Sunday

The Turning Point

Embarking on the Journey
Menopause is one of the most significant occurrences in a woman’s life. It heralds an extremely individual and unique transition. Women are different, and they will experience changes in different ways. The only similarity for all of us is that we are approaching a crossroads, a major turning point, and a defining moment in our lives.
The menopausal years of a woman's life can be frustrating as dramatic swings alter her physical being, and challenge the way she has been viewed previously, both by herself, and by those around her. This process, which culminates in menopause, occurs over time. “Like all states of being, a woman comes upon menopause gradually, as she did to other stages of her life. Today we sometimes have a tendency to rush through our lives noting punctuated events only”, explains Christiane Northrup, author of “The Wisdom of Menopause”
A Storm from Within
As women approach menopause, or ‘the big M’ as some call it, there is a sense of accomplishment as well as a feeling of dread. Menopause is not just a physical event; it also brings deep psychological transformation. Heat flushes feel bizarre because they come unannounced, they resemble lightening in a storm, and feel like an internal boom of energy right at the core of one’s being. As heat flows emotions are liberated, the spirit is engaged; hot flushes are radiating from within and allowing women to express who they really are. Warmth rushes in waves, steaming the face, shoulders, and chest for a few seconds at a time, subsiding and retreating again without warning. At times you’ll feel pressed to write your feelings on a journal, or doing nothing at all, let the memories sweep through you. There’s a resurrection of sorts emerging from within pleading to be acknowledged. Learn to rejoice in those heat interventions and learn to decipher their meaning.
Joining the Crowd
For some women menopause means independence. Others feel emotionally and spiritually resurrected, and wise. Unconcerned about pregnancy and the absence of monthly periods, many experience a sense of freedom and well-being. Nonetheless, menopause is also seen with anxiety and trepidation by some. Many women fear leaving their fertility behind, and growing older. The child-bearing years are over; the very reason for womanhood about to be extinguished. Great hormonal imbalance at this time accounts for the roller coaster ride of brittle emotions.There’s much to learn about menopause. Women all over the world are getting together and talking about it. They are setting-up chat rooms on the internet, and forming ‘menopause tea groups’. This is not a hushed subject anymore. It is a reality, not a myth. Educated women want to know what is going on in their bodies and their minds at this special time in their lives.
What is Menopause?
Meno (menstruation) pause (stop); technically it is the last menstrual period of a woman’s life. In a few words this means that the ovaries gradually cease to release eggs and women stop menstruating. It rarely happens that easily though. Menopause, again, is a gradual progression that begins taking form as early as the mid thirties or early forties for some women; it is a slow, steady climb up the stairs of maturity.
The Menopausal Years
In her book, The Menopausal Years, the Wise Woman’s Way, author Susun (yes, Susun) Weed discusses the transformation from young womanhood to wise, older female. She talks about the menstrual cycle’s final years as well as the ancient and unique events of menstruation and ensuing menopause.This transformation is divided into three stages: before, during, and after menopause; each stage presenting different challenges and needs.
First Signs of Menopause
This is a time marked by gradual changes affecting a woman’s feelings, bodily functions, and hormonal composition. This phase is called the climacteric or the transition from the –reproductive to the non-reproductive- years of her life. During these pre-menopausal years, menstrual periods will become clearly different in nature, perhaps heavier or slighter, longer in duration, or further apart. At this time the pre-menopausal woman may start experiencing occasional episodes of hot flushes (flashes) and sweating at night. Women generally attribute this to anything but menopause. I think we are usually NOT ready to accept that this is the beginning of the change, of our arrival at a certain maturity in our lives.
Before menopause the ovaries start slowing down their production of the female hormone estrogen. As levels of estrogen vary, body systems such as the adrenal, thyroid, and pituitary glands amongst others; also fluctuate causing emotional, physical and psychological imbalances.
Feed your Body and your Soul
Eating soy and calcium rich foods is one of the most important things the pre-menopausal woman can do. Calcium protects bones from loosing their density, from emotional mood swings and from heart disease. Soya beans are mostly protein; they have no fats, and are high in fiber. Soy products aid your heart, your bones and your arteries. Research shows that soy products may protect from diseases such as breast, and uterine cancers.Calcium rich foods include: low-fat dairy products, long, green leafy vegetables such as kale, collard greens, Chinese cabbage and broccoli.Soy milk comes in many flavors and tofu can be added to salads and prepared foods.
The Progression Towards Menopause
This period includes on average, the year or two before reaching the complete cessation of menstrual periods as well as the year or two after it. The average age during this transition is 51 years. Hot flushes, and night sweats may be frequent; stop altogether and then come back; palpitations, emotional sensitivity, and sleeplessness are common. Other important signs are mood changes, headaches, frequent urination, achy joints and changes in sexual desire. Most of these conditions are also frequently linked with PMS (pre menstrual syndrome).The occasional woman exists who will have one last menstrual period with no trouble before, or after. Some people are lucky; but not most of us, unfortunately. Take time for solitude and quiet inner reflection. As women’s reproductive years come to an end, many close the chapter on their regular care-taking duties. Hot flushes, exhaustion, and moodiness place us in a world of our own. It’s appropriate to contemplate and re-think your motives. There are special herbal teas to help those with unrelenting menopausal symptoms. Take time to write in a journal; keep it nearby to be able to record your ideas. Your impressions and feelings tend to be more acute during this time. Now is your chance to begin anew, do some things you wanted to but could not do, perhaps because of social opposition, lack of money or time. During this stage, and without the stress of managing children’s schedules, you’ll have time to listen and care for your own body and self. Reward yourself! This is your moment in time; you have come out of the final shell.
After it's gone
Once your menstrual periods fail to show-up for twelve full moons, it is safe tobelieve that you are a post-menopausal woman. These are the ‘after’ years. The same symptoms as before and during may still be present, weakening the quality and quantity of the post menopausal years. Build a healthy, strong heart and blood system.Eat a healthy diet: full of vegetables, fruits, and grains instead of meats and animal products. Your bones and your heart will benefit.
MOVE! Walk, stretch, stay active. Be alive! Walking and weight bearing exercise will keep you fit while protecting bones and heart. Anthropologist Margaret Mead once said: "There is no more creative force in the world than the menopausal woman with zest”. ‘Middle Age’ brings wisdom, self-confidence, andunderstanding.
Transformation
Menopause is not a motionless event, it would be wrong to think of it in this manner. It’s not one specific thing or another. It’s a combination of erratic signs in the ample spectrum of a woman’s structural make-up indicating a transformation is about to happen. Fruits and vegetables don’t just ripen and fall off, do they? Babies are not created in a day. As nature moves forward, women begin to experience diminutive changes at first, gigantic ones later on announcing the final stage called menopause.

Friday

The Ubiquitous Tuk-Tuk

The three-wheeled, vehicles with coughing motors called tuk-tuks are useful and sometimes convenient for short distances although much of the time they are idling polluting machines. The most common around Bangkok are the smaller ones with a small compartment for the driver and a bench in back for two to three passengers, depending on their size. Thailand’s first tuk-tuks came on the scene in the late 1950’s. Imported from Japan, the vehicles replaced the samlors (three-wheeled bicycles with a pedaling driver’s seat and a covered passenger seat behind) of bygone days. Performing an analogous job to the taxicab, the ubiquitous tuk-tuks (aptly named because of the clattering, monotonous sound of their engines) are virtually power-driven rickshaws of olden Chinese notoriety. Noise and environmental polluters, the tuk-tuks of Thailand are in effect, three-wheeled motorcycles, sometimes sporting handlebars instead of steering wheels. Their two-stroke engines much like chain saws, leaf blowers, dirt bikes, mopeds or jet skis run on gas just like cars. The advantages of a two-stroke engine are significant because they don’t have valves, which simplify their construction and lower their weight. Very picturesque and popular among the tourist population, their powerful motors can go faster in heavy traffic than a regular car as they weave in and out of lanes in crowded city streets; however, they are hazardous because they offer almost no protection in case of an accident; they can tip over if going too fast, and since they are open on all sides, passengers are exposed to the polluting exhaust fumes of other cars. In spite of all this, tuk-tuks continuously zoom by packed with 2 or 3 large-sized tourists in search of a quaint, thrilling experience. Some expatriates here call tuk-tuks, the Chariots of smoke; nonetheless, many of our visitors don’t want to miss this absolutely captivating way of traveling around Bangkok. For some unknown reason, many tuk-tuk drivers hail from the rural areas of Thailand and have a reputation for not knowing Bangkok very well, as a result getting people lost in this enormous, crowded metropolis. Drivers aren’t required to undergo any training; in fact, some have never taken a driving test Because tuk-tuks don’t have meters, it is essential for people to bargain with the driver for a fare price that’s acceptable to both parties, taking into account the fact that taxi fares start at 35 Baht for the first 3 KM. If the fare is not agreed to in advance, drivers may stray from the most direct route making the trip longer, hence more expensive and no doubt ending in an unpleasant situation. As urban transportation, tuk-tuks are thought to solve some of the notorious Bangkok traffic congestion; on the other hand, the spewing contamination of their engines, I feel, makes them a threat to the environment. Built of sheet metal roofing with water-proof canvas, a flimsy frame, three small wheels and, ornamental carvings for decoration, tuk-tuks actually look like versions of high-speed three-wheeled golf carts. They are able to make u -turns in one small lane of traffic - with room to spare - making them convenient three-wheeler motorcycles with the ability to carry passengers or cargo on the rear seat. Presently, Bangkok’s municipality is trying to get rid of them by placing a ban on new tuk-tuks as they are loud and contribute considerably to air pollution, not to mention the many accidents in which tuk-tuks are involved; however, it may take years for the present ones to die out. As with many other regulations, I have no idea if this policy is being enforced. Many local residents can't bear the tuk-tuk, and were it not for their attractiveness with tourists, their days on Bangkok roads would undeniably be numbered. At times, during rush-hour, it’s easier to hire a tuk-tuk for a short distance because even though slowly, they keep moving when cars and buses cannot; tuk-tuk’s can maneuver in and out of traffic and partly onto the sidewalk (if there is one) without any shame or guilt -- much to the acquiescence of pedestrians who also have to share and contend with the commotion of vendors hawking their commodities, rivaling for very limited space. Add 95% humidity, a temperature of 98F, a headache from the noise and a sore throat from the pollution and you may get an idea of a typical Bangkok rush-hour. If riding in a tuk-tuk in heavy traffic, a great part of the time may be spent sitting on the road at a standstill, locked up by hundreds of other cars, motorbikes, buses and fellow tuk- tuks all in pursuit of the endless, unnamed back streets and passageways that navigate the one and two-way winding corkscrews around the canals of Bangkok. Once Tuk-tuks finally abandon the street scene and are relegated to a museum of transportation or a metal junk heap somewhere in the city, their symbolic allure remains much like Thailand’s inhabitants: sluggish yet hasty, deafening, and indifferent polluters of the environment; there are multitudes of them; they are charming, slight of frame and they smoke a great deal. By Edie Wilcox@ May 2006