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 surgery. Show all posts
Showing posts with label surgery. 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, August 24, 2012

Friday Q&A: Post-Surgery Scar Tissue

Q: Hi good folks. Several years ago I had emergency surgery for diverticulitus (I was 44, now 48). Afterward I lived with a colostomy bag for six months and then had a colon resection. During the second surgery it was discovered that I had extensive scar tissue. I am assuming that there is even more scar tissue now resulting from the second surgery. Since then I have experienced some occasional intense short blasts of pain when doing asanas (parsvottanasana and prasarita padottanasan in particular). I know I have to be careful of causing hernias and have worked to increase abdominal strength. I have two questions: What about the forward bends is causing the pain and how do I correct myself to prevent the pain? Will stretching (twists and backbends) aggravate the creation of scar tissue or can it help to keep my abdominal area more supple? Thank you in advance for any information and/or advice you can provide.

A: Thanks for writing in! Your question is challenging for several reasons. The most obvious one is that without a longer interview about your recent and past history and without an actual physical exam, it is really hard to know what is the source of your abdominal pain. As we have advised students in the past, make sure to get a good check up soon with your surgeon and family MD if you have not do so yet. Secondly, you could assume, and maybe rightly so, that your pain is coming from scar tissue that formed as part of the healing process from your two surgeries. It would be helpful to know if you had similar pains between the two surgeries, or only since the second one, when you have been able, I would imagine, to be more physically active. But—and the big but—there could be a completely different source of your pain that is as yet undiagnosed! Ergo the need to see your docs for a check up to rule out some other source of abdominal pain.

Finally, I am not sure, but must assume, that the abundant scar tissue seen during the second surgery may have been a result of a ruptured diverticuli, that ruptured into your abdominal cavity. This could explain the need for a temporary colostomy bag. When you have a rupture of this sort, the contents of your large intestines, stool, can escape into the belly cavity. This can result in an infection and inflammation situation in the belly, often treated with strong antibiotics. A side effect of such a situation is that the tissues of the belly can end up sticking to one another and adhesions (like the word adhesive) form between these tissues, and they are often referred to as “scar tissue.” Sometimes these adhesions don’t cause any trouble, sometimes they cause pain or pulling, and in rare instances, they could block to gut and cause a serious back up.

I would also assume that during the second surgery, they probably cleaned up the scarred areas while they re-connected the two ends of your large intestine. If everything was clean and no infection happened after the second surgery, you could expect little or no new scar tissue or adhesions. This is good news, and your assumption about more scar tissue after the second surgery may not be true.

But even with an uncomplicated surgery, healing tissue forms a scar as part of healing process and this is an expected and normal situation. However, the areas of scar on the surface of the body and even inside the body could lead to some tightness and restriction of movement in the affected area. I know this first hand, as I had a double groin hernia repair about ten years ago, and after the initial pain subsided, I definitely had tightness and mild discomfort for months if not a year afterwards. A patient yoga practice gradually got me back to a full experience of yoga.

Backing up a moment, clean wounds seal up pretty fast, with in a few weeks, but they continue to get stronger for a while longer, at least six weeks. In fact, a common warning after surgery is to limit activity for about six weeks after surgery to give the body enough to form a strong scar.  Usually, after that, you can gradually resume your pre-surgery activity.

So if we assume you have been to the doctor and have a clean bill of health, how do you approach the pain you are having? If it is exclusively happening in forward bends, is it in all forward bends, or only the two standing ones you mention above?  The fact that it happens in forward bends makes me suspicious that the action of “compressing” the abdominal contents is the trigger for the pain, especially if twists and backbends don’t cause pain. If the source of the pain is fascia or connective tissue in the belly, you can cautiously and safely do backbends and twists as a way of releasing some of that tension, which could lead to lessening of pain on forward bends.

If you love forward bends and want to keep them in your practice, consider tipping from the hip joints and avoid rounding the spine and don’t bring the lower belly in contact with your thighs. In other words, stay a little higher up in the forward bends and see if you can avoid triggering the pain. You can still feel a nice stretch in the back of the legs and torso with this modified way of doing forward bends. Also, for seated forward bends like Upavista Konasana (Wide Angle Forward Bend), where the legs are wide apart and the belly is not so compressed, I’d hope you would have less chance of triggering pain, even though the standing version was a trigger.  You will have to do some experimenting in your home practice and have an experienced teacher observe you in your forward bends to begin to get more details on what poses seem good to do and others that might be best avoided. If I have a pose that I avoid because it triggers pain, I like to have one that I can substitute in when I am in a public class and don’t want to miss out.

Hope these thoughts are helpful in you yoga explorations!


—Baxter