Another In-stall-ment From Your Bathroom Sherpa

juliafragiaslmt:

Never ignore your pelvic floor! An informative post from my sister in health, wellness and the toilet :-)

Originally posted on More than Meer:

Of course the internet has photos for this occasion.If you’re reading this post, I’m willing to bet that you were potty-trained a while back, and that no one’s been in the stall with you for at least a few years. And I’m also fairly certain that by now you’re confident in your ability to empty your bladder and bowels. But chances are… you’re getting it wrong. Yes, my friends, there is a way to get it wrong, and this is about more than which way to wipe. So let’s get anatomical on your nether bits.

Think of your bladder as a balloon and your urethra (where the pee comes out) as the stem of the balloon. You also have two urethral sphincters and pelvic floor muscles that can pinch the urethra closed so your urine doesn’t come out. The simplest way to explain it is this: when your bladder starts to fill with urine, the muscular tissue surrounding it (called…

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Show them what you’re worth

A familiar image to New Yorkers – the fearless, hard working, mostly immigrant lot that helped build up the city skyline we are famous for…

 

In my family, your sense of worth comes from how hard you work. It doesn’t matter if there is little to no material pay off for this work. Your blood, sweat and tears are enough of a status symbol to make the neighbors unable to call you the worst of insults – useless! This work ethic has been passed down through four traceable generations. It’s very much alive in me and that air of purpose shows society that I’m grabbing life by its horns or its balls, depending on the situation. No family lore ever spoke of burnout, though.

I’ve mentioned this topic in another post “The Magic Number” where I discussed how too many massages with little self care leads to the need to set a professional limit in order to avoid burnout. Professional burnout is common in any career that involves caring for others. Our nurturing energy can literally be sucked dry if we don’t set up the proper boundaries and limits on “selflessness.” In extreme cases, injury and illness befall the individual who is worn thin. More common features of burnout are irritability, resentment toward those you are giving care to, impatience and clock watching. This last term is one the awful markers of burnout in massage. This is when a therapist counts down the minutes til the massage they are performing is over. I admit there have been a handful of massages where I dug deep in my psyche to get through it because every minute felt like an hour; however if I felt like that with every client and therapeutic situation, I would be in trouble.

The other evening, I chatted with two colleagues who have been licensed Massage Therapists now for almost a decade. We were discussing our “worth” within the corporate spa setting and one of them made a telling exclamation. Every three years, she is garnering new skills that she brings to the table outside of her hands on experience and spending hundreds if not thousands of dollars to acquire these skills and keep her license current. She lamented with an ironic laugh how she is getting better in every sense of the word, but has less to show for it each year. In fact, her commission rate straight out of school was 7% higher than it is currently at the ten year mark.

Her lament peaked my curiosity as to what salaries/commissions are like in other corporate owned spa settings. I wanted a comparison. Perhaps it was only this particular spa chain that so profoundly undercut its “talent.” What I learned was pretty disheartening. Granted, my research reflected the New York market; however, we have one of the most arduous and strictest licensing processes in all the country. If anyone deserves a proper salary for their training, it’s New York State licensed massage therapists. So, does the corporate spa setting undervalue therapists? YES!!!

The caregiver in need of care…

 

Before faces lengthen and spirits become disillusioned, it’s important to understand that there are many other options and specializations for a massage therapist. Your worth isn’t determined by one particular spa chain or corporate pay structure. In fact, you can set a rate per massage for your private practice that reflects the skills, continuing education and experience you have amassed. Also, many medical settings, like chiropractic, physical therapy and rehabilitation have a need for capable, experienced therapists to support their patients’ treatments. These places will pay sometimes fixed salaries and sometimes per documented massage hour regardless of how many patients you see in a day. The reality that newly minted and seasoned veteran massage therapist have to come to terms with is that you won’t be able to put all your eggs in one basket. Having two or three part time positions in addition to private clientele may be the only way to make a decent living and this reality could/can lead to burnout. Perhaps then this profession is something you can’t do for the long haul. This is what I have started to realize. This is why I made the decision to return to school and pursue a parallel, but different therapeutic career. Perhaps my colleague should do the same. Harkening back to my family’s legacy, I find that there isn’t any sense in showing the world how much of a hard worker I am when I may end up breaking both my back and my spirit in my effort. It’s time to rewrite the story and choose the gentler path for once; one that eventually will pay off and show the most important person of all, MYSELF, what I’m worth!

 

 

My Social Clock is Ticking

Depending on the society you live in and/or culture you identify in, there are certain expectations of accomplishment by the milestone ages of young adulthood. Much like the tell tale biological clock, the social clock ticks away throughout the lifespan signaling you to get your shit together with the rest of your age group. Career establishment, finding a life partner, starting a family, buying a home and so forth are markers set in a chronological order determined by society (hence it being a social clock). The biggest enforcers of this clock are within families i.e. your parents. They will assess you as you progress through young adulthood and give verbal reminders of where you “should” be by the age you are. They make fun comparisons to other people in your age group, usually friends and relatives who have accomplished what you have not. Society doesn’t do you any favors either, as the media drills what is appropriate for your chronological section of the population. Suddenly, the guy in the Lowes commercial kind of looks like you, as he sands down his deck and gets ready to grill some food for his family. The 20 something year old actress with her swollen baby bump stands next to the mid 30’s journalist with a smaller bump and they compare pregnancy symptoms and the helpfulness of their respective partners. You get the picture.

What happens when you haven’t satisfied all the “shoulds” for the age that you are? This is an existential exploration that some are perfectly okay with (i.e. they don’t care) and others derive extreme distress from. Here is where it gets personal.

I spent the bulk of my 20s in suspended animation. I don’t want to say it was time wasted; however, my eating disorder coupled with maladaptive cognitive distortions kept me from really establishing myself in the world as a career person, continuing my education or having a healthy romantic relationship. It wasn’t until my 30th year that I entered “the game.” I recovered, met and entered into what became a long term cohabitative relationship and went back to school to establish a more stable career. Now 35, I am at another transition point. The career is established, but my mind and body yearn for something more. I decided to go back to school again to make that happen. The relationship is no longer and the biological yearnings have kicked up their volume three-fold. I’m the healthiest physically I have ever been in my life, but emotionally I feel like I am in what psychologist Erikson described as the conflict of young adulthood – intimacy vs. isolation. His theory notes that a secure identity makes intimacy possible because you will be able to open your own self up to a permanent commitment to a partner, share in their interests and values as well as be faithful and develop love. If intimacy isn’t achieved, then isolation is the result, which for those who rejected intimacy or had insecure identity produces a sense of self-absorption or loneliness at the other extreme. You’re essentially in a state of searching for the ONE…beginning with YOU!

All those self-help books and talk shows do have a point when they stress being in a relationship with and loving yourself first before anyone else can love you. Attraction and passion come a lot more easily than compassion and love. American society is very attraction and passion driven. The latter two qualities are only possible if you have a secure sense of yourself. Starting from childhood, how your parents raised you will determine what sense of self you develop by early adulthood. Did they make you feel warm, supported and safe? Or were they nurturing in practical ways, but not very emotionally demonstrative of their love? Were they absentee due to work or their own life struggles, making you feel like you were last on the priority list? Although many people can still have a healthy self concept in some pretty gnarly childhood circumstances, the warm, supportive parenting style i.e. authoritative is going to set you up for success in the intimacy department.

Your parents might play a huge part in setting you up for success or failure, but taking responsibility for your own actions, thoughts and feeling is also important. Doing the work to build a secure sense of yourself. In exploring some of my existential issues, I find myself wishing I belonged in the “I don’t care” group who continue along their life path paying no mind at all to the social clock. The thing is, they have created their own social clock or as the English expression goes “they walk to the beat of their own drum.” Live for you; not for others’ expectations. I find that I haven’t been doing enough of the former and I’m not alone. And as if we need any more motivation, know that the buildup of stress hormones in the blood at this early age can cause your organs and body systems to fail sooner by the time you make it to a ripe old age. So, take a deep breath, let go of the distress and open your heart to loving you and creating a time line of goals that resonate with your needs and desires, separate from family, culture or society. The time is now…

 

 

What’s my age again?

How old would you be, if you didn’t know how old you were?

There are some days where I feel about 100 years old. My body moves like it’s made of lead and all my senses are dulled. Thank god those days are few and far between. Most of the time, I marvel at the amount of physical work I am capable of; something my unhealthy 25 year old self would have fallen over just thinking about. There is  a lot to be said about the statement, “You’re as old as you feel” which ties into the question that opened this post. With proper exercise, nutrition and stress reduction and/or mediation coupled with good genetics, a person can certainly look and act a lot younger than their chronological age. Our functional age is based on how capable we are to carry out physical tasks in daily life and also encompasses psychological, environmental and physiological factors. This is especially important amongst the elderly population, where their ability to function at a younger level helps maintain their vitality.

How old do you think she is?

Behold, Edna, a woman approaching 100 years old, who happily works with her trainers at the gym doing a medley of exercises in her adorable leopard print leggings. Energy, strength and personality exude from her tiny frame. Her mantra? “Don’t let yourself get weak.” We could all grab some inspiration from her, as excerpted below from a Women’s Health Article published in March 2014.

http://www.womenshealthmag.com/fitness/97-year-old-woman-doing-squats

Edna’s positive and motivated mental state counters the physiological reality of her age and its limitations. As we age, we lose muscle mass (sarcopoenia), bone density (osteopoenia) and collagen, which weakens our connective tissues. It takes more effort to do a lot of the activities of daily living in addition to the fun stuff like working out, chasing your grand-kids or climbing a trail.  The psychophysiological relationship is fascinating to me because it essentially shows that a good attitude, social interaction and familial/community support can override a lot of what would limit you physiologically. It can also do the opposite when the above three things are non-existent. Even as a young person, a negative attitude (I can’t do that) mixed with social isolation (Leave me alone) and no sense of community around you (I have no friends) can have drastic affects on how you function. Ask that person how old they feel and the answer probably will not match their chronological age; nor will it be for the better.

How old does this toddler feel if she’s conked out while standing?

So, take a moment to do a little metal inventory and ask yourself the opening question. What are the factors that made you answer the way you did? Are you doing too much? Too little? Have you not seen a friend or family member in a while because of a hectic schedule? Are you surrounded by energy vampires? This self searching will allow you to pinpoint what needs to change in this moment in order to feel more like the number you deserve to be. Life is already too short as it is. Make every year count!

Light Therapy: Baking the pain away

Let the sun’s rays bake my pain away…

I am FINALLY on vacation after a long, hard year of doing what a New Yorker does best – hustling! Gratuitous amounts of massage meant that business has been very good, but inevitably that overwork had its downside a.k.a tendonitis. My workouts helped me push through and past my ¨magic number¨ of massages per day, but with all that repetative movement it was inevitable that I would develop an overuse injury. Nevertheless, in the weeks that led up to my Mediterranean vacay, I had been laying out in the sun every morning before work to both settle my mind and develop a ¨starter¨ tan. The added bonus was the heat of the sun hitting directly onto my upper back and shoulders really dissipated a lot of the pain and tension I felt from the previous day´s physical demands. Unbeknownst to me this heliotherapy I was giving myself is actually a therapeutic technique dating back to antiquity. A number of ancient cultures had an idea of the healing properties of light. Hippocrates, the father of modern medicine, prescribed sitting in the sun to heal a variety of illnesses. Herodotus, the ancient Greek historian, preached that the sun could help heal nerves and muscles. Many ancient Greeks built roofless buildings for the purpose of exposing themselves to the sun´s rays. Outside of ancient Greece, the Egyptians took it a step further and practiced bathing themselves in various colored light to cure diseases. Thousands of miles away in India, medical texts dating back to 1,500 BC also note the healing properties of light for skin disorders. Go even further to China and their medical texts from over 2000 years ago detail a range of color and light therapies for skin and mental illness.

A woman receiving light from a modern light therapy i.e. phototherapy box

So, seeing that the ancients had an inkling of what the sun could do for one´s health, modern medicine didn´t get the memo until the early 19th century, where Niels Ryberg Finsen, a Danish doctor of Icelandic decent, studied the medicinal affects of light rays. His impetus was the severe metabolic disease he suffered from whose symptoms  he experimented with sunbathing to relieve. He died a year after winning the Nobel for a phototherapeutic device he created that simulated sun light to treat several skin conditions. Thirty years later, scientists realized a lack of Vitamin D produced in the body by exposure to sunlight, was the main cause of a disease known as ¨Rickets¨ which leads to the weakening and softening of bones. Twenty years after that, researchers in Hungary used soft laser light to relieve arthritis pain. In later years, NASA scientists did a plethora of research on the manner that LED light affects plant biology in an effort to understand how to grow plants in space. What they found was a very small spectrum of light provided most of the energy needed to grow plants. From this research, more strides were made in the understanding of the healing properties of light within animal and human cells. Currently, two forms of phototherapy exist; Non targeted light therapy that comes from a box, like in the image of the woman above and targeted light therapy, which is administered by a laser. These forms are used with much success in the treatment of such skin disorders as psoriasis, non-severe acne, vitiligo, eczema, atopic dermatitis, polymorphous light eruption and lichen planus. They have also been effective at treating mood and sleep disorders like SAD (seasonal affective disorder), non seasonal depression and circadian rhythm disorders like delayed sleep phase disorder. Further medical research is being done with light therapy to address accelerated wound healing and pain management, which brings me back to my tendonitis. My experimentation with light therapy from its natural source (the sun) elicited the following note. On the days that I did not lay out because weather did not permit me to, I found that the pain and weakness in my anterior shoulder and neck would become mildly worse and last the full work day. The days that I did get about 45 mins of sun exposure, it felt more like a dull ache and only after doing 6 hours of massage at the end of my day. It is clear to me that the sun does heal. In the two weeks I will be bathing in its Mediterranean glory, my hope is to eradicate most of the pain and heal those weary tendons. I am looking forward to the day when the medical community finally approves its use for pain management. We need more natural and ancient approved manners to heal our bodies and minds.

Metabolic Obesity: Redefining Fat

When many of us think of fat, we picture folds and rolls that jiggle. The fat that the health and beauty industries market toward is that which is under the skin, otherwise known as subcutaneous fat. It’s the same fat that puckers through weak connective tissue grids creating what we call cellulite. While this fat is concerning from both an aesthetic and health oriented perspective, there is a far more insidious kind of fat not always visible on the outside who is responsible for a host of diseases in the long term. This fat is not assessed by volume like those caliper pinching tools used to tell you your overall body fat %, but by location. This is your deeper fat reserve – your visceral fat.

The how to of measuring one kind of fat…caliper in action

Visceral fat (also known as brown fat or metabolic fat) gets its name because of where you find it – nestled deep in the abdominal cavity surrounding organs (i.e. viscera) like the liver, intestines, pancreas and kidneys. It’s there as an energy back up for your vital organs as well as to cushion and protect them. Your body is hardwired to maintain this fat, unless there is a deficit (i.e. starvation or intense exercise). In fact, even when not starving, this fat produces substances that affect insulin levels and communicate with the liver to influence blood fat content ensuring that the vital organs always get fed. In a famine, this fat will be the first to go before your body resorts to breaking down surface fat, muscles and organs for fuel. Now, imagine that you have more than what you need of this highly active fat? It pumps out pro-inflammatory cells into your blood stream, since it has a tight relationship with a major blood vessel to the liver and heart. These cells cause insulin resistance which is the precursor to Type II diabetes as well as promote the development of heart disease, atherosclerosis (hardening of the arteries) and cancer of the bowel. Research even suggests that visceral fat increases production of the stress hormone, cortisol, and reduces levels of feel-good endorphins, leaving you feeling low on so many levels.

Being that it is so metabolically active, plentiful visceral fat is not the easiest to get rid of. This is also why people who have excess are now being termed metabolically obese regardless of whether they look lean or large. The tell tale sign of this excess in most people is the gut. While the gut is more prevalent in men who tend to have more fat stores in their belly region due to their hormones, menopausal women can also display this type of distention. Waist circumference will give you an inkling as to whether visceral fat is high; 35 inches or more in women and 40 inches and above for men. Another factor that affects visceral fat accumulation beyond gender and hormones is heredity/ethnic background. If people in your family tend to be apple shaped, meaning that more of their fat resides in the upper body, chances are your visceral fat is going to be higher. Following patterns amongst ethnic groups, it was found that excess visceral fat pops up in white men, African American women, Asian Indian and Japanese men and women most often. In addition, certain environmental factors play a role such as smoking and the consumption of compounds in food that mimic estrogen. Known as xenoestrogen or “foreign estrogen” they enter the body through the eating of plants and meats that have been exposed to or naturally contain these compounds and wreak havoc on hormonal levels which mess with visceral fat accumulation. However, many people suffer from metabolic obesity, as I noted earlier, without any outward sign of a large tummy. In fact, they might look pretty lean to the naked eye and register BMI’s that are in normal range.  The only way they find out their visceral fat is high is through an MRI or CT like scan, where the fat’s location can be clearly seen, as demonstrated in the below image. Of course, this is a costly test that is not always accessible or covered by insurance.

MRI Scan done in Britain of an outwardly thin person, who clearly has a large amount of visceral fat, as seen in the white regions of his abdomen (http://www.telegraph.co.uk/news/uknews/1536556/Get-in-touch-with-your-inner-fat.html)

 

So now that your perception of fat is altered, what can you do to reduce excess visceral fat? A 2007 study indicated that High-Intesity exercise was most effective when done at least 4-5 hours a week. Another added bonus for some of the individuals taking part in this study, when combined with dietary tweaking, was an overall reduction of their subcutaneous fat % thus putting BMI levels in normal range. I can’t think of a better prescription than food and exercise. Of course, the best people to consult with for said script would be a nutritionist or registered dietician and a personal trainer. The former for an overhaul of your diet and eating habits and the latter for the right training regimen. My personal feeling with respect to trainers is to do your research and look for someone who has a strong background (cumulative experience and/or degree) in exercise physiology or kinesiology to construct a program of exercise that best suits your body, fitness level and individual goals. Physical therapists and doctors that specialize in sports medicine can be great sources for referrals of this kind.

 

Heavy Metals Will Rock You

…and not in the way that involves big hair and thrashing one’s body around. No, the heavy metal I’m referring to is that which basic chemistry defines as any metal or metalloid compound in the environment that is cause for concern. This concern is due to its adverse affects on human health and surrounding habitat and not so much on how “heavy” the compound actually is. These metals are EVERYWHERE but their toxic concentrations are the bi-product of human industrialization. For instance, vehicle emissions are the worst for releasing toxic metals into the air. Live near a highway or major metro area and your body is constantly filtering in contaminants including arsenic, cadmium, cobalt, nickel, lead, antimony, vanadium, zinc, platinum, palladium and rhodium. Soil tests along many major roadways in the U.S. indicated that they still retain high levels of lead, despite the phase out of lead in gasoline almost 20 years ago. Fertilizers, paints, treated woods, lead-acid batteries and mining/factory wastes are other sources of contamination. Heavy metals can get in through the air, as noted before, as well as through the water, surface of the skin and the ingestion of plants that have been exposed to contaminated soil and/or water. Also note, the animals that feast on these plants also become a source of exposure to us humans who may dine on them at a later time.

This image shows how heavy metals get released into the Mississippi River courtesy of the U.S. Geological Survey Circular

Now, let’s break down how heavy metals negatively affect human health. Certain metals like sodium, potassium, magnesium, calcium, and iron are found in living tissue and are essential to human life; however in high concentrations are toxic. Others, like the aforementioned cadmium, lead and mercury are toxic even in low concentrations. Once the metals are introduced into the body, it’s ultimately the liver’s job to filter out what is not necessary and store what it needs. These metals bind to cellular walls and the metabolically active regions within the cell that not only mess with  its structure, but also its function. Short term symptoms of toxicity depend on the individual metal and how much of it has built up in the body. Over the long term, many of these metals cause cells to turn cancerous, warp and destroy parts of the central and peripheral nervous system and also reduce and/or destroy red blood cells which affects our circulatory system.

Diagram of the various health anomalies that occur with short and long term exposure of heavy metals (courtesy of DATCS)

With some level of exposure being inevitable in our industrialized world, what can we do to mitigate the affects of heavy metals on our health? There is an FDA approved therapy known as chelation which assists the body in cleansing itself of heavy metal deposits. This therapy is administered by a doctor, who will give you a full evaluation and blood screening prior to beginning the treatment. After you have been assessed for levels of heavy metals, etc. you will be administered a binding agent or chelator intravenously along with vitamin C, B complex, Magnesium and specific homeopathics to support the detoxification. Seated in a chair, your session will be about 30-40 minutes. Perusing various sites that describe the treatment it ironically resembles chemotherapy with its grouping of comfortable recliners and patients seated hooked up to I.V.’s. The doctor will recommend a particular amount of sessions before your blood is reevaluated to indicate if more treatments are necessary. It must be noted that some of the chelators  used to bind to heavy metals have their own side effects that could be detrimental to health in the long term; however research is being done to find safer and more effective ones.

Before chelation becomes necessary, it is important to assess your environmental and occupational risks. Is your workplace exposing you to toxins? Obviously if you work in a factory or manufacturing plant as well as in a mine or refinery, you will be exposed if you do not follow safety guidelines, which include wearing protective clothing/gear and properly decontaminating through hygienic practices like skin washing. In your daily life, you can use a filtration system to filter your water of heavy metals and contaminants. There are tons on the market now and are very easily available. Read products labels of the cleansers and products you used daily in your home to see if they contain any heavy metals and protect yourself accordingly. Or even better, swap those cleansers for greener choices that are free of these toxins. Also, avoid getting mercury fillings in your teeth as the amalgam releases small amounts of mercury over time into your body. Find out what other filler alternatives are available (and they are) and choose a dentist who has experience in the safe removal of mercury fillings, so you can have them replaced without exposing yourself to further poisoning. And of course, if you live right on top of a factory, plant or major roadway, it might make you want to reconsider your address lest you never open your windows without the aid of an air filter at all times.

The next and probably most important thing is to assess your nutrition to make sure you are sufficient in calcium, iron and zinc. These three elements bind to lead and cadmium preventing its absorption. Note that I mentioned sufficiency and not excess, which would be toxic to the body. In addition, make sure if you are consuming fish oil, that is from mercury free critters of the sea. And the same goes for the consumption of fish. Know which ones have higher levels of mercury (examples: shark, swordfish, king mackerel, tilefish, etc.)and limit yourself to no more than one serving per week, if that. Also Vitamin C and E bind to heavy metals and allow them to be flushed out of the system. Vitamin E consumption in studies with lab mice who had been exposed to heavy metals indicated a boost in anti-oxidant defenses and reduction of tissue damage. Taking it one step further, a combination of Vitamin E and C dosage was administered to workers who had significant levels of heavy metal toxicity. After 6 months, there was such a significant repair and boosting of anti-oxidant defenses that their scans compared to people who had never been exposed at all to such toxins. Other nutrients like Folate, Garlic, Cilantro and Selenium have also shown to reduce levels of heavy metals in the body as well as boost liver health. Go nutrition and the ancient Greeks who believed food to be thy medicine.

In conclusion, if you are curious or believe that you might be at risk for heavy metal toxicity, ask your doctor to order you a blood panel for heavy metals as well as a comprehensive blood count, which tests the health of your kidneys, liver and iron levels in your blood. Dependent on the findings you can make the lifestyle and nutritional modifications necessary to rock your life out for many years to come sans the influence of heavy metals!!