How did we transition from disease symptoms to hospice

How did we transition from disease symptoms to hospice care?

As we age due to lack of exercise, over medicated or over drugged, alcohol,smoking,exposure to toxins, lack of sleep,lack of nutrition, overworked, full of stress, and other chronic health issues (environmental or genetic in origin), our bodies are bombarded with inflammatory substances that burn our cells and creates symptoms.

Symptoms that we do not care about until it is too late.

We see our doctors because we are constantly feeling the pain, aches or other health issues.

And then there is an emergency operation, we are then transferred to rehabilitation or nursing home facility for physical therapy and other 24-hr nursing care.

And we cannot leave the nursing home to continue our home care without a 24-hr caregiver from our family or a home care agency. Motherhealth caregivers in the bay area 408-854-1883 is one of them.

And then when we are home, we are monitored and received assistance from daily living from our caregivers (for non medical care).

When we cannot feed ourselves, we are transferred to a nursing care facility (with medical assistance).

When we cannot swallow and our doctors deemed  us to be terminally ill. Our family members then decide for a hospice care with visiting nurses if we are at home and still being cared for 24 hours by an in-home caregiver.

Our family will also decide together with hospice nurse if we need a sublingual (by drops) of morphine, which make our life expire in less than a week. Morphine arrests our muscles and we cannot swallow and breath, heart attack follows.

So let us take care of our early symptoms so that we will not have an emergency and not expire before we tasted all that life offers and have lived with our granchildren and great grandchildren.

Call 408-854-1883 if you need an in-home non medical caregivers to assist you with daily living and email for other health tips which you could also search in this site, with over 8000 health topics to date.

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$25k vs $2.5k health screen with health coaching

You as health consumer must be empowered to know the latest in health screens from EXOME/whole DNA test, gut microbiome test and whole blood panel tests. Together with your doctor, results of these health screens can help clear your path towards keeping your mind and body strong and healthy.

Motherhealth will soon launch an integrated health screens with health coaching where results are emailed to you, your doctor, genetic counselor and other health care team members you identify. The cost is $2500 vs the competitor which cost more than $25000.

The service includes health screen tests (DNA/EXOME, gut microbiome, whole blood)  , nutrition consult and health coaching to guide and motivate you in your journey toward achieving the balance in health, mind and body.

You can also start a journal of notes and symptoms that you feel and experience. Together with your doctor, you can have a clue of what will happen if these health symptoms are not attended. Care for your body now before it is too late.

Many cancer patients have chronic indigestion, migraine, cough, pain and other symptoms that started 5 or 10 years ago.

Nursing care is becoming more expensive in the absence of a long term care insurance.

If your family is not around to help care for you, you need a caregiver 4hrs or 24hrs to care for you during chronic health care crisis.

Search this site for symptoms and health care tips.

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How can you save $3000 per year from your health care costs? Signs and Symptoms of diseases

For minor aches and pains, find holistic care.  These minor health issues are ear care (waxy), tachycardia (from stress and ingesting inflammatory foods), leg pain from exercise, UTI that can be relieved by cranberries and garlic, and other ailments that you know can be cared for at home with or without a doctor’s prescription.

This will save you around $2k to $6000 in Emergency room visits. Do have a lab take your whole blood tests to be shown to your doctor once or twice a year. This will cost you around $600 versus the ER of about $6000.

Buy a BP monitor and other fitness trackers/health monitoring/tests.

Always keep tract of your health in a journal or email to your doctor. Include symptoms such as stomach pain, leg pain, constipation, headache, trouble sleeping and other ailments that are recurring.

Remember that chronic cough, chronic pain or other chronic ailments are indicative of a severe health issue that must be looked up by your doctor early on. Do not dismiss skin irritation or abnormal skin growth.

Skin irregularities that are typically symptoms of a skin disorder include:
  • raised bumps that are red or white.
  • a rash, which might be painful or itchy.
  • scaly or rough skin.
  • peeling skin.
  • ulcers.
  • open sores or lesions.
  • dry, cracked skin
  • discolored patches of skin

Call 911, do not wait when symptoms of 12 serious diseases and health problems occur.

When is a cough “just” a cough, or a headache a symptom to be concerned about? Following are signs and symptoms that could indicate a serious health condition, and you should see a doctor if you experience any symptoms of concern. Sometimes, a symptom in one part of the body may be a sign of a problem in another part. Even seemingly unrelated symptoms that might be minor on their own could be signs of a more serious medical condition. Listen to your body, note all symptoms, and share them in detail with your doctor.

Heart attacks in real life often are not as dramatic as they appear to be in movies. Some early symptoms of a heart attack can happen a month or so before the heart attack.

Before a heart attack, you may experience these symptoms:

  1. Unusual fatigue/low energy
  2. Trouble sleeping
  3. Problems breathing
  4. Indigestion
  5. Anxiety
  6. Back or abdominal pain

During a heart attack, these symptoms may occur:

  1. Pain, uncomfortable pressure, squeezing, or feeling of fullness in the center of the chest that lasts more than a few minutes, or goes away and comes back
  2. Pain or discomfort in other areas of the upper body, including the arms, back, neck, jaw, or stomach
  3. Shortness of breath, with or without chest discomfort

Other symptoms are:

  1. Breaking out in a cold sweat
  2. Nausea and/or vomiting,
  3. Lightheadedness

Women also experience chest pain or discomfort, but also are more likely than men to experience

  1. shortness of breath,
  2. nausea/vomiting, and
  3. back or jaw pain.

Signs of a stroke happen suddenly and are different from signs of a heart attack. The American Stroke Association recommends remembering the mnemonic F.A.S.T. to spot a stroke and know when to call 9-1-1 for help:

  1. Face drooping
  2. Arm weakness
  3. Speech difficulty
  4. Time to call 9-1-1

Other signs and symptoms of stroke to watch for include:

  1. Sudden or rapidly developing problems with sight
  2. Sudden or rapidly developing problems with dizziness, balance, and coordination
  3. Sudden numbness or weakness in the face, arms, or legs
  4. Sudden confusion or trouble understanding
  5. Sudden inability to say the right word, incoherent speech, or slurred speech
  6. Severe headache with no known cause

7 Signs and Symptoms of Lung Disease

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Lung cancer, chronic obstructive pulmonary disease (COPD), emphysema, asthma, and other diseases of the lungs can be serious and should be addressed.

Symptoms of serious lung problems include:

Coughing up blood
Severe wheezing
Difficulty breathing
If you have any of the above symptoms, go to an emergency room right away or call 911.

Other symptoms of lung problems include:

Persistent, chronic cough that gets worse over time
Repeated bouts of bronchitis or pneumonia
Chronic mucus production (phlegm)
Chronic chest pain, especially discomfort which gets worse when you inhale or cough
Contact a health-care professional to discuss your symptoms.


5 Signs and Symptoms of Breast Disease

A woman has a 1 in 8 chance of developing breast cancer in her lifetime. However, though many breast problems are not cancer-related, they do require prompt evaluation.

Signs and symptoms of breast problems include:

Nipple discharge (could be milky, yellowish, greenish, or brownish)
Unusual breast tenderness or pain
Breast or nipple skin changes, such as ridges, dimpling, pitting, swelling, redness, or scaling
Lump or thickening in or near the breast or underarm area
Inverted nipples
If you experience any of these breast problem symptoms, see a health-care professional for evaluation.

7 Signs and Symptoms of Bladder Problems

Bladder problems can be frustrating and embarrassing, and are not something you should simply “learn to live with,” as they can be signs of a more serious condition. See a health-care professional if you experience any of the following symptoms of bladder problems:

Difficult or painful urination
Frequent urination (more than 8 times daily)
Loss of bladder control
Blood in the urine
Feeling the urge to urinate when the bladder is empty
Waking frequently at night to urinate or wetting the bed at night
Leaking urine when you laugh, cough, sneeze, or exercise
A urologist is a specialist in diseases and function of the bladder.

Email of your health stories, triumphs and early detection that saved your life.

Indigestion and other symptoms related to stomach health issues or cancer


Find out about the possible symptoms of stomach (gastric) cancer and when to see your doctor.

Symptoms of early stomach cancer can be the same as symptoms of other conditions, such as ulcers.

Difficulty swallowing (dysphagia)

You may feel pain or a burning sensation when you swallow, or your food may stick in your throat or chest. This is the most common symptom of oesophageal cancer.

A harmless narrowing of the oesophagus called a stricture can also make it difficult for you to swallow. It is important to get this symptom checked by your doctor.

Weight loss

This is weight loss when you are not trying to lose weight. Rarely, extreme weight loss can be a sign of an advanced cancer.


You may have pain in your tummy (upper abdomen) or behind your breastbone (sternum).

Persistent indigestion (dyspepsia) and burping

You can get indigestion when acid from the stomach goes back up (refluxes) into the food pipe (oesophagus). Or you can get it if you have any irritation in your stomach. This often happens after eating (heartburn).

Remember, indigestion is common and it’s not usually caused by cancer. Indigestion and heartburn can be very painful, even if nothing’s seriously wrong.

See your doctor if you’ve had heartburn most days for 3 weeks or more, even if you’re taking medicine and it seems to help.

Feeling full after eating small amounts

This is often an early symptom and can cause weight loss.

Sickness (vomiting)

Stomach cancer can cause a small blockage in the stomach. This stops food from passing through your digestive symptom which can make you vomit.

Rarely, there is blood in the vomit. You may not be able to see any blood if it is small amounts. The blood might be bright red, which means it is fresh bleeding. Or it may look dark brown, like used coffee grounds, if the blood has been in the stomach for a while.


Early and advanced stomach cancer can bleed into the stomach. Over time this reduces the number of red blood cells in your blood (anaemia).

Feeling tired and breathless

This can be because you have a reduced number of red blood cells (anaemia).

Dark poo (blood in your stool)

Your poo may be darker – almost black – if your stomach is bleeding. Your poo can also be darker if you’re taking iron tablets.

When to see your doctor

You should see your doctor if you have:

  • difficulty swallowing
  • symptoms that are unusual for you
  • symptoms that don’t go away

Your symptoms are unlikely to be cancer but it is important to get them checked by a doctor.

Connie’s notes: Taking TUMS is not advisable, do take digestive enzymes instead. Chew more, eat slowly, eat whole foods, add probiotic and pineapple/papaya, take calcium and magnesium supplements at night and de-stress with sufficient sleep.

Depression, Folate, SAMe and serotonin


S-Adenosylmethionine (SAMe) is a naturally-occurring compound found in almost every tissue and fluid in the body. It is involved in many important processes. SAMe plays a role in the immune system, maintains cell membranes, and helps produce and break down brain chemicals, such as serotonin, melatonin, and dopamine. It works with vitamin B12 and folate (vitamin B9). Being deficient in either vitamin B12 or folate may reduce levels of SAMe in your body.

Several studies show that SAMe helps relieve the pain of osteoarthritis. Other studies suggest that SAMe may help treat depression. Researchers have also examined SAMe’s use in the treatment of fibromyalgia and liver disease with mixed results. Many of the early studies used SAMe given intravenously or as an injection. Only recently have researchers been able to look at the effects of SAMe taken by mouth.


Some research suggests that SAMe is more effective than placebo in treating mild-to-moderate depression and is just as effective as antidepressant medications without the side effects (headaches, sleeplessness, and sexual dysfunction). In addition, antidepressants tend to take 6 to 8 weeks to begin working, while SAMe seems to begin more quickly. Researchers are not sure how SAMe works to relieve depression. But they speculate it might increase the amount of serotonin in the brain just as some antidepressants do.

Many studies have examined injectable forms of SAMe, not oral supplements. More research is needed to determine whether SAMe works for depression. Because serious depression is a dangerous illness, you should seek help from your doctor before taking SAMe or any supplement.


A number of well-designed studies show that SAMe may reduce pain and inflammation in the joints, and researchers think it may promote cartilage repair. In several short-term studies (ranging from 4 to 12 weeks), SAMe supplements were as effective as nonsteroidal anti-inflammatory drugs (NSAIDs, such as ibuprofen and naproxen) in adults with knee, hip, or spine osteoarthritis, in lessening morning stiffness, reducing pain and swelling, improving range of motion, and increasing walking pace. Several studies also suggest that SAMe has fewer side effects than NSAIDs. Another study compared SAMe to celecoxib (Celebrex), a type of NSAID called a COX-2 inhibitor, and found that over time SAMe was as effective as celecoxib in relieving pain. Other studies show no differences in pain relief or tolerability between treatment with SAMe or habumetone over 8 weeks in people with knee osteoporosis.


SAMe can be effective in reducing symptoms of fibromyalgia, including pain, fatigue, morning stiffness, and depressed mood. But most studies used an injectable form of SAMe. Among studies that examined doses of SAMe by mouth, some found it was effective at reducing these symptoms while others found no benefit.

Liver disease

People with liver disease often cannot synthesize SAMe in their bodies. Preliminary studies suggest that taking SAMe may help treat chronic liver disease caused by medications or alcoholism. A study of 123 men and women with alcoholic liver cirrhosis (liver failure) found that SAMe treatment for 2 years improved survival rates and delayed the need for liver transplants better than placebo. Other studies show that SAMe may help normalize levels of liver enzymes in people with liver disease. Studies in mice show that SAMe protects against and can also reverse liver damage. However, these studies have been small and of short duration. Larger and longer studies are needed to confirm these findings.


Preliminary evidence suggests that SAMe may improve cognitive symptoms, such as the ability to recall information and remember words. Researchers suspect SAMe acts on regions of the brain that regulate gene expression of amyloid proteins, one of the hallmarks of Alzheimer disease.


Some studies suggest SAMe can effectively inhibit cancer tumor cells. Other studies suggest that taking the drug levodopa (L-dopa) for Parkinson disease may lower the levels of SAMe in the body, which may contribute to depression and increase the side effects of L-dopa. However, researchers have also found evidence that taking SAMe may make L-dopa less effective. If you have Parkinson disease, do not take SAMe without talking to your doctor first.

Dietary Sources

SAMe is not found in food. It is produced by the body from the amino acid methionine and ATP which serves as the major energy source for cells throughout the body.

Available Forms

SAMe is available in tablets or capsules, which are more stable and may be more dependable in terms of the amount of SAMe in the pill. They should be stored in a cool, dry place, but not refrigerated. Tablets should be kept in the blister pack until you take them.

How to Take It

Starting with a low dose (for example, 200 mg per day) and increasing slowly helps avoid stomach upset.

It is important to note that many of the studies of SAMe have tested injectable, not oral, forms. It is not as clear whether taking SAMe orally is as reliable or effective. Small studies suggest that oral supplementation with SAMe is not well absorbed by the body. Clinicians recommend taking oral SAMe with vitamin B12, folic acid, methionine, and trimethylglycine to enhance absorption.


SAMe should never be given to a child without your doctor’s supervision.


Recommended doses of SAMe vary depending on the health condition being treated. The following list gives information on the dosages used in studies for each condition:

  • Depression. 800 to 1,600 mg of SAMe per day, in 2 divided doses (morning and afternoon).
  • Osteoarthritis. 600 to 1,200 mg per day in 2 to 3 divided doses.
  • Fibromyalgia. A dosage of 400 mg, 2 times per day for 6 weeks.
  • Alcoholic liver disease. 600 to 1,200 mg per day by mouth in divided doses for 6 months enhances liver function. For liver disease, a qualified health care provider should supervise administration of SAMe.


Because of the potential for side effects and interactions with medications, you should take dietary supplements only under the supervision of a knowledgeable health care provider.

Side effects may include dry mouth, nausea, gas, diarrhea, headache, anxiety, a feeling of elation, restlessness, and insomnia. Sweating, dizziness, and palpitations have also been reported. For this reason, you should not take SAMe at night.

Large doses of SAMe may cause mania (abnormally elevated mood). Start at a low dose and gradually increase it. DO NOT exceed recommended doses.

Pregnant and breastfeeding women should not take SAMe.

People with bipolar disorder (manic depression) should not take SAMe since it may worsen manic episodes.

SAMe should not be combined with other antidepressants without first consulting your doctor.

People taking SAMe may want to take a multivitamin that contains folic acid and vitamins B12 and B6.

Possible Interactions

If you are being treated with any of the following medications, you should not use SAMe without first talking to your health care provider.

Taking SAMe at the same time as these drugs may increase the risk of serotonin syndrome (a potentially dangerous condition caused by having too much serotonin in your body):

  • Dextromethorphan (Robitussin DM, other cough syrups)
  • Meperidine (Demerol)
  • Pentazocine (Talwin)
  • Tramadol (Ultram)

Antidepressant medications

SAMe may interact with antidepressant medications, increasing the potential for side effects including headache, irregular or accelerated heart rate, anxiety, and restlessness, as well as the potential fatal condition called Serotonin Syndrome, mentioned above. Some experts theorize that taking SAMe increases the levels of serotonin in the brain, and many antidepressants do the same. The concern is that combining the two may increase serotonin to dangerous levels. Talk to your doctor before using SAMe if you are taking any medications for depression or anxiety.

Levodopa (L-dopa)

SAMe may reduce the effectiveness of this medication for Parkinson disease.

Medications for diabetes

SAMe may reduce levels of blood sugar and may strengthen the effect of diabetes medications, which increases the risk of hypoglycemia (low blood sugar).


Serotonin (/ˌsɛrəˈtnn, ˌsɪərə/[6][7][8]) or 5-hydroxytryptamine (5-HT) is a monoamine neurotransmitter. Biochemically derived from tryptophan,[9] serotonin is primarily found in the gastrointestinal tract (GI tract), blood platelets, and the central nervous system (CNS) of animals, including humans. It is popularly thought to be a contributor to feelings of well-being and happiness.[10]

Approximately 90% of the human body‘s total serotonin is located in the enterochromaffin cells in the GI tract, where it is used to regulate intestinal movements.[11][12] The serotonin is secreted luminally and basolaterally which leads to increased serotonin uptake by circulating platelets and activation after stimulation, which gives increased stimulation of myenteric neurons and gastrointestinal motility.[13] The remainder is synthesized in serotonergic neurons of the CNS, where it has various functions. These include the regulation of mood, appetite, and sleep. Serotonin also has some cognitive functions, including memory and learning. Modulation of serotonin at synapses is thought to be a major action of several classes of pharmacological antidepressants.

Serotonin secreted from the enterochromaffin cells eventually finds its way out of tissues into the blood. There, it is actively taken up by blood platelets, which store it. When the platelets bind to a clot, they release serotonin, where it serves as a vasoconstrictor and helps to regulate hemostasis and blood clotting. Serotonin also is a growth factor for some types of cells, which may give it a role in wound healing. There are various serotonin receptors.

Serotonin is metabolized mainly to 5-HIAA, chiefly by the liver. Metabolism involves first oxidation by monoamine oxidase to the corresponding aldehyde. This is followed by oxidation by aldehyde dehydrogenase to 5-HIAA, the indole acetic acid derivative. The latter is then excreted by the kidneys.

In addition to animals, serotonin is found in fungi and plants.[14] Serotonin’s presence in insect venoms and plant spines serves to cause pain, which is a side-effect of serotonin injection.[citation needed] Serotonin is produced by pathogenic amoebae,[citation needed] and its effect on the gut[specify] causes diarrhea.[citation needed] Its widespread presence in many seeds and fruits may serve to stimulate the digestive tract into expelling the seeds.

Folate Deficiency Signs and Symptoms

Loss of appetite and weight loss can occur. Additional signs are weakness, sore tongue, headaches, heart palpitations, irritability, and behavioral disorders.[3] In adults, anemia (macrocytic, megaloblastic anemia) can be a sign of advanced folate deficiency.

In infants and children, folate deficiency can slow growth rate. Women with folate deficiency who become pregnant are more likely to give birth to low birth weightpremature infants, and infants with neural tube defects.

Late studies suggested an involvement in tumorogenesis (especially in colon) through demethylation/hypomethylation of fast replicating tissues.

Some of the symptoms can also result from a variety of medical conditions other than folate deficiency. It is important to have a physician evaluate these symptoms so that appropriate medical care can be given.


Studies suggest that folate and vitamin B12 status may play a role in depression.[4] The role of vitamin B12 and folate in depression is due to their role in transmethylation reactions, which are crucial for the formation of neurotransmitters (e.g. serotonin, epinephrine, nicotinamides, purines, phospholipids).[4][5]

Low levels of folate or vitamin B12 can disrupt transmethylation reaction, leading to an accumulation of homocysteine (hyperhomocisteinemia) and to impaired metabolism of neurotransmitters (especially the hydroxylation of dopamine and serotonin from tyrosine and tryptophan), phospholipids, myelin, and receptors. High homocysteine levels in the blood can lead to vascular injuries by oxidative mechanisms which can contribute to cerebral dysfunction. All of these can lead to the development of various disorders, including depression.[4][5]

Low plasma B12 and low plasma folate has been found in studies of depressive patients. Furthermore, some studies have shown that low folate levels are linked to a poor response of antidepressant treatment, and other studies also suggest that a high vitamin B12 status may be associated with better treatment outcomes. Therefore, not only does adequate consumption of these two vitamins help decrease the risks of developing depression, but they can also help in the treatment of depression when antidepressant drugs are used