We are so happy to announce the publication of our new fact sheet on fibroids and exercise. This is the first in our new series of fibroids fact sheets which aim to cover a range of topics that you have told us are important to you.

This fact sheet series is a direct result of the findings of our small research project where we explored the needs of women with fibroids. From this work we discovered that there were significant gaps in the information and support available to women and we are on a mission to fill those gaps. We have worked towards this by:

• Forming a Fibroids Ask the Expert Panel
• Publishing a fibroids booklet
• Hosting our first conference for women affected by fibroids
• Delivering presentations to churches and community groups
• Hosting a regular fibroids Twitter chat
• Writing a fibroids blog and news series

Our fibroids and exercise fact sheet discusses how exercise can help alleviate the symptoms of fibroids and provides readers with simple tips on how to get active without aggravating their current symptoms. We hope that this resource will provide women with useful information that empowers them to take control of their health and take positive steps towards improving their health and wellbeing. You can download the fact sheet in the download section below.

Coming soon….

The next fact sheet in the series will be published soon and this will focus on fibroids and mental wellbeing. This fact sheet will aim to help women identify, understand and address the emotions that may be associated with having fibroids.

Thank yous

We’d like to thank Candice Bryan from Noire Wellness for contributing to this new fact sheet, Way Wive Wordz Publishing, Editing and Tuition for their editing services and FutureSoft for their design work.

We are so happy to announce that we’ve joined forces with Noire Wellness to launch a fibroids campaign today, in the run-up to International Women’s Day on 8^th March.

The theme for International Women’s Day this year is #PressForProgress and, together with Noire Wellness, we are calling for everyone to #PressForProgress to improve the experience of women with fibroids.

We believe that for progress to be made, there needs to be:

• Breakthrough research into fibroids and ethnicity
• Patient insight on the impact of diet and exercise on fibroids
• A commitment to professional excellence when caring for women with fibroids, who have a family history of fibroids or who have symptoms associated with fibroids
• Global and local support networks to ensure that women with fibroids never feel isolated
• Greater awareness of fibroids, its symptoms and impact on women’s lives, particularly the psycho-social impact.

We want all women, particularly women who have been affected by fibroids, to join us in our social media campaign to highlight the change that needs to occur to improve the experience, care, health and wellbeing of women with fibroids.

We’ve created a range of resources you can use to join us in this campaign. These include images for social media, Facebook and Twitter headers, sample social media posts and a media kit. For more information and to download our resources, please visit our campaign page here.

The Power of Partnership Working

We are extremely proud of this collaboration which has brought together two organisations passionate about addressing the issues that women with fibroids face. We believe we are stronger together and can achieve so much more by pooling our resources, expertise and strengths. We hope that this will be the start of many joint health initiatives.

More Information

For more information about this campaign, please visit the campaign page here or send us an email, we’d be very happy to hear from you.

Hello all, this is just a quick post to let you know that our name change is formally and legally complete. We have now changed our name from The Lake Foundation to Lake Health and Wellbeing.

As you know, we moved to the Caribbean from the UK and the move provided an opportunity for us to make some improvements to our organisation which involved the name change and an analysis of our work.

We believe the name change better reflects what we do, and we’ve analysed our work and have categorised what we do as follows: research, public health interventions, consultancy and events. This is similar to our previous categories and we’ve now explained each category and included examples of the type of work we do to make it easier for our supporters to understand what we offer.

We still have the same aim of improving the health and wellbeing of the black community and we’re still pretty much the same organisation except we’re now registered as a business rather than a charitable incorporated organisation. This is because the charitable incorporated organisation structure doesn’t exist in the Caribbean, but we’ll still behave in the same way, so we’ll be an ethical business with a social mission.

We have now changed all our social media handles, you don’t have to do anything as we have retained all our followers, but please remember if you want to send us a message via social media or mention us in posts, to use the new handles, which are:

• Facebook @lakehealthwellbeing
• Twitter @lakehealthwell

Our email addresses will remain the same for now, we’ll alert you when we make any changes.

Thank you so much for all your support and we look forward to continuing this exciting journey of change. Have a great week and if you have any questions, please do leave us a comment below.

On 21st February we were delighted to host another fibroids Twitter chat. Our featured guest was Laterria Patton.

Laterria Patton is a Self Care Activist who writes a food blog that promotes reproductive health to black women. The blog content utilizes natural self-healing food practices to educate black women who are suffering with reproductive health problems about the hormonal process, and how to keep it in balance.

During our chat we had an interesting discussion with Laterria  about the common challenges that contribute to uterine disorders (like fibroids), how these challenges can be overcome and how women can achieve optimal uterine health through self-healing food practices.

If you missed our Twitter chat, have no fear, you can read the highlights below.

Hey, hello, hello, Twitter family, it’s our my pleasure to welcome you to another one of our #fibroids #Twitter chats. #FibroidsChat (1/4)

— Lake Health and Wellbeing (@TheLakeFound) February 21, 2018

Today we’ll be chatting to, Self-Care Activist, @selfcareandfood, about some of the factors that lead to uterine (womb) disorders, like #fibroids, how these can be addressed and how women can achieve good womb health through self-healing food practices. #FibroidsChat (2/4)

— Lake Health and Wellbeing (@TheLakeFound) February 21, 2018

Hello! My name is Laterria Patton.
I’m a Self Care Activist that promotes social change that is centered around the self care practices of black women. One of the ways that I do this work is by writing a food blog that promotes reproductive health to black women. #FibroidsChat

— Laterria Patton (@selfcareandfood) February 21, 2018

.@selfcareandfood Can you tell us a bit more about your blog and why you started it? #fibroidschat

— Lake Health and Wellbeing (@TheLakeFound) February 21, 2018

1/2 I started this blog because I wanted to create content that breaks down the different ways in which food is impacting our hormones and how these hormones are having a negative or positive effect on the health of our reproductive organs.

— Laterria Patton (@selfcareandfood) February 21, 2018

2/2 I use natural self-healing food practices to teach black women who are suffering with reproductive health issues about their hormonal processes and how to keep them in balance.

— Laterria Patton (@selfcareandfood) February 21, 2018

. @selfcareandfood What has been the most interesting and the most surprising things that you’ve learnt since delving into this area? #fibroidschat

— Lake Health and Wellbeing (@TheLakeFound) February 21, 2018

The most surprising thing that I learned since delving in this area is that many obstacles are strategically being put into place that make it hard for black women to get access to the information & food that could help them with their reproductive health issues. #FibroidsChat

— Laterria Patton (@selfcareandfood) February 21, 2018

That is quite surprising, let’s explore that further. What sort of obstacles have been put in place? #fibroidschat

— Lake Health and Wellbeing (@TheLakeFound) February 21, 2018

Some of the obstacles are:
1) Food desserts
2) Bias Physicians
3) Lack of family support

— Laterria Patton (@selfcareandfood) February 21, 2018

We’ll come back to some of these. We should start at the beginning, your work centres on understanding the link between the liver & the uterus. Can you tell us how the health of a woman’s liver affects the health of her uterus, and how this could lead to disorders like fibroids?

— Lake Health and Wellbeing (@TheLakeFound) February 21, 2018

1/4 The health of a women’s uterus is affected by the health of her liver because the liver produces the cells that help to create neurons in the brain. These same neurons use cells to send messages from the brain to the uterus.#FibroidsChat

— Laterria Patton (@selfcareandfood) February 21, 2018

2/4 These messages control the rhythm in which the uterine muscles contract & relax so that the uterus knows when to shed the lining(menstrual bleeding) & when not to. An unhealthy liver has a negative effect on the neuron’s ability to communicate messages. #FibroidsChat

— Laterria Patton (@selfcareandfood) February 21, 2018

3/4 When uterus begins to shed it’s menstrual lining at the wrong time or it doesn’t shed as much as it’s suppose to, the excess lining that stays in the uterus contains hormones that never got a chance to leave the body. #FibroidsChat

— Laterria Patton (@selfcareandfood) February 21, 2018

4/4 Too many hormones can cause the uterus to make abnormal cells that contain excessive amounts of estrogen and progesterone. Abnormal cells lead to various disorders within the uterus. #FibroidsChat

— Laterria Patton (@selfcareandfood) February 21, 2018

.@selfcareandfood You write a lot about healing through food. So, let’s explore food a bit, how does the food we eat affect the health of our liver and thus the uterus? #fibroidschat

— Lake Health and Wellbeing (@TheLakeFound) February 21, 2018

1/2 The liver is a highly dependent upon nutrients to function properly. There are 4 things that can hinder the absorption of nutrients in the liver:

1) Processed foods
2)Toxins
3) Bioavailability
4) Long-term medication usage

— Laterria Patton (@selfcareandfood) February 21, 2018

2/2 When the liver is not being nourished with nutrients, it can not make the cells that communicate with the neurons that are controlling the functions of the uterus.#FibroidsChat

— Laterria Patton (@selfcareandfood) February 21, 2018

1/3 One way that we can improve our reproductive health is by minimize the amount of grains that we are consuming. Many people who want to eat healthier tend to fill their plates up with grains. Grains are healthy BUT overconsuming grains can be counterproductive because:

— Laterria Patton (@selfcareandfood) February 21, 2018

2/3
1) Most commercially produced products like bread, still contain the anti-nutrients that prevent us from absorbing the nutrients in grains.
2) Eating large amounts of grains daily can cause the pancreas to produce too much of a hormone called insulin.#FibroidsChat

— Laterria Patton (@selfcareandfood) February 21, 2018

3/3 3) Some grains like wheat are processed. When your liver gets too busy breaking down processed foods, it doesn’t have time to metabolize your hormones, which causes excessive amounts of hormones to be thrown your bloodstream. #FibroidsChat

— Laterria Patton (@selfcareandfood) February 21, 2018

Ok, that is interesting, so really we should be eating grains in moderation #fibroidschat

— Lake Health and Wellbeing (@TheLakeFound) February 21, 2018

Absolutely. Small portions are fine. If you eat bread, try making you own at home so that you can ferment the grain so that the anti-nutrients are ineffective. #FibroidsChat

— Laterria Patton (@selfcareandfood) February 21, 2018

What are the best foods for a healthy uterus, @selfcareandfood?
#fibroidschat

— Lake Health and Wellbeing (@TheLakeFound) February 21, 2018

1/2 The foods that are the most beneficial to our uterine health are all types of whole foods. Eating a variety of whole foods regularly improves the bioavailbility of the liver because the liver requires some nutrients to be paired in order to improve absorption. #FibroidsChat

— Laterria Patton (@selfcareandfood) February 21, 2018

2/2 For example, black pepper improves the absorption of turmeric. Plus, the liver has the ability to heal it’s with the help of various nutrients. Healing the liver can improve upon the health of the uterus. #FibroidsChat

— Laterria Patton (@selfcareandfood) February 21, 2018

.Do you have any diet tips or advice you can share for women who already have fibroids? Would the advice be the same? #fibroidschat

— Lake Health and Wellbeing (@TheLakeFound) February 21, 2018

1/2 I would advise anyone who is already suffering with fibroids to minimize processed foods, drink less caffeine, eliminate alcohol and opt for natural healing remedies instead medication(if possible) for 3 months. #FibroidsChat

— Laterria Patton (@selfcareandfood) February 21, 2018

2/2 This gives the liver the time that it needs to create new cells that can repair tissue damage or congestion in the liver. This can help to heal minor uterine issues, minimize symptoms or prevent new uterine issues from reoccurring after a uterine surgery #FibroidsChat

— Laterria Patton (@selfcareandfood) February 21, 2018

The most common concern that I hear about reproductive health is “Should I try to heal an reproductive ailment naturally or with surgery?” I think it depends on the severity of the problem. You need to see a physician to know exactly how minor/urgent the problem is #FibroidsChat

— Laterria Patton (@selfcareandfood) February 21, 2018

Yes, we hear that a lot too.. Many women would prefer more natural approaches to addressing their reproductive health issues #fibroidschat

— Lake Health and Wellbeing (@TheLakeFound) February 21, 2018

1/2 #FibroidsChat One of the BEST things that anyone can do outside of eating healthy food to promote their uterine health is to start gardening. Start growing small plants in doors until you feel more confident into growing your own TOXIC-FREE produce.

This is why:

— Laterria Patton (@selfcareandfood) February 21, 2018

2/2
1) Plants will eliminate toxins in your house.
2) There are establishments that are paying for you NOT to have access to foods that keep you from filling up pharmaceutical companies pockets.
3) It will save you $ on produce because organic food is beyond high😂 #FibroidsChat

— Laterria Patton (@selfcareandfood) February 21, 2018

If you’re looking for natural self-healing food practices that will help you balance your hormones in order to promote a healthy reproductive system, check out my blog>> https://t.co/RL0VFVdLyj

To contact me email me at Laterriapatton@gmail.com#FibroidsChat pic.twitter.com/tlxdv4EfWK

— Laterria Patton (@selfcareandfood) February 21, 2018

A big thank you to everyone who joined us for this #fibroidschat we hope you found it useful! We really did #fibroidschat

— Lake Health and Wellbeing (@TheLakeFound) February 21, 2018

Welcome back to our gardening and health blog series where we’ve been taking you on a personal journey as we explore the health and wellbeing benefits of gardening for ourselves.

Today, Abi Begho is back and this time she’s sharing her experience of growing tomatoes. She discusses the ups and downs, the need for patience and the joy of harvesting your first fruits.

We absolutely love tomatoes in my house. We eat them almost every day – in salads, we make Nigerian stew with them, we use them in omelettes, stir fries, sandwiches and much more. You name the dish and we’ll put a tomato in it!

When it came to deciding what to grow in our vegetable garden, tomatoes were first on our list and the first thing we tried.

When I started looking into tomatoes, I must be honest, I soon realised I really didn’t know a thing about them even though I eat them every day.

I was shocked at the variety of tomatoes out there, I was just aware of cherry, plum and what I call “normal” tomatoes, but this is just the tip of the ice berg. I was shocked to learn that there are over 700 varieties of tomatoes, they come in quite a few colours, not just red – yellow, orange, pink,  purple and black, and they have some very interesting names  – Beefsteak, Big Boy, Pink Brandywine, Pink Girl, Lemon Boy, Golden Jubliee and  Better Boy.

Deciding what variety to grow

When it came to deciding which tomato variety to grow, because there were so many to choose from, I decided the best thing to do would be to extract the seeds from a local variety that we buy in our super market all the time. This means that I have no idea what variety it is (as it’s not listed on the package), but I knew it tasted nice and as it’s grown locally then that suggested to me that it would grow well in our garden (I hoped!).

Although this is how I selected which tomato variety to grow, the advice from experts is to base your decision on more scientific factors – how disease resistant a variety is, how it grows (is it determinate or indeterminate) and the time it takes to mature.

From Seed to Fruit

Once I had decided on what tomatoes to grow, then it was planting time.

My seedlings about a week after planting the tomato seeds

In my last blog I explained that I simply sliced up a tomato making sure each of the slices had seeds in them, buried the slices in soil and watered them and in less than a week my seeds had germinated and I had about ten seedlings growing happily in my container. I was so excited and just couldn’t wait to see the seedlings develop.

I kept an eye on the seedlings and watered them regularly and one week later their true leaves (second set of leaves) had developed, a sign that the seedlings were developing well. At this point I pretty much left them alone, under a tree that got a lot of sunlight (but protected them from the intense afternoon sun here in St Kitts) and watered them regularly.

Tomato Flower

When they had outgrown the container, I put some of the young tomato plants in a large pot and the others I planted into my newly created vegetable bed. Then came the test of patience.  One thing gardening teaches you is patience.  Every morning I would go out into the garden and will them to grow, I was so excited every time I saw them develop just a little bit more, it was fascinating.

Two months after planting my tomato seeds I noticed flower buds developing (the very first sign that tomatoes are coming soon) and a few days after that a lovely yellow tomato flower had developed. I thought: ‘yes!  I’ll have tomatoes in a couple of weeks.’ What did I say about patience?  There was more waiting. It took another 6 weeks to get my first ripe tomato and as I type I have 51 green tomatoes growing nicely and waiting to ripen ( ah-mazing!)

Check out the video below to see me picking my second ripe tomato.

Another important thing to mention is that I had to create a support system for my tomato plants. Due to the weight of tomatoes most plants need some form of support to prevent the fruit from weighing them down. There are many options out there and I chose to create a tomato trellis (see picture on the right), I created this using stakes and string. As the plants grew I would tie the main stem loosely to the trellis and weave the leaves horizontally along the string. This, so far (it is still early days), has given the plants some support and training them to grow along the trellis, as well as pruning the plants, has kept them neat and contained.

Challenges

The four main challenges I have encountered thus far are:

Insects – Living in the Caribbean means there are a lot of bugs and insects to contend with and they all seem to love tomatoes as much as I do!  To date, they haven’t caused any major problems, but I did lose two tomatoes to caterpillars who ate them for lunch one day.  I was so sad, it felt like all my hard work had gone to waste, at least it was only two tomatoes . I’ve been keeping an eye out for tomato-eating insects and have flicked a few caterpillars off the plants before they made a meal of the tomatoes.

This is what blossom end rot looks like

Blossom End Rot – I woke up one morning shocked to see two of my tomatoes with dark patches on their bottoms, like they were rotting. I promptly discarded them hoping that they wouldn’t affect the tomatoes next to them.  Then, a few days later, the same thing happened to two more tomatoes on the same plant but in a different location. I was dejected, first insects now some horrible looking disease. After a Google search I learnt that is was blossom end rot and not as bad as it looked.

Blossom end rot occurs due to a calcium deficiency where the plant, for various reasons, is unable to absorb enough calcium for its development. The advice from Gardening Know How is not to worry, it usually clears up on its own, just pick off the affected tomatoes and discard them and make sure the plants get adequate water (not too much though). So, for the moment I am going to just wait it out and see what happens. I’ll keep you posted.

Blossom drop – Last week I noticed that my new tomato flowers weren’t looking healthy at all. They seem drier than the previous set which really thrived and developed into 51 healthy tomatoes. These new tomato flowers are shrivelling up and some have already fallen off the plant without developing into fruit (Nooooo!). I couldn’t believe it. I had so many new flowers which I had hoped would form tomatoes, but alas, it was not meant to be. I hope the next set do better.

After doing some research, I found that blossom drop is common and looking at all the possible causes I have narrowed it down to two which I think could be the culprit:

• Lack of water – we’ve had some short sharp showers and so I haven’t been watering the plants as regularly as I used to. Reflecting on this I don’t think the showers were providing enough water for my plants as the soil has been pretty dry so I am going to start watering every other day as before
• Too many blossoms and fruit  – up until now my plants have been developing really well and I do currently have 51 tomatoes spread across 9 plants and a lot of flowers developing (and dying!). According to The Spruce having all these fruit and flowers developing at the same time requires a lot of energy and they will all be competing for a limited amount of energy and food, and only the strong will survive. They state that once the majority of tomatoes have been harvested the problem will resolve, so again, I just have to wait it out.

Playing the waiting game – In this blog, I have mentioned patience and waiting several times and that has been one of my biggest challenges: waiting for something significant to happen. In the whole scheme of things it hasn’t been that long (3 months) to get my first ripe tomato, but at times it has felt like a life-time. Each step does take a while – it took two months from seed to the first sign of a blossom, then from flower to pea-sized tomato took a week, that got me excited, but then it took over a month for that pea-sized tomato to develop into a fully ripened red tomato, but it was so worth the wait – it was delicious!

Why grow tomatoes?

Tomatoes are a great fruit to grow because they are packed with nutrients. They are known for their fairly high lycopene content which has been linked to a reduction in our risk of developing heart disease and cancer. Tomatoes are also rich in vitamin C, folate, vitamin K and fibre, and they contain iron, potassium, vitamin A and vitamin E.

All these nutrients and minerals are excellent for your overall health and by growing tomatoes in your garden you’ll get an ample supply so you’ll get a good dose of nutrients.

Happy gardening!

Well….that was a fairly long blog post (sorry!), but I hope that it gave you an idea of what it’s like to grow tomatoes and some of the challenges you may encounter along the way. Despite the challenges, it has been a lot of fun and very rewarding. I am looking forwarding to harvesting more tomatoes, so far I have only harvested two so there are many more to come. I’ll keep you all updated.

In my next blog I will move on to my okras – the stars of the show!

See you next time and happy gardening!

Some references and more information

1. Identifying Tomatoes with Blossom End Rot
2. How to prevent blossom end rot
3. What kind of tomatoes should I grow
4. Controlling Blossom Drop 

If you missed our previous blogs you can read them using the links below

1. Improving Our Health and Wellbeing Through Gardening: An Introduction
2. Improving Our Health and Wellbeing Through Gardening: How I Got Started

Yesterday, we were delighted to attend the St Kitts World Cancer Day Luncheon. This was an event organised as a celebration of hope to honour the lives of cancer survivors in St Kitts and Nevis. The event was organised by the Health Promotion Unit at the Ministry of Health with support from Lake Health and Wellbeing and the Department of Youth Empowerment.

The event featured talks from high-profile guests including the Minister of State with responsibility for Health, Social and Community Services and Gender Affairs, Minister Wendy Phipps and Chief Medical Officer Dr Hazel Laws.

We also heard from cancer survivors who shared their experience very powerfully through poetry and testimonies. Carla Astaphan recited her poem Left Breastie which she wrote shortly after she was diagnosed with breast cancer and Agness Farell spoke of her experience of being diagnosed in 1998, she recounted her ups and downs and the formation of her support group Reach for Recovery.

In addition to these presentations, the Coordinator of Community Nursing Services, Nurse Eulynis Brown gave a very informative overview of cervical cancer and the HPV vaccine which will soon be introduced in St Kitts and encouraged attendees to support the Ministry in its roll-out as it’s a very effective method of preventing cervical cancer.

The highlight of the event was the presentation made to the longest living, oldest and youngest cancer survivors. It was moving to see the longest living cancer survivor being recognised, she was diagnosed 21 years ago and faced both breast and lung cancer. Despite all her challenges, now at the age of 82, she is so positive, happy and full of life; a true hero and inspiration to us all.

This was a positive and uplifting event which demonstrated the strength of the human spirit and we were honoured to have attended and been asked to deliver the vote of thanks.

Today is World Cancer Day, a day that gives the entire world the opportunity to come together to show solidarity on an issue that pretty much touches everybody – whether that be directly or indirectly through a family member, friend or colleague who has been diagnosed. The day aims to be a positive day with the focus being on empowerment, celebrating the lives of those who have been diagnosed and highlighting that everyone has a part to play in fighting cancer.

The theme for today is “We can. I can.” and is part of a three-year campaign exploring how everyone can contribute to reducing the global burden of cancer.  Organisers of World Cancer Day, the Union for International Cancer Control (UICC), have developed a set of key messages that show exactly how everyone, as a collective or as  an individual, can play a role in reducing the impact of cancer. These messages are:

We Can:

• Inspire action, take action
• Prevent cancer
• Create healthy schools
• Create healthy workplaces
• Create healthy cities
• Support others to return to work
• Challenge perceptions
• Improve access to cancer care
• Shape policy
• Build a quality workforce
• Make the case for investing in cancer control
• Join forces to make a difference

I Can:

• Make healthy choices
• Understand that early detection saves lives
• Ask for support
• Return to work
• Take control of my cancer journey
• Love and be loved
• Make my voice heard

The aim of these messages is to reduce the millions of preventable cancer deaths that sadly take place throughout the world each year by giving everyone clear information and pushing governments to make cancer a priority.

World Cancer Day in St Kitts.

As you may know, we are now based in St Kitts, and for World Cancer Day we are delighted to have partnered with the Health Promotion Team at the Ministry of Health to take the key messages of World Cancer Day out in the community.

We started with a social media campaign using the wonderful resources developed by the UICC and of course the #WeCanICan theme but added #SKNCan (i.e. St Kitts and Nevis Can) to raise awareness of what residents of St Kitts and Nevis can do to reduce their cancer risk.

As part of our social media activity we took the messages (physically, on selfie cards!) to the streets of Basseterre and asked members of the public, businesses and government departments what messages resonated with them and did they feel they might consider taking forward to do their part in beating cancer. We then took pictures of people holding the selfie cards with the message that best represented what people thought would be most effective and these were used to raise awareness last week, in the run-up to World Cancer Day.

This was a great way to raise awareness in the community, it was fun and a bit light-hearted, but still got important messages across to the public whilst creating some teachable moments as people asked questions about what they could do specifically to prevent cancer.

We’re also in the process of organising a cancer awareness lunch to be held on 11^th February where we’ll be celebrating survivors, providing information on what the public can do to reduce their risk of developing cancer and promoting early detection through awareness of signs and symptoms and seeking help promptly.

You Can Get Involved

There is still time to get involved in this campaign.

You can visit the World Cancer Day’s website, download a selfie card, take a picture and post it on social media to show what you can do to help in the fight against cancer. Don’t forget to include the hashtags #WorldCancerDay, #WCD2018 and #WeCanICan. If you’re in St Kitts and Nevis, then go ahead and add #SKNCan.

For all the St Kitts residents out there, you can attend our cancer awareness lunch next Sunday. Stay tuned to our events page for all the details!

Welcome to our first ‘Inspirational People in Healthcare’ piece of 2018.

Today we are delighted to feature Dr Busayo Mobolaji-Lawal and Dr Tunrayo Mobolaji-Lawal, sisters who are still early in their medical careers but making a huge difference to their patients and community.

Dr Busayo Araoye (Nee Mobolaji-Lawal)

Dr Busayo Araoye obtained a BSc in Biological Science from the University of Ghana, studied medicine at the University of Ghana School of Medicine and Dentistry and is currently an Internal Medicine Resident at St Vincent’s Medical Centre in Connecticut.

While studying Busayo gained valuable experience as an Internal Medicine Exchange Student at Hospital Clinico Universitario Lozano Blesa in Spain and as a post-graduate intern in Internal Medicine at the St Nicholas Hospital in Nigeria.

Her desire to become an Internal Medicine doctor who serves not just her patients but her community as a whole was shaped during her clerkship. Of that experience she says:

“I encountered the most medically and socially complex patients. I gained exposure to patients from diverse cultural and financial backgrounds which helped me develop a sense of compassion, empathy and humility. It also broadened my perspective of health care accessibility and it awoke in me the urge to advocate for my patients and my community.”

She also has research experience having been an integral part of teams exploring: the quality of life of caregivers at the Korle-Bu Teaching Hospital in Ghana; the different types of cervical cancer diagnosed at the University College Hospital in Ibadan, Nigeria; stroke and cocaine use; and antibiotic resistance.

Her case presentation on antibiotic resistance was recognised at the American College of Physician’s regional conference in 2017 where she was a semi-finalist in their abstract presentation competition in Connecticut.

Through a range of voluntary work Dr Araoye has counselled communities on healthy lifestyle practices, engaged in free health screening and played an instrumental role during a cholera outbreak in Ghana. She was also an Electoral Member of the University of Ghana International Medical Students’ Association and a mentor to many being an inspirational and effective role model to young students with an interest in medicine.

We applaud Dr Araoye for the difference she has already made and look forward to seeing her continued success and future achievements as she progresses in her career.

Dr Tunrayo Mobolaji-Lawal

Dr Tunrayo Mobolaji-Lawal graduated Summa Cum Laude (with highest distinction) from the State University of New York at Stony Brook with a BSc. in Biochemistry in 2011. She then studied medicine at the Cleveland Clinic Lerner College of Medicine graduating in May 2017 and is currently an Emergency Medicine Resident at Yale New Haven Health.

In preparation for pursuing a career in Emergency Medicine Dr Mobolaji-Lawal held a number of shadowing and voluntary positions. As a sophomore in college she gained experience in the Emergency Department of Stony Brook University Medical Centre. This experience shaped her view of medicine and the type of doctor that she wanted to be, one who puts her patient’s first. Her third year clerkship was at the Cleveland Clinic Emergency Department, of that she said:

“Every hour brought in something new to the ED. The diversity of clinical encounters – unique patients with varying disease processes, range of illness severity and assortment of procedures – further attracted me to Emergency Medicine.”

Whilst performing chest compressions on a seriously ill patient as an Acting Intern at The Metro Health System Emergency Department  she realised that she was exactly where she wanted to be (involved in patient care and making a difference)and this solidified her passion for Emergency Medicine.

Dr Mobolaji-Lawal is also passionate about addressing health inequalities and ensuring that medically under-served communities are able to access healthcare services. To that end, through her voluntary work she has provided healthcare and screening services to deprived communities.

Throughout her academic life she excelled being awarded the SUNY’s Chancellor’s Award for Student Excellence, which recognises the integration of academic excellence with accomplishments in the areas of leadership, athletics, community service, creative and performing arts, campus involvement or career achievement. She was also awarded the Provost’s Award for Academic Excellence, an award given annually to a very select number of students who have shown true academic excellence, not just in the classroom but in research, creative activities or in building an academic community. Additionally she was awarded the Andrea Roher Scholarship which is awarded to an undergraduate student dedicated to the field of Health and Wellness. Finally Dr Mobolaji-Lawal was the recipient of the Bernadine P. Healy and Floyd D. Loops Scholarship and the Cleveland Clinic Lerner College of Medicine Full Tuition Scholarship.

Additionally, Dr Mobolaji-Lawal was the president of the Minority Health Interest Group at the Cleveland Clinic Lerner College, held a number of positions representing her Medical School and was involved in teaching and tutoring students.

We look forward to seeing Dr Mobolaji-Lawal excel as an Emergency Doctor and wish her every success with her career.

Today’s blog is the second in our gardening and health blog series. We hear from Abi Begho who discusses what motivated her to set up her backyard vegetable garden and how she got started.

I’ve never been a huge fan of gardening, in fact gardening never really entered into my thoughts until recently. There has been a lot of change in my life with my husband and I moving from the UK to the Caribbean. We moved for many reasons with the main reasons being to improve our quality of life, escape the city where everything is so fast-paced and to get back to what is really important  – fulfilling our purpose in life and having a positive impact on the world around us.

As we planned our move the idea of being sustainable and self-sufficient appealed to us – we’re going to have the space so why not try growing all our fruits and vegetables? I liked the idea of it, but in my mind I thought: this is going to be a chore and a lot of work, and I really don’t know where to start.

Getting Started

Once we moved I turned to my trusty friend, YouTube, and started exploring how to start a vegetable garden and there was so much useful advice.

I focused on fruits and vegetables that we eat already  (tomatoes, okras, peppers, onions, broccoli etc.) and read up on how to grow these from seeds, but also consulted with my brother-in-law who is working on his PhD in agricultural economics.

My research was really eye-opening and highlighted just how much I didn’t know about the food we eat and where it comes from – who knew that okra actually starts its life as a beautiful flower and this flower turns into an okra pod ? Amazing!

A beautiful okra flower from my backyard vegetable garden

Armed with videos, information and lots of advice, I began. My first project was tomatoes. I literally just sliced up a tomato, making sure each of the slices had seeds in them and buried the slices in soil – a very simple tip I picked up from YouTube. I have to admit I was extremely skeptical – can I really grow tomato plants from these slices buried in a bit of soil? Well, to my surprise, less than a week later the seeds in the slices had germinated and I had the cutest little tomato seedlings growing happily in my container. That was towards the end of October and as I type I have nine tomato plants that are over a foot tall with 23 little green tomatoes  developing and two huge green tomatoes which look  like they’re ready to turn red any day now –  great results! I am so proud and feel a huge sense of accomplishment that I have made such significant progress in growing my tomato plants from seeds.

So far, I have to say, I absolutely LOVE gardening. I have found it to be extremely relaxing, I wake up early every morning and spend some quiet time in the garden with my vegetables (that sounds a bit creepy, I know!).  My surroundings are beautiful, the weather is great and the plants look like they develop a bit more every day, which I find really fascinating. It’s nice starting the day with the peace and tranquillity of engaging with nature and I now truly appreciate the beauty of God’s creation.

Oh, and let’s not  forget that gardening is actually hard work so I do get some serious exercise, particularly when I am creating the vegetable beds –  I have to do a lot of digging, weeding and  raking . You won’t believe how much weight I’ve lost since I started gardening, I can hardly believe it myself.

In my next blog…

My gardening journey has just started and in my next few blog posts I’ll share my experience until I hopefully get some produce (how exciting!). I’ll also share the health benefits of what I am growing, what I have learnt and the dishes I make from the vegetables I have grown – it may just inspire you to grow your own fruits and vegetables too.

Next time I’ll be discussing my lovely tomatoes and giving you an update on their growth.

See you in the next blog and happy gardening!

If you missed the first blog post in this series, you can read it here to find out more about the health benefits of gardening – there are many!

The Body Mass Index (BMI) is a method used throughout the world to determine whether a person is at a healthy weight for their height. It is calculated by dividing a person’s weight by the square of their height giving a value that is expressed in kg/m². It tends to be used as a measure of a person’s total body fat.

People are assigned to one of four BMI categories (shown below) which helps to identify whether they are overweight or obese.

• Underweight – less than 18.5
• Normal weight – 18.5 to 24.9
• Overweight – 25 to 30
• Obese – 30  and over

It has been a useful, easy method of exploring weight and body fat, but its limitations are well known. Criticisms of it include:

• It doesn’t take into account factors such as age, sex and ethnicity
• It doesn’t look at the type of fat a person has
• It doesn’t differentiate between excess fat, muscle mass or bone mass

This means that the BMI may overestimate the amount of body fat athletes and body builders possess and underestimate harmful body fat in people who have a normal BMI.

Children and BMI

When looking at children, a different scale is used that takes into account the fact that children are constantly growing, and that boys and girls develop differently, so the BMI scale for children takes into account age and sex.

Researchers in the UK have found that the scale for children doesn’t accurately reflect the obesity levels in black and Asian children living in the UK. This is a problem as we can’t accurately identify children who will be at higher risk of health conditions such as diabetes and heart disease later in life.

Research into Children, BMI and Ethnicity

Researchers in St Georges and University College London, funded by the British Heart Foundation started work in this area a few years ago and published their work in March 2017.

Having identified that BMI may not be providing accurate measurements for ethnic minority children they sought to develop a method to adjust BMI values based on ethnicity.

In order to create the BMI adjustments they had to go back to basics and look at the actual body fat measurements of children. They identified 1,728 children aged 4 to 12 years old. They then explored the relationship between  BMI and body fat in each ethnic group (White European, Black African and South Asian). Using this data they were able to calculate the BMI adjustment needed for each ethnic group.

From their work they were able to confirm that BMI underestimated body fat levels in South Asians and overestimated body fat levels in Black Africans.

Based on their findings the research team developed a BMI calculator for children with an adjustment for ethnicity. Parents, teachers and healthcare professionals can use this simple tool to obtain accurate BMI readings for black and Asian children.

The research team followed up this work with research that they published in November 2017. This was a larger piece of work to explore the extent of the problem of using BMI in assessing the body fat of children.

They used data from the National Institute of Health Research’s National Child Measurement Programme.  Every year this programme assesses the weight of children in the UK who are aged 4-5 years old and 10-11, and attend a state-funded primary school.

The research team applied their new BMI adjustment to the weight measurements for children weighed between 2012 and 2013. This included 583,899 children aged 4-5 years old and 485,362 children aged 10-11. Their findings are summarised in the tables below.

Percentage of boys who were overweight or obese

Percentage of girls who were overweight or obese

Their results showed that the BMI overestimated the percentage of black children who were overweight or obese by 10-20% (depending on age and sex) so a significant number of black children are being misclassified in the government’s national weight assessment programme.

They concluded that BMI does not accurately reflect body fat in ethnic minorities and by using adjustments a more accurate measurement of the body fat can be determined.

Our Thoughts

This body of work highlighted the gaps that exist in medical research and the problem of using one ethnic group as a standard for health. This work clearly shows the need to explore ethnicity and health, it demonstrates that by not taking race and ethnicity into account key differences are being masked and we therefore don’t have a true picture of the health of our community.

Sources

1. Body mass index adjustments to increase the validity of body fatness assessment in UK Black African and South Asian children (22^nd March 2017)
2. Patterns of childhood body mass index (BMI), overweight and obesity in South Asian and black participants in the English National child measurement programme: Effect of applying BMI adjustments standardizing for ethnic differences in BMI-body fatness associations (2^nd November 2017)
3. New BMI readings for children of different ethnicities (March 2017)
4. BMI Adjust (March 2017)
5. Body Mass Index Considerations for Practitioners
6. Body Mass Index Advantages and Disadvantages (July 2017)
7. BMI failing to reflect childhood obesity levels in ethnic minorities (Nov 2017)
8. Children from ethnic minorities may have been wrongly labelled obese, according to new research (Nov 2017)