Practical Stuff – Page 6

Favorite Calm Things: Bob Ross and “The Joy of Painting”

^{(Title image: Photo by Ryan Stone on Unsplash)}

If you’ve ever seen one of Bob Ross‘ painting shows, you immediately understand why he is magically relaxing.

Bob Ross had an instructional painting series on US Public Television (PBS) in the 80s and 90s, up until his untimely death from complications from lymphoma on July 4, 1985.

He used a wet-on-wet technique with oil paints that allowed him to blend colors on the canvas and he became famous for landscape paintings that he completed within the space of a half-hour video segment. It was amazing watching him work, and even though what he painted wasn’t “high art”, that also wasn’t his purpose. He wanted to remove the intimidation factor from painting and introduce as many people to it as possible.

But it wasn’t just that. Bob was a former master sargeant in the Air Force, a position that required him to be loud and tough, and after he left the service he decided never to raise his voice again. I don’t know whether this story is true, but during his painting shows, Bob used such a calming voice that many would watch just to be soothed by him. It was ASMR (autonomous sensory meridian response) before ASMR became a “thing”.

Additionally, ever-kind, he would drop positive bits of wisdom and encouragement during his shows. Not in a toxic positive way, but gently, to demystify oil painting and empower his audience. He was known for his “happy little trees” and “there are no mistakes, only happy accidents”.

And who can forget Peapod the Pocket Squirrel. Bob loved not only nature, but also the woodland creatures that inhabited it. He would adopt injured or orphaned animals and raise them until they were ready to live on their own, and then he’d let them go, because they needed to be free.

Bob had such a kind heart and even though some poked fun at him for his gentle demeanor and animal-loving nature (and famous permed afro), so many of us appreciated his abilities and sensibilities.

So why am I writing about him here? Every weekend from Friday at 12pm ET (US) through Monday at 12pm ET, there are marathons of about 4 or so of his seasons (out of 31, which rotate through). These stream on Twitch (@BobRoss) and YouTube (@bobross_thejoyofpainting). We put him on and leave him going, allowing his quiet relaxing voice to waft around our apartment over the weekend.

If you’ve ever needed something to help bring your out of the worries in your head while mesmerizing you with artistic aptitude, Bob’s your guy. Next weekend, put him on and watch for a bit, and you’ll quickly understand what I mean.

Favorite Calm Things: Music that Soothes

^{(Title image: Photo by Mohammad Metri on Unsplash)}

Let me begin by stating that I have no connection with Jason Stephenson or his YouTube channel, Relax & Rejuvenate with Jason Stephenson, other than that I fell in love with some of the music for which he has posted a (thankfully) loooong version on his channel. Nor am I getting any sort of kickback for writing this post.

The video is called “Happiness Frequency: Serotonin, Dopamine, Endorphin Release Music, Release Negativity”, which is a long title that smacks of click bait and sounds like just about every other positivity-enhancing, negativity-busting title available on YouTube.

But there is something about Jason’s music and this piece specifically. I have used it for yoga, meditation, pre-bedtime wind-down and as a calming backdrop for a stressful day.

What is it about this that is so soothing?
(Relax & Rejuvenate with Jason Stephenson)

I usually don’t put much stock into the claims on these videos. You know, the ones that assure you they can increase positivity, bring you good fortune, pay off your student loans, cure your ingrown toenails and improve your gas mileage. But this one…there is something very special about it.

Everyone I’ve played it for feels the same way that I do, and inevitably, they ask me for the YouTube.

So, I’m curious. Do you have the same reaction? Give it a listen and let me know.

Why Does Mindfulness Have to be Expensive?

^{(Photo by Mackenzie Marco on Unsplash)}

This past January, I was delighted to receive an email from work about a day-long mindfulness class being offered to help usher in the new year. What a great idea! I can think of no better way to launch into another journey around the sun than with a sense of calm and acceptance, and I felt myself puff up with enthusiasm.

But as I scrolled down for more details I saw that this retreat had a price tag. Good feelings gone. It was close to $100.

This was an experience offered by my workplace, presumably so that I could be a more mindful employee, and they were charging for it.

Need I say, work can be stressful?
(Photo by Alex Kotliarskyi on Unsplash)

I understand the importance of investing in yourself. It’s worth more than a monthly Netflix subscription and will get you much farther in life than a daily Starbucks run. Mindfulness experiences are where I want to put my hard-earned dollars.

But this past year was tough. I needed mindful guidance even more, and yet I kept coming across financial barriers.

Why does all this good stuff need to cost so much? Meditation costs absolutely nothing and offers infinite rewards, and yet, there seems to be a vibe out there that you must spend money (the right cushion, the most beautiful journal, the most blissful island retreat, the perfect yoga pants) in order to do this right.

I live in Southern California where the cost-of-living is high and so are many salaries, but not all. And the gap between those who live comfortably and those who struggle to get by is widening. There are so many who could use the grounding and calm that meditation can offer.

At the same time, I completely get that someone like a yoga teacher or a sound therapist in this area is also struggling. In order for them to be able to offer the services that they do, they must cover their costs.

Yeah, I know. All this mindfulness stuff seems to be unnecessarily pricey.
(Photo by Magic Bowls on Unsplash)

So here’s my wish for the remainder of 2024: Hey, workplaces! Yeah, you, the ones who expect a lot from your employees! Make sure they are fully supported in all aspects of wellness. Bring in a meditation teacher or a yoga instructor. Set up a quiet space for people to destress for a few minutes. Don’t expect your workers to shell out part of their paycheck for staying grounded dealing with your expectations.

And for the meditation teachers and yoga instructors and sound therapy practitioners and the like who are actually making a very good living…fine. Do your thing. Charge your prices. I know that trainings and musical instruments and sacred spaces aren’t cheap. There are people who can and will pay a premium for them to get a truly calming and magical experience.

But after that, please. Offer free classes in parks and libraries and community centers. Volunteer your time for a good cause (my favorite has been a charity yoga class at the local Humane Society). Look for opportunities to share your talents in the not-so-bougie parts of town.

It will make a big difference to people who usually are not usually shown such grace.

“Just Listen”: A Simple Meditation

^{(Photo by Nick Fewings on Unsplash)}

Wow, 2024 is going by fast! We are now a quarter of the way done with the year and it feels like we just started.

In the midst of the whoosh of weeks flying by, here’s a way to slow things down and get intimate with the present moment. This is a simple little meditation but one that I find to be gloriously soothing.

I often do this in the morning when I awake, still stretched out comfortably in bed. Bringing attention to the weight of my body as it rests on the surface of the mattress. Sinking in.

We usually consider street traffic an annoyance, but it can translate into perfect sounds for a meditation.
(Photo by Derek Lee on Unsplash)

And for this meditation, instead of using the breath as a point of focus, I bring attention to the sounds around me. In my room, outside on the street.

There is a lot happening in this soundscape. We have a sound machine going, an air purifier whirring, cars are driving up and down the street below. The sound envelops me and I absorb myself in it. It feels comforting.

Initially, my attention is open, getting settled and taking everything in. Then I shift my focus from the various indoor sounds to the outdoor sounds, traveling around them one at a time, noticing each different one.

Gradually, I select one sound that I can distinguish and move my attention towards it. I get in close. And the closer I get to it, the more my focus turns to a certain aspect of that sound, a certain pitch or rhythm. And then I zoom in even more and try to stay there.

Inevitably, I’ll notice that my attention has been pulled away by thoughts or other sensations, and when I become aware of this, I gently return to that one aspect of that one sound. Exploration continues in this way until I decide to shift my focus to another sound and do the same thing.

There is beauty and peace in a simple meditation.
(Photo by Andriyko Podilnyk on Unsplash)

It’s a little dance between my thoughts and any given sound. Always returning to the sound.

There are no hard and fast rules to this. The option always exists to pull back from that one sound and open my awareness to everything audible around me. And perhaps instead of finding a specific sound to pour my attention into, I allow the soundscape as a whole to come to me and listen to it as if it were one unit, like a symphony.

This is meant to be uncomplicated and unforced. The idea is to stay present with the sounds around me and notice new textures and dimensions of noises.

I hope you give this a try the next time you find yourself in a perfect spot for it (whether in bed or outside under a tree in the park), and if you do, please let me know how it went!

White Paper: “Yoga Interventions for Cancer Patients and Survivors”

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I’ve been writing a lot lately about using yoga to mitigate cancer therapy-related side effects.

In this post, I want to bring your attention to the white paper entitled, “Yoga Interventions for Cancer Patients and Survivors” [Important: this links to the download page on the yoga4cancer website, *not* directly to the pdf itself]. It’s an evidence-based review of research regarding the benefits of a yoga practice in coping with negative side effects that afflict cancer patients and survivors, followed by recommendations for teaching yoga to this population.

This 24-page document (quoted directly from the paper’s abstract) “(1) provides a summary of research on the benefits of yoga for cancer patients and survivors, (2) highlights the most beneficial components of yoga for cancer survivors, (3) identifies barriers and solutions to the creation of accessible, evidence-based yoga programming, and (4) offers guidelines for developing yoga programs that best meet the unique needs of cancer patients and survivors.” [Again, this links to the download page.]

The white paper is written in non-technical language, distilling the research down into a form that doesn’t require a scientific background to understand. Additionally, editions are available in Spanish and Japanese, both available on the download page beneath the English version.

If you’d rather not download, you can read the English version below (or click the “download” button underneath the paper for a pdf):

yoga-interventions-for-cancer-patients-and-survivors_white-paper Download

“Moving Through Cancer”: A Short Film from ACSM

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I’ve been coming across a lot of interesting–and hopefully useful– videos. The one I’m posting here is presented by the nonprofit Fund for Sustainable Tomorrows and the American College of Sports Medicine, the latter being the organization through which I received my personal trainer certification almost 16 years ago.

This is a 20-minute film with a hopeful message!

The film, narrated by former Olympic figure skater and cancer survivor Scott Hamilton, showcases the stories of how survivors are using exercise to make themselves feel better and increase their chances for survival. It also shows how our knowledge about physical activity’s benefits during cancer treatment has increased, and the programs that have been created to help cancer patients become and stay active.

It’s amazing to see how within a decade or two the attitude about cancer and exercise has changed. Whereas individuals undergoing cancer treatment used to be told to rest as much as possible, now it’s understood that exercising through your treatment is one of the best ways to not only minimize associated side effects but also decrease the chances of cancer recurrence.

For me, exercising during my treatment was a way to feel normal when everything else felt out of control.

The current recommendation is aerobic activity for 150-300 minutes per week along with twice weekly resistance training sessions. And it’s best to do both types of exercise for a well-rounded program, if you can manage it.

But the most important thing to remember is that no matter what you do, doing something is better that doing nothing. Research has discovered the existence of myokines, hormones that are produced in the tissue of skeletal muscles. They are released during muscular contractions and seem to have anti-cancer properties, slowing cancer growth and spread. That is very exciting news!

Of course, exercise is not a cure, and there is no guarantee that if you are an avid exerciser you won’t get cancer or won’t have it recur. However, there’s a very good chance that physical activity will make you feel better and help you continue with life-saving treatments.

As E. Ronald Hale, MD, MPH, Medical Director of Radiation Oncology at Kettering Health states (from the video), “The best cancer treatment in the world is useless if you can’t get through the cancer treatment.” The side effects from cancer therapies can be debilitating, but getting out and moving will improve your quality of life and help you finish your treatment.

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It’s worth mentioning that the number of exercise professionals who have had additional training in working with cancer patients is growing, which means that cancer-informed trainers and yoga teachers are becoming easier to find. Now it’s the insurance companies that need to get on board.

yoga4cancer: Bringing the Benefits of Yoga to Cancer Patients and Survivors [VIDEOS]

(Title image: Photo by Zoltan Tasi on Unsplash)

In February 2022, I started a yoga teacher training program with a singular goal: to eventually teach yoga to cancer patients and survivors.

With its mix of physical postures (asanas), breathwork (pranayama) and meditation, yoga is ideal for someone going through the traumatic experience that cancer can be. Yoga can provide enough physical exertion to count as moderate exercise and the ability to help the practioner calm their mind, things that are so important for improving cancer treatment outcomes. However, classes must be designed carefully and taught thoughtfully.

Yoga4Cancer Q&A for Cancer Patients and Survivors (Yoga Alliance on YouTube)

Keep in mind, yoga teachers were yoga practitioners first. Many of them got really good at the practice, developed great flexibility and balance and gained respect for the tradition of yoga. But that doesn’t automatically make them appropriate yoga teachers for cancer patients, who need an instructor that understands the nuances of what cancer is and how treatment affects us.

A yoga teacher and breast cancer survivor by the name of Tari Prinster addressed that need by creating yoga4cancer (y4c), “an evidence-informed Oncology Yoga method tailored to address the specific physical and emotional needs left by the cancer and cancer treatments. The approach matches breath and movement to stimulate the immune system, improve flexibility & strength, reduce anxiety and boost overall well-being” (from the y4c website).

I’m planning to begin the y4c advanced 75-hour certification program (see informational video here) either later this year or early next. I’ve been so impressed by y4c’s emphasis on understanding the unique situation that cancer patients and survivors are in–it’s not just your garden variety beginner yoga class with “also for cancer patients” dressing. The program is well-thought out and comprehensive, and I’m so excited to embark on this next leg of moving closer to my teaching goal.

In the meantime, here is a selection of videos created by Tari and her instructors that are specifically geared for the mental and physical needs of cancer patients and survivors:

Yoga4Cancer Oncology Yoga for Cancer Related Fatigue (Yoga Alliance on YouTube)

Yoga4Cancer Yoga for Bone Loss (Yoga Alliance on YouTube)

Yoga4Cancer Yoga for Range of Motion (Yoga Alliance on YouTube)

Yoga4Cancer.com Yoga for Anxiety (Yoga Alliance on YouTube

yoga4cancer.com Yoga for Lymphedema (Yoga Alliance on YouTube)

yoga4cancer.com Yoga for Constipation (Yoga Alliance on YouTube)

Enjoy!

Effects of Diet and Exercise on Chemotherapy Tolerance and Efficacy: Research

(Title image: Photo by Hermes Rivera on Unsplash)

Many cancer patients complain of feelings of helplessness after their diagnosis, and I can certainly relate to that. As a result, I’m particularly interested in research that explores whether patients can gain control over the success of their treatments.

The most recent study I’ve come across includes breast cancer patients undergoing treatment at Yale and Dana Farber Cancer Centers.

This study appeared in the Journal of Clinical Oncology (Sanft et al., 2023). Researchers examined the effect of diet and exercise on “relative dose intensity” (RDI), which is the relationship between the amount of chemotherapy delivered to the patient compared to the standard amount prescribed. Low RDI means that there was a reduction in the chemotherapy the patient received and is generally associated with a poorer outcome. Dose reductions result from the patient’s difficulty in tolerating the drug.

The researchers also looked for “pathologic complete response” (pCR), which is “the lack of all signs of cancer in tissue samples removed during surgery or biopsy after treatment with radiation or chemotherapy” (definition from cancer.gov). This was for women receiving neoadjuvant chemotherapy, which is chemotherapy administered prior to surgery.

Yep, once again we come back to diet and exercise, even during chemo.
(Photo by Yulissa Tagle on Unsplash)

The subjects of this study were women recently diagnosed with stage I-III breast cancer, who either received the “usual care” or a diet and exercise intervention. Those in the intervention group received nutritional counseling with a focus on a plant-based diet. The physical activity included counseling and support for maintaining a home-based exercise program that included strength training (2x/week) and brisk walking (150 min/week of moderate intensity or 75 min/week of vigorous intensity).

What the research confirmed first was that the subjects in the intervention group were able to increase their exercise and diet quality, which showed that it was feasible to make lifestyle improvements even in the midst of chemotherapy.

However, in this study, the RDI for both groups (“usual care” and diet & exercise intervention) ended up being similar, but also quite high, which meant that women in both groups completed most of their treatment. The researchers noted that the study should be re-run with patients who were at greater risk of not being able to complete all their chemo to see how much of an effect improved diet and exercise would have, especially since exercise has been shown in other studies to have a positive effect on patient outcomes.

But a striking difference was seen for women receiving neoadjuvant (prior to surgery) chemotherapy in that the rates of pCR (disappearance of cancer in the tissues) were 53% for women in the intervention group versus 28% for women receiving usual care. That suggests that the intervention enabled the chemotherapy to be more effective.

There are many physical activities you can choose from–clifftop not required.
(Photo by Sigmund on Unsplash)

The researchers stated the following in summarizing their study: “Given that pCR is an accepted predictor of recurrence and mortality, our findings could provide oncologists with a supportive care intervention that affects the ability to potentially improve survival outcomes” (Sanft et al., 2023, J Clin Oncol). And this is very good news indeed.

The take-home message here is not surprising, and it’s good advice for life in general: no matter what your current lifestyle, prioritizing a healthier diet (emphasis on whole foods, plant-based, less processing, etc.) and engaging in regular cardiovascular and strength training exercise will improve your quality of life. It is always worth the effort.

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REFERENCE:
Sanft et al. (2023) Randomized Trial of Exercise and Nutrition on Chemotherapy Completion and Pathologic Complete Response in Women With Breast Cancer: The Lifestyle, Exercise, and Nutrition Early After Diagnosis Study. J Clin Oncol, 41: 5285–5295. https://doi.org/10.1200%2FJCO.23.00871. [This paper is Open Access and can also be found in PubMed Central: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC10691793/]

Bringing Calm into Healing Spaces: Shushing the BEEP with Yoko Sen

^{Title image: Photo by Adhy Savala on Unsplash}

After I was diagnosed with cancer, one of the things I dreaded the most was having to spend time in the hospital. I’d broken my leg when I was 12 and the four days (and nights) that I was hospitalized were horrible. I was depressed and wanted to go home.

As a cancer patient, I wanted nothing to do with all the beeping and buzzing medical equipment. While all my treatments ended up being out-patient–which I was sooo happy about–I spent enough time in the vicinity of medical devices to hear my share of annoying beeps. In fact, that was the last thing I remember before losing consciousness before my surgery…and the first thing I heard when I awoke.

Last time I checked, BEEP BEEP BEEP was *not* a soothing sound.
(Photo by Richard Catabay on Unsplash)

Apparently, I’m not the only one who dislikes the incessant jarring noises of hospital equipment. I recently had the pleasure of attending a webinar with Yoko Sen of Sen Sound, an electronic music artist who has worked with hospitals and medical device manufacturers to address the issue of disruptive noises in an environment that’s supposed to be conducive to healing.

The whistles, beeps, buzzes and alarms are anything but.

Yoko spoke about the stress levels of both patients and medical staff as being affected negatively by this noise pollution. Patients cannot rest and recover. Caregivers are constantly on edge about what piece of equipment is alarming. This is not an insignificant problem as at least in one case, a death resulted from a healthcare worker shutting down a patient’s alarm by their bedside in an effort to make the surroundings more soothing for them, and mistakenly silenced their entire alarm system.

Staff speak of “alarm fatigue”, when everything’s constantly alarming that dire situations are missed among the cacophany that is the hospital situation. The sounds follow healthcare workers home, like echoes that never go away.

Yoko herself was hospitalized some years ago and described the onslaught of noises as terrifying. So as a musician, she set out to help hospitals reduce unnecessary noises and then make the necessary sounds more pleasant while still remaining informative.

The talk was excellent and interactive as she let the audience vote on the different “textures” of sounds. Interestingly, we discovered that past experiences can significantly color the way that we perceive a sound. Yoko’s entire talk was both entertaining and eye-opening. Unfortunately, I do not have a recording of this particular webinar that I can post, but below is one of the videos about her work.

Yoko Sen is bringing beautiful sounds into the healing environment.

I love that not only is a musician looking for ways to make the hospital experience more, well, hospitable for both the healthcare teams and patients, but also that hospitals and device manufacturers themselves identify the stress caused by all these noises as an issue to be addressed.

One of the complaints that’s often voiced about western medicine is that it focuses on disease rather than prevention, on sickness rather than healing. This is a great example of efforts being taken to change that.

Coffee Break: A Mindful Start to Your Day

^{(Title image: Photo by Mindspace Studio on Unsplash)}

So, now that we’re a week into 2024, what a great time to set an intention for the New Year.

For me, it’s going to be “stress less and move forward”. At least I’ve got the “moving forward” part planned out, as there will be a lot of changes in my life this year.

It’s the “stress less” part that trips me up. So I’m redoubling my efforts to make sure that mindfulness takes priority in my daily activities, and one of the best ways to do this is to see how I can make everyday tasks into moving meditations.

I present to you, the coffee break. Tea works as well, even better, it could be argued. Regardless of your preference, this is how the break works (and obviously, this should be adapted to your own situation):

Wow, I can literally smell this image and the aroma is glorious!
(Photo by Mae Mu on Unsplash)

When you arrive in the kitchen (or wherever you keep your coffee, I’m not judging), bring your attention to your hands. Look at them. Notice the temperature of the air on them. Flex and straighten your fingers…and then observe your hands open the cupboard and remove the container in which you keep your coffee–mine is a metal cannister–along with a stack of paper coffee filters.

My cannister is has a pretty blue and green pattern on it and it feels cool to the touch, nice and smooth. As I open the top, the scent of coffee fills the air. I savor that for a moment.

Set the container down by the coffee maker and pick up a coffee filter. Mine is cone-shaped. Notice if the paper feels coarse against your fingertips and how it sounds as you handle it. Nestle it into place inside the coffee maker.

What does your running water look like, sound like, feel like?
(Photo by Nathan Dumlao on Unsplash)

Then, back to the coffee…and fish out the scoop (mine invariably gets buried under the grounds), spooning out however-much coffee you want. Listen to the “crunch” of the grounds as you do so.

Transferring the coffee into the filter may elicit more aroma during the process. What does it sound like as it falls onto the filter? When done, replace the scoop and then the top of the coffee container.

Whatever water container you user–mine is a plastic water jug, perhaps yours is the coffee carafe itself– bring that to the sink, place under the faucet, and turn on the cold water.

Does the faucet handle feel cool to the touch? As the water runs, notice whether light shines through the stream or if it’s aerated and fizzy. Listen to the sounds of water flowing through the plumbing and into your water container. Perhaps there’s a cool splash.

Such a peaceful start to the day. Inhale…
(Photo by Clay Banks on Unsplash)

When filled, turn off the water, noticing whether the handle makes a sound as you turn it. Bring the water container to the coffee maker and as you pour the liquid, listen to how it runs in, watching the waterline rise.

Close the coffee maker’s top, press the requisite buttons and savor the sights, sounds and smells of the coffee as it brews.

So as I mentioned above, depending on your own situation, your experience may vary, but the main idea remains the same: when you are in the process of making morning coffee or tea, be IN IT. Invite your senses to this event and, perhaps most importantly, keep unrelated thoughts out of it.

Start your day with a mindful ritual like this and it will help carry that attitude of staying present into the rest of your day. Give it a try and enjoy the calm!