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Tag Archives: New Year

New Year’s Resolutions

Image courtesy of Wikimedia Commons

The holidays are over and it’s time for a fresh new year- a fresh new start! Have you made your New Year’s resolutions yet? Do you need some suggestions or help creating your list? Here are some ideas!

  • Be healthier.
    • One of the most popular New Year’s resolutions in the US is to be healthier, whether it is to eat healthier, get more exercise, and/or to head over to the gym more often. There are studies that continue to show the importance of exercise, which favorably impacts the health of your liver as well. Although there is no specific diet for chronic hepatitis B, studies show that eating cruciferous vegetables such as cabbage, broccoli, and cauliflower is good for the liver.  Green, leafy vegetables are also good for the liver. All of these veggies tend to naturally protect the liver against chemicals from the environment.  The American Cancer Society’s diet, which includes low fat, low cholesterol, and high fiber foods is a good, general diet to follow.  It is also good to avoid processed foods and foods from “fast food restaurants”. These foods along with too many foods high in saturated fats, and foods or sugary drinks with refined sugars and flours may result in fatty liver disease, which can also harm the liver. When possible, eat whole grains and brown rice. For more suggestions, check out the World Health Organization’s healthy diet and CDC’s tips for staying healthy.
  • See your doctor more often.
    • We encourage those chronically infected to be regularly monitored by a liver specialist, treated when necessary, and to make lifestyle changes that help keep the liver healthy. The most important thing is to find a doctor who is knowledgeable about hepatitis B, who can help manage your infection and check the health of your liver on a regular basis. The doctor will take blood tests, along with a physical examination of the abdominal area and perhaps an ultrasound, to determine the health of the liver. Talk to the doctor and see what he or she recommends. Don’t forget to get copies of test results for personal files to see how test results change over time
  • Stop drinking/limit alcohol.
    • Chronic hepatitis B and alcohol is a dangerous mixture.  Studies have shown that even small amounts of alcohol can cause damage to an already weakened liver.  Avoiding alcohol is one decision someone can make that will greatly reduce the risk of further liver disease. It is also important to avoid smoking and other environmental toxins.  For example, avoid inhaling fumes from paint, paint thinners, glue and household cleaning products, which may contain chemicals that could damage the liver.  Keep in mind that everything that you eat, drink, breathe in or absorb through the skin is eventually filtered by your liver and toxins are removed. If you can limit the toxins in your body, your liver will benefit.
  • Pursue your dreams.
    • Don’t let your hepatitis B status stop you!! Find friends, family members, colleagues, and/or doctors who can support and encourage you to learn about your hep B status. Become an advocate for yourself, just like our #justB storytellers!

Start off your resolutions with attainable goals! You don’t have to quit cold turkey and completely eliminate certain foods. Take it step by step! Keeping a journal and tracking your progress will help you keep an eye on those resolutions this year. Even if you break your New Year’s resolutions, don’t be discouraged! Everyone goes through pitfalls and experiences lows. The important thing is to start over again when you break your resolutions!

Check out our previous post on New Year’s resolutions for more ideas for your resolution this year!

How to Navigate Disclosure, Denial and Drinking with Hepatitis B During the Holidays

Image courtesy of stockimages at FreeDigitalPhotos.net
Image courtesy of stockimages at FreeDigitalPhotos.net

By Christine Kukka

With the holidays come  family reunions and parties that can set the stage for some big emotional challenges for people living with hepatitis B.

  • Do we disclose our hepatitis B to our families or keep quiet?
  • Do we remind relatives to get tested and/or treated, or quietly endure their denial?
  • And, can we resist the host who insists everyone should be drinking alcohol with him?

Is this the holiday when we finally tell our parents or siblings about our hepatitis B?

First, take your family’s cultural temperature towards hepatitis B. Historically, in many cultures people with hepatitis B were shunned and could not marry, attend college or advance professionally. If your family still holds some of these baseless beliefs, be prepared to do some educating as you try to dispel their fears and prejudices. Come armed with printed information, website addresses and other material to bolster your family-focused public health campaign.

If you were infected at birth, you may have family members who are also infected. The most valuable gift you may give them is your disclosure and your education, especially if it leads them to get tested, vaccinated and treated.

If you suspect you are the only one in your family who is infected because of a past medical procedures that transmitted the infection, or sexual encounters or injecting drug use, think carefully about disclosing. Are your family members open and accepting? Will they suspend judgement and be supportive? Perhaps you should tell only one or two relatives whom you can trust, or stick to your community of friends. If you have doubts, erring on the side of caution for the time being may be best.

Should you encourage family members to get tested, vaccinated or treated?

If you know hepatitis B runs in your family, then your parents, uncles, aunts and siblings could also be infected. Should you bring up hepatitis B during dinner and encourage them to be treated?

Many people find denial a far more comfortable option than facing the possibility of having hepatitis B, which is why nearly two-thirds of people with chronic hepatitis B remain undiagnosed and untreated. So how do we bring up hepatitis B without sending everyone running from the dinner table?

  • Bring up an interesting fact, “Hey, did you hear that one in 12 Asian-Americans have hepatitis B and two in three don’t know it?”
  • Or ask about a relative’s health history. “I was wondering about grandpa in Vietnam, you said he died from liver problems, do you think it was hepatitis B?”
  • Or try breaking through the stereotypes surrounding hepatitis B. “Everyone thinks you get hepatitis B because you’re promiscuous or do drugs, but actually most Asian-Americans got it at birth.”

Choose a time when there won’t be many distractions. Try talking to a few relatives ahead of time so they are prepared to be supportive when you broach the topic with your family.

Ultimately, we can’t change other people. Our relatives may simply continue to refuse testing and treatment despite our best intentions. We don’t have to let them off the hook completely, but we must accept they are doing the best they can. If we keep our relationships with them open and cordial, they may be willing to talk to us in the future when they are ready to get tested. To view a video of a daughter telling her parents why they should be tested, click here.

How do you politely refuse the host who insists that you drink?

Practice saying no: Often there are people at a party or event who take it as a personal insult if you do not join them and drink alcohol. You need to prepare for their rudeness and be ready to firmly say no. This can take practice, so do some role-playing if needed ahead of time. It gets easier with time.

Prepare a reason for not drinking: Sometimes, those annoying hosts, friends or relatives just won’t give up, so you may have to lie. “Sorry I’m taking medication and I can’t drink.” Or, “My stomach is upset and I want to be able to enjoy all this food.” You never have to disclose your hepatitis B infection in this casual social setting, but you can come up with another reason not to drink.

Leave the event early if you feel uncomfortable. Over the course of a party, people may get more intoxicated and it might get harder to turn down drinks. Consider leaving the party before people reach this stage, besides it’s no fun to be at a party with drunk people when you’re sober anyway.

Find others who are not drinking. Search out people who are not drinking at the event. Those are the people you may want to talk to and enjoy.

Choose a non-alcohol drink: If you’re at a bar or party, no one will know that your seltzer water with a slice of lime is not a gin and tonic. Many bars now serve non-alcoholic beverages so no one will know your drink does not contain alcohol.

The most important thing to do is to not pick up a drink no matter what. One drink all too easily leads to another. Your liver will thank you.