Archive for the ‘Living with Type 1 Diabetes’ category

Emergencies

February 9th, 2011

I have been thoroughly enjoying the books born of an Englishman’s blog about daily life on the job as an EMT in London.  I hope that some of my posts are as entertaining, real, and thought-provoking as his.

The other morning I was on my way to bootcamp and saw an ambulance at someone’s home before 6am.  And then a friend of mine needed an ambulance this weekend.

So ambulances and emergency medical services have been on my brain.

I wonder if I’ve ever written about my time in an ambulance.  I don’t think so.

Tom Reynolds (the author above) writes every now and then about treatment he rendered for a diabetic with low blood sugar.  It is very strange for me to see his perspective, and it reminds me that for most people, type one diabetes is a disease or medical condition.

For me, it’s simply a part of my life.

As I’ve gotten older I’ve recognized that I should maybe give worth to both sides, instead of scoffing at one.  I need to respect and acknowledge both those who see my diabetes as a serious medical condition, and those who do not.

Maybe I should re-work my memories of my own medical crisis 16 years ago, and maybe start to see it as something other than “my fault.”

Here is what I know: I was 17 and on my way to babysit a 4 year old boy and his 7 year old sister for the evening.  The parents were friends of a good friend of mine, so I knew them but I think it was the first or second time I babysat for them– but I knew the kids and had spent some time with them all.  It was early evening and on my way I decided to stop and get some candy from the grocery store because I was feeling low.

I can’t explain why I thought it would be good to get some hard butterscotch candy instead of juice or a sugar that was easier to eat in large quantities and could actually raise my blood sugar quickly, but butterscotches were what I got.

I was okay when doing the pre-babysitting walk-through with the parents, and I know I played with the kids some…

…and then I know I was on this strange couch and there was a man standing at my feet and another man crouched at my shoulders and I know I WOULD NOT let go of that man’s hand.

I was scared.

They asked me some questions, I guess I answered them appropriately, and they were happy.  (I think I lost about an hour in there somehow.)  I know I never let go of that guy’s hand.

They asked me if I wanted to go to the hospital, and I said yes.  My parents had already arrived when they were loading me into the back of the ambulance, and I was okay by then but still scared.

At the Emergency Room, I was already better but I was still scared so I stayed where I was.  It felt like I was in charge of what happened at that point, but I was 17 so I’m not sure if my parents were calling the shots or not.

I just feel badly for the little girl who ran next door that evening and told her neighbor something was wrong with her babysitter.

I am grateful to the neighbor who took charge and called 911.

I am grateful to the EMT and ambulance service for making me feel not quite so scared, and for holding my hand the entire time from couch to hospital bed in the ER.

I am confused by the report that says I never lost consciousness.

I am angry at the doctor who later shrugged his shoulders when I told him and said “meh; so you lost a few brain cells.”  (That was my last interaction with that doctor.)

I’m not sure how much personal responsibility to lay on myself even now: with low blood sugar affecting cognition, I was doing my best when I bought the “wrong” low food for myself.  I was going about my business as a 17 year old and taking care of myself as best as I could.

And I still needed help.  And I got it from a load of folks I’ve never seen before or after.

I never saw my EMT guy again but rest assured I search every ambulance as it passes.

Latest Half Marathon Report (SF Kaiser Half, Feb 6, 2011)

February 7th, 2011

I don’t know if you will find these interesting or not, but on the off chance you do, here it is:

This half marathon was one I knew I was going to run a few months ago… but somehow, before Christmas, February seems like a really long way away.  Turns out, February 6 is actually pretty close to the holidays!  The extra time I thought I had turned out to not exist… and then I had a week of no running with the food poisoning… and whoops there it is: February 6, 2011!

This was a run I heard was really nice, and my friend’s running buddy was going to run it, so I convinced my friend she needed to run it, too.  (Watch out if you’re my friend and you run; I will make you do things like this.)  So we signed up and we were off.

There has been an odd early Spring this past week around here, which is odd but I’m not complaining.  (I’m sneezing a lot, but not complaining.)  I checked the weather prediction and it said the temperature near the start would be about 55 degrees for the start.  It was a late start (8am) but I don’t really care about that kind of thing, especially since the run was in San Francisco, about 25 miles away.  More sleep for me = a good thing.

I’m not kidding: we walked out of the house (my husband served as my Pit Crew on this one, which is always awesome) and the first words he said were: “this is a great morning for a run!”  Easy to say when you’re the Pit Crew and not the Runner.

But it was a beautiful morning, and I felt good about my choice to run in shorts and a long sleeved shirt.  I had my fuel belt all set, I had oatmeal to eat on the way to the run, I was ready.  I mean, I was ready to start off on the right foot: I had little expectation of a record-setting run.  I was just going for the scenery and the experience.

We waited at the start for the hour they want you to stand around, and we were off.   I checked about 45 minutes before the run started and about 30 minutes after my oatmeal and was happy to be 186Being over 175 when I have insulin on board before a run takes some of the nerves away for me.  Phew.

Now this was a crowded run, and I’m amazed none of us stepped on each other.  I’m also pleased to report I felt no elbow in my chin or nose (happens when I’m 5’2” and there are 6’2” runners next to me) and it was light enough to feel somewhat safe. 

Two miles in, and I’m complaining already.  MAN; IT IS HOT!!!  I’m thinking: how on earth am I going to keep this up for eleven more miles?!  It was so hot!  My decision to wear a long sleeved shirt felt like a very bad choice. 

I spent a little more than a mile trying to figure out (a) at what age is running in only a bra no longer acceptable (note: I have neither the correct age nor the correct figure to do this but again I remind you it was HOT), (b) would I want to see the race photos if I did take off my shirt, and (c) was it really that hot or was I doing something wrong?

Thankfully, we changed directions somewhere along in there and I was able to run again in a colder area of the route.  I opted to eat a Gu at mile 3.5 rather than mile 4.0 because it was hot.  I started to think about how glad I was that I have run so many years and had a sense what to do with the unusual temperatures.  I extended my temporary basal rate beyond my initial plan and opted to start drinking my Gatorade early.

At mile 6.5 I thought it would be good to stop and check.  159.  Yay.  I called my husband, told him where I was, and kept going.  I also opted for another Gu, since it is easier for me to run while high than it is for me to run while low.

(I have my CGM in my arm right now and I don’t know why I forgot this, but I don’t like running with it in my arm if I have on a long sleeved shirt.  This sensor is more painful than usual, and the long sleeves ended up making it feel like it was going to dislodge and I’d be without the sensor for the remainder of the run.)

Awesome that the water stops started to include Gatorade at that point; I skipped that first one (mile 7 or so) but was happy to see I didn’t have to hoard my own supply, as it was HOT and hydration should be a concern in those temps.

Did I mention I was still running?  At least we were on the Great Highway (Hwy 1) and I could run along the beautiful surf.  No small thing, but we were now again facing the sun as we ran.  Sigh; still hot.

Finally I got to the turnaround and knew there was another Gatorade spot coming up.  I checked again at mile 10 or 11 and was 116.  Lower than I would have liked to be with 2-3 miles left, so I downed my third (and final) Gu.  I still had one more low food, but I usually would consume only one Gu by that point.  Stopped and drank a Gatorade (maybe 6 ounces) and kept running.

So by the end of the run I was back to climbing since I had been at a low basal for three hours instead of my normal two  hours (if I’m planning to run for 2 hours, I lower an hour before and the first hour of the run and see where I’m at) and my blood sugar was starting to climb once I stopped running.

All in all, a fine showing yesterday.  I didn’t beat any records, but I stayed where I wanted to be as I ran despite the crazy heat wave.  And I think most importantly, I kept my shirt on.

(Sorry for the length of this one!)

Salty Salty Salty

February 3rd, 2011

I can hide nothing about my love of salt.  I don’t even want to hide it—I want to proclaim my love of salt from rooftops at high volume: I love salt.

I remember reading all the Little House on the Prairie books and asking what a salt lick was.  I’m still looking for a salt lick to show up in my life.  I’m telling you: I love salt!

I’d much rather have something salty than something sweet: the taste in my mouth after having too much salt (if there were such a thing; I probably just wasn’t properly hydrating correctly) doesn’t signal to me a high blood sugar like the taste in my mouth after having too much sweet food does; if I order dessert at dinner that’s very unusual! 

I also sweat like a pig, and I spend the last mile of my longer runs (9-20+ miles) wondering what kind of salty food I will eat when I return home. 

Salt: I think it’s lovely.

So all these warnings and admonishments about Americans consuming too many foods high in sodium make me a little sad: I don’t want to be made to feel badly about my love of salt!

But check this out: the February Diabetes Forecast (yeah I still read it) mentions something in the American Journal of Clinical Nutrition last November.  Researchers analyzed studies done between 1957 and 2003 and concluded that Americans today are eating as much salt as they did 50 years ago.

So why is everyone up in arms right now about the salt?  Well, since it’s still “too much” to consider healthy. 

But since rates of high blood pressure and heart disease have continued to grow despite salt intake remaining relatively constant, the researchers concluded the culprit in the rise of these diseases is likely…

Obesity! 

No way.

Despite my own salt-loving experience, I don’t have high blood pressure.  I don’t have heart disease (in fact I have a pretty awesome and fantastically healthy vascular system if I do say so myself). 

I’m not saying that I have any super genes or that I’m an abnormality in the world: I’m saying thank you to exercise for letting me enjoy my salt and not worry too much about any side effects. 

Please pass the salt.

Misdirected Energy?

February 2nd, 2011

I know not everyone is going to agree with me on this one; that is perfectly fine.  Sure, I’d like it if you saw my point of view and appreciated it and every now and then you could come over and agree, but I’m okay if you don’t.  I’d love to hear other sides to this one, too, so please feel free to comment and share your thoughts.

I don’t understand the point of the fighting.  Type one diabetes isn’t like cancer: fighting (more specifically the stress of fighting) doesn’t make living with diabetes any better.  In fact, the blood sugar swings stress can cause will in fact make living with type one more difficult.

I see the ones promoting “stick it to diabetes” really more the parents of type one kids than the kids themselves.  It makes me wonder: what are you fighting against?  Are you fighting against the considerable added work that having a type one kid involves?  Are you fighting against the type one kid being somehow different than her friends or siblings?

How is that fight helping the kid with type one?

I can understand fighting against antiquated notions of what living with type one means; shoot, that’s part of what I’m doing with Diabetes Outside.  I can understand fighting against limits uniformed people think a life with type one diabetes involves.

But the “I hate diabetes” campaign to me doesn’t achieve any progress on those fronts.

To me, celebrating a fight against a child’s type one diabetes takes everyone, child included, further from the goal of healthy living.

Diabetes isn’t like a tumor that can be excised from the body and, once removed, life returns to what it was before diagnosis. 

It just isn’t.

I’m not saying to stifle any fight; all emotions are useful to a point.  I just see so many people, again a lot of parents in this category, stuck in the fighting stage.  Being stuck doesn’t solve anything or make anything easier for the type one kid.

How can a child grow into a healthy strong teen, young adult and adult if something about them is something their parents visibly and vocally fight at every turn?

Look at the type ones you admire.  Listen to their messages.  Look at how they treat their own diabetes.  Do they fight the fact they have diabetes?  Do they fight the fact their pancreas doesn’t work? 

Or do they do their best, move past the uninformed person trying to use the disease to limit opportunities available, and: climb mountains, sit on the Supreme Court, sing on American Idol, travel the world to win a million dollars, advocate for equal treatment in the workplace, quarterback for the NFL, play major league baseball, write award-winning novels, make others smile and laugh, earn multiple graduate degrees, give back to the globe, care for the sick, and educate everyone around them.

See, there is a load of living we have ahead of us.  Make sure you are supporting those efforts and not spending too much energy stuck in one unproductive spot.

Am I A Broken Record or What?!

February 1st, 2011

Are you one of those people (I’m speaking mostly to the women) who go for 30 minutes on the elliptical or attend spin class or other cardio, finish, shower, and pat yourself on the back for a great exercise session?  Are you avoiding the weights in your workout routine??

Why?!?

I’m quoting an old article here but the points are the same:  reasons abound for you to start lifting weights.  You can call it pumping iron, lifting, weight work, whatever you want.  I just want you to get started on a routine for yourself!

10 reasons we should all lift weights: (taken from Oxygen Magazine, February 2009)

  1. Increase Strength.  Forget about relying on other people to help you lift boxes, carry groceries or piggyback your toddler because strength training makes everyday activities easier than a walk in the park.
  2. Lose Fat.  Each pound of muscle you gain can burn up to 50 extra calories a day and you can gain nearly two pounds of muscle in just two months by weight training a few times a week.  Better still, you can lose 3.5 pounds of fat at the same time.
  3. No Bulking.  Research shows that women do not typically gain bulk from strength training like men do because women produce 10 to 30 times less testosterone than men.  You will, however, define and tone your muscles.
  4. Healthy Bones.  Research has shown that weight training can improve your bone mineral density by as much as 13 percent in just six months.  This becomes crucial as women age to minimize their risk of developing osteoporosis.
  5. Improve Performance.  Hitting the weights on a regular basis can improve your overall performance in sport and decrease your risk of injury.  Extra strength can power up your drive on the golf course and reduce the risk of injury among skiers.
  6. Keep Yourself Healthy. You already know that strength training builds stronger muscles, but did you also know that it increases joint stability by strengthening ligaments and tendons?  Well it does.  And a stronger join helps prevent injury and eases the pain of osteoarthritis. 
  7. Strengthens Your Ticker.  Weight training can keep your heart healthy by increasing your HDL cholesterol and lowering both your LDL cholesterol and blood pressure.
  8. Ward Off Type 2 Diabetes.  Research has shown that regular weight training can improve glucose utilization in the body by 23 percent in just four months.  This may reduce the risk of type 2 diabetes.
  9. Age is Irrelevant.  It doesn’t matter how old you are; strength improvements are possible at any age, even 80 years old.
  10. Keeps You Smiling.  Working out with weights has been shown to improve a woman’s self-confidence and reduce the symptoms of clinical depression.

For those of us living with Type 1 diabetes or Type 2 diabetes, we know how susceptible we are to heart trouble, clinical depression, and carrying around extra weight.  Training with weights will give us that extra strength to fight some of the certain complications we face.

What do you have to lose?  Oh yeah: the flab

Go grab some weights.

I Don’t Know How You Do It

January 31st, 2011

I know many areas of the country are feeling badly pummeled by the weather gods these days, and all I can say is: my hat is off to you.

I’ve lived in California since I was three years old.  Yes, it’s expensive to live here, and yes it gets hectic at times, but I can tell you this: I don’t know how you do it anyplace else.

I mean, really?!  I whine at 39 degrees or a drizzly rain.  (It is incredibly rare that both of those occur simultaneously.)  A cloudy or overcast day puts me in a sad mood.  I don’t know what it would be like to talk about “teens” or “wind chill” or any other such phrases I thankfully know nothing about.

I’m incredibly impressed by the ways you people in other parts of the world stay active during winter.  (Oh, and no way am I pardoning those of you who use the weather as an excuse to avoid being active.  Not a chance!)

I figure you do it by joining a gym where you can use the machines or brave the winter weather when it’s feasible to do so.  In fact, I have a friend who recently completed an indoor marathon… that was 95 times around an indoor track (larger than a traditional quarter mile track).  I can’t even sing from 99 bottles of beer on the wall to 95 bottles; much less from 95 to one!  Yikes.

If I lived someplace that experienced crazy cold temperatures (and yes I do wonder these things) I know I’d get myself outfitted for running in snow.  I’m not sure what all that would take, but I’d do it.  And I’d get myself a set of snowshoes.  I like snowshoeing.  And I’d join a gym so I could get treadmill time.  I like running intervals on a treadmill! 

Aside from that, I’d likely keep at my home workout routines.  I just wouldn’t open the doors for fresh air while I worked out.  I guess I’d maybe have a basement and set up something in there and exercise in my basement.  (I don’t understand basements, either, as a result of my California living.)

That basement thing would be kind of fun.

I know I wouldn’t worry so much about the bozos running and walking in the mornings as I drive to bootcamp.  (I call them bozos because I can’t tell you how many of them wear navy hooded sweatshirts; come on!  Help me out a little and help me see you!!)  I don’t think the bozos would make it out in the snow, and if they did I would probably see them better against the whiteness.

Then again, I wouldn’t be doing bootcamp the same way either.  D.O. it Bootcamp! is outside every day no matter what.  It is awesome; I love that!  We have some rain shelter but that doesn’t mean I don’t make my participants run in the rain.  (I’m kind like that.)  We all go home and shower anyway, so what’s the difference if we get a little damp?

Again, it isn’t always comfortable, but holy cow it is balmy compared to many parts of the world right now.  Yeesh.

Although, it isn’t Hawaii either.  (Now that is someplace I could hang!)

From the Inside

January 28th, 2011

I was driving home this morning and listening to the radio; they had an ad about refinancing a home.  I thought about a couple people I could recommend this specific place to, saying I had heard their ad on the radio and if all were what it seemed, it could be a good deal.

But then I realized neither homeowner I had in mind would be very receptive to such a comment, and it made me curious.  I know as we get older some things become more and more taboo among friends for some reason. 

I may know it, but I don’t have to like it.

And then I thought of my friends with type one diabetes.  I don’t think anything is taboo with them.

They have an instant place in my heart where there isn’t any judgment—really; there isn’t.  No one asks questions that require explanation about a certain number, no one really even asks much at all: we each know what the daily struggles are and the ins and outs and in betweens.

It isn’t to say my other friends aren’t a million loads of support to me (seriously I wouldn’t want to make it through my day without them!) or to say that I ever want my health to be taboo.

I just want to acknowledge that living with diabetes is a pretty individual thing and someone who doesn’t live with it doesn’t always understand what it feels like—from the inside.

So my hats off and hugs around each of you who I know and each of you whom I don’t yet know.  You’re doing an awesome job being, well, awesome and living really great lives with diabetes.

You rock.

Food is Complicated (No Duh)

January 25th, 2011

Last week I had food poisoning.  While that itself was amazingly sucky, it was pretty cool for that first day when I couldn’t eat or drink.

You should have seen my blood glucose levels.

They were so steady!!!  I’m serious; I stayed between 85 and 105 for more than sixteen hours.

Amazing.

Of course, I went back to my typical swings once I started eating again and my digestive system recovered. 

Diabetes would be so much easier if I could make it through my day without eating.

Dang.

See, there are so many aspects in the world fighting to complicate our lives with diabetes that removing a major one even for a few hours was pretty cool.  (And knowing how sick I really was, the fact I could be amazed as I was so sick should tell you how great it really was.)

I was continuing to read “Mindless Eating” today; Wansink discussed how our minds and stomachs don’t know how much we have eaten.  He said we look at external cues like “I cleaned the plate” rather than “that plate is twice as large as it needs to be”.  We can trick ourselves to over-consume by drinking out of a short wide glass instead of a tall skinny one.  Waiters who clear our empty bottles and dishes facilitate the same over-consumption of food.

Having diabetes and dealing with unknowingly over-consuming calories and carbohydrates is just part of our daily lives: we can’t help it even if we know all there is to know about the way food preparation and presentation can affect what we consume.  Sure, there are some tricks and tips we can all use to steer ourselves to healthier eating, but it will never be 100%; we’ll always have those times where we missed our carbohydrate counts by 20-30%.

Likewise, we’ll always have the unexpected delay in insulin absorption or medication metabolism.  I elect not to fight those unexpected highs or lows that blindside me—just like I can’t fight food poisoning all the time no matter how careful I am.  I do my best to anticipate them and I try to be as prepared as possible, but I can’t do it all 100% of the time.

Sometimes, life happens.  It’s part of the deal.  We just need to keep at it, and keep on keeping on.  Sure, some days that’s easier than others and other days we are flat on our backs knocked out by a bug.  Life is ups and downs just like our blood glucose levels.  

As great as I’m feeling this week compared to last, I know this is an upswing.  I’m riding it as long as I can and trying to enjoy every minute of it: I never know when the next wave will hit.  It’s not an anxious feeling for me—it’s acceptance.

Knowing in a new way now how much I am trying to manage when it comes to eating and how that affects my disease, I have a lot to accept. 

Good thing I get more practice with each meter reading!

Searching for Reasons

January 18th, 2011

I did an amazing thing the other night: I went to bed by 9pm.  It was so exciting!  (I wake up at 5 every day so this would mean I was about to get 8 hours of sleep.  So thrilling.)

Except then my insulin hit: 56 before my head hit the pillow.  So, okay, except that I had a zillion units of active insulin still coming down the pike. 

Instead of juice, I had a soda to counteract the onslaught. 

And, 15 minutes later, I’m 76.  Still with the active insulin pending.  So, I ate an entire sleeve of saltines.  Alright.

And then 20 minutes after that I was back to 64. 

Another Sprite.

So, the entire time I’m trying to sleep and not able to fall asleep and I’m drinking and eating and geez.  So completely NOT hungry, and two full-sugar sodas are just not good for any person ever.  I don’t get to sleep until eleven.  (Now I’m down to 6 hours if you are counting like I was.)

And I’m thinking: why do I not want to announce that this is what is going on when I’m yawning at my bootcampers in the morning?

I realized the answer lies in a very natural reaction: I knew that anyone I told would wonder and ask WHY.  It’s the most natural response, of course, and yet that’s a major cornerstone of living with diabetes: sometimes there isn’t a very good answer to WHY. 

I think once you can accept that there isn’t going to be a single reason to answer each blood glucose number or each random response or insulin reaction, you’re on your way to accepting your life with diabetes.  Yes, it’s annoying.  Yes, it’s frustrating.  Yes, all of those things we don’t like because they mean we aren’t in control. 

Of course, a lot of times there are great and very important reasons for figuring out WHY: to avoid a future needless high or low, to avoid repeating dangerous patterns, to help us actually get enough sleep, to simply feel like we are living more normal or predictable lives.

But really, we aren’t living normal or predictable lives.  We always need to keep watch over ourselves and our physical needs.  With that, each day, we do our best and we have to be okay with that being enough.

I think that on the whole, we are all doing a durn fine job, thank you very much, dealing with all of the expectations and explanations that are a part of living with diabetes.  And if today or this week isn’t your greatest week, that’s okay.  Do your best and forgive yourself.  You deserve it. 

Every day.

(To address this for some of the more analytical and engineering types: there were about five or six things I believe all contributed simultaneously to my lows last night.  They aren’t worth listing, but it isn’t that I haven’t asked myself the question.)

Is Diabetes Really Your Reason?

January 13th, 2011

Do you ever use your diabetes as an excuse to get out of doing something?   

It sounds dorky and pious, but I used it as an easy excuse to get out of drinking alcohol in high school and college.  (It meant I didn’t have to tell my friends I wasn’t interested in being as stupid as they were when they got drunk.  And I didn’t have to deal with my parents learning I ever drank.)

I know several people who have used their diabetes to skip lines at amusement parks.  I myself love that I always have an excuse to have food with me at places where no food is allowed… even if I’m not low and don’t need the food. 

I’m not talking about necessary reasons to avoid going to work or school if you are in DKA or need to do something for your health; I’m talking about knowing you actually can do something you’re supposed to do, and using diabetes as an excuse to avoid doing it because you simply don’t want to do whatever it is.

Those are the excuses I’m talking about.

I think we’re lucky that life with either type of diabetes doesn’t mean life in a hospital or a life with restrictions.  Yes, we need to pay super attention to things few others need to pay any attention to whatsoever.  Sure, it’s a difficult and draining thing to live day in and day out and watch every morsel of food and calculate and guess and be wrong much more often than we feel right…

… but it isn’t like our daily lives require us to avoid stairs or that we need help breathing.

I think other people living with other diseases and other physical limitations have it tough, too.  Like I always say, my diabetes is a thing… and we all have things. Some have a tortuous childhood, some have a missing limb, some have an incurable infection.  We all have things.

I will never forget the man in front of me at my first marathon who ran that dang thing on one leg.  I mean, who am I to complain I had to stop to check my blood sugar when this guy has one leg running twice the distance either of mine ran.  Sheesh.

People do some amazing things.  I use their words about excuses and limits to put some perspective on my life with diabetes:

I never want to hear that I have limits; I want to push the envelope every day.”  – Brian Boyle, a 2004 car accident victim who was in a coma for 2 months with a narrow chance of surviving.  He had to relearn how to talk and walk… and who now succeeds at Ironman competitions.

“Setting goals… helps when your life has been turned around twice.  It’s kept me out of the pity pit.–Nick Roumonada, a man who lost his leg to bacterial meningitis at age 13 and who at age 31 developed focal dystonia which impairs motor skills.  He manages his symptoms with running and marathon training.

 “…I worried about falling [as I ran the 2008 New York City marathon with 2 guides].  But I’m glad I did it.  I need to keep moving forward.” –Yuki Goto, a man who was in a 2006 car crash that left him with traumatic brain injury.  He still suffers from seizures, poor balance and double vision.

These are some amazing folks.  I think one of the most amazing things about each of them is that they probably don’t think they are very amazing at all!

Have a great day out there.  Don’t let anything hold you back!