That’s largely because Dad didn’t seek the right treatment, nor did he track the course of his illness. He avoided visits to his doctor, only going when forced. Even then, he declined chest X-rays and other tests that could have helped his doctors keep him alive longer.

As the child of someone who died too soon, I do not fear my own death. I do, though, want to learn from Dad’s passing. When he died, I was 14, ready to begin my Sophomore year in high school. I knew him — his voice, his love, his anger, his comfort, his stories, his way of being. Sometimes I think, “I’m 32. My daughter is 4. If I die at the age Dad did, maybe Zoey won’t know me the way I knew Dad.”

  Winners of the "Run, Walk 'n' Roll" from the Triennial Gathering, 2008. Photo by Len Mason  

That’s what you do when your parent dies young. You look for ways to spare your own child from growing up without answers. This may sound strange to those who haven’t lost a parent, but for those whose youth is marked by the death of a parent, it isn’t. When your parent dies young when you are still figuring out who you are, you are keenly aware of the desire to live.

Resigned to fate
In his last year, Dad’s breathing became labored. It appears he decided that it wasn’t due to the sarcoidosis but to allergies. Instead of making sure, he bought over-the-counter antihistamines.

Dad knew his family history. He knew his father had hypertension and severe diabetes and that he had suffered from debilitating strokes. Many in Dad’s family also had hypertension, diabetes, and other cardiovascular ailments, and some had died before reaching 40. Dad sometimes said he would be among that group. In retrospect, I wonder if he was resigned to a predetermined fate.

While my dad’s heart failure was due to a fairly rare disease, it reminds us that even people who look fit and healthy — and are young — may have risk factors for cardiac illness and death. His death reminds us that none of us should take our heart health for granted.

My family history and Dad’s death don’t mean that I’ll die young or even die from heart disease. But these factors are a call to action. Maybe I’m at a higher risk, but that just means I must work harder.

Cardiovascular diseases are the number 1 killer of women. They’re also largely preventable. We don’t have to give in.

Change your future
We don’t have to solve everything in one day. We can start small, by taking a walk every day and being careful about food portions. We can set small goals and enlist our friends and families to help. We can have a frank discussion with our doctors. We can take care of ourselves. We can teach our daughters and sons that we matter and we’re worth saving.

  Mother and daughter participate in the 5K "Run, Walk, and Roll." Photo by Len Mason  

It pains me to admit that I believe Dad was among those cynics who believe that family history or a diagnosis means our fate is sealed. Maybe he thought, “Well, I’ve got this disease, and I don’t want to know how bad it is. I’m going to die young, because my uncles and cousins died young. There’s nothing I can do about that.” But I’m also encouraged that despite knowing he had this disease and believing he’d die young, he kept running, jumping, and pulling up, up, up.

Illness and death are facts of life, but God gives us the tools to live and be present with our families, friends, and communities. Cardiovascular disease is not inevitable. It doesn’t have to be a death sentence. It is an invitation to persevere and fully partake of the gifts we’ve been given.

Karris Golden is a freelance writer from Waterloo, Iowa, where she lives with her husband and daughter.


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Create in me a clean heart, O God, and put a new and right spirit within me.
Psalm 51:10

What does it mean to have a clean heart? For one, it means forgiveness. The psalmist pours out a heart full of shame and guilt, and they are washed away with that confession. I would add that a clean heart means one that is not blocked by guilt, shame, stress — or arterial fat. A clean heart is able to pump well and cleanly, and for the most part unencumbered.

God cares about our hearts. The Bible mentions hearts nearly 600 times. Even if we are new to faith, we probably have heard that God cares about your heart — what your heart does, what it feels, when it turns to God. Some would argue that the Bible is talking about our emotional heart or spiritual heart, not the physical organ that pumps blood throughout our bodies. But I’ve decided that God cares about every aspect of our hearts, our hearts in total.

The Bible does not actually make a distinction between the physical heart and the figurative one. In a way, our hearts are one and the same, emotional and physical — don’t we feel physical pain when a loved one leaves or dies?
 

We believe that our hearts are taken care of once we say that we believe in Jesus; that if God is right with us and we are right with God, then our hearts are fine. But many of our hearts are not fine, even if we believe in Jesus. Many of us neglect our physical health to do service in Jesus’ name, or to take care of our families, or to “reward” ourselves with food. Why do we do this when we know that our hearts need the most care of all? Sin is one answer, but in my life, sin often comes in the form of excuses.

Let the words of my mouth and the meditation of my heart be acceptable to you, O Lord, my rock and my redeemer.
Psalm 19:14

When I go for a run, my heart meditates. I took up running as part of my own “clean heart” initiative, and I have grown to love it and need it (rather than being a person who’d only run if chased!). I keep a saying from the American Heart Association on my refrigerator to remind me why I run: “You know that sound your heart makes when you work out? It’s called applause.”

Women of the ELCA’s Raising Up Healthy Women and Girls initiative gives me great hope. I want everyone to experience the meditation or applause that comes from your heart feeling really, really well as you run or walk. To my complete amazement, I came in first at the 5K Run, Walk, ’n’ Roll during the Triennial Gathering in Salt Lake City this past July. It is my hope that at the next Triennial Gathering in 2011, another healthy woman or girl zooms right past me and wins!

You shall love the Lord your God with all your heart.
Deuteronomy 6:5

God created us to have clean hearts. God cares whether we take good care of them. God wants us to regularly let our hearts meditate, spiritually and physically, and God wants us to feed them good food so that we aren’t encumbered by any obstacles when we want to serve, love, or praise God with all our heart.

The Rev. Beth Birkholz serves an ELCA congregation in the Atlanta area. She also joins her husband, ELCA pastor, on frequent runs with her two small children. _________________________

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