know the better chance we could survive.

A cardiologist says if everyone who gets this mail sends it to 10 people, you can be sure that we'll save at least one life. Please be a true friend and send this article to all your friends (male & female) you care about!"

To help you reduce your chance of experiencing a MI read "Complementary & Alternative Therapies Modulating Cardiometabolic Syndrome Risk Factors" (C192) by Dr. V. Juturu, http://www.wolfrinke.com/CEFILES/cenutr.html#C192. It's approved for 16 CPEUs.

4. OTHER NEWS YOU CAN USE

Study Links Depression with Heart Disease in Women
Researchers who tracked 63,000 women without baseline coronary heart disease (CHD) from the Nurses' Health Study between 1992 and 2004 found that depressed women were more than twice as likely to experience sudden cardiac death (SCD) then those women who did not experience depressive symptoms.
ACTION STEPS
During these tough times guard against the "Blues," which if unattended may escalate and lead to depression.
Source: W. Whang et al., "Depression and Risk of Sudden Cardiac Health and Coronary Heart Disease in Women," J Am Coll Cardiol, 2009, 53:950-958; http://content.onlinejacc.org/cgi/content/short/53/11/950.
To avoid the Blues read my best selling CPE program "Beat the Blues: How to Manage Stress and Balance Your Life" (C178) http://www.wolfrinke.com/CEFILES/cepd.html#C178. It's approved for 28 CPEUs.

Here is what one customer had to say about this powerful CPE program (C178):
"Very interesting and insightful. I could not put it down. This course was fun and enjoyable to complete."
-- Sheila Wooden, RD

4. HEAR WOLF "HOWL"--I MEAN SPEAK

5/8/09 Grand Rapids, MI "Positive Attitude--The Key to Success in Nutrition and Dietetics", Opening Keynote, MDA, contact Susanne Consiglio, mda.execdir@sbcgloabal.net

These full day seminars maybe open to you if your organization is a member of the Institute of Management Studies (IMS). Contact the chairperson for specifics.
Increasing Your Personal Effectiveness
9/21/09 London, England, contact: Mike Matthews, london@ims-online.com
9/22/09 Edinburgh, Scotland, contact: Graeme Crawford, scotland@ims-online.com
9/24/09 Manchester, England, contact: Gareth Morris, manchester@ims-online.com

NOTE: Let Dr. Rinke make your next meeting a "howling success." As a way of giving back, he speaks to ADA groups at significantly reduced rates.

5. HUMOR BREAK

Because I had forgotten the dates for a number of my friends' and relatives' birthdays and anniversaries, I decided to compile a list and wanted to find a software program that would alert me on the appropriate day. I went to a number of computer stores without much luck. At the third store I finally found a clerk who seemed knowledgeable.

"Can you recommend an application that will remind me of birthdays and anniversaries?" I asked.

His reply: "Have you tried a wife?"

7. ABOUT THE EDITOR

Dr. Wolf J. Rinke, RD, CSP, is the president of Wolf Rinke Associates--an accredited provider of easy to use CPE home study programs for nutrition professionals since 1990 available at www.easyCPEcredits.com. He is a highly effective management consultant and executive coach who specializes in building peak performance organizations, teams and individuals, and an author of numerous CPE home study courses, audio/video programs as well as several best selling management, leadership and self-development books including Make it a Winning Life--Success Strategies for Life, Love and Business. In addition he is an internationally recognized keynote speaker and seminar leader who delivers customized presentations that combine story telling, humor and motivation with specific "how to" action strategies that participants can apply immediately to improve their personal and professional lives. Preview a demo at www.WolfRinke.com or contact Dr. Rinke at WolfRinke@aol.com.

8. PRIVACY STATEMENT AND SUBSCRIPTION INFORMATION

We will not make your name or e-mail address available to anyone. Period!
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