শনিবার, ১৮ মে, ২০১৩

Cancer, Grief, and Words | Angst in Anxiety - Psych Central Blogs

image_preview?I am not what has happened to me. I am what I choose to become.? ~ Carl Jung

I have been thinking a lot about cancer these days. Almost half my caseload has cancer or I see children who have lost a parent to cancer or spouses with a partner with cancer. It seems like cancer is everywhere. Cancer does affect everyone.

Grief is an intimate process of a uniquely individual design initiated for the purpose of transitioning loss.Loss is everywhere. Just like cancer.

When I work with cancer and those who bravely traverse the terrain of what this means to them I am in wonder of the courage it takes to make this emotional journey. Words help the process, yet words are difficult for people even though this is our main platform of communication. I hear people stumble with words, hold words back, bite their tongues, and express fear of saying too much or too little. I have some suggestions.

Words help us bridge to another. We want honest words well-honed to identify the emotion that is uppermost in our heart. So for the child with a dying father or the wife with a dying husband it is important to say things and to work on any unresolved piece that may exist. It is not that the world will fall apart if one doesn?t step up with truth, but the survivors of a death have years ahead to mull over what was and wasn?t said.

Children need help from the healthy parent (the one who does not have cancer) and the healthy parent needs help from friends, siblings, and other family members. Help that comes in the form of encouragement to go to the truth is important.

I work with so many people who are left with unfinished business following a death. It is as though the cancer that took mother carries on into her children or spouse. It is not cancer, but an emotional cancer.

Cancer that is not treatable or one that is aggressive and terminal produces a state of helplessness. Helplessness is an alarming state for mind, body, and spirit. Studies show a connection between depression and cancer, between stressors and cancer, and between sustained powerlessness and disease or illness.

Words of love, words of connection, words of gratitude and words that evoke hope are all good. Everyone leaves a legacy and even death is filled with a gift. People leave their spirit, their contributions, their love, their strength, their bonds, and hundreds of things behind for the use of others with their passing. These things that are left often come in the form of words. We are all pebbles thrown into a large or small pond with ripples that extend endlessly.

There is power in words. Words have the ability to soothe and mend or to wound and destroy.

Take each word and mold it to fit your most compassionate truth. Find the word that rolls easily from your heart before it is projected outward. Practice how gently you can convey even the most difficult feelings. Words are our creation. Words help us grieve. Words are an intimate part of the grief process.

Take Care and Be Well

Nanette Burton Mongelluzzo, PhD



????Last reviewed: 17 May 2013

APA Reference
Burton Mongelluzzo, N. (2013). Cancer, Grief, and Words. Psych Central. Retrieved on May 18, 2013, from http://blogs.psychcentral.com/angst-anxiety/2013/05/cancer-grief-and-words/

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Source: http://blogs.psychcentral.com/angst-anxiety/2013/05/cancer-grief-and-words/

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সোমবার, ৬ মে, ২০১৩

All-in-one Atari 2600 controller crafted to curtail retro gaming clutter

Allinone Atari 2600 controller crafted to curtail retro gaming clutter

Ahhh, the venerable Atari 2600. The godfather of console gaming has, in recent years, seen a resurgence as a hacker's muse -- mods to its innards and controllers are legion on the web. Recently, a new mod emerged: a controller that combines the capabilities of the Atari's joystick, paddle and keyboard controllers. It's crafted from a small wooden box, a cannibalized joystick, an Ethernet cable, some switches and a smattering of other electronic bits, and there's a full how-to on making one of your own on Instructables, courtesy of user x2Jiggy. If the mere mention of such an all-in-one has those DIY juices flowing, head on past the break for a construction video and see how it's done. It's high time you dust off your stock 2600 and break out Pitfall, Adventure or, well, Breakout.

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Via: Hack a day

Source: Instructables

Source: http://www.engadget.com/2013/05/05/all-in-one-atari-controller-finally-arrives-to-curtail-retro-gam/?utm_medium=feed&utm_source=Feed_Classic&utm_campaign=Engadget

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States fear losing aid for 'uninsurables'

FILE - In this April 30, 2013 file photo, President Barack Obama answers questions during his new conference in the Brady Press Briefing Room of the White House in Washington. State officials say thousands of people with medical problems are in danger of losing coverage as the Obama administration winds down one of the earliest programs in the federal health care overhaul. At risk is the Pre-Existing Condition Insurance Plan, a transition program that has turned into a lifeline for the so-called ?uninsurables? _ people with serious medical conditions who can't get coverage elsewhere. The health care law capped spending on the program, and now money is running out. (AP Photo/Charles Dharapak, File)

FILE - In this April 30, 2013 file photo, President Barack Obama answers questions during his new conference in the Brady Press Briefing Room of the White House in Washington. State officials say thousands of people with medical problems are in danger of losing coverage as the Obama administration winds down one of the earliest programs in the federal health care overhaul. At risk is the Pre-Existing Condition Insurance Plan, a transition program that has turned into a lifeline for the so-called ?uninsurables? _ people with serious medical conditions who can't get coverage elsewhere. The health care law capped spending on the program, and now money is running out. (AP Photo/Charles Dharapak, File)

FILE - In this April 12, 2013 file photo, Health and Human Services (HHS) Secretary Kathleen Sebelius testifies on Capitol Hill in Washington. State officials say thousands of people with medical problems are in danger of losing coverage as the Obama administration winds down one of the earliest programs in the federal health care overhaul. At risk is the Pre-Existing Condition Insurance Plan, a transition program that has turned into a lifeline for the so-called ?uninsurables? _ people with serious medical conditions who can't get coverage elsewhere. The health care law capped spending on the program, and now money is running out. (AP Photo/J. Scott Applewhite, File)

(AP) ? Thousands of people with serious medical problems are in danger of losing coverage under President Barack Obama's health care overhaul because of cost overruns, state officials say.

At risk is the Pre-Existing Condition Insurance Plan, a transition program that's become a lifeline for the so-called uninsurables ? people with serious medical conditions who can't get coverage elsewhere. The program helps bridge the gap for those patients until next year, when under the new law insurance companies will be required to accept people regardless of their medical problems.

In a letter this week to Health and Human Services Secretary Kathleen Sebelius, state officials said they were "blindsided" and "very disappointed" by a federal proposal they contend would shift the risk for cost overruns to states in the waning days of the program. About 100,000 people are currently covered.

"We are concerned about what will become of our high risk members' access to this decent and affordable coverage," wrote Michael Keough, chairman of the National Association of State Comprehensive Health Insurance Plans. States and local nonprofits administer the program in 27 states, and the federal government runs the remaining plans.

"We fear...catastrophic disruption of coverage for these vulnerable individuals," added Keough, who runs North Carolina's program. He warned of "large-scale enrollee terminations at this critical transition time."

The crisis is surfacing at a politically awkward time for the Obama administration, which is trying to persuade states to embrace a major expansion of Medicaid under the health care law. One of the main arguments proponents of the expansion are making is that Washington is a reliable financial partner.

The root of the problem is that the federal health care law capped spending on the program at $5 billion, and the money is running out because the beneficiaries turned out to be costlier to care for than expected. Advanced heart disease and cancer are common diagnoses for the group.

Obama did not ask for any additional funding for the program in his latest budget, and a Republican bid to keep the program going by tapping other funds in the health care law failed to win support in the House last week.

Brian Cook, a spokesman for the HHS agency overseeing the health care law, took issue with idea that thousands of people could lose coverage, though he did not elaborate.

"These actions are part of our careful management of the program to ensure that there is a seamless transition ... for enrollees, and that funding is spent appropriately," he said in a written statement.

The administration has given the state-based plans until next Wednesday to respond to proposed contract terms for the program's remaining seven months.

Delivered last Friday, the new contract stipulated that states will be reimbursed "up to a ceiling."

"The 'ceiling' part is the issue for us," Keough said in an interview. "They are shifting the risk from the federal government, for a program that has experienced huge cost overruns on a per-member basis, to states. And that's a tall order."

State officials say one likely consequence of the money crunch will be a cost shift to people in the program, resulting in sudden increases in premiums and copayments. Many might just drop out, said Keough.

If a state and HHS can't come to an agreement, the federal government will take over that state's program for the rest of this year. Amie Goldman, director of the Wisconsin program, said that would be an unneeded and possibly risky disruption for patients who'll have to change insurance next year anyway, when the pre-existing conditions plan formally ends.

Goldman said in her state, for example, the University of Wisconsin hospital isn't part of the federal government's provider network. "My colleagues in other states have similar concerns about holes in the network," she said. "I think it puts people at medical risk."

At his news conference this week, Obama acknowledged the rollout of his health care law wouldn't be perfect. There will be "glitches and bumps" he said, and his team is committed to working through them. However, it's unclear how the pre-existing conditions plan could get more money without the cooperation of Republicans in Congress.

The program got off to a slow start, partly because insurance isn't cheap. It offers policies at market rates, and that can mean premiums of $500 a month for someone in their 50s. The first inkling of financial problems came in February, when HHS announced a freeze on new applications.

The plan was intended only as a stopgap until the law's main push to cover the uninsured starts next year. Subsidized private insurance will be available through new state-based markets, as well as an expanded version of Medicaid for low-income people. At the same time, virtually all Americans will be required to carry a policy, or pay a fine.

States are free to accept or reject the Medicaid expansion, and the new problems with the stopgap insurance plan could well have a bearing on their decisions.

Associated Press

Source: http://hosted2.ap.org/APDEFAULT/f70471f764144b2fab526d39972d37b3/Article_2013-05-04-Health%20Overhaul-Uninsurables/id-86b5e27b33434f3e92bbcef0c707eedb

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