How Much Protein You Need and

Pro Bodybuilders eat about one gram (sometimes even 1.5 grams) of protein per pound of body weight or per pound of non-fat tissue. I'm sure you've seen that the recommended dail

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Showing posts with label heart problems. Show all posts
Showing posts with label heart problems. Show all posts

Thursday, September 8, 2016

Recovering from Heart Surgery: Interview with Jill Satterfield

by Nina
Golden Hour by Marie Lossky (@Marie.Lossky on Instagram)
As some of you may recall, one of our regular contributors, Jill Satterfield (see Happy News!), needed heart surgery this year. When I visited her after her operation, she told me a little story about how doctors were “blown away” by the rapidity of her recovery, which she attributed to her pranayama practice, among other things. I was so impressed by her story—a perfect case of using yoga as adjunct to western medicine—that when she was completely recovered and back to working full time again, I asked her if I could interview her about the experience. 

Nina: Tell us a bit about yourself and what your practice was like, especially your pranayama practice, before you developed heart problems. 

Jill: My practice varies depending on what’s going on in my life—this has always been the case, but especially so over the years. My work life has gotten busier, and my personal life has encountered more of what happens as we get older—loss of parents, illness of friends, more awareness of suffering, and in my case, more resolve to prevent or soothe it whenever I can. 

In stressful times my practice gets quieter, softer, and more still. In active energetic times my practice reflects that. I practice pretty much daily, with meditation, asana and pranayama each being more or less the focal point for that particular period, but usually all three have a part. 

Pranayama has always been really interesting to me because our breath is such a wise and seasoned reflection of what is going on for us mentally, emotionally, and physically. I pay good attention to my breath all the time because of that, and, in particular, when I tune into a particular session of pranayama I am listening more than telling. In other words, I listen to what my breath and body are doing naturally first, and rarely if ever push past any limitations that I might sense at that particular time. I am sensitive to prana—life force, energy, and the subtle energetic body of which prana is a factor—and I do my best to work with it tenderly.  

Nina: What kind of heart problems were you suffering from and what kind of surgery did you have?

Jill: I had surgery to repair my mitral valve. It was discovered that a virus had attacked the valve and burned it away. They also found a hole between two of the hearts chambers. So, needless to say, the symptoms were not subtle. My heart didn’t beat properly, was working so hard all of the time—my energy was low, my brain wasn’t as clear, and my muscles were always sore. I didn’t feel normal, or rested, or ready to tackle much of anything really. I never knew if I would need to sit down, lie down, or if I would be relatively okay.  

Nina: How did you use your practice to prepare for your surgery? 

Jill: As far as asana, I mainly practiced restoratives because honestly that’s all I could do, and also that’s what felt the most supportive. I stretched, but as I say I was always sore, so it wasn’t pleasant. I knew to keep it up though, and very glad that I did. 

I practiced very, very subtle breathing all around my heart. I also practiced longer slower breathing to try to calm the heartbeats, but that never really worked. Honestly, at a certain point, because my heart was trying so hard to support my system, it never really quieted down or could rest—I felt for it and it made me love and appreciate my dear heart even more! 

Having meditated for 30 years, my meditation practice showed up the most as far as supporting me in the post surgery stage. I wasn’t afraid, I wasn’t anxious, I wasn’t angry, I was surprisingly okay with the reality of my situation. My mind, and the training of my mind—of being in the present —not far-flung into the unknown future of fear and anxiety, really was a great blessing. I was at ease with what was happening and that was great considering it went on for two years.  

Nina: After your surgery, how did you use your practice for healing?  

Jill: Once I was out of the ICU and in a room to myself, I asked to have the door closed at all times. I asked not to have any visitors so that I could rest and really focus on my healing. As I lay in bed all connected to tubes and drips, I would simply be still, and follow and feel my breath for great lengths of time day and night. In the times that the door had to be open or it became loud out in the hall, I listened to sound as my support for meditation. I also visualized different images, something I did a lot of after my last surgery over 25 years ago. It is more of a subtle body practice that I find very helpful in facilitating healing.  

Nina: What did the medical experts say about your ability to recover and to what you attribute that?

Jill: My doctors were pretty blown away by the rapidity of my recovery once I left the ICU. And once I got home it was even faster. I attribute it to resting, meditating, eating well and being mentally at ease. As far as the pranayama goes, I definitely felt the years of getting to know my inner edge—how to “hear” my capacity and distinguish the physical feeling of this is enough from the often-confused mental/emotional sense of this is enough. In other words, from listening and being mindful of my thoughts, emotions, and the sensations in my body for so many years, I had developed a keen sense of what could be beneficial and when something was too much or too soon. I trust myself, and this was hard won! 

I am so very grateful for this awareness and trust for I truly believe it enabled me to know exactly what to do for myself, and especially given the trauma of the surgery, I had complete relaxation around practicing right afterwards. My capacity to deepen and retain breath was beneficial on both gross and subtle levels, and the trust enabled me to relax and even have a sense of joy and play as well.  

Nina: Is there anything else you’d like to tell our readers?  

Jill: Sometimes we don’t fully appreciate the progress or importance of our practices, but there will be a time when our practices show up and show their strength and depth. So practicing both in the times that are easeful and in the times that are not creates this beautiful inner support system that is there for us when things get really rough. 

Also, listening to ourselves—body, heart and mind—is probably one of the most valuable supports we have in taking great care of ourselves. Imposing a practice because it is in a book or because someone else says to do something isn’t always the best way to go because the book can’t ask you questions, and the system isn’t taking your particular circumstances into account. We can prescribe best practices for ourselves over time, and in the meantime it is really important to get outside support.

Support comes in many forms—from being kind to ourselves and also equally from our teachers and spiritual friends. I can’t stress the importance of asking for help, and being able to receive it! Find a teacher if you don’t have one, reach out to your friends, and be tender and thoughtful to yourself in whatever practices you are doing, or however you are just “being.” 

Remember illness, loss, tragedies of all kinds happen to everyone, and just as we would reach out to others to help them, others want to help us. Learning to receive from others and learning how to deeply listen to our own body and heart/mind might just be best practices there are.
Jill Satterfield is the founder of Vajra Yoga + Meditation, a synthesis of yoga and Buddhism that combines meditation, yoga and contemplative practices. Named “one of the 4 leading yoga and Buddhist teachers in the country” by Shambhala Sun Magazine, Jill has instigated mindful and creative educational programs for over 28 years.

She is also the founder and Director of the School for Compassionate Action: Meditation, Yoga and Educational Support for Communities in Need, a not-for-profit that trains teachers, psychologists and health care providers to integrate mind and body practices into their professions. SCA also provides classes to people in chronic pain, with illness, those suffering from PTSD, and at-risk youth. Jill teaches workshops internationally, is a faculty member of Spirit Rock Meditation Center’s Mindfulness for Yoga Training and the Somatic Training in Marin, California, and is a guest teacher for many other training programs. To find out more about Jill, visit her website vajrayoga.com.

Friday, April 17, 2015

Friday Q&A: Mitral Valve Prolapse (MVP)

Q: I was wondering if there are any resources or practices that you can share with me for people who have mitral valve regurgitation. I myself have it, maybe born with it but some of my students mentioned that as well. I haven't found any info on yoga and people who have that and low blood pressure and it is not due to a heart attack. Are inversions ok? Running? The pace of walking and running? 

When I was in my full-time family medical practice, I had quite a number of patients who had a diagnosis of Mitral Valve Prolapse (MVP), which at times resulted in “regurgitation” of blood from heart’s left ventricle backwards into the left atrium, the opposite direction that the blood is supposed to flow. The left side of the heart receives blood freshly oxygenated from the lungs, and pumps it out to the rest of the body. The one-way valve (usually!) between the entrance chamber, the atrium, and the large exit chamber, the ventricle, is the mitral valve. Normally, the mitral valve allows the blood from the atrium to flow into the ventricle when the upper chamber muscle walls contract, and it closes and prevents backflow when the ventricle chamber walls contract and send the blood out the aorta and to the rest of the body. If the valve leaflets just bulge back (prolapse) toward the atrium, there might be no leakage of blood. Sometimes, however, they both bulge backwards and separate a bit, allowing the regurgitation our reader experiences. For most people, MVP is not life threatening and does not require any special treatment. For a small minority however, the condition does require treatment.

Approximately 2% of the US population has MVP. Many people do not even know they have it. Although you may have had this condition your entire life, you may never have specific symptoms related to the prolapsing valve, and if it is discovered by chance while some other condition is being investigated, you may be quite surprised to discover you have it. Often, those who have symptoms also have the regurgitation. Symptoms are usually mild and develop gradually, and can vary quite a bit from person to person. The most common symptoms are:
  • Racing or irregular heartbeat (arrhythmia)
  • Dizziness or lightheadedness
  • Difficulty breathing or shortness of breath, often when lying flat or during physical activity (this could require modifications for our yoga practice)
  • Fatigue
  • Chest pain that's not caused by a heart attack or coronary artery disease
If you are reading this list and realize you have some of these symptoms, it’s best for you to get it looked at, as there are many causes other than MVP for these symptoms, and it is important to know what is behind how you are feeling! Your doctor will often be able to hear a click-swoosh heart murmur when listening to your heart, and an ultrasound of the heart valves will often reveal the MVP. MVP can develop at any age, but severe MVP symptoms most commonly occur in men over 50. It has been linked to several other conditions, most of which are more rare, except for scoliosis and Grave’s Disease, a form of overactive thyroid gland.

In addition to the echocardiogram (ultrasound test), your doc might order a treadmill stress test to see if there are any limitations on your ability to exercise. So, for our reader, you might request this test if you are worried about the safety of a strong yoga practice as to relates to your MVP. And, as with many conditions that might affect your yoga practice or other forms of physical activity and exertion, you will need to do some investigating and experimenting to see what works for us and what does not. If you have MVP AND low blood pressure (see Friday Q&A: Low Blood Pressure), you may want to be more cautious and watchful when entering, maintaining, and exiting inversions. It might actually be getting up after an inversion where you would need to be most cautious, so take it slow and see how your body responds. Start with easy inversions, such as Standing Forward Bend (Uttanasana) Downward-Facing Dog pose (Adho Muka Svanasana) or Legs Up the Wall pose (Vipariti Karani) and see how these go. Then advance to more challenging inversions (it is always a good idea to learn these from an experienced teacher). 

For the majority of people with MVP who take up yoga, the condition will likely be a non-issue, but it is still worth checking with your doctor. For that smaller minority of individuals who are experiencing dizziness, shortness of breath, or heart arrhythmia, I’d recommend discussing limitations with your cardiologist before diving into a more vigorous and rigorous yoga practice. However, gentle and restorative yoga would likely be safe for just about anyone with MVP, as long as you are able rest supine without shortness of breath. 

—Baxter

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Tuesday, February 19, 2013

Yoga and Heart Health: Atrial Fibrillation

by Baxter

A yoga workshop to Cincinnati brought me face to face with my first “medical emergency” in the yoga classroom. On the first night of a two-day workshop, one of the students began to complain of a rapid heartbeat and some shortness of breath. I took her off to the side while my co-teacher continued to work with the rest of the group, and discovered, after a few more questions, that she had a condition know as atrial fibrillation. Turns out she had been feeling well lately and had decided to cut back on the medication used to keep her heart rate in a safer range. Fortunately, in this instance, I was able to get the life squad there quickly and shuttle her off to the ER for appropriate care, and the rest of the workshop continued without a hitch. Now a dozen years later, an ongoing study at the University of Kansas seems to suggest that yoga may be helpful in treating this particular heart condition!

So what is atrial fibrillation? According to the National Institutes of Health:

“Atrial fibrillation (A-tre-al fi-bri-LA-shun), or AF, is the most common type of arrhythmia (ah-RITH-me-ah). An arrhythmia is a problem with the rate or rhythm of the heartbeat. During an arrhythmia, the heart can beat too fast, too slow, or with an irregular rhythm. AF occurs if rapid, disorganized electrical signals (emphasis mine) cause the heart's two upper chambers—called the atria (AY-tree-uh)—to fibrillate. The term "fibrillate" means to contract very fast and irregularly.”

Sometimes, people who develop this condition notice the rapid, irregular beating of the heart, but sometimes it can go unnoticed for a while. And two very serious conditions can result from untreated atrial fibrillation: strokes (which occur suddenly) and heart failure (which develops more gradually). The underlying problem has to do with the heart’s electrical system not functioning correctly. And because the normal spread of the electrical impulses is both too fast and uncoordinated, the heart becomes both less efficient at sending blood out to the lungs and the body, and blood tends to pool or hang out in the heart chambers longer than it is supposed to. This pooling can lead to blood clots forming in the chambers of the heart, which could then be launched into the arteries that lead to the brain, and—whammo!—a stroke occurs. For more information about AF, check out What is Atrial Fibrillation? from the National Institutes of Health.

Back to 12 years ago, when I was confronted with someone who was having acute symptoms of her rapid heart rate, I needed to get her to a facility that could quickly get her heart rate in a safer range and make sure she was not at risk of a stroke. And I did not have information then on how yoga might impact the course of her problem. Now, research being conducted in Kansas is suggesting that yoga may be a part of the future treatment of AF. At the University of Kansas Hospital, an ongoing study is looking at the effect of regular yoga practice on irregular heartbeat. The yoga world has long known about the connection between yoga meditation and breath techniques and the ability to influence the heart rate. This connection between the mind and the heart is at the center of the theory on how yoga may help with AF. Via yoga’s ability to influence and change the autonomic nervous system, patients may be able to have more control over their heart rate than those who do not do yoga. It is also known that stressful situations and emotional moments can trigger the AF person’s heart to beat more rapidly. So the researchers are monitoring the study participants for how many episodes of recurrent AF happen while on the yoga regimen. They report that the initial results look promising.

AF is one of those medical conditions where a combination of modern western treatment, which includes medications that help control the rate and rhythm of the heart and procedures to help if meds don’t, and lifestyle modifications, like yoga as well as diet and other exercise, will optimize the health of the person with AF. The study is not yet completed, but we will try to keep an eye open for the final report and give you an update when that happens. In the meantime, see Yoga My Heart  for more about the University of Kansas Hospital study.

Saturday, November 26, 2011

Friday Q&A: Cautions for Inversions

Legs Up the Wall Pose (Viparita Karani)
Q: I’ve heard that some people should not do inversions, but you didn’t mention this in your post on Wednesday about inverted poses. Could address this?

A: Oops! My bad, as Buffy would say. It’s true that for certain medical conditions, inverted poses are, as they say, contraindicated. So I’m sorry I did not mention this earlier in my post Just in Time for the Holidays: Inverted Poses.

First off, the poses you may need to be concerned about only include the full inversions and some of the partial inversions that are held for long periods of time.

If you have high blood pressure that is uncontrolled with medication, you should not do inverted poses, because, as I explained in my post (see here) they temporarily raise your blood pressure. And even if your high blood pressure is controlled with medication, talking with your doctor before doing full inverted poses is probably a good idea. People with heart problems should also consult their doctors.

If you are having eye problems, such as glaucoma or detached retina, inversions should also be avoided. Likewise, if you've recently had oral surgery. And those with neck problems should avoid the inversions that put pressure on their necks.

People with back problems will probably find that at least some of these poses may cause back pain, in which case, you should please come out of the pose and find an alternative (I’ve noticed Supported Bridge pose and Legs up the Wall pose can cause difficulties for people with lower back problems).

There are many yoga teachers who do not recommend inverted poses for women who are menstruating. However, as far as I know, there are no scientific studies to back up their concerns. What I recommend is that each of you do your own research on the subject, talking to your teachers, your gynecologist (I did that), and other female practitioners, and make up your own mind based on their advice.

Finally, if you are pregnant and not already experienced doing inverted poses, this is probably not the best time for you to start. 

—Nina