Sleeping Your Way Out of Cancer

We all want more sleep, yet most of us are walking around deprived of this essential element our bodies need. When we haven’t gotten enough sleep, our immune system is lower and our brain function reduced. We don’t have energy for the exercise which reduces our risk. Shall I continue? I believe that there’s a high probability the day that first rogue cell entered my body, I was probably sleep deprived. If I had not been, maybe cancer would have never happened.

Sadly, sleep deprivation has become a badge of honor in our society. We all know a person who resolves, “I’ll sleep when I’m dead,” or brags, “I’m more productive because I only get five hours a sleep each night.” What these people don’t realize is a lack of sleep could bring death sooner rather than later and their lack of sufficient sleep actually makes them less productive. I don’t know about you, but I want to live longer and work smarter, not harder.

According to the National Sleep Foundation, the average adult needs seven to nine hours each night. I’m no expert, but I think adding an hour or two if you’re affected by cancer or another illness is a prudent idea. The National Sleep Foundation also states your genes begin to change when you get anything less than six hours a night. Their researchers observed up to 700 different changes that can occur after a week of sleep deprivation.

My truth is, I am preaching about sleep after realizing my own problem two months ago which developed during treatment. Like many of us, I fell into the category of being perpetually exhausted. I would spend my days and nights laying in bed with the TV blaring. Once I was healthy again, falling asleep with the TV continued to be my security blanket and hindering the quality sleep my body craved.

On a long flight home after the holidays, I stumbled along a podcast where the Huffington Post’s Arianna Huffington was interviewed about her book, The Sleep Revolution. She explained how the majority of us are sleep deprived and as a result, not living up to our full potential. Her recommendation was to create a bedtime routine as we do for our children, who wake up with superhuman energy. Yes, some of this has to do with youth, but some of it has to do with the quality and quantity of sleep they get each night.

Taking Ariana’s advice, I began putting myself to bed. I turn on my salt lamp. I take a bath or shower. I dress myself in comfortable pajamas and not the holey, old t-shirt I used to sleep in. I take my pills. I rub some lavender oil behind my ears. I write a list of everything I’m grateful for. I read a book for enjoyment until I start to nod off. I turn the lamp off and fall asleep until the birds are chirping. There’s no cell phone in the room, no TV and no iPad. The verdict – I am sleeping nine hours a night and waking up more refreshed than ever. It’s been two months and I haven’t napped during the day once, which used to be a regular occurrence.

While undergoing treatment, most patients complain about either not having the energy to get out of bed or not being able to sleep at all. I get it and I say, during treatment, you need to do what works for you and addresses the immediate need. If you’re too tired, drag yourself out for 20 minutes of exercise and then back to bed if you’re still exhausted – if you can. If you can’t sleep, try putting yourself to bed like mom did when you were a kid. And when all else fails, talk to your doctor. Let them know how you’re sleeping and any challenges you’re having around the subject. I can guarantee you’re not the only patient who’s ever encountered this problem, so chances are, you’re doctor has a solution for improving the situation. And like everything, be persistent. Especially if you have a history of cancer. One of the best healing mechanisms of the body is triggered by sleep and don’t you want all those mechanisms working at their full capacity?

I can see some of your faces. You might be a parent, someone with a demanding job and/or that person who has never been a good sleeper. I’m here to politely acknowledge your challenge, but then Arianna Huffington, the National Sleep Foundation and I are here to tell you, it’s imperative you prioritize sleep. Put your mask on first before assisting others. Prioritize it above everything else and you’ll be so much better at everything else. And most important, you’ll be healthier and increase your odds of overcoming and avoiding disease.

Check out the National Sleep Foundation’s site, sleep.org for some interesting articles, statistics and recommendations on getting better sleep.

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Cancer and Minimalism

87WSyMSm

As featured on curetoday.com

After a lot of thought in December, I decided that what I wanted most out of 2017 is to be more present in my life, something that has been a problem for many years, especially since my cancer diagnosis in 2014. I spend days worrying about the future and reliving the trauma of treatment in my head, which only creates anxiety. For me, I’ve found the best way to cope with this anxiety is to focus on how I feel in the present moment because 99.9 percent of the time, I’m feeling great. I remind myself the moment we are in, right now, is all any of us are guaranteed. As the famous Bill Keane quote goes, “Yesterday is history, tomorrows is a mystery, today is a gift of God, which is why we call it the present.”

Once I resolved to be more present, I started thinking about the tools that would aid me in being successful. One of the to-dos I jotted down on my list was to watch a movie on Netflix called Minimalism: A Documentary About the Important Things. The title intrigued me. I thought you could replace the word minimalism with cancer since the moment you’re told that you or a loved one has the disease, your whole thought process of what is important changes. The Netflix description reads, “People dedicated to rejecting the American ideal that things bring happiness are interviewed in this documentary showing the virtues of less is more.” Cancer survivors know this, but in theory, how much are we focusing on the important aspects of our lives instead of things? None of us will be on our death beds saying, “I sure wish I would’ve gotten the iPhone 7 when it came out.” We’ll be saying things like, “I wish I spent more time with my brother” or “I should have taken that trip to Africa.”

So, what is minimalism? The film’s website describes it as, “a lifestyle that helps people question what things add value to their lives. By clearing the clutter from life’s path, we can all make room for the most important aspects of life: health, relationships, passion, growth and contribution.”

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A clean, organized book worthy space

If you’re like me and most Americans, you have too much stuff. Inspired by the film, I resolved to declutter. I made a list of the areas in my house I wanted to go through and set my timer for 20 minutes each day. Often, once I got started, I’d spend way more than 20 minutes. Within a few weeks, I decluttered my entire house, donated several bags to charity and remodeled my writing space. While my intention was to organize, I didn’t expect to experience the same radical transformation as the two subjects in the film.

I find myself much happier and living my resolution of being present with ease. Because I am not surrounded with stuff, I can breathe a bit easier. I have less general anxiety, all because my home and life are clean and organized.

Minimalism has also transformed my cancer journey, by making my life more fulfilling. A cancer survivor’s hottest commodity is time, and working towards minimalism has not just resulted in more hours in each day, but has given me quality time I can spend with my husband, friends and chasing pursuits I love, such as writing and yoga.

It has only been a month, so I’m hoping I can continue the lifestyle. My next steps are to reduce my social media presence, tackle digital clutter, comb the house again and unplug the internet one day a week – an idea that might be a hard sell to my husband.

If you’re interested in reducing anxiety, increased quality time with loved ones and pursuing your passions, I encourage you to check out www.theminimalists.com where you’ll find details about the documentary, their podcast, books and social media pages.

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8 Tips from a Professional Surgery Recoverer

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As featured on curetoday.com

I’m becoming a professional surgery recoverer. It seems like for the last three autumns, I’ve had surgery and spend the season looking at the leaves change through a hospital window or on my slow, prescribed daily walks. I recently read in each person’s life, they will start over many times and I believe whoever came up with this probably had several surgeries.

In my previous life before cancer, I was a marathoner, triathlete and was always trying to push myself to the next level. Going from running 26.2 miles to not being able to walk down a hallway has been a humbling experience.

In September 2014, I had a distal pancreatomy and splenectomy to remove a tumor on my pancreas. In October 2015, I had a liver resection and cholecystectomy to remove tumors in my liver. Then this October was the surprise surgery – a bowel obstruction, which is considered a complication from my liver operation. Something about the body not liking open spaces and my small intestine moving into that space.

Strangely and fortunately, my body seems to recover quite well from these surgeries. Youth and being physically fit are on my side, but I believe more so, it’s the determination and figurative steps I take after each procedure. So, here are a few tips from a professional recoverer on abdominal surgery.

  1. Ask a thousand preoperative questions. What can I expect from my incision? What kind of physical difficulties do patients experience? What should I expect when I wake up? Will there be drains, IVs, tubes? What will we do to manage pain? Will I be closed up with staples or glue? In my experience, surgeries are so routine for surgeons they don’t realize we don’t know these things. Waking up with an unexpected tube up your nose or a larger incision than you thought can be upsetting. Therefore, ask every question that comes to mind. I’ve found connecting with others who have been through the surgery to gather questions can be helpful too.
  2. Lean on your nurses. Can we just take a moment to recognize the awesomeness of nurses? They are the foot soldiers and we and doctors could not do it without them. Most nurses will go to bat for you. If something isn’t working, ask them to advocate to the doctors on your behalf or ask what they recommend. After my first surgery, a nurse recommended a trapeze when I expressed how hard it was getting in and out of bed after having my abdominal muscles cut through.
  3. Walk…..a lot. This is a tough one, but critical on getting yourself discharged. Set some goals. The day after surgery my goal was to walk to the end of the hall and back three times throughout the day. I only made it twice, but the next day I did it four times. I’ve found activity trackers are helpful. I’d set an alarm and try to do a bit more each day. Also, walking is useful in getting your digestive system moving when it’s been put to sleep by pain meds, anaesthesia, surgery and the change in diet.
  4. At Home.  Being confined to a hospital room makes me crazy.  I know I’m not alone when I say how wonderful it is to get home after a stay.  However,  coming home presents a new set of challenges. After getting used to a moveable hospital bed, my stationary bed was tricky. I actually found the couch to be more comfortable. Some people find it easier to sleep in a recliner or gravity chair. Also, if you’ve been sent home with drains, my thoughts are with you. They are annoying. I always safety pinned them to my shirt. Recently, a friend and breast cancer survivor shared a zip up hoody with interior drain pockets. What a revolutionary idea. If something is bothering you at home, don’t just accept it, a quick Google search or call to a nurse could change your world.
  5. Keep walking….a lot.  Your walks are not over now you’ve left the hospital. In fact, this is where you really need to increase your daily steps, endurance and strength now you’re no longer confined to a hallway. Again, the activity tracker is great. The day I came home from the hospital, my goal was to do 1,000 steps. The next day, I went to 1,500. Some days it would take me several outings. A month from surgery, I finally made it to 10,000 steps. Now, I’m working on increasing my endurance by walking for longer stretches of time.
  6. Don’t ignore the mental and emotional.  This is also a hard one. After every procedure, I find myself struggling to regain my ingrained positive attitude. I’ve come to realize a pattern of PTSD (post traumatic stress disorder) after I come home from a surgery. Recognizing this, I’m sure to combat it with extra sessions with my therapist, making plans with friends and planning daily trips out of the house. It’s easy to stay in a mental slump when you’re alone and confined all day, so as painful as it might be, just do don’t do it.
  7. Go to physical therapy. I feel doctors don’t recommend this enough. I went to PT after my first surgery and recovered fast. With my second, I decided to forgo physical therapy. Months post op, I wasn’t as strong and my endurance was nonexistent. I finally submitted to PT and within a few weeks I was back on track. This go around, I cringe at the idea of spending so much time at the therapist’s office, but know it’s the way back. This is also the safest way to regain strength. Attempting on your own could result in hurting yourself with a hernia and what you don’t need after surgery is another surgery. Thanks to physical therapy, 6 months after I completed treatment, I hiked 250 miles across Spain with a backpack. If that’s not a testimonial, I don’t know what is.
  8. Practice gratitude, patience and mindfulness. No matter how major or minor the operation, I notice how much quicker I recover when I give myself a break.  I do this by mentally listing ten things I’m grateful for each day.

So, here I am, a couple months post-op and doing pretty good. I walk for an hour everyday and start physical therapy in the new year. After I get the green light from my therapist, I plan to work my way back up to daily yoga and sign up for a half marathon in the spring. There are survivors out there defying the odds by running marathons, completing ironmans, climbing mountains and biking across countries. These acts inspire people and are proof our bodies are capable of much more than we can even imagine. I’d rather strive to be these people than submit to cancers quest to stop me.

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