Saturday, April 25, 2009

Arizona Sunshine



We are currently in Yuma, Arizona enjoying the warm sunshine. When we first arrived, the car thermometer read 107! Today, though, it is breezy and about 87--truly a gorgeous day. We're near the Colorado River and can walk along a trail that weaves through cactus, native foilage and trees. The desert is in full bloom--it's restful and each day Paul increases strength. Thank you for your encouragement, support and prayers.

Wednesday, April 1, 2009

Preaching again!

Paul was pleased to have the opportunity to preach on March 15th for the first time since his heart attack on December 1st. He shared his journey these last 3 months and the many good things God is teaching him. If you'd like to hear that message, Life Defining Moments, you can go to http://www.glenwoodcc.org/ and click on the earphone graphic which will take you to a page where you can listen to or download past sermons.

On March 22nd, the Associate Senior Pastor, Craig Hasselbach, preached to allow Paul some turn around time and then Paul preached again last Sunday, March 29th continuing in the book of Ruth where he left off on Sunday, November 30th. Unfortunately, this week he's been down with a nasty cold but, Lord willing, he hopes to preach this Sunday, April 5th, and the 3 services on Easter Sunday, April 12th.

After Easter, we look forward to heading down to the desert sunshine where Paul can rest for a couple of weeks and where we'll have a chance to see my and Paul's family. We'll return the first week of May when Paul hopes to preach again, Lord willing. ;)

Sunday, March 15, 2009

March--Door to the Future

Recently, I felt like it would be helpful to know how these next months would play out, so to expedite the answer, I decided I would just knock on the Door of the Future. The waiting room was full--seemed I was in good company. They called my name and I walked into a room where I laid my mental plans for the coming days on the table. I then sat and waited for God's endorsement. Naturally, I tapped my fingers and looked at my watch because this always speeds things up.

While I waited, I heard muffled voices in an adjacent room, "Your prescription to know the future may be filled for either 7 days, 31 days or 52 weeks. You will see both the good AND the bad. Be aware that side effects will include sleeplessness and anxiety."

"Do you have anything without side-effects?"

"No, I have nothing that guarantees the absence of side-effects; however, the side-effects are proportionate to the individual's level of T-flow. There is a heart analysis that can measure this."

A florescent bulb flickered and buzzed overhead as I strained to hear more. I couldn't make out what T-flow was and I was not interested in going through tests, I just wanted God's endorsement so I could get on with all the other things I wanted to do. I fidgeted in my chair and looked around restlessly. Outside the window, I spotted a robin sitting on the fence top--so content. I wondered why a bird-brain had such a bad rap...

Finally, a technician entered my room. I explained what I wanted: A view of the future without the side effects of sleeplessness and anxiety. I acknowledged that I did not know my T-flow and asked if there was an over-the-counter test I could purchase that would measure it as effectively as the heart analysis. He said there was actually a home-test that was natural, organic and cost effective because it eliminated insurance companies.

He handed me a pamphlet, "Understanding Your T-Flow" and explained that if my T-Flow measured low on the index, I could follow a daily health regimen so that a 52, 31 or even a 7 day prescription for the future would be unnecessary.

I thanked him for his help and as he was leaving, I opened the pamphlet.

T-Flow is released by the inner cardio-muscle, trustisamust maximus. Daily exercise strenghtens the muscle and increases the flow of Trustzyme, a protein enzyme that fortifies the heart and mind. For optimal Trustzyme-Flow (T-Flow), a health regimen must include:

  • AHW 24/7 Hydration--Acknowledge His Ways 24/7 Hydration is fundamental for maximum T-Flow. Drink throughout the day 24/7. Intravenous drip is optimal. ISBN-PROV3:6

  • Walk daily. Wear WalknHim cross-trainers that are rooted, built-up, established and grateful. ISBN-COL2:6-7

  • BAFN Oil-- Take PHIL46 with AHW 24/7. Recommended dosage: 1440 tsps. daily and Be Anxious For Nothing. ISBN-PHIL4:6

  • Soak in ROMpson 828 salt each evening. ISBN-ROM8:28


I looked out the window. The robin stirred and flitted off--so free.

I rolled up my plans and walked out the door.

"Look at the ravens. They don’t plant or harvest or store food in barns, for God feeds them. And you are far more valuable to him than any birds! Can all your worries add a single moment to your life?" Luke 12: 24



Saturday, March 7, 2009

Re-entry!

These past 2 weeks, as some of you may have heard, Paul has been meeting with staff and elders to prepare for his re-entry. He will not resume his full pastoral responsibilities quite yet, but he will return to the pulpit to preach this March 15th, Lord willing! He has a lift to his step as he looks forward to being in the service again with you. You'll hear more about his preaching schedule and plans for re-entry at that time.

Saturday, February 21, 2009

February--Return to Normal?

We returned home on February 5th after being in Idaho for a few weeks. When we walked through the doors of our familiar house, we were greeted by some old friends, Routine and Normalcy. I had looked forward to seeing them again, but they looked different than I remembered--one of them must have either shaved his mustache or lost weight. When I got a little closer, I could see that one had actually grown a beard and the other gotten new glasses. And I exclaimed, "My, what changes you've made since December 1st!" And they returned, "The better to change you with!"

Thursday, January 29, 2009

January 29, '09 Improving!

We've been in Idaho for just under 3 weeks now. Rest, the bright sun, blue sky, exercise and the absence of stress have been the perfect equation for increased stength. Although, Paul still has some days that are better than others, his foundation of stamina is growing. The doctor and he will develop within the next several weeks a reasonable plan for how and when he will re-enter his pastoral responsibilities.

Thank you for your continued prayers, encouragement and support.

Monday, January 12, 2009

January 13--Idaho Sunshine!


We've travelled to Idaho where the sun is shining and the diamond dusted snow is bright and beautiful. This is a restorative place to rest and we'll be here for a couple more weeks. Paul noted yesterday that the tightness in his chest has finally dissipated. Adjusting to the medication, however, is still a a challenge.

Each day, the weather has been fabulously sunny (albeit cold) and has provided the option to exercise in the fresh air. Some days he feels better than others, but overall can see a gradual improvement over the weeks.

Monday, January 5, 2009

January 05, 09--It Takes Time

We met with the cardiologist today to evaluate how Paul is doing and to review the results of the nuclear adenosine stress test. The test showed that he had good blood flow to the heart and that the heart was functioning well in light of the coronary heart disease and the sluggishness of his right ventricle.

He encouraged Paul in his efforts to slowly increase his exercise but reminded him that an injury to the heart is significant and requires time and patience and that it's best to resist pushing too hard in order to avoid losing traction in continued recovery. He reiterated that heart attacks of this nature are life-altering events and that the process of recovery takes time--at the very least least 8-10 weeks of concerted rest before re-entry and about a year for heart recovery.

Overall, the doctor was encouraged by the progress Paul has made since he first saw him in the hospital a month ago. They will meet again at the end of January to re-evaluate his health. Until then the daily activities will include rest, exercise and more rest.

Wednesday, December 31, 2008

December 30, 2008--A Visit with the GP

Paul saw his general practioner today. This is a doctor that he has seen for 23 years and who knows Paul well. He had good advice and information for Paul concerning his heart medication and was also eager to guide Paul in a healthy strategy for continued recuperation and future re-entry. It was an encouraging visit and he was glad to be in good hands.

December 29, 2008--Moderate Exercise--Yay!

Paul spoke with the cardiologist's nurse today. She told Paul that the doctor said the results of the nuclear adenosine stress test looked good and that he would meet with Paul in January to give him a more detailed explanation of the test results. She also said the doctor released Paul to increase his exercise conservatively (he has already been walking a bit). That was music to his ears.

December 24, 08--Rx: Snow!




The 5th medical prescription: Snow! It makes you feel like a kid again...

December 22, 2008--Nuclear Adenosine Stress Test

Paul had a nuclear imaging adenosine stress test today. After the nurse prepped him for all the strange things he might feel, I (Nancy) could see that this test was not for the faint of heart.......hmmm....and so I asked myself, "Now, why do they perform this test after a person has a heart attack?" Paul walked very slowly on the treadmill while the adenosine coursed through his body. His heart pounded as if he were sprinting 400 meters, while his lungs thought he was lounging on the beach. An odd experience, to say the least.


This was a 2 part test: the nuclear imaging evaluates blood flow to the heart. During the test, a small amount of radioactive tracer is injected into a vein. A special camera, called a gamma camera (photo), detects the radiation released by the tracer to produce computer images of the heart.

The tread mill part of the test is when the patient is injected with adenosine to help determine if there is adequate blood flow to the heart during activity versus at rest. Adenosine dilates blood vessels leading into the heart, increasing blood flow, therefore simulating exercise for patients unable to exercise on a treadmill.


I don't think you'll see this as a virtual Disney ride in the near future.


Information taken from: http://my.clevelandclinic.org/heart/services/tests/nuclear/adenosine.aspx

December 10, 2008--Angiogram Review

Paul saw the cardiologist today and he reviewed Paul's angiogram with us. While Paul was in the hospital, the coronary angiography was the procedure that helped the doctor determine if Paul had a heart attack and what caused it. The doctor showed us 2 narrowed arteries that were considered the culprits--the left anterior descending artery and the circumflex artery. He also showed us where one of the ventricles appeared sluggish; he thought that this was injury resulting from the heart attack and that rest and time would aid its return to full strength.  The doctor expected the tightness that Paul was feeling in his chest to soon dissipate. 


The coronary angiography is used for diagnosis and is the most common type of heart catheter procedure that can both diagnose and treat heart and blood vessel conditions. It uses X-ray imaging to examine the inside of the heart's blood vessels. During coronary angiography, a type of dye that's visible by X-ray machine is injected into the blood vessels of your heart through a catheter (a long, thin, flexible plastic tube ) that is inserted into the body through the groin. The X-ray machine rapidly takes a series of images (angiograms), offering a detailed look at the inside of your blood vessels.


December 9, 08--Still a Little Tightness

Since returning from the hospital, the tightness in Paul's chest has not resolved entirely. He is still taking a periodic nitroglycerin tablet and checks in with the cardiologist tomorrow.

December 6, 2008--Resting & Reading

Paul is home from the hospital and is trying to rest with some good books. According to the doctor, sleep and rest are integral to heart repair. So, now it's just a matter of winding down the ol' brain. The doctor has also prescribed four medications to help the heart recuperate:


  1. A beta blocker-Beta blockers are medications that reduce your blood pressure. Beta blockers work by blocking the effects of the hormone epinephrine, also known as adrenaline. When you take beta blockers, the heart beats more slowly and with less force, thereby reducing blood pressure. Beta blockers also help blood vessels open up to improve blood flow.


  2. An ACE (Angiotensin-Converting Enzyme) inhibitor helps relax blood vessels. ACE inhibitors prevent an enzyme in your body from producing angiotensin II, a substance in your body that affects your cardiovascular system by narrowing your blood vessels and releasing hormones that can raise your blood pressure. This narrowing can cause high blood pressure and force your heart to work harder.


  3. A Statin (a cholesterol lowering drug) blocks a substance your body needs to make cholesterol. They may also help your body reabsorb cholesterol that has accumulated in plaques on your artery walls, helping prevent further blockage in your blood vessels.


  4. Plavix (Clopidogrel) is used to lessen the chance of heart attack or stroke. Clopidogrel reduces the chance that a harmful blood clot will form by preventing certain cells in the blood from clumping together.

http://www.mayoclinic.com/health/drug-information

December 5, 08--So it Wasn't a Dream?

It's the first day home from the hospital and unlike Scrooge, when Paul woke up this morning, this "matter of the heart" didn't turn out to be a dream, but it does appear to be a life-changing experience --knowing that God takes all things and uses them for our good so we can grow to be more like Him. Although Paul was physically fit, made an effort to work out and watched the foods he ate (this heart attack certainly surprised the doctors), it looks like there are other ways he will learn to care for his heart. The first step is to rest and avoid stress. Thank you all for your care, concern and prayers for Paul and our family.

December 3, 08--A Little Christmas Drama

Dear Friends and Family,

T’was two evenings before today and Paul went to the gym--to discover a little Christmas drama was waiting for him……

And this is how it went: He had a great workout lifting weights and running on the elliptical. On his way home he stopped to pick up some groceries to make a partridge and pear pie (okay—so it was raspberry and pear) and came home. While I was making dinner, he commented how good he felt after his work out. He then went to the bedroom to take a shower and get dressed. While showering, he discovered that his post-work-out-good-feeling was eclipsed by a growing pain in the bottom front part of his neck. He finished his shower, dried himself and by the time he was dressed, the pain migrated to his sternum and he thought it must be indigestion. When he walked into the kitchen he wondered if his esophagus was spasming, at which point the pain forced him to sit down. He leaned back in the recliner, rubbed his chest, twisted and turned a bit and strained, “, “Is this what indigestion is like?” I stopped cutting vegetables, walked over to him as he muttered, “I don’t know what this is….it’s getting worse….and… I really don’t want to go to the hospital.” So, I said, “How ‘bout if we just head toward the hospital and if you feel better we can always turn around and come home.” He liked the escape-option... and over the river and through the woods to the emergency room we went.

It turns out that on the first day of December, our SW Medical Center gave to Paul: one electrocardiogram, 2 nitro-glycerin boosts, 3 draws of blood and 4 doctor evalu-a-tions. On the 2nd day of December, SW Medical Center gave to Paul: one echocardiogram, a very important angiogram and a head-ache from the nitro-glyc-er-in.

And several nursing shifts and 4 hospital rooms later, we can now tell you that in this Christmas drama, Paul was not influenced by “a bit of undigested beef, a blot of mustard, or a crumb of cheese” after all, but he did indeed have a small heart attack—bah humbug. The angiogram identified 2 blockages—one artery was 50% blocked and the other was 70-80%. The doctors deliberated and felt that medication would be the best way to address the blockages (versus stints).

But there’s good news--Paul feels fine and is doing well. There appears to be no damage to the heart and his heart muscle looks strong. He’s in good physical condition which shines a favorable light on the future. But best of all, God is always on the throne.

God Bless Us, Every One!

Nancy--for all of us at the Jackson house