Like most adults, my niece, Machelle Moore has struggled with her weight over the years. It’s a tough place to be, and one that many people can fully understand. Then she discovered Keto, which is a high fat, medium protein, low carbohydrate diet. Many people think it is a new or fad diet, but it really isn’t. Keto is the correct way to eat Carbohydrates, especially sugar are not necessary to our diets, and sugar rally isn’t good for us. The body works much better when it burns fat for fuel, and not carbs.
Keto is unique diet, in that each person can adapt it to their own style and tastes. Machelle used protein shakes for breakfast and lunch, and limited her carbs. Machelle just went quietly along, not telling anyone what she was doing, and since she lives in Powell, Wyoming and most of the rest of the family lives in Casper, Wyoming, she was able to pull off an amazing transformation, while remaining almost hidden for view. As of August, she lost 60 pounds,and she looks absolutely stunning.
No diet is ever totally easy, but I think that Keto comes very close to that place. There is such a good variety of foods that work with it, and the necessary exercise can be fairly minimal. Machelle and her family love going camping and rock hunting, so hiking through the mountain is largely what she does. The nice thing about Keto is that it works well with exercise. Your energy levels are well sustained, and you can go longer before needing the next meal. Machelle has worked hard and stayed with her plan, becoming more active as she went along, and now, she looks absolutely fabulous.
There is really nothing quite like taking back your life and feeling good about yourself again. She is able to hold her head up and be comfortable standing next to her husband again. Machelle’s husband, Steve has always been slender, so I know that it felt uncomfortable, because I have been there myself, and I know how it feels to stand next to your slim husband, when you are not. Now that Machelle is slim too, she and her husband can look forward to lots of great camping and hiking trips. I know that it is a great feeling for her, and I am so proud of all her hard work. Today is Machelle’s birthday…a great beginning to the next chapter of her life. Keep it up girl. You rock!! Happy birthday Machelle!! Have a great day!! We love you!!
As we all know, Thanksgiving is a day to give thanks to God for the many blessing we have had throughout the year. Most of the time, we tend to be thankful for the same things…family, friends, jobs, a home…just to name a few. Like most people, I am thankful for those things too, but this year Thanksgiving has taken on a different meaning for me. Along with the normal things to be thankful for, I am so thankful that I am not a widow. That could have easily been the case, but God gave me and my family a miracle just a little over a month ago. That miracle was that while my husband, Bob Schulenberg could have died of a “Widowmaker” heart attack, he did not…nor is he incapacitated in any way.
Bob’s miracle took the form of a number of Heaven sent people, who were in the exactly right place and the exactly right time to see Bob fall, come to his aid, perform CPR, and to add their prayers to mine, in our moment of urgency. Some of these people are really never at Walmart, where Bob fell in the parking lot, and yet God had orchestrated their unusual visit to happen at exactly the time it was need to save a life…my husband’s life. I have always known that God is on my side, but never was that fact made more clear to me than that Sunday afternoon. I had no idea what that shopping trip was going to end like. I had no idea that my faith, and the faith of so many other people was going to be called to action that day. There were no real warning signs…or at least not that we took as warning signs. Bob was a healthy man, with none of the normal risk factors for heart disease. we had just come from a walk at the mall and he had bowled 6 games in a tournament the day before…and took first place in singles. Nevertheless, right after we got our groceries, a clot lodged in his Left Anterior Descending Artery…the Widowmaker kind of incident, and down he went.
While I should have been in a state of panic, oddly I was not. Yes, I felt worry over him, but everything happened so fast that there was no time to panic. There was work to be done,and Ginger Sims, a progressive care nurse at Wyoming Medical Center, stepped in just about a minute after the heart attack started, and took control of the situation. Her “take charge” mannerisms, took the fear out of the situation, and put the action into it. With the help of her friend, WMC surgical nurse, Valya Boycheva, and WMC transport worker, Laura Lance, CPR was administered immediately, and the blood flow in bob’s body was maintained throughout the entire event. Because God spoke to these people and put them at Walmart that day, Bob had an excellent outcome to what could have been a life ending event.
After something like that, how can I possibly ever look at Thanksgiving in the same casual way I had before? The answer is that I can’t. God gave me a gift that is so amazing that I still have trouble wrapping my head around the events of that day, and just how blessed I am to still have my husband. There really is no way to totally make sense of it all, because it is bigger than the human mind can grasp. God is so good, and when he performs a miracle, it’s spectacular!! God doesn’t do things in a small way. He goes all out, and that is what he did for Bob. I can never thank God enough!! It’s been a whirlwind of activity, but much to be thankful for. Happy Thanksgiving everyone!!
When people think of plastic surgery, the mind congers up images of everything from severe scar repair to vanity surgeries, but who originally came up with these procedures. Although the development of plastic surgery is popularly believed to have taken place in modern times, the origins of plastic surgery are very old. In the early part of the 1400s, the nose received the most attention from the early plastic surgeons. One of the first procedures for reconstructing the nose, a primitive precursor to the nose job, is attributed to a surgeon called Antonio Branca.
After that era, Plastic surgery had to wait until the late 18th century for the next significant advance in its history…the skin graft. And ironically the breakthrough came from rediscovering a procedure developed in ancient India. The severe-looking skin graft procedure was rediscovered in an ancient book called the “Sushruta Samhita,” dating back to 8th century BC. There hidden in the book’s 184 chapters was a technique using a leaf-shaped flap from the forehead to reconstruct the nose. The technique was published in the ‘Gentleman’s Magazine of Calcutta’ in October 1794 and it soon became widely used. It was known as the “Indian Method”.
While these methods undoubtedly had a great impact on the history of plastic surgery, it would be another event that would have one of the biggest impacts on plastic surgery, and its methodology. That event was World War I. Shrapnel was the cause of many facial injuries during world War I, and unlike the straight-line wounds inflicted by bullets, the twisted metal shards produced from a shrapnel blast could easily rip a face off. Harold Gillies, a surgeon, was horrified by the injuries he saw, and he immediately took on the task of helping these victims. He saw these men as more than victims. They were heroes, and that’s how he saw them. He knew he had to do something to help these men get back to a normal life. So, he pioneered early techniques of facial reconstruction in the process.
While these were great advances, it’s likely that the most significant improvements in the history of plastic surgery occurred in the last century. Several plastic surgery techniques were introduced during the world wars. Skin grafting techniques such as the “tubed pedicled graft,” were state of the art during World War I. Archibald McIndoe and Harold Gillies refined the techniques to treat severe facial burns. These staged procedures differed from earlier plastic surgery because they relied on the growth and development of a blood supply from the recipient bed into the grafted tissue over many weeks or months. While that all seems pretty normal these days, it was unheard of until then.
Called an Iron Lung, the negative pressure ventilator was a common tool used to treat polio when that disease was deadly and much feared. Poliomyelitis, which is often called polio or infantile paralysis, is an infectious disease caused by the poliovirus. In about 0.5 percent of cases there is muscle weakness resulting in an inability to move. This can occur over a few hours to a few days. The weakness most often involves the legs but may less commonly involve the muscles of the head, neck and diaphragm. Many people fully recover. In those with muscle weakness about 2 to 5 percent of children and 15 to 30 percent of adults die. Another 25 percent of people have minor symptoms such as fever and a sore throat and up to 5 percent have headache, neck stiffness and pains in the arms and legs. These people are usually back to normal within one or two weeks. In up to 70 percent of infections there are no symptoms. Years after recovery post-polio syndrome may occur, with a slow development of muscle weakness similar to that experienced during the initial infection. Polio is more common in infants and young children, occurring under conditions of poor hygiene.
Because of complete or partial loss of muscle usage, people with polio had a difficult time breathing, which can cause a myriad of problems, including pneumonia. Enter the Emerson iron lung. The affected patient lies within the chamber, which when sealed provides an effectively oscillating atmospheric pressure. A negative pressure ventilator, or iron lung, is a nearly-obsolete mechanical respirator which enables a person to breathe on their own in a normal manner, when muscle control is lost, or the work of breathing exceeds the person’s ability, as may result from certain diseases. Polio was not the only disease that called for the iron lung. In addition to Polio, botulism and certain poisons, such as barbiturates, tubocurarine, also benefited from its use.
Versions of the Iron Lung include both the Drinker respirator, the Emerson respirator, and the Both (Emerson-Drinker) respirator. The negative form of pressure ventilation…decreasing surrounding pressure to induce inhalation then re-pressurizing to 1 bar (15 psi; 750 mmHg)…has been almost entirely superseded by positive pressure ventilation (forcing air into the lungs with a pressure greater than 1 bar then allowing the body to naturally exhale before repeating) or negative pressure cuirass ventilation. While the iron lung is not used anymore, it served a useful purpose in its day.
Tuberculosis was a disease that brought terror to the hearts of people over the years…especially right after World War II, but even before World War II, being diagnosed with Tuberculosis was like being given a death sentence. People had to be quarantined, so they wouldn’t infect those around them, since the disease is airborne. All too often it was too late by the time they knew they needed to be quarantined. Any serious disease can be scary for the people in areas affected, but this one was taken to a completely different level. In an effort to prevent Tuberculosis from being passed from child to child, the schools began a new movement, known as the Open-Air School. The movement required the establishment of schools that combined medical surveillance with A method of learning that was adapted to students with pre-tuberculosis…an obsolete term for the pre-clinical stage of tuberculosis. The new institution was established by doctors researching new prophylactic methods, and educators interested in an open air educational experience.
In 1904, Dr Bernhard Bendix and pedagogue Hermann Neufert founded the first school of this kind: the Waldeschule of Charlottenburg, near Berlin, Germany. Classes were conducted in the woods to offer open-air therapy to young city dwellers with pre-tuberculosis. The experiment, conducted by the International Congresses of Hygiene, was immediately attempted throughout Europe and North America: in Belgium in 1904, in Switzerland, England, Italy, and France in 1907, in the United States in 1908, in Hungary in 1910, and in Sweden in 1914. The schools were called “schools of the woods” or “open air schools.” Often they were remote from cities, set up in tents, prefabricated barracks, or re-purposed structures, and were run during the summer. Some of the more noteworthy experiments were the School in the Sun, in Cergnat, Switzerland and the school of Uffculme near Birmingham, England. The School of the Sun used helio-therapy in 1910. Dr Auguste Rollier sent the children up to the mountains every morning equipped with portable equipment. The school of Uffculme, noted for its architecture, allowed each class to occupy its own independent pavilion in 1911.
After World War I the movement became organized. The first International Congress took place in Paris in 1922, at the initiative of The League for Open Air Education created in France in 1906, and of its president, Gaston Lemonier. There were four more congresses: in Belgium in 1931; in Germany in 1936, marked by the involvement of German doctor Karl Triebold; in Italy in 1949; and in Switzerland in 1956. National committees were created. Jean Duperthuis, a close associate of Adolphe Ferrière (1879–1960), the well-known pedagogue and theorist of New Education, created the International Bureau of Open Air Schools to collect information on how these schools worked. Testimonies described an educational experience inspired by New Education, with much physical exercise, regular medical checkups, and a closely monitored diet, but there has been little formal study of the majority of these schools.
According to the ideas of the open air school, the architecture had to provide wide access to the outdoors, with large bay windows and a heating system that would permit working with the windows open. The most remarkable of these schools were in Amsterdam, Holland by architect Jan Duiker (1929–1930), in Suresnes, France by Eugène Beaudoin and Marcel Lods (1931–1935), and Copenhagen, Denmark by Kai Gottlob (1935–1938). From what I have seen, most of these school were held completely outdoors. I don’t know if the impact on Tuberculosis was as profound as they had hoped, but there were good things that came out of the experiments. The movement had an influence on the evolution of education, hygiene, and architecture. School buildings, for example, adopted the concept of classes open to the outdoors, as in Bale, Switzerland (1938–1939, architect Hermann Baur), Impington, England (1939, Walter Gropius and Maxwell Fry), and in Los Angeles (1935, Richard Neutra). This influence is the major contribution of the open air schools movement, although the introduction of antibiotics, which increasingly provided a cure for Tuberculosis, pretty much made them obsolete after World War II. Nevertheless, fresh air, exercise, and playtime for young children have all remained an important part of the school day, and thankfully, Tuberculosis is on the decline, although it still ranks in the top 10 of fatal diseases.
Over the years of my marriage to my husband, Bob, I have had the great privilege to know his family, both here in Casper, Wyoming, in Forsyth, Montana, and other areas of the United States. I can tell you that they are all wonderful, hard working people, and upstanding citizens. Bob’s uncle, Eddie Hein, like Bob and his dad, Walt Schulenberg, worked in the mines in the area they lived in. They didn’t work in the same mines, but they were all in mining. For those who don’t know, mining is hard work…no matter what part of mining you are in. From the people who keep the equipment running, to the operators of the equipment, each plays a vital role in the mining process. Eddie worked in the mines for a long time, and was a valued member of the crew.
When Eddie came home from work, the work didn’t just stop. Eddie worked a lot over the years to remodel their home. What started out as a little house, slowly grew into a beautiful home. I was especially impressed with the beautiful fireplace he built. The rock work was stunning, and it added an elegant touch to the house. Eddie worked hard to make his house into a great home for his family. It was a place that we all enjoyed visiting whenever we made the trip to Forsyth.
Eddie was always a symbol of strength and stability to everyone who knew him, and is still a source of inspiration today. Following a stroke,Eddie worked his way back to health, and was able to take the trip to Miramar Beach, Florida to walk his daughter Kim down the isle on her wedding day. It was a happy day for all. Today is Eddie’s 75th birthday. Happy birthday Eddie!! Have a great day!! We love you!!
When people are having a bad day, or the worst possible day, people often don’t know what to do to help. And sometimes there is seemingly nothing that can be done to really help, but as most of us know, whether we realize it or not, there is always one thing that can help…a hug. Of course, there is a right time and a wrong time to give a hug, but once the emergency part of a situation is over, we are often left with overwhelming emotions, and they are often held in because we are trying not to do the one thing that we really need to do…cry.
Over the years during which I was a caregiver, and now with what I went through during my husband’s heart attack, I have had a number of situations where the ambulance had to be called. In the whirlwind that followed, I had to keep my composure and tell the medical personnel what happened, and any other pertinent information they needed. I could not let myself break down. I couldn’t cry…or scream, which is what I really wanted to do. I had to hold it together, because my parents, in-laws, and then my husband, needed me to hold it together. I was their voice. Then, as suddenly as the ambulance had arrived, they loaded up their patient, and headed out. I found myself standing there alone, feeling very small and very scared. Then, a firefighter, who had also been dispatched, men who thankfully knew me because my husband had been their mechanic, came up to me and hugged me and encouraged me. Yes, the tears flowed then. There was no longer a need, nor any possible way to hold them back. Those firefighters can’t possibly comprehend what that hug meant to the person who received it. Hugs allow the emotions to release. It is the much needed human contact, when I felt entirely alone.
I am blessed to have many good people in my life. People who understand how badly a hug is needed. People who understand the power of a hug. My boss, Jim Stengel and his wife, Julie; my co-worker, Carrie Beauchamp; my siblings and in-laws; a friend and client, Donna LePage; and then, unexpectedly, my boss’s sons, Anthony and Michael Stengel, all sensed that I could really use a hug, and the power of those hugs has continued to help me. Each hug meant more than the giver can ever imagine. Each hug was given when the giver didn’t know what else to do, and yet each did exactly the right thing!! They instinctively knew that hugs are always healing. That is just the power of a hug.
I’m sure that most you have heard of the theory of Six Degrees of Separation, but in case you haven’t, it is the idea that all living things and everything else in the world are six or fewer steps away from each other, so that a chain of “a friend of a friend” statements can be made to connect any two people in a maximum of six steps. I can’t say that I have ever doubted that idea, but I really never gave it much thought really. The idea was originally set out by Frigyes Karinthy in 1929 and popularized in an eponymous 1990 play written by John Guare. It is sometimes generalized to the average social distance being logarithmic in the size of the population. It is all about what a small world it is. That each person is connected to every other person by just 6 steps. It was something I never have given much thought to.
As I became interested in family history, I could see how that could work in the grand scheme of things, with relation. I came across people who were related to me, as well as, being related to my husband. Those relationships had meaning to me and it also made me think about the six degrees of separation that I had heard about years before.
But the reality is that the six degrees of separation never became so obvious to me as last Sunday when my husband had a heart attack. Instantly, we had a group of people around us. Of those people, all concerned for my husband, I knew no one. I only knew that the two women were nurses, and there was a young man who had seen my husband fall. Somewhere in the parking lot was also a woman who knew she needed to pray for him. When we left for the hospital in the ambulance, I thanked the man from across the distance between us in the parking lot, but I still didn’t know his name. I had no idea how I would ever find out who these people were. I knew they were all heroes, and I didn’t know them. Then the six degrees of separation came into play.
First, my husband was saved, and that was a miracle. It was because of 4 people I not only didn’t know, but had now way of finding. They did what they needed to do, and left expecting nothing in return. We owed them so much, and had no way to thank them. Enter the six degrees of separation. I told my husband’s nurse about what had happened, and when her relief came on the next day, she told her about it, and Stephanie, the day nurse already had the first connection for us. The first nurse to help, Ginger, was her sister. And Ginger had the second connection, because she knew the second nurse, Val. Within a few hours, 2 out of the 4 were now known to us. When when I posted about my husband’s miraculous recovery, our friend, Sierra Schamber tagged someone. It was Sean, the young man who helped him first. Then, a woman named Chelsea called her dad to pray. My boss called a prayer partner, who just happened to be on the wife of Chelsea’s dad. I know all those heroes. I think I fully understand the six degrees of separation.
As a Christian, I can tell you that I believe in miracles. Nevertheless, I am still trying to wrap my mind around the awesomeness of God. Seriously, can any of us really wrap our mind around that? I think that the mind boggling, realization of the always loving God we serve is, never more prominent than when he reaches down, in our worst moment, and lifts us up, dries our eyes, and gives us instant peace.
That moment came for me on Sunday afternoon, October 14, 2018, in the Walmart parking lot on the east side of Casper, Wyoming at 4:45pm. Some things you never forget, although I might be a few minutes off on the exact time. My husband, Bob Schulenberg and I had just finished buying groceries, and had loaded them in the car. Bob took the cart back to the cart station, and I opened the car and started it. Then, I looked at my phone, because Bob is a very social man, and almost always finds someone to talk to, no matter where we are.
I then heard a man, I now know to be Sean Pesicka-Taggart saying, “Sir…Sir?” I looked back and saw him kneeling near the back of my car, but there was a pickup right behind me, and it appeared that they were talking, so I did not get out of my car. The pickup, that I now know was driven by a Wyoming Medical Center, Progressive Care Unit, cardiac care nurse…Ginger Sims, pulled around the corner very quickly, and I thought she must be mad. Before I had time to contemplate that thought, a man knocked on my window and asked, “Do you know this guy?” It occurred to me that “this guy” must be Bob, so I jumped out of my car and went to the back of the car. The scene that met me there was…horrifying!! There lay Bob, blood flowing from his head where he had hit the pavement. While that would have been enough to bring fear to my heart, one look at his face told an even worse story. His eyes were blank and his skin had started turning blue. It looked as if he was dead, and that was my first thought…”I’m going to lose him right here!!” Then, I jolted my mind back to fight mode, and got down next to him and began talking to him.
At this point, nurse Ginger was behind him with her stethoscope…who has their stethoscope when they are off duty?? Thankfully Ginger does. Because she didn’t see him fall, she thought he had been hit by a car. She asked him to take a deep breath and when he didn’t respond, she asked if he could hear her, while checking for a pulse. Upon finding no pulse, she immediately got him on his back and began CPR. Working alone for a while, a WMC transport worker, Laura Lance spelled her doing CPR. Then, Wyoming Medical Center, surgical nurse…Val Boycheva, who was a friend of Ginger’s came on the scene and they worked together. When they heard me say Bob’s name, they asked if I knew him. When I said that he was my husband, they asked me to do rescue breathing. I did it…with instruction. I don’t think I could have done it without them telling me what to do…I was far too shook up to think straight.
As the CPR was going on, Sean was on the phone getting an ambulance, and Ginger had already told her son to push the OnStar button to give the ambulance driver the exact location. When the ambulance arrived, they took over, and the police officer, also at the scene asked who I was. When I said I was his wife, he had me come over and give him some information. While doing that, the ambulance crew hooked Bob up to the Lucas Compression Devise, and when I turned around, it was engaged. If you have never seen the Lucas Compression Devise in action, all I can say is that it is a shock to watch…especially when it is on your loved one. The devise gives perfectly orchestrated compressions, so the ambulance crew can focus on other tasks. To the untrained spectator, it looks like those compressions are going from chest to pavement!! You can imagine breaking ribs and smashed organs, but in reality, while the ribs are cracked, the heart is simply given the right amount of compression to help sustain life. Bob was quickly prepared for the ride in the ambulance to the hospital where he received the best care available.
It was at this moment that Casper Fire Department firefighter, Jerod Levin, who is a friend of Bob’s from his time as Fire Department Mechanic for the City of Casper, saw me. He knew me as well, and immediately came to me and gave me the big hug that I desperately needed at that exact moment. For all firefighters…never underestimate the value of your hugs at an emergency medical scene. When the ambulance leaves with the love one, that person is left with serious emotions and doubts. Your hugs and encouraging words mean more than you will ever know. No matter what the outcome, those hugs and words of encouragement are vital. Jerod asked me if I wanted to ride in the ambulance, and I said that I did. He got me in, even holding my purse while I stepped in, then helped me get buckled, asked if he could call anyone for me, and if I wanted him to bring my car to the hospital. Talk about going above and beyond!! While en route to the hospital, Bob’s heart had to be shocked once, and when we arrived he was in full arrest. I didn’t know it at the time, but that almost always means bad news.
Bob was treated so quickly that it was almost shocking. He was taken for a CT scan of his head wound, and while there, the Cath Lab became available. He was taken directly up there, where he was met by two techs that he knew, because he has worked on their cars. Jon Cooke and Sam Cann made him feel comfortable and safe during the procedure. They determined where the blockage was, at which time they realized that he was going to survive the Widowmaker Heart Attack. A stent was placed and from the time he fell to the time the treatment was over was two hours. Two hours!! That is an amazingly short amount of time.
Unbeknownst to me, there was at least one person who saw what was going on and called her dad to have him pray with her over the man who fell in the Walmart parking lot. When I called my boss, Jim Stengel, he felt led to call his prayer partners, Donna and “Page” LePage to pray with them. The girl, Chelsea Kessler, who was with her husband Zachary, who called her dad was Page’s daughter, and they were praying as Donna and Jim prayed. It is my belief that nothing happens by chance in this world. God is always involved, and if people listen, they can find themselves in just the right place to be part of a miracle. The two nurses almost never shop at Walmart, and yet both were there on that day at that time. The young man who saw my husband fall immediately thought that if it were his grandfather, he would want someone to help him, so he acted. Each of these people acted in a way that put them becoming God’s hands on this earth. Bob had angels watching over him, and a family who pray for him all the time. When he had a need, God was there to meet the need, and His people, who hear His voice, did what He told them to do, and in the end they were a part of a miracle. In just under two days, Bob was released from the hospital, and his life goes on. Then I found out at church that another church member, Lori Desanti was also praying. Every prayer, and every player in this was necessary, and I want to thank each and every one of those people who helped us. We can never repay your kindness. And I give all praise to our Awesome God!!
Some people always have a calm look on their face, even if they are not smiling, they somehow manage not to be frowning. Things don’t really work that way for the concentrator…which is what I am. Concentrators tend to have a frown on their face, so people might think they are mad, when in fact, they are not. They might not have even noticed that anyone is looking at them, much less smiling at them. At least not until that person says something to them or writes them a note saying, of all things, “You really should smile!” For the concentrator, there is really no bigger insult. Maybe the person who said it, meant no harm, but if they thought about it, there are much nicer ways to get someone to smile.
In fact, the other day, while I was driving down second street in Casper, Wyoming, I saw a young man walking down the street. It was not a warm day, and the young man was bundled up in a coat and hat, but even with the distinct chill, to put it mildly, the young man has a smile on his face as he walked along. He wasn’t on the phone, or walking with someone else, and he wasn’t talking, so I could see no specific reason for the smile on his face.
I wondered what he was thinking about that would put a smile on his face. It didn’t matter really, because I smiled instinctively, because he was smiling. It didn’t matter what he was smiling about, his smile made me smile. It was sort of like the movie, Pay It Forward, except with smiles. I though about what a nice young man he might be, but whether I was right or not, didn’t make any difference. His smile told a tale all its own. A tale of Smiling it forward. It sounds silly, but that is what that young man did. His smile brought a smile to my face, and perhaps my smile brought a smile to the face of someone else, and so on…smiling it forward.