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I used to think inability to reproduce naturally didn’t constitute a physical disability. Now I think infertility is a physical and emotional disability for both husband and wife. It carries a high emotional and financial toll with so many uncontrollable factors. I never thought IVF would take place in my Christian family, but now it has, with all of its hurdles and doctors and needles. The couple within my family is now at the second-to-last hurdle: a “lining check” to see whether embryo implantation should be attempted. I am praying for the best outcome for this couple and their “snowflake babies.” Join me in this prayer and in appreciation of the gift of life from our Creator.  Photo: Hernan Pinera, Flickr Creative Commons Darla Nagel is a biomedical copy editor who has an invisible chronic illness. She wants to educate healthcare professionals and encourage patients. If you want to receive quarterly updates from her, email darla{dot}nagel{a}gmail.com.
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I graduated from college 10 years ago and was so ill that the first thing I did upon arriving home was go to bed. In fact, that is the last memory I have of that month, other than receiving a diploma frame for Christmas. I was so broke—but free of student loan debt—that I had $100 in my checking account and a desperation to find work. I wondered whether I’d have any pleasant memories of college or only remember the drudgery. I’m much healthier, much wealthier, and much happier now. I’m asking what’s next for me. In the next five years, I intend to make four music videos, take three graduate-level courses in nutrition and the business of publishing, expand two pages on MEpedia, and write one book. My ambition is back, and my health is just about there. I’m not letting my education go to waste. I’m moving forward, yet I’ll keep a presence back here to support my readers. I want the best for your health and future, too!  Photo: Desiree Fawn, Flickr Creative Commons Darla Nagel is a biomedical copy editor who has an invisible chronic illness. She wants to educate healthcare professionals and encourage patients. If you want to receive quarterly updates from her, email darla.nagel{a}gmail.com.
For the first time, I edited subtitles on a company YouTube video to better reflect what the speaker and interviewer said. I've wanted to make my company's content more accessible for some time, and it was easy to learn how to use YouTube's subtitle editor tool. One video down, about 160 more to go. Some of the speakers are going to have heavy accents or discuss specific scientific terminology, meaning auto-generated subtitles won't be sufficient. I'm excited to make each subtitle accessible for people who prefer captioned videos. In the past month, I also educated a local publisher on what alt text is and is for. Alt text is not something my company is adding to content, but for companies with the human and technology resources to add it, alt text is another important accessibility action item. If my own website is missing some accessibility feature, please let me know in a comment! Darla Nagel is a biomedical copy editor who has an invisible chronic illness. She wants to educate healthcare professionals and encourage patients. If you want to receive quarterly updates from her, email darla.nagel{a}gmail.com.
I finally got to copyedit a research study on ME/CFS! Dr. Maureen Hanson and her team published a study on metabolism in patients with ME before and after two days of strenuous exercise in the journal I copyedit for, JCI Insight. Read it here. I’ll summarize what I took away from reading the article multiple times. Direct any questions to the article authors, not to me, because I am not a scientist or clinician. Glutamate and vitamin B3 metabolism differed between patients and healthy controls, but there was no evidence for overall hypometabolism. In female patients, the data showed a gradual altering of something called the plasma metabolome resulting from exercise stress. There may be less passing of electrons through mitochondrial membranes in patients. Overall, exercise recovery is impaired in patients. I am grateful for any research published on ME, and to my mind, the only positive result from the pandemic is the heightened interest in ME research because of the similarities between long COVID and ME. I look forward to my next opportunity to copyedit an ME study for JCI Insight. Darla Nagel is a biomedical copy editor who has an invisible chronic illness. She wants to educate healthcare professionals and encourage patients. If you want to receive quarterly updates from her, email darla.nagel{a}gmail.com.
Breath awareness, which is as simple as noting whether you’re breathing out or breathing in, is the foundation of yoga therapy, as I learned from interviewing yoga therapist and educator Veronica Zador. Read the interview published in Natural Awakenings here. Breathing is also the foundation of yoga and a requirement for mindfulness and for the heart/mind connection in health. I think breath awareness is the reason I feel strong and feel connected to my body when I swim and sing. You have to breathe to avoid drowning! You have to breathe to make vocal music audible and controlled. So, stop reading and clicking for 10 seconds, and notice whether you’re breathing in or breathing out. That’s your first step toward better health. Darla Nagel is a biomedical copy editor who has an invisible chronic illness. She wants to educate healthcare professionals and encourage patients. If you want to receive quarterly updates from her, email darla.nagel {a} gmail.com.
For too long, I've let pain affect my functioning. Whether that pain was from joints, muscles, or frequent sinus headaches, I can no longer let that pain get in my way when there are things I can do to reduce the pain. So, my New Year's resolution is to do what it takes to stop pain from holding me back. I don't have many specifics for modalities that I will try this year that I have not tried before, but I am open to new possibilities. I hope you will join me as well. No one deserves to live with chronic pain. I hope that this will be more successful than last year's resolution to greatly reduce my sugar and gluten intake! Darla Nagel is a biomedical copy editor who has an invisible chronic illness. She wants to educate healthcare professionals and encourage patients. If you want to receive quarterly updates from her, email darla.nagel{a}gmail.com.
When dealing with disease, our desperation for improvement can lead us to quack medicine, junk science, snake oil…choose your poison. It’s not a new problem, so why does it continue? According to Tim Harford in “Why Phoney Medicine Has Such Lasting Allure,” “I cannot help but draw a broader political lesson from the long history of demand for quackery. When we feel that things are not going well and that experts have been unable to help, we seek more speculative remedies, even if we do not expect much. When those remedies fail, we become more desperate, and we keep searching. There is always another charlatan around the corner.” Read the full article on quack medicine here. One quack told me my disease was in my head. Another quack (at the University of Michigan!) told me being more positive would help. A third prescribed me about a thousand dollars’ worth of supplements — I was swallowing 13 tablets a day — that did nothing, leading him to prescribe me aloe juice. Quackery is a vicious cycle. Don’t be swallowed by it or swallow everything healthcare professionals give you.  What I take today: a far cry from my previous 13-tablet-a-day ritual Darla Nagel is a biomedical copy editor who has an invisible chronic illness. She wants to educate healthcare professionals and encourage patients. If you want to receive quarterly updates from her, email darla.nagel{a}gmail.com.
I’m facing the retirement of two helpful physicians and knowing their replacements will be different in their approach to my illness. I am concerned about my care, especially if I have a relapse. I am grateful for all the ways these two physicians, known in my book as Dr. Three and Dr. Special, have helped me. I wish them a blessed retirement yet wish they could remain in the field for patients like me. A patient has to be assertive with, provide a timeline of illness events and tests to, and review records from physicians. I did all three with these two doctors after negative experiences with previous physicians. The patient/provider relationship is vital. There is a crucial need for physicians with knowledge of ME/CFS care, especially in light of the increase in cases of long COVID, or post-acute sequelae of COVID. If you’re a budding health care professional who wants to know more about ME/CFS, email me! If you want additional lessons learned from chronic illness, email me so that I send them your way!  Photo: Province of British Columbia, Flickr Creative Commons Darla Nagel is a biomedical copy editor who has an invisible chronic illness. She wants to educate healthcare professionals and encourage patients. If you want to receive quarterly updates from her, email darla.nagel{a}gmail.com.
“We all carry scars...inside or out. You’re no different to the rest of us.” --Downton Abbey, Mrs. Hughes to Mr. Bates, who uses a cane Whether the disability is visible or not, we need to look at the commonalities rather than the differences between people with disabilities and people without. Darla Nagel is a biomedical copy editor who has an invisible chronic illness. She wants to educate healthcare professionals and encourage patients. If you want to receive quarterly updates from her, email darla.nagel{a}gmail.com.
Can you bake on a dairy-free diet? Can you bake on a vegan diet? Yes and yes. Baked goods will still turn out without eggs and milk with a few substitutions. Here are three recipes I’ve made a few times: cranberry orange muffins, maple granola, and unbelievably vegan brownies. Cranberry Orange Muffins (Vegan) Makes 6 jumbo muffins. Adapted from Healthy Living Market.
Fill muffin tins 3/4 full and bake 23-25 minutes, until lightly browned on top and a toothpick comes out clean. Maple Granola (Vegan) Makes 8 cups. From Cookie and Kate.
American Girl Brownies (Yes, Vegan!) Yes, they’re soft in the middle! Makes a 13 x 9 pan. Adapted from American Girl.
Heat oven to 350. Whisk dry and wet ingredients separately, and then put the dry into the wet. Mix until just combined. Fold in chips. Pour into greased pan. Bake 34-36 minutes, until toothpick comes out clean. Why do I care about vegan baking? The reasons are both for health and the environment. Darla Nagel is a biomedical copy editor who has an invisible chronic illness. She wants to educate healthcare professionals and encourage patients. If you want to receive quarterly updates from her, email darla.nagel{a}gmail.com.
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