Nurturing Your Digestive Health: An Eastern Approach to Strengthening Your Immune System
Digestive problems, including bloating, are on the rise. Social media is filled with notifications about them, and medications to soothe the system are constantly advertised. But why are we experiencing more bloating, upset stomachs, and digestive issues? We are consuming more food than we should, and we’re also eating at a faster pace due to the demands of our modern life. When was the last time you took a moment to chew your food slowly, ate without distractions, or focused solely on your meal without multitasking? Most of us eat while planning our day or our next move. We might chat with family members or friends, discussing current events or issues. How often have you seen someone sitting under a tree, quietly sipping a cup of tea or coffee? Or take a lunch break to sit in nature, eating without checking the phone? Our stomach is like a friend: we’re with it but not truly present. We don’t listen to her needs. We either overeat or neglect to nourish her properly. We feed her, thinking that’s enough for her health, but she requires our attention and care. When she shows signs of discomfort, we ignore her. Instead of listening, we reach for medications or over-the-counter quick fixes to keep her quiet. She stays by our side, patiently waiting for the next meal while we rush through life, giving her little time to feel appreciated. We continue to pour our stress and emotions onto her, and she silently holds onto our burdens. Over time, her capacity to handle it all shrinks, and she struggles more. As a loyal companion, she never abandons us, but she will continue showing signs of unease, discomfort, and even pain. If we don’t address these signals, she might not function as well as she once did. We don’t just feed her with food. We feed her with everything we take in from the outside world. The current climate, political issues, and even personal struggles can all have an impact on her. While she is digesting the food we consume, she is also dealing with the mental strain we put her under. She absorbs both physical and emotional stress. When stress is short-term, she can recover and return to her natural state. However, if stress becomes chronic and we can’t release it, she will suffer alongside us. As a result, her physical symptoms may worsen, and her mental state could deteriorate. Over time, if we ignore these signs, illness may develop. Remember, illness doesn’t occur overnight. Serious diagnoses often come after silent or vocal signs have been ignored for a long time. Now that she is weak, we must take time to pay attention to her. Why didn’t we listen to her earlier? Why didn’t we avoid overeating? Why do we consume so much processed food and alcohol? Why don’t we eat simply at least 75% of the time? Why do we have so many cold drinks? These questions may arise when we receive a diagnosis. But the most important question is: Why not start today? By embracing simple Eastern philosophies like Ayurveda, Chinese medicine, and the teachings of figures like Avicenna, we can bring peace and balance to our digestive system. If you’re ready to care for your friend (your stomach), here are some Ayurvedic tips: Avoid drinking ice-cold water before meals: Cold drinks can shut down your digestive fire, known as Agni. This makes it harder for your body to digest food properly. Think of it like pouring cold water on a hot grill before cooking—your food won’t cook properly! Eat in a peaceful environment: Avoid distractions like TV or your phone. Emotions can interfere with digestion, so give your body the peaceful space it needs to process food. Eat wholesome, natural, and cooked foods: Focus on foods that nourish and support your digestion. Drink plenty of water, preferably warm or hot: Warm water helps detox the body and supports the digestive process. Take your time to eat: Savor the taste of your food. When you focus on eating mindfully, your stomach feels more satisfied, and you’re less likely to overeat. Change starts with a single step: the desire to feel better and nurture a healthier digestive system. A healthy stomach is the foundation of a strong immune system, and a strong immune system is the key to a happy, well-functioning body. Nameste Shab
Understanding the Process and Benefits of Radiation Therapy
Last week, we discussed the importance of building trust with your radiation therapist and how it creates a supportive foundation for your treatment journey. Equally important is understanding the educational role your therapist plays in helping you navigate the complexities of radiation therapy. This week, we’ll explore how your radiation therapist ensures you’re well-informed about the process, empowering you to take an active role in your care. Demystifying the Radiation Therapy Process Radiation therapy is a highly specialized form of treatment, and it’s natural to feel uncertain about what it involves. Your radiation therapist is there to guide you through each step, ensuring that you have a clear understanding of the procedure. From the initial simulation session, where the treatment area is mapped out, to the precise delivery of radiation, your therapist will explain what’s happening and why it’s necessary. For example, your therapist might discuss how advanced imaging technologies are used to pinpoint the exact location of cancer cells, minimizing exposure to surrounding healthy tissue. They’ll also explain the role of immobilization devices, such as molds or masks, which help you maintain the same position during each session for optimal accuracy. This transparent communication helps build trust and makes the treatment process less intimidating. By knowing what to expect, you can approach each session with greater confidence and ease. Understanding the Benefits of Radiation Therapy Radiation therapy is a powerful tool in the fight against cancer. Your radiation therapist will help you understand how it works to target and destroy cancer cells. Unlike chemotherapy, which affects the entire body, radiation therapy focuses on a specific area, delivering high doses of radiation to shrink tumors or eliminate cancerous cells. Your therapist will also explain how radiation therapy fits into your overall treatment plan. For many breast cancer patients, radiation is used after surgery to reduce the risk of recurrence by targeting any remaining cancer cells in the breast, chest wall, or nearby lymph nodes. It may also be combined with chemotherapy or hormonal therapy to improve outcomes. Hearing these benefits directly from your therapist can ease concerns and reinforce the importance of completing your prescribed treatment plan. It’s a reminder that every session is a step toward recovery. Preparing for and Managing Side Effects Another key aspect of your radiation therapist’s role is educating you on what to expect during and after treatment. They’ll discuss common side effects, such as fatigue, skin irritation, or changes in breast texture, and guide how to manage them. For example, they might suggest specific skincare routines to minimize irritation or recommend strategies for conserving energy during treatment. Your therapist will also inform you about potential long-term effects, so you’re aware of what to monitor in the future. They’ll advise you on when to reach out to your medical team if you notice any unusual symptoms, ensuring that any complications are addressed promptly. Empowering You Through Knowledge By equipping you with information, your radiation therapist empowers you to take an active role in your treatment. This knowledge not only reduces fear but also fosters a sense of partnership between you and your care team. Understanding the “why” behind each step helps you feel more in control of your journey, making the experience more manageable. Your therapist will encourage you to ask questions and share concerns throughout the process. Whether you’re curious about how the equipment works or worried about potential side effects, they’re there to provide answers and reassurance. This open dialogue creates a collaborative atmosphere, where your voice is valued as part of your care team. Looking Ahead As we continue to explore the multifaceted role of your radiation therapist, next week we’ll focus on the emotional support they provide. Beyond their technical expertise, radiation therapists are compassionate listeners who can help you navigate the emotional challenges of treatment. Their presence and empathy are invaluable, ensuring you feel supported every step of the way.
The Mirror Talks Back
What we do every day counts! How many times have you heard this phrase? I’ve seen and heard it countless times, but I never truly understood its essence. It’s essentially telling us that our daily routine sets the foundation for how our body and mind respond. From the personal hygiene rituals in the morning to the bedtime prep, every cell in our body is listening and reacting. The mind that we often refer to and point to in our heads actually exists in every cell of our body. When we look at ourselves in the mirror and experience negative thoughts, our liver cells, stomach cells, and every part of us are listening too. What we tell ourselves doesn’t just circulate in our heads but travels throughout our body, just like blood circulation. After cancer treatments and multiple procedures, I could only see what I had lost: a breast, a limb, my hair, my eyebrows, my clear skin, and my once beautiful body shape. Body image after cancer is not an easy subject to address or navigate alone. During chemo, I gained twenty-five pounds and had a hard time even recognizing myself. Who was that person in the mirror? The facial hair I used to complain about was now gone, and I missed it. My once slim and attractive figure now resembled the Pillsbury Doughboy. The flexible joints that made me look like a ballerina were now stiff and achy, reluctant to move. Going through cancer treatment isn’t for the faint of heart; I get that now. But what does that say about me? It tells me I’m resilient. I’m still here, fighting, taking life one day at a time, and moving forward. If I look back too much, I might shatter. It’s hard to believe what I’ve endured. If someone had told me that weekly chemo and endless blood tests would become my norm, I’d have wanted to give up before even starting. But what I didn’t realize was just how much I wanted to live. I want to see my children grow up, witness their successes, and live a healthier life myself. Not that I was unhealthy before, but there’s always room for improvement. Maybe I can adjust my thinking, declutter my home to create space to breathe or react to life with more calmness. These are small changes, but they can make a big difference. It’s hard to motivate myself to move after what my body has been through. Asking it to get up and walk daily feels like asking the impossible. If my body could talk, it would probably say, “Are you kidding me? You want me to do what now?” I get it. It’s easier to stay on the couch and binge-watch Netflix. It’s easier to avoid cleaning the kitchen or taking a shower. But as tempting as it is to stay in that comfort zone, I know I still have today—and today is an opportunity. So, I get up slowly and savor my morning drink. I take a quick shower, enjoying the massage I’m giving my tired skin. When the sun is out, I put on my walking shoes and hat, grab my walker, and head outside for a stroll. The fresh air and changing seasons remind me of life’s constant evolution. If the trees can let go of their leaves and wait for new ones, why can’t I embrace change too? My curly hair may not return, but maybe I can experiment with straight hair. My slim figure might not be back yet, but my walks might help me shed some pounds and regain strength. My missing breast will always be a loss, but there are ways to feel semi-normal on the surface. How I feel within, however, will take time to heal. I’ve decided to focus on small improvements. Progress isn’t always linear; sometimes, it’s two steps forward and one step back. But that’s okay. My goal is to live each day with better habits and a more positive mindset. One thing I’m certain of is that blaming my body or myself for my cancer isn’t the way to go. Instead, I’m replacing negative and fearful thoughts with encouraging words before they spread through my body. My daily routine matters more than ever, and what I do every day counts tremendously in shaping my health and happiness. So, what are you waiting for? Ask yourself: what change could make the most difference in your life right now? Start small, and let each step lead you closer to healing and hope. Namaste, Shab
The Radiation Therapist’s Role in Patient Support
Last week, we discussed the benefits of mindfulness techniques for managing stress and emotions during treatment. This week, we’ll focus on an equally vital aspect of your care: the role of your radiation therapist in building trust and creating a supportive environment throughout your treatment journey. Radiation therapists are integral members of your healthcare team. From your first session to your last, they are there to ensure your treatment is delivered safely, accurately, and effectively. However, their role extends far beyond the technical aspects of treatment. They play a crucial part in making you feel comfortable, heard, and cared for during what can be an emotionally and physically challenging time. The Importance of Building Trust Building trust with your radiation therapist is essential for a positive treatment experience. Trust allows you to feel confident in their expertise, helping to alleviate anxiety and enabling open communication. When you trust your therapist, you’re more likely to share concerns or discomforts, which can lead to adjustments that improve your overall comfort and care. According to the American Society for Radiation Oncology (ASTRO), effective communication is a cornerstone of building this trust. A compassionate therapist will take the time to explain each step of the treatment process, from positioning on the treatment table to the specific goals of the radiation therapy. They will also encourage you to ask questions, no matter how small, and address your fears with patience and empathy. Emotional Support During Treatment Radiation therapy can feel intimidating, especially during the early sessions. Your therapist is there to provide reassurance and emotional support, helping you navigate these feelings. They understand that each patient’s journey is unique and strive to create an environment where you feel safe and cared for. For example, if you’re feeling anxious before a session, your therapist might guide you through relaxation exercises or use calming language to help ease your nerves. These seemingly small gestures can make a significant difference in your overall experience, transforming a potentially stressful situation into one that feels manageable and even empowering. Practical Support and Comfort Radiation therapy often involves multiple sessions over several weeks, making physical comfort a priority. Your therapist is responsible for ensuring you’re positioned correctly on the treatment table, but they’ll also take steps to make you as comfortable as possible. If you experience discomfort, such as pain or difficulty holding a specific position, your therapist can make adjustments or suggest strategies to improve your comfort. In addition, your therapist is a valuable resource for managing side effects. Whether it’s offering advice on skincare for radiation-treated areas or suggesting ways to reduce fatigue, they are there to provide practical guidance that supports your well-being. Creating a Collaborative Relationship The relationship between you and your radiation therapist is a partnership. By being open about your concerns and asking questions, you allow your therapist to better meet your needs. In turn, their attentiveness and dedication help foster a sense of collaboration and mutual respect. This partnership not only enhances your treatment experience but also contributes to better outcomes by ensuring your care is tailored to your unique circumstances. Building a Supportive Environment Your therapist understands that the treatment process can be overwhelming, and they are committed to creating a supportive environment. This might involve providing a consistent routine that helps reduce uncertainty, offering encouraging words, or simply listening when you need to talk. Their presence can be a source of stability and comfort during a time of change and challenge. Next week, we’ll explore another important aspect of your therapist’s role: educating you about the radiation therapy process. Understanding how radiation therapy works and the benefits it provides can help you feel more empowered and engaged in your treatment journey.
Healthcare Interactions Impact Patient Safety
I’ve been researching, teaching, and writing about the importance of communication skills and emotional intelligence for over 20 years. This is roughly the same amount of time that The Joint Commission has been tracking catastrophic mistakes we make which are known as Sentinel Events. They track and publish a detailed report on the types and causes of these tragic events including the most recent 2023 Annual Report. What is most striking is how communication is and has been one of if not the leading root cause year after year! And root causes of Sentinel Events that show up consistently in the data include teamwork, leadership, and human factors. We can appreciate how the quality of interactions influences our ability to provide safe care by examining two examples. Image by Gerd Altmann from Pixabay A nurse overhears a colleague gossiping about her and interrupts: “I’d appreciate it if you have concerns about my work that you discuss them with me directly and professionally.” The gossiping nurse apologizes and later offers to help the nurse. The help enabled the nurse to get pain medication to her post-op patient quickly and the patient felt cared for. Patient experience scores increase. A doctor yells at a nurse on Tuesday. Saturday night the nurse hesitates to call her about a subtle change in a patient’s condition. Since it’s close to the end of the shift, she tells the oncoming nurse. This nurse makes it a priority to check the patient, but the telemetry alarm beats him to it. The patient does not survive. These examples show how the quality of simple interactions influences critical outcomes like patient safety and patient experience. Like the ‘Butterfly Effect, in both these situations, the outcomes are obvious, yet the roots involving the quality of interactions are elusive. Combining this train of thought with the data suggests that our solutions to date are not getting at the underlying issues aimed to improve these root causes. Reducing the incidence of sentinel events will require us to dive deeper into the social and emotional learning that influences individual, team, and organizational behavior. This includes understanding the need for professionals to develop skills and competencies that influence the quality of our interactions. These include; self-awareness, confidence, adaptability, flexibility, perspective-taking, and the ability to give and receive constructive feedback, set limits, respect others’ limits, ask for help, and delegate tasks. Developing these skills is no small task as people have different levels of growing edges, resources such as time and money are limited, experiential learning opportunities are essential, and effective teaching methods are limited. The good news is that Medical Improv can be used to teach all of these skills and competencies while reducing stress and promoting positive relationships and cultures. More about that in future posts. For now, the important take-home is that the quality of healthcare interactions matters!
Hope in Healing – Inspiring Stories of Resilience During Treatment
Last week, we explored the vital role of family dynamics in supporting both you and your loved ones throughout your cancer treatment journey. This week, we’ll focus on an equally powerful aspect of recovery: hope. Sharing stories of resilience and triumph from individuals who have faced the challenges of breast cancer can inspire and motivate you as you navigate your own path. Hope is more than just wishful thinking—it’s a driving force in the healing process. It uplifts your spirits, fuels determination on tough days, and reminds you that you’re not alone. Stories of others who have endured similar struggles provide a source of strength and perspective, demonstrating that even in the darkest moments, resilience and growth are possible. Consider the story of Maria, who faced multiple rounds of radiation therapy and chemotherapy. Despite the physical and emotional toll of treatment, Maria chose to focus on maintaining a sense of normalcy. She continued to work, care for her children, and even volunteer in her community. Maria’s story is a testament to the strength that emerges when we embrace life’s challenges with courage and purpose. Another inspiring figure is Janice, who was diagnosed with advanced-stage breast cancer. Instead of retreating, she found a renewed sense of purpose by becoming an advocate for cancer awareness. Through her efforts, she educated others about the importance of early detection and offered support to newly diagnosed patients. Janice’s determination to make a difference not only helped her cope with her diagnosis but also created a lasting impact on her community. These stories highlight a common theme: while cancer treatment is undeniably challenging, it can also be a journey of personal growth and connection. Many survivors report discovering inner strengths they never knew they had, building deeper relationships with loved ones, and gaining a greater appreciation for life’s simple joys. Drawing hope from others’ experiences doesn’t mean ignoring the difficulties of your own journey. Instead, it’s about finding inspiration to keep moving forward. Whether it’s through a personal connection, a memoir, or a local support group, hearing how others have persevered can bolster your own resilience and remind you of the possibilities that lie ahead. For some, hope is also found in small, everyday victories. Completing a treatment session, feeling well enough to enjoy a favorite meal, or receiving good news from your medical team are moments worth celebrating. Recognizing and appreciating these milestones can reinforce your determination and keep your spirits high. Remember, hope doesn’t have to come from grand gestures or monumental achievements. It often lives in the quieter moments: a kind word from a friend, the laughter of a loved one, or the comfort of knowing you’re supported by your healthcare team. Next week, we’ll explore mindfulness techniques as another way to navigate the emotional challenges of treatment. These tools can help you manage stress, maintain a positive mindset, and find balance during this demanding time. Hope, coupled with mindfulness, can create a powerful foundation for emotional and physical resilience.
Family Dynamics – How Families Can Support You and Themselves
Finding Balance in Modern Healthcare
For over thirty years, I worked as a healthcare professional and radiation therapist in the Bay Area, California. When I first started, writing in a patient’s chart required a pencil—yes, a pencil. We used white-font pencils to meticulously fit all the necessary information onto the treatment sheet in a hard-paper chart. These charts were filed in drawers and bookshelves, a far cry from today’s digital systems. A decade later, computers began revolutionizing healthcare. They offered significant advancements but also caused chaos whenever they went down. Despite the challenges of adapting to machines, we humans managed to persevere and gradually witnessed how technology surpassed our abilities. In school, I learned to calculate treatment plans by hand, relying heavily on memory and manual computations. Fast forward two decades and students graduating from radiation therapy programs no longer need to perform complex calculations; the software does it for them. The human brain’s role has shifted dramatically. In just one department I worked in, three different types of treatment software were introduced within ten years. While some upgrades offered marginal differences, software companies excelled at marketing their products. Medical departments purchased these programs to stay competitive and attract more patients, even when the actual benefits were minimal. The Rapid Pace of Change The relentless pace of technological advancements created a growing gap between my generation and the newer one. Now that I’ve stepped away from the fast-moving life of healthcare, I still find myself wrestling with the same dilemma: Where do we draw the line to ensure machines don’t completely take over, dehumanizing our lives? At large medical establishments, I’m often given the option to check in for appointments via my phone. If I decline, I’m greeted by a kiosk that processes payments and checks me in without any human interaction. Over the years, I’ve noticed fewer people in waiting rooms, fewer receptionists welcoming patients, and more machines replacing human roles. The Human Touch I don’t know about you, but I miss the personal touch. I miss conversations with the person behind the desk who might offer an encouraging word. I miss knowing my insurance premiums were supporting a human employee. I miss the days when doctors sat across from us, engaged in genuine conversations, and truly listened, instead of focusing on their computer screens to take notes. I miss being fully examined by a physician, rather than relying solely on bloodwork or imaging results. Now, my doctor begins visits by asking for consent to record our conversation via an AI device. This shift makes me feel more anxious than before because so much of the human care I once relied on has been lost in translation between humans and machines. In the past, my doctor and I would exchange personal stories, fostering a connection that went beyond the clinical. I’d leave feeling cared for, understood, and connected to a human member of my medical team—not just a series of machines. Reclaiming Human Connection Next time you visit a doctor, take a moment to notice how important it is to connect with another person. Whether it’s a patient, a receptionist, or the physician, human rapport matters. Take the time to say hello, smile, or greet someone who might need a moment of connection. These small gestures remind us that while technology has its place, it should never replace the essence of human care. Namaste, Shab
Psychological Support – The Role of Mental Health Professionals in Your Care
In our last discussion, we explored the emotional impact of breast cancer treatment, emphasizing the importance of addressing these feelings as part of your recovery. This week, we’ll focus on the vital role of psychological support and how mental health professionals can enhance your overall well-being during this challenging time. Cancer treatment is not just physically demanding—it can also take a significant mental and emotional toll. Feelings of anxiety, depression, and stress are common and understandable responses to the uncertainty and demands of treatment. Mental health professionals, including psychologists, counselors, and psychiatrists, are trained to help patients navigate these challenges. They offer a safe and supportive environment where you can express your fears and concerns without judgment. According to the National Comprehensive Cancer Network (NCCN), incorporating psychological support into your care plan can significantly improve your quality of life and treatment outcomes. For example, cognitive-behavioral therapy (CBT) is a widely used approach that helps you identify and reframe negative thought patterns, replacing them with more constructive and empowering perspectives. This can be particularly helpful when managing anxiety or feelings of helplessness. In addition to individual therapy, many cancer treatment centers provide access to support groups facilitated by mental health professionals. These groups allow you to connect with others who understand your journey, share experiences, and learn from each other. Knowing that you’re not alone can bring immense comfort and strength. If you’re unsure about where to start, consider speaking with your healthcare team. They can connect you with counselors or support groups tailored to your specific needs. Online directories and organizations, such as the Cancer Support Community, also offer resources to help you find the right support. Addressing the emotional side of cancer is not a sign of weakness but a proactive step toward healing. By integrating psychological care into your treatment plan, you can build resilience, improve your emotional well-being, and approach each stage of your journey with greater confidence. Next week, we’ll shift our focus to the role of family dynamics and explore how your loved ones can support you—and themselves—throughout your treatment.
Emotional Impact – Coping with the Psychological Aspects of Treatment
Last week, we discussed the journey to normalcy and the importance of ongoing care after completing your radiation therapy. However, the transition into post-treatment life often brings an array of emotions that can feel overwhelming. Breast cancer treatment is not just a physical battle; it takes a significant emotional and psychological toll as well. Acknowledging and addressing these emotional challenges is a vital part of the healing process. Many breast cancer patients experience a spectrum of emotions during and after treatment. Anxiety about treatment outcomes, fear of recurrence, sadness over physical changes, and feelings of isolation are all common. These emotions are natural responses to a life-altering diagnosis and intensive treatment regimen. According to the American Cancer Society, recognizing and normalizing these feelings can be an empowering step toward recovery. Understanding that you are not alone in these experiences can help reduce the stigma around seeking support. One of the most effective ways to manage the psychological effects of cancer treatment is by working with a mental health professional. Therapists, counselors, and psychologists trained in oncology-related care can provide a safe space to process your emotions. They also equip you with tools to handle fear, uncertainty, and stress. Techniques like cognitive-behavioral therapy (CBT) can help reframe negative thoughts and foster a more positive outlook. Even short-term counseling can significantly improve your mental well-being. Mindfulness practices such as meditation, yoga, or progressive muscle relaxation are additional strategies that help manage emotional stress. These techniques are backed by evidence suggesting their ability to reduce anxiety and enhance mood. For instance, deep breathing exercises can provide immediate relief from stress, while mindfulness meditation fosters a long-term sense of calm and emotional resilience. Many cancer centers offer classes or resources on these practices, allowing patients to incorporate them seamlessly into their routines. Another invaluable resource is connecting with others through support groups. Whether in person or online, these groups provide a sense of community and shared understanding. Meeting individuals who have faced similar challenges offers comfort and helps combat feelings of loneliness. The sense of belonging that emerges from these connections can play a critical role in emotional recovery. If reaching out to a group feels overwhelming, consider starting with a trusted friend or family member. Sharing your journey, even in small steps, can help build a support network that reinforces your strength during tough times. Remember that seeking help is a sign of courage, not weakness. Organizations like the Cancer Support Community or Breastcancer.org provide directories of local and virtual support groups tailored to your needs. Finally, maintaining a balance between focusing on your emotional needs and celebrating milestones in your recovery can provide hope and motivation. Journaling, engaging in creative activities, or even planning small celebrations for completing milestones in your treatment can bring positivity into your life. Emotional healing is a process, and it’s okay to take it one day at a time. As we move forward we’ll explore how psychological support provided by mental health professionals can further enhance your recovery. From individual therapy to family counseling, these resources offer critical tools to manage the emotional complexities of your cancer journey.
