Edgar Allen Poe and Carbon monoxide poisoning

A medical protocol for recognizing and treating carbon monoxide poisoning dips into literature for an extended list of symptoms that may be associated with the condition. The article, “Background on Sources, Symptoms, Biomarkers and Treatment of Chronic Carbon Monoxide Poisoning,” [1] is by Albert Donnay, MHS, Environmental Health Engineering, who is providing the information included in the protocol for  the purpose of helping medical professionals in diagnosing and treating chronic carbon monoxide poisoning as defined by specific symptoms and lab tests. The protocol is not intended to be used for self-diagnosis or treatment or as a substitute for seeing a medical professional.

That being said, the biggest news for me wasn’t that Edgar Allen Poe may have had chronic carbon monoxide poisoning possibly due to the coal gas that was used  at the time for indoor lighting or that he may have described the many symptoms of the condition in his macabre story, The Fall of The House of Usher, (1839). The big news for me was that stress – yes stress itself  can be a cause of chronic carbon monoxide poisoning. 

–> Time for a few stress reducing deep breaths. Carbon monoxide causes blood vessels to constrict and it can take the place of oxygen on the transport molecule of hemoglobin. So every breath you take is less efficient when carbon monoxide is present in excessive amounts. Smoking is a well known contributor of carbon monoxide to the blood stream. Stress  adds carbon monoxide indirectly as a breakdown product of increased metabolism while smoking is a direct source of the chemical.

Stress causes an increase in an enzyme that causes more breakdown of hemoglobin to occur. Hemoglobin is the protein that transports oxygen within the red blood cells. The destruction of hemoglobin leaves molecules of carbon monoxide as a side product. So the stress is a double whammy of sorts on our ability to carry oxygen.  The stress directly leads to less hemoglobin because more is broken down than usual; and the destruction causes an increase in carbon monoxide which binds onto the area of the remaining molecules of hemoglobin that would normally be carrying oxygen. So there is less total hemoglobin present and more of the remaining hemoglobin is transporting carbon monoxide instead of oxygen.

Chest pain or a rapid heartbeat and difficulty breathing or a feeling of only being able to take shallow breaths can be symptoms of chronic carbon monoxide poisoning, but they can also be symptoms of many other diagnoses, so see a medical professional for individualized diagnosis and treatment. See the protocol for more information about chronic carbon monoxide poisoning and for other symptoms and for the more extensive list of possible symptoms quoted from the fictional work by Edgar Allen Poe.  [1, protocol]  And see a medical professional for diagnosis and treatment as needed.

101
Fresh air, exercise,
Stress reducers for players
And for spectators.
  • Disclaimer: Opinions are my own and the information is provided for educational purposes within the guidelines of fair use. While I am a Registered Dietitian this information is not intended to provide individual health guidance. Please see a health professional for individual health care purposes. 

Fortune cookies – tabulating luck

I have no idea if Fortune cookie statistics were ever tabulated by the authors of Freakonomics but their work suggests anything can be studied more closely and good luck seems worth a closer look.

After a large party there was a giant bag of Fortune cookies left unopened. Over time some of the fortunes were collecting under a fridge magnet and eventually it became a goal to save them for a grand tally (today) and see whether the large number of shoe shopping messages I was getting one day was within normal distribution or not. It did turn out to be the most frequent message – so maybe within the normal distribution for this set of fortunes at least.  I did resist shoe shopping that day and now the desk is practically clean.

A large bag of Fortune cookies produced 66 fortunes once they were all gathered from the messy desk and from under the fridge magnet. The sample of 66 fortunes produced about a twenty percent chance, or one in five, to get the fortune, “Always put your best foot forward” or an eighteen percent chance to get “You will be fortunate in everything you do” or a six percent chance to get “Hand that touches this slip have no more worries.

  1. Patience is the ability to count down before you blast off!     4
  2. You will be fortunate in everything you do.     12
  3. Always put your best foot forward.                13   —–Shop for shoes or shine them?
  4. You will spend old age in comfort and material wealth.     4
  5. This is a prosperous time of life for you.                                     8
  6. Your business will assume vast proportions.                           1
  7. Good news from afar will bring you a welcome visit            1
  8. You will hear pleasant news.                                                          1
  9. You are always welcome in any gathering.                               2
  10. You will be showered with good luck.                                                                 1
  11. A package of value will arrive soon.                                                                      1
  12. Focus on your long-term goal. Success is soon yours!                                  1
  13. An interesting musical opportunity is in your near future.                           1
  14. You are altruistic and will be involved in many humanitarian projects.    5  – my favorite
  15. Hand that touches this slip have no more worries.                            4   – my second favorite
  16. Rome was not built in a day. Be patient.                             1   – or maybe this is my favorite
  17. You may attend a party where strange customs prevail.                        5
  18. Constant change is a way of life for a small business.                            1

Learning/Speaking Chinese:
Happy          kwi lur                    24 

Funny        Hao xiao                  18
Come in please    qing jin!       8
Small         shau                            1
No                 pu                              1
Sit down please   Qing zu        8
Big              da                                 1
I am an American     Wo shi meiguo ren

Last slip’s lucky numbers:  04, 23, 32, 39, 42, 45

Silly but completed projects are a step towards follow through and a cleaner desk.

*** The Fortune Cookie Chronicles: Adventures in the World of Chinese Food – a book by Jennifer 8 Lee, “In a compelling blend of sociology and history, Jenny Lee exposes the indentured servitude Chinese restaurants expect from illegal immigrant chefs” [Amazon]

***

breaktheillusion.com – a blog with 12 made up fortunes

/Disclosure: This information is provided for educational or entertainment purposes within the guidelines of fair use./

Talking about trauma with kids; PTSD, neural mapping, EMDR and reframing

/This article was originally posted on March 21, 2011. It is still important to have open conversations with children about traumatic events or other information they may find confusing, troubling or frightening. EMDR therapy can be helpful for adults with PTSD./
We all need comfort and we gain it from sharing our burdens, talking about troubles and letting out worries. Listening is more important than talking – let kids talk to you about trauma – we don’t know what they are thinking or are worried about until we let them talk it out. Don’t worry too much about “how to talk about it“, pause, listen, and accept – “yes, there are worries but we’ll stick together and work through it“, is a strong message for all of us to hear.
Children and all of us have “hot” emotional memories centered in the amygdala and milder long term factual memories stored more generally throughout the neocortex. Electrical activity of the brain can be recorded and associated with the topic being considered. The amygdala centered emotional memory can be tied to smells, sounds, places or people and can be unexpectedly triggered leaving the person with panic attack type symptoms unique to the individual’s memories of the early traumatic event.

Neural connections in the brain can be flexible or can be linked together in behavior patterns that might be described as being a bit like playing with a line of toy dominoes. The designers spend hours placing the dominoes in line, each the perfect distance and angle from the last, carefully balanced on end and poised for any slight shock to send the entire chain tumbling down. Emotional memories may be triggered by something like a car door slamming shut. A toddler memory may be submerged regarding something as trivial as mom and dad fighting over who has to carry in the groceries and the car doors were slammed shut violently. To a toddler the words may not mean as much as the tone and the violent sounds. A description of brain cell connections without the dominoes analogy is available on ScienceDaily: Brain pattern flexibility and behavior, (ScienceDaily)

 

After the event, immediately, and maybe later that day, the next day, the next week – the toddler may pester with questions of what is wrong and what did I do to cause that fight? The child’s world is centered around themselves – natural while young but prone to self blame. The memory can be stored with feelings of “I caused that arguement – I am a bad person – I don’t deserve attention or explanation” and so on. If their worries are left unanswered or are denied as real then the hot memory is ignored and is left unprocessed, instead it is pushed down and forgotten at the daily level. A car door slamming with a combination of shouting voices might trigger a panic attack though.

 

The hot memory can be toned down and moved to long term storage if time is allowed to discuss the event – and more than once. It might pop up in the toddler’s chit chat daily, and then weekly, monthly, and maybe even over the years if it was bad enough triggering event. Once the connection is made though, (negative event associated with a negative symptom) and discussed, usually the power of the slamming/shouting sound is reduced and similar events in the future may not trigger a panic attack or it might  be a milder reaction.

 

Children are absorbing knowledge and building their neural pathways – good habits and bad habits are learned by watching the people they love and trust. Spending a few minutes whenever possible to listen to children share their worries allows them to move the memories from the ‘hot’ button zone of the amygdala, to the mellower long-term storage of the neocortex.

 

Symptoms of PTSD, Post Traumatic Stress Disorder, can be effectively reframed  and reduced using cognitive therapy techniques like EMDR. A problem or trigger event is visualized and then a state of deep relaxation is reached and the memory is discussed or pondered with guidance from the therapist. New insights from the perspective of the adult framing of the situation can be considered and then the relaxation method is repeated using the new perspective.  The neural maps of the traumatic events can be reached  from a deeply relaxed state of theta waves. EMDR, attempts to help the patient reach the theta state with rapid stimulation of the right side then left side of the brain, either visually with a moving hand or object, or with sound or a vibration buzz in the palm of the hand. Children under seven are already living in this more meditative level of consciousness. In the zone – flow time – playing like a child – we could all use a little relaxed theta time these days and a chance to free a little worry from the hot zone of the amygdala.

 

The world is changing but denying reality never solves problems it only pushes them down to a submerged hot zone. When we talk about our troubles then we can look for solutions and change. Denying problems, denies a chance for change.

 

Art therapy can be a useful way to give children and anyone freedom to explore feelings – color to feel not to produce. Playdough and other free form play can help reach a relaxed state where gentle talk about hot topics can be released  as they surface. Picking at the problem with needling questions may not be as quick as open ended play time. Adults may find a walk or bike ride their ticket to free flow brain time.

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Disclaimer: Opinions are my own and the information is provided for educational purposes within the guidelines of fair use. While I am a Registered Dietitian this information is not intended to provide individual health guidance. Please see a health professional for individual health care purposes.

  1. Terrorism, and talking to kids about catastrophic mass violence, guidance sheets from The National Child Tramatic Stress Network [nctsnet.org/trauma-types/terrorism]
  2. by Carol Boulware, MFT, PhD, “EMDR Therapy, EMDR Therapists, EMDR information, PTSD,” [emdr-therapy.com/].
  3. by Carol Boulware, MFT, PhD, “EMDR-Breakthrough Therapy for Overcoming Anxiety, Stress,Trauma and Self-Sabotage,” [emdr-therapy.com].
  4. by Carol Boulware, MFT, PhD, “Do I Have Anxiety Needing Therapy?” a discussion about anxiety and PTSD focused on adults [emdr-therapy]
  5. The National Child Traumatic Stress Network [nctsnet.org/]
  6. Trauma and Your Family – a guidance factsheet from The National Child Traumatic Stress Network pdf: [nctsn.org]
  7. by Tanya Anderson, PTSD in Children and Adolescents, Great Cities Institute, GCP-05-04, November, 2005  pdf: [uic.edu]
  8. This website is a non-profit 12 step based program for the Adult Children Of Alcoholic (or Dysfunctional) Families. PTSD and neural mapping aren’t discussed but the symptom list includes similar problems: The Laundry List – 14 Traits of an Adult Child of an Alcoholic (or Dysfunctional Family) ,  [adultchildren.org]