Often, I like to go back in time by looking at old blogs. The other day, I saw a Diary Post of mine, that I published on the 31st of August 2020. This post says a lot about my odd sleeping patterns!
It is interesting for me, to read about this, and to compare it with what my present waking and sleeping hours are like!
I must say, I still have similar odd sleep habits now. I wonder, what does it mean?
I actually feel rather bad about it, since I do know, that Peter did not like it, when I could not keep myself awake, while we were watching something on television.
Here now is a copy of this afore mentioned post:
“At the start of this writing it is still Sunday, 30th of August 2020, but close to midnight already!
Peter and I, we still enjoy good food and fresh air and sunshine! For lunch I cooked a very likable Vegetarian meal today. (I think, Peter liked it too!) It was lots of different vegies with a cheese sauce. As a desert we had sour cherries (that came in a glass from Poland!) as well as some fresh cream and custard. We also had some chilled Muscat Wine.
And yes, we had a most beautiful sunny day today. So, I spent a lot of time outside. Meaning, for hours, I was just sitting or lying down in the sun! Sometimes, I went to sleep for a bit. In the afternoon Peter joined me in the sun for a while. We each had a glass of chilled ginger beer. This was so good!
Later on we watched a German movie on television. I soon went to sleep. I also went to sleep watching the evening news. Later on I was awake for a while watching ‘Vera’. Before ‘Vera’ was finished, I went to sleep again, probably for hours.
When I woke up around ten o’clock, Peter was still awake. We soon reminded ourselves, that tomorrow is Monday, and we have doctors’ appointments. By 8 o’clock we have to be in the Medical Centre here in Dapto. That means, in order to be getting ready on time, we ought to be up by 6 o’clock!
Reluctantly, we both made an attempt to get ready for bed. I think it was about 11 o’clock when finally we were both lying in bed. Peter was very tired. He soon went to sleep, after having helped me with taking my blood pressure! Taking my blood pressure is always an immense struggle! Just to establish a reading on the monitor, I do find very difficult indeed!
When I realized, that Peter had gone to sleep already, and that I was not quite ready for sleep, I actually decided, it was better for me to get up for a bit of whisky!
Well, I did have this bit of whisky, and now I am glad that I ended up having a bit of time at the computer. In the meantime, it is already a bit past midnight. Time for me to go to bed again! I am sure, I am going to have a wonderful sleep now.”
Yes, Carolyn, Peter is home now! This was so lucky that last week he did not have to stay in hospital any longer. Last Thursday, another procedure was attempted, and that went very well. So he was allowed to go home the following day. They really did take excellent care of him in the hospital. We both get easily tired and rest a lot. There are frequent medical appointments. We are always glad when we are back home again after a few hours out of the house. Peter is doing as well as can be expected. All his sicknesses make him slow down a lot. But part of it, for me too, is of course Old Age! HUGS from both of us!
Oh, I’m so glad he is home now with you!!! And I’m so glad things went while he was there at the hospital! Yes, aging does have that effect on our bodies. I wish you both THE very best and do take rests when you need them! HUGS!!!
I enjoyed this easy to breathe air without any moisture in it! 🙂
A bit before 2 PM a walked over to the Club. I spent there about
an hour sitting in nice surroundings. It was a quiet day at the Club.
Not many people go to the Club on Monday or Tuesday, for these are the days when the Bistro stays closed: So, no food is available on these days.
I liked to sit there for two hours in the afternoon with only a couple of drinks: First I had some cappuccino, and after about one hour I had a glass of chilled Riesling. 🙂
As a member of the Club, I paid only 4 Dollars for each drink! 🙂
While sitting there, I looked into one of my books from the Dapto Library:
A cute little book about Paris with beautiful photos on every page! 🙂
This booklet is called “Quiet Paris” and has 142 pages. 🙂
So that you may get an idea, what these pages are about, I copy, what it says about the content:
(Introduction, with no pictures, starts on page 6)
Museums starts on page 10
Libraries starts on page 22
Parks and Gardens starts on page 32
Places to relax 52
Places of Worship 62
Shops 72
Restaurants 88
Cafes 100
Bookshops 110
Galleries 122
Cultural Centres 130
Places to stay 136
Paris is such a beautiful city! 🙂
I have been there for a week in 1954 as a 19-year-old, and
absolutely loved then my time in Paris! 🤩
I loved it again 36 years later in 1990, when I was there with
This interview is part of the Europe Matters podcast. A bold, fresh and curious podcast series that delves deep into thought-provoking questions pertinent to where Europe is at and where it is heading. You can listen to other episodes here: https://pod.link/europe-matters ————————————————— Subscribe: Website: https://europematters.com
5 days agoIt’s painful to know everything he says is true. Its more painful having confirmed especially in the past 5 years there are even more people around me who support these evils than I knew
2 days agoI do love his wide lens view and years of experience. I have read him over the years and honor his opinion. Shame about Assange. I will watch this show again, not listened before. Comments here are rough, I wish I had an ounce of his knowledge even if I don’t always agree, He deserves respect. As he comes to his last years He must be sad to see this world as is. I have Hope in our youth to carry on and find the missing links to save people and planet in a non violent way and work toward equanimity.Show less
3 days agoYou (the interviewer) showed some incredible intelligence in just letting Mr Chomsky talk. Too many interviewers try and make themselves appear intelligent by shoehorning their ideas into a Chomsky interview. And doing so they normally prove themselves quite the opposite.Read more
15 hours agoHow brilliant. I cannot thank Mr Chomsky enough. It is still the clearest voice I have heard on world issues. I try to follow all the non mainstream media I can from different regions in the world and I’m still massively ill informed. Until I hear Mr Chomsky link all the strands of the past that shape events today. How one person can have this depth of knowledge, perspective and integrity I do not know. But I do know that we all need to do better.Read more
1 day agoFunny how Noam Chomsky can sum everything in just a few words. I was just remembering the Russian tank that came back to our scrap yard in Saudi to be melted down. Whilst these tanks were stuck on the road trying to get back to Baghdad, the American planes were flying up and down firing depleted Uranium shells killing everybody they could. Just like in Vietnam. Kill as many as possible. Even in WWII, red cross vehicles weren’t targeted because they work for both side. Not in Iran however. I saw for myself. The US have long ceased giving quarter due to their arrogance. Please don’t complain when the tables are finally turnedRead more
3 hours agoWhat will we do without Noam Chomsky? He is like a walking, living version of cliff notes with keen insights. He’s literally read every book, every government memo, so you don’t have to. Not advocating not reading or certainly not being a critical thinker but he is such a wealth of information. He can recall the Minsk agreement and how it could help. The what? Well you remember whe Gorbochev conceded West Germany to join Nato but not a step east agreement. Oh, ya . . But he does make it easy to jump in and get up to speed on a number of issues and proposed solutions along with examples of the same issue happening 75 years ago and how it was handled. Great interview!Read more
5 days agoIt’s a joy to listen to someone with such a grasp on the actuality. Chomsky is the guru of the 21st century. We have to listen to him. Those who have the means to make a difference must take on the Chomsky mantle of wisdom and carry it forward asking his guidance whilst he is still around to give it.
10 days agoFrom Singapore. It would be nice if you can interview someone who can explain why US has so much control over Europe and what Europe can to do to be more independent from US.
5 days ago“Brains are not concentrated in rich countries.” Noam Chomsky you are and Always be my Hero. I love and respect you. I wish I could have Seen you in person. You make me feel so peaceful… Wish you all the best. Thank you for this great interview.
9 days agoPure wisdom and formidable courage that is noam chomsky. Funny on all reports on msm regarding Ukraine crisis never heard Minsk 2 agreement referred to by a reporter. Why could that be?
1 day agoMy question to you is with all the dramas leading up to and during this so call pandemic you believe people should be trusting these vaccines.
1 day agoWith all respect, I believe mr Chomsky is very naive regarding the intentions and way of thinking of Vladimir Putin, in relation to the internal situation in Russia. At the end of the day, Russia has developed into a corrupt, autocratic state.
8 days agoCongrats, nice podcast. Someone who could explain the tech gap between EU and the US/China. The other day read the Villani’s strategy for the AI…would be cool…
1 day agoThe Misk agreement is officially dead after Russia has proclaimed independence of the so called Donetsk and Luhansk people’s republics and started moving more of their troops (not hiding this time) on the Ukrainian land.
21 hours agoChomsky refers to the Taiping rebellion when he discusses the most devastating war outside of China – it’s really very obscure in England, I never learnt about it until I started researching precursor’s to the Boxer rebellion (also looking up Gordon’s actions in Sudan), yet claimed a comparable number of lives to the devastating world wars and was instigated by a millenarian cenobitic Christian, incredibly unusual.Read more
1 day agoThe US devotes more money and resources to their military and have sadly used it and their media to utilize it as their solution to disagreements and conflicts worldwide. Hardly difficult to see others being wary or even hostile to US actions. The EU does not speak as one. China and Russia do ( like it or not within their internal boundaries) and they see Ukraine entering into NATO and the EU economy as a threat. US dominance in the decision making weakens the EU’s integrity and influence in world affairs.Read more
8 hours agoGreat Interview. Prof Chomsky is always on point and great at reading the pulse of the global situation. I think you guys should definitely interview Diem25s Yanis Varoufakis, hes great at local European politics.
3 days agoThe Russian people have suffered and sacrificed for centuries, in fact for its entire history, in ways Americans will never be able to comprehend. Meanwhile we Americans continue to revel in our material greed and point our weapons of mass destruction at anyone we deem will get even a tiny share of the world’s resources. Our collective karma is coming for us.Read more
Europe Matters4 days ago (edited)We have added Italian, German, Spanish, French, Russian and Chinese subtitles. Most of these translations have been made automatically with Google Translate, so if you find any mistakes please reply to this comment with the time stamp and text to be improved. Don’t forget to subscribe for our upcoming video with Social Innovator of 2022 professor Alberto Alemanno.Read more
1 day agoThank you Noam for talking about the USA as a backwater, that Bernie could run run as a Christian democrat in Germany, but in America he’s a radical big bad wolf…universal healthcare, free university education, these are too radical when profit is the last word….
1 day agoLuckily my medicare (government insurance) covered my emergency room when I was stung by a swarm of ground bees in my yard (I’m allergic to their venom as it turns out) and I got prompt care upon showing my medicare card. Prior to turning 65, I had no insurance at all. The bill they sent to medicare was over 5 thousand dollars for my 45 minutes in the ER.Read more
3 days agoFantastic interview! In spite of being purely speculative, I think that counter-factual regarding Assange was actually quite an interesting thought-experiment to consider the degree of domination the US has over Europe.Read more
4 days agoI love Chomsky! It is always a privilege to be able to take away a piece of his wisdom. I have to ask, though, why has no one responsible had to answer to the world for this pandemic? So many deaths with roots to the decisions of certain people. Is it simply politics? If it is, do the deaths of these innocent people truly mean less than some form of face value? Side note here; it is absolutely gut wrenching to know how the poor of the world take the biggest hit in regards to lack of care.Read more
4 days agoSgt. Rah “Taylor, I remember when you first came in here. Talking about how much you admired the bast$rd. Pfc Taylor “I was wrong” Sgt. Rah “Wrong? You ain’t never been right. Bout nothing.”
1 day agoI am deeply ashamed to be European. At least US is saying what it does and does what it says. In contrast the EU is spineless, coward and unprincipled. They sanction but benefit as well all the while they communicate a third thing.REPLY
6 days agomy gratitude for your mercy. If’s the European Union 🇪🇺 going’s out of the USA and the British government, I found that the European Union 🇪🇺 is more strong than the past of the USA propaganda stirring awareness against them for the Russia wrongs but it’s the democratic alliance threatening with no respect for the government’s policy of the European Union . The USA has no cultures but violate laws and selfishness against their beliefs with Nato as the human in control of the military justifying.Read more
1 day agosorry but I need to point that some notions here are very naive – implementation of Minsk agreement would not make Ukraine neutral but rather dependent on Russia and unable to freely integrate with EU against the will of Ukrainian people…REPLYAllNoam ChomskyListenableRelatedRecently uploadedWatched1:09:13NOW PLAYING
And so I had plenty of time for doing a lot of cooking and tidying up in the kitchen!
I reckon being able to spend a lot of time
in the kitchen is good therapy for me.
I enjoy very much to do all these cooking
preparations. I had heaps of vegies left in the
fridge from last week, and they needed a lot of pealing and cutting!
And finally I found the time to shred and cook this beautiful piece
of red cabbage! Further on I used another pot to cook potatoes, carrots and sweet potatoes in. All this well cooked stuff I intend to use over the next few days for some vegetarian meals. Instead of meat, I accompany the vegies with for instance some softly cooked, very well hotly spiced chick peas!
The red cabbage needs a lot of apple cider
vinegar and olive oil as well as a bit of sugar and
Dr Ruth: ‘Nobody has any business being naked in bed if they haven’t decided to have sex’
Sex therapist, child of the Holocaust, former sniper… Dr Ruth Westheimer has lived more than most. Now 90, she’s as busy as ever – and still has strong opinions on pornography and consentSun 12 May 2019 21.03 AEST
Early this spring, the Smithsonian Museum in Washington DC, famous as a time capsule of American history and culture, reached out to Dr Ruth Westheimer and asked her to donate an object to its vast collection. It’s there that you can find such iconic totems of Americana as the glittery red shoes Judy Garland wore in The Wizard of Oz, or influential TV cook Julia Child’s kitchen, fully reassembled. Soon you will also be able to find the microphone that Westheimer used at WYNY, the New York radio station that helped cement her fame as a frank-talking sex therapist in 1981, in no small part thanks to her unmistakable accent.
“I’m very lucky, because it’s a combination of the German, the Hebrew, the Swiss, the French, and that accent helped because as soon as people heard it they knew it was me,” she says as she directs me around her tiny kitchen, filling the kettle for tea, retrieving a knife to cut a cheesecake. If you find yourself on TV talking about vaginas, penises and clitorises, an accent like Westheimer’s might also feel like a blessing. It’s hard to feel indignant or vexed when the person dishing advice on erectile dysfunction is a 90-year-old Jewish lady with long rolling R’s and a Munchkin giggle.
Humour and charm has long been Westheimer’s reflex for diffusing anxiety and shame. “In the Talmud, it says that a lesson taught with humour is a lesson retained,” she says. “I came from an Orthodox Jewish home so sex for us Jews was never considered a sin.” Has she never felt flummoxed by a question, or found herself blushing? Westheimer thinks for a moment. “The best answer to that is that when someone asked me a question about sex with animals, and I responded: ‘I’m not a veterinarian.’” She peers into a cupboard and frowns. “I want to find some tea, but I don’t find tea,” she muses. Not a problem, I assure her. Whatever is easiest. “Orange juice is easiest,” she says, producing a carton of Tropicana from the fridge.
Star quality: chatting with Burt Reynolds. Photograph: Getty Images
We are in Manhattan where Westheimer has lived for 55 years in a two-bedroom apartment overlooking the Hudson River. From the window, she points to the other bank – a steep escarpment known as the Palisades. “That used to be for nuns, over there,” she says, indicating a monastery-style building. “And when it snows it’s beautiful.” In the wake of her ascent to fame, friends urged her to move to Fifth Avenue, but Westheimer always resisted. She likes the neighbourhood’s European flavour, the fact that it was settled by German Jews. And besides, in the nearby Fort Tryon Park, one of the city’s most beautiful, sits a bench named in honour of her third husband, Fred Westheimer, who died in 1997. She has added an inscription from the Bible: “My beloved has gone down to his garden to gather lilies.” Today she gets a kick whenever she sees couples kissing there. Being a widow, she says, is harder than being an orphan. Children are resilient, adults less so.
These are busy days for Westheimer, the subject of a new documentary, Ask Dr Ruth, that receives its European premiere at Sundance Film Festival London later this month. She will be visiting Japan for a screening, before hitting Oxford University to debate pornography (she’s a fan), in addition to annual trips to Switzerland, where she spent the war in an orphanage, and Israel. There are also her teaching schedules at Hunter and Columbia universities in New York, and a prodigious publishing output, including a column for Time, an upcoming children’s book, and a new edition of her bestselling guide, Sex for Dummies, that will include chapters addressing millennials and the metastasising issue of loneliness. Immediately after our interview she is due at the opening of an exhibition at the Museum of Jewish Heritage titled “Auschwitz: Not Long Ago, Not Far from Here.” Westheimer, who is on the board of the museum, is proud of the name. “It’s for the Holocaust deniers and those people who have Holocaust fatigue, who say, ‘Stop talking about it, it’s so long ago.’”
Everyone’s on the phone now, instead of concentrating on their relationship
We tour the living room, a jumble of tchotchkes and books – a copy of Michael Wolff’s Trump exposé, Fire and Fury, Ruth Bader Ginsburg’s autobiography. There are mementoes of Shirley Temple, Westheimer’s favourite actor, and photos of her with the Obamas, with the Clintons and one of her dancing with the conductor Zubin Mehta, a memory that provokes particular delight. She was at a fundraiser for the Israel Philharmonic Orchestra. “I was dancing with a Japanese guy, and a man came and tapped me on the shoulder and said: ‘The Maestro wants to dance with you.’ I dropped the Japanese like a hot potato and danced with Zubin.”
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Just inside the entrance, in pride of place, is a photo of David Ben-Gurion and Golda Meir, the first and fourth prime ministers of Israel. Westheimer was a member of the Jewish underground after the war, operating as a sniper (she learned to shoot by imagining Hitler was her target), and fighting the British, until she almost lost her legs in an explosion. But she would like readers to know she is grateful to Britain for organising the Kindertransport that brought 10,000 children to the UK. “Some of the children were able to save their parents, by going from house to house and asking for help in finding them work. When I was in Switzerland, I still had the fantasy I could have saved my parents and family if I’d stayed in Germany.” She shakes her head. “All nonsense. If they had not made the sacrifice to send their only child to Switzerland, I wouldn’t be alive.”
A powerful scene in Ask Dr Ruth, rendered into animation, shows young Westheimer waving goodbye to her mother and grandmother at Frankfurt station. It’s the last time she would see them. Her parents gave her life twice, she says: “Once when I was born, and once when they sent me to Switzerland.” When the war ended the children at her orphanage were gathered together while names of surviving parents were read aloud. Her parents were not among them. Put on a train, she was sent to Marseille, where she boarded a ship to Palestine. She was 17.
Frank talking: addressing newspaper editors. Photograph: Scott Stewart/AP
In the 1950s she returned to France, divorced her first husband, married a second time, and booked a passage to New York, travelling fourth class. Although she intended to return to Israel the arrival felt like a homecoming. She never left. Her marriage did not survive, although they had a daughter, Miriam. For Westheimer, the failure of marriage two was an important lesson: not having a satisfying sex life could be a problem, but intellectual boredom was insurmountable.
At this year’s New York Pride, Westheimer will ride on a carnival float to mark the 50th anniversary of Stonewall, a tribute to her outsize presence in the 1980s when her empathy cut through a miasma of bigotry. In the long, dark years of the Aids panic, she was among the few pinpricks of light. It was Dr Ruth who insisted there was no such thing as “normal” – everything was normal, as long as it involved two consenting adults in the privacy of their home. She recalls attending the Institute for Human Identity in the 1980s. “I wanted to learn how to work with homosexuals,” she says. “There were no lesbian couples coming; maybe lesbians didn’t need sex therapy. Maybe one woman knew better how to give another woman an orgasm.”
Time has finally caught up with Dr Ruth. Her attitudes no longer seem atypical. But if her approach to sex is now mainstream, anxiety around sexual desire and consent threaten to place her at odds with the very people who once welcomed her sex-positive thesis. “This idea that once you are aroused and have already started that you should then ask, ‘Can I touch your left breast, or your right breast?’ is just nonsense,” she says. “Nobody has any business being in bed, naked – two guys, two women, or a man and a woman – if they haven’t decided to have sex.”
Tall tales: a hug with Barack Obama in 2013. Photograph: Pete Souza/The White House
She frets, also, that innocent compliments risk being stigmatised. “You can’t tell a woman any more that you like her blouse,” she says, and then gestures to herself. “By the way, do you like my blouse?”
Although no technophobe – in the documentary we see her conversing with Alexa – Westheimer believes our phones may be eroding our talents for conversation. “You walk into a restaurant these days, and what you see is everyone with their phone next to them,” she says. “That is terrible. Instead of concentrating on the relationship, on the needs and activities and interests of the other person, they are constantly looking at their phone.”
And she is sceptical of the idea that millennials are too busy to form relationships. “Don’t put sexual experience on the back burner,” she says. “Make time. After all, immigrants to this country worked much harder. They had to come in on Saturdays, even if they were observant Jews, otherwise they were told, ‘Do not come in Monday.’
Westheimer has a rule about not talking politics, but she also knows sex is political. Endorsing homosexuality or championing a woman’s right to choose, puts her firmly on one side of America’s culture wars. The one issue on which she will not stay silent is the one she feels compelled to speak about from personal experience. “I do say how upset I am when I see children being separated from their parents,” she says. “I have in my bones, and in my blood, the knowledge that you have to help the people who are persecuted.”
Reaching the young: having her hair done, punk style, by Cyndi Lauper. Photograph: Nancy Kaye/AP
In spite of her curtailed childhood, Westheimer fizzes with energy. She fetches a leather frame on which is embossed in gold letters, It Can Be Done. “I love this,” she says. “It really is my motto in life.” She reads out the brand: “A-S-P-R-E-Y. I got it for free,” she says.
Does she think she’ll ever slow down? “No,” she says, then gestures to my notepad: “Write that down.” On 4 June, Westheimer turns 91. “This time I’m not going to make a big party,” she says. By not big, she means around 30 to 40 people. Last year there were more than 300.
In her chatty 2015 book, The Doctor is In, Westheimer offers a useful insight into how she lives with the trauma of her childhood. The solution, she says, is to focus on the present: “Pay attention to the people around you. Ask questions and listen to the answers. Tell everyone what happened to you during the day and make it as amusing as possible. Accentuate the positive, try to bring everyone’s spirits up; by doing that, you’ll find your own elevated.”
It’s a philosophy that has guided Westheimer through life. In the lobby of her building, the doorman pinches his fingers together, and brings them to his lips in a kiss when I mention I am coming from Dr Ruth’s. “A sweetheart,” he says. “If there were more people like that we’d never be at war. She’s nothing but a good-hearted person.”
Dr Ruth’s top 15 tips
Sex before dinner, afterplay, and fun with onion rings…
1. People are not Siamese twins. They don’t want to have sex, or the same amount of sex, at the same time. The important thing is that a couple adjusts to it.
2. I do suggest that people have sex before they go out to dinner.
3. Many people grow jealous of their partner’s fantasy lovers. That’s a big mistake. After years of being together, many people need fantasy to become sufficiently aroused for sex… with their partner!
4. If you’re always waiting for that orgasm, you won’t enjoy the rest of the lovemaking as much. You risk being goal oriented, impatiently waiting for that orgasm.
5. You don’t have to share your fantasies. If you have sex with your partner, and the woman thinks about a whole football team in bed with her, that’s OK, but keep your mouth shut about it.
6. Your sex life is not supposed to come to an end just because you’ve hit a certain age.
7. Men, want stronger sperm? Eat walnuts.
8. Make up your own events. Like an onion ring tossed on to an erect penis!
9. Put down the screen and get to know each other.
10 A good sexual experience needs time: for arousal as well as for hugging and kissing after sex. Afterplay is part of the arousal phase for the next encounter.
11. The more women engage in sex, the less severe the symptoms of menopause related to good sexual functioning will be.
12. In nursing homes, I would like to make sure that there’s a dating room, with a sign like in a hotel that says do not disturb. There’s a need for caressing and being held at every age.
13. Parade your body in front of your partner, show it off, try to feel good about it.
14. You’re on a business trip; you go out to dinner with a coworker; you each have too much to drink… and end up having sex, even though you’re both married. You have no feelings for this person, you both regret what happened, and you promise yourself that you will never let this happen again. Do you tell your spouse? I say you don’t. No matter how well your spouse takes this news, it’ll leave a scar on your relationship.
15. Older people have to be sexually literate. No sex in the evening when they’re tired. The best way for older people to engage in sex is after a good night’s sleep.
Ask Dr Ruthhas its European premiere at Sundance Film Festival: London on 2 June, at Picturehouse Central. Tickets are available at
Hormonal changes during menstruation and pregnancy
Infection or injury to a blood vessel, blood clots, or varicose veins
Blocked lymph channels (lymphedema)
Allergies to food or insect bites
Kidney, heart, liver, or thyroid disease
High or low blood pressure
Eating salty foods
Brain tumor or head injury
Exposure to high altitudes or heat, especially when combined with heavy physical exertion
What to Expect at Your Doctor’s Office
Your health care provider will look for varicose veins, blood clots, wounds, or infections. An x-ray, computed tomography (CT) scan, magnetic resonance imaging (MRI), urine test, or blood test may be necessary. Pulmonary edema, which occurs when fluid builds up in the lungs, can be caused by other diseases, such as cardiovascular disease or by climbing at high altitudes. It can be life threatening and may require hospitalization.
Treatment Options
Treatment may involve using compression bandages and pressure sleeves tightened over swollen limbs to help force the body to reabsorb the fluid. Other options include a salt reduction diet, daily exercise, resting with legs elevated above the heart level, wearing support hose, taking a diuretic, and massage.
Drug Therapies
Medication for your underlying disorder. Talk to your health care provider.
Diuretics. For example, loop diuretics or potassium-sparing diuretics. These medicines reduce body fluid levels, but they also deplete important vitamins and minerals, which can result in loss of bone mass. Diuretics may have several other possibly serious side effects.
Surgical Procedures
Surgery may be needed to remove fat and fluid deposits associated with a type of edema called lipedema, or to repair damaged veins or lymphatic glands to reestablish lymph and blood flow.
Complementary and Alternative Therapies
The following nutritional and herbal support guidelines may help relieve edema, but the underlying cause must be addressed. Tell your health care provider about any complementary or alternative therapies (CAM) you are considering. If you are pregnant, or thinking about becoming pregnant, do not use any CAM therapies unless directed to do so by your physician.Nutrition and Supplements
Following these nutritional tips may help reduce symptoms:
Eliminate suspected food allergens, such as dairy (milk, cheese, and ice cream), wheat (gluten), soy, corn, preservatives, and chemical food additives. Your provider may want to test you for food allergies.
Reduce salt intake. If you are taking diuretics, your doctor should give you specific instructions about salt intake.
Eat foods high in B-vitamins and iron, such as whole grains (if no allergy), dark leafy greens (such as spinach and kale), and sea vegetables. If you are taking certain diuretics, your provider may give you specific instructions about getting different nutrients into your diet, such as potassium and/or potassium potassium restrictions. Potassium is in many vegetables. Follow your provider’s instructions strictly.
Eat natural diuretic vegetables, including asparagus, parsley, beets, grapes, green beans, leafy greens, pineapple, pumpkin, onion, leeks, and garlic. Some of these foods may interact with diuretic medications.
Eat antioxidant foods, such as blueberries, cherries, tomatoes, squash, and bell peppers.
Avoid refined foods, such as white breads, pastas, and sugar.
Eat fewer red meats and more lean meats, cold-water fish, tofu (soy, if no allergy), or beans for protein.
Use healthy cooking oils, such as olive oil.
Reduce or eliminate trans fatty acids, found in commercially-baked goods, such as cookies, crackers, cakes, French fries, onion rings, donuts, processed foods, and margarine.
Avoid alcohol, and tobacco.
Exercise lightly 5 days a week if your health care provider says you can.
You may address nutritional deficiencies with the following supplements:
A multivitamin daily, containing the antioxidant vitamins A, C, E, the B-complex vitamins, and trace minerals, such as magnesium, calcium, zinc, and selenium. Many multivitamins contain calcium and potassium, two minerals your doctor may want you to avoid in large quantities if you are taking certain types of medications. Talk to your provider.
Vitamin C, as an antioxidant.
If you use diuretics, your doctor may have you take potassium aspartate (20 mg per day), since diuretics flush out potassium from the body and cause a deficiency. DO NOT take extra potassium without informing your doctor. Some diuretics do the opposite and cause potassium to accumulate in the body.
Herbs
Herbs are generally a safe way to strengthen and tone the body’s systems although they can interact with many medications and have certain side effects. As with any therapy, you should work with your doctor to determine the best and safest herbal therapies for your case before starting treatment, and always tell your provider about any herbs you may be taking. If you are pregnant or nursing, do not use herbs except under the supervision of a provider knowledgeable in herbal therapies. Your doctor may need to strictly monitor your potassium levels if you take certain types of diuretics, and some herbs may be naturally high in potassium. You should not use herbal remedies without first consulting your physician. You may use herbs as dried extracts (capsules, powders, or teas), glycerites (glycerine extracts), or tinctures (alcohol extracts). Unless otherwise indicated, make teas with 1 tsp. herb per cup of hot water. Steep covered 5 to 10 minutes for leaf or flowers, and 10 to 20 minutes for roots. Drink 2 to 4 cups per day. You may use tinctures alone or in combination as noted.
Bilberry ( Vaccinium myrtillus ) standardized extract, for antioxidant support. DO NOT use bilberry if you are on blood-thinning medications.
Dandelion ( Taraxacum officinale ). Dandelion leaf is itself a diuretic, so it should not be used while taking diuretic medications. Speak with your doctor. DO NOT use dandelion if you have gall bladder disease, take blood-thinning medications, or have allergies to many plants. Dandelion can interact with many medications, including antibiotics and lithium. Talk to your provider.
Grape seed extract ( Vitis vinifera ), standardized extract, for antioxidant support. Evidence suggests that using grape seed extract may improve chronic venous insufficiency, which causes swelling when blood pools in the legs. Grape seed can interact with some medicines, including blood-thinning medications such as warfarin (Coumadin).
Physical Medicine
Dry skin brushing. Before bathing, briskly brush the surface of the skin with a rough washcloth, loofa, or soft brush. Begin at your feet and work up. Always stroke in the direction of your heart.
Cold made with yarrow tea.
Contrast hydrotherapy involves alternating hot and cold applications. Alternate 3 minutes hot with 1 minute cold. Repeat 3 times to complete one set. Do 2 to 3 sets per day for a short term only. Check with your provider to make sure your heart is strong enough for this therapy.
Put a pillow under your legs when you’re lying down.
Wear support stockings, which you can buy at most drugstores.
Acupuncture
Acupuncture may improve fluid balance.Massage
Therapeutic massage can help lymph nodes drain.
Special Considerations
Excessive fluid retention during pregnancy (toxemia) is potentially dangerous to both you and your baby.
Supporting Research
Adeva MM, Souto G, Donapetry C, et al. Brain edema in diseases of different etiology. Neurochem Int . 2012;61(2):166-74.
Clement DL. Management of venous edema: insights from an international task force. Angiology . 2000;51:13-17.
Hansell DM, Armstrong P, Lynch DA, et al. Imaging of Diseases of the Chest . 4th ed. Philadelphia, PA: Elsevier Mosby; 2005.
Haritoglou C, Gerss J, Hammes HP, et al. Alpha-lipoic acid for the prevention of diabetic macular edema. Ophthalmologica . 2011;226(3):127-37.
Kiesewetter H, Koscielny J, Kalus U, et al. Efficacy of orally administered extract of red vine leaf AS 195 (folia vitis viniferae) in chronic venous insufficiency (stages I-II). A randomized, double-blind, placebo-controlled trial. Arzneimittelforschung . 2000;50:109-17.
Ma L, Lin S, Chen R, et al. Treatment of moderate to severe premenstrual syndrome with Vitex agnus castus (BNO 1095) in Chinese women. Gynecol Endocrinol . 2010;26(8):612-6.
Maggiorini M. Prevention and treatment of high-altitude pulmonary edema. Prog Cardiovasc Dis . 2010;52(6):500-6.
Meissner MH, Eklof B, Smith PC, et al. Secondary chronic venous disorders. J Vasc Surg . 2007;46 Suppl S:68S-83S.
Rathnasamy G, Ling EA, Kaur C. Therapeutic implications of melatonin in cerebral edema. Histol Histopathol . 2014; 29912):1525-38.
Schütz K, Carle R, Schieber A. Taraxacum — a review on its phytochemical and pharmacological profile. J Ethnopharmacol . 2006;107(3):313-23.
Shapiro S, Pollock DM, Gillies H, et al. Frequency of edema in patients with pulmonary arterial hypertension receiving ambrisentan. Am J Cardiol . 2012;110(9):1373-7.
Shi J, Yu J, Pohorly JE, Kakuda Y. Polyphenolics in grape seeds-biochemistry and functionality. J Med Food . 2003;6(4):291-9.
Tickle J. Managing venous leg ulcers and oedema using compression hosiery. Nurs Stand . 2015;30(8):57-63.
Trayes KP, Studdiford JS, Pickle S, et al. Edema: diagnosis and management. Am Fam Physician . 2013;88(2):102-10.
Villeco JP. Edema: a silent but important factor. J Hand Ther . 2012;25(2):153-61.
Zafra-Stone S, Yasmin T, Bagchi M, et al. Berry anthocyanins as novel antioxidants in human health and disease prevention. Mol Nutr Food Res . 2007;51(6):675-83.
In the meantime there has been the 4th Sunday of Advent, also the anniversary of Peter’s and mine 65th wedding in 1956! It was a very small wedding, only the two witnesses as guests! 🙂
During the last few years there have been many weddings in our family here in Australia! 🙂 I am very proud of our family. I am already blessed with six great-grandchildren! 🙂 Also a seventh one born only some six months ago. This beautiful little great-grandson is daughter Caroline’s step grandson, that is Matthew, her husband, has a daughter, Alex, from his first marriage, who has a lovely baby boy son now! We have been to the wedding of Alex and Josh among many other weddings within our family. Two weddings took place only after the couple had lived together already for a number of years.
On the 25 of June this year I was prescibed some furosemide tablets for there was a built up of fluid in my feet and legs.
“Furosemide works by helping your body get rid of excess salt and water. It does this by increasing the amount of urine your body makes. This helps lower your blood pressure as well as reduce swelling.” So it is a diuretic!
It is interesting to know that such drugs are available. I better remember it! 🙂