Healthy Wealthy & Wise Dr. William T. Choctaw, MD, JD Healthy Wealthy and Wise

Anxiety
1.Definition: Anxiety is a sustained, low-level discomfort characterized by worry, distress, and fear that something bad may happen. Duration: Lasts longer than fear or panic.
Both Anxiety & Depression are mood disorders
Seek healthcare intervention immediately if there is any element of patient harm risk: directly or indirectly. Causes maybe chemical imbalance or heredity from family.
DEPRESSION SYMPTOMS
Persistent Sadness- People with depression experience prolonged feelings of sadness, hopelessness, and despair. Loss of Interest- A lack of interest in activities once enjoyed. Appetite - Eating more or less food than usual. Disrupted sleep patterns. HOPELESS/HELPLESS/WORTHLESS feeling. Possible suicide thoughts.
TREATMENT- MEDICATION & THERAPY.

1. The Persistent Shadow of Anxiety
Anxiety is a chronic state of worry and unease that intensifies over time due to ongoing stressors, often lingering much longer than its counterparts, fear and panic.
2. The Sudden Grip of Fear
Fear manifests as a powerful emotional surge that triggers our primal fight-or-flight response, appearing abruptly in the face of immediate danger and dissipating just as quickly once the threat is gone.
3. The Varied Faces of Stress
Stress is our body’s reaction to the demands and pressures from our environment, with its onset and duration dependent on the nature of the stressor, ranging from short-lived to persistent challenges.
The phrases from the image suggest a focus on profound understanding, clarity, effectiveness, and the acknowledgment that life’s issues are an ongoing journey, where serenity, courage, and wisdom are fundamental elements to navigate through them.
STRENGTH OF THE SERENITY PRAYER
PROFOUND- GOD!
CLEAR
EFFECTIVE
3 BASIC ELEMENTS: SERENITY/COURAGE/WISDOM
RECOGNIZES THAT LIFE ISSUES ARE CONTINUOUS

PICKELBALL is a game resembling tennis in which players use paddles to hit a perforated plastic ball over a net.
SAN FRANCISCO, Feb. 12, 2024 /PRNewswire/ -- Pickleball has become one of the fastest-growing sports in America, and with its increased popularity, the number of associated injuries has also risen. A new study presented at the 2024 Annual Meeting of the American Academy of Orthopedic Surgeons(AAOS), "Trends in Pickleball- Related Fractures in the United States: An Analysis of the 2002-2022 National Electronic Injury Surveillance System (NEISS) Database" found that there was a 90-fold increase in fractures over the past 20 years and most occurred in players ages 60-69.

1.Ankle Sprains: The quick lateral movements, sharp turns, and sudden stops in pickleball can lead to ankle sprains. To prevent this, consider using ankle braces for support. These devices immobilize the ankle, providing compression and stability, which reduces the risk of sprains and other injuries. Remember that ankle braces should complement proper technique and conditioning1.
2.Elbow Tendinitis: Warm up before playing to prevent elbow tendinitis. This condition often occurs due to repetitive motions and strain on the elbow joint. Proper warm-up exercises can help reduce the risk1.
3.Wrist Sprains: While playing pickleball, wear wrist support to protect your wrists. The game involves quick movements and impacts, which can strain the wrist joints1.
4.Shoulder Injuries: Regularly perform shoulder strengthening exercises to keep your shoulder muscles strong and prevent injuries. The overhead shots in pickleball can put stress on the shoulder joint1.
5.Knee Injuries: Choose proper shoes that provide good support for your knees. The right footwear can help prevent knee injuries during play1.
INJURY PREVENTION
1. Warm up properly 5-10 minutes before the game.
2. Listen to your body: if you have chest pain, severe shortness of breath: stop and rest. If you have a new pain don't ignore it.
3. Get proper pickleball gear to use when you play.
4. Cross train when not playing pickleball to stay fit.
5. Know when pickleball injuries need medical attention.

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