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Posts with tag time

Today, I am grateful

The following post is one of a series of posts appearing Monday through Friday on The Cancer Blog. This feature -- Today, I am grateful -- allows me to share with readers my appreciation for all the treasures in my life, both big and small. It's healing for the soul to be mindful of the good in our lives. It is my pleasure to share my gratitude with you.

Both of my little boys are in school now. Joey is in first grade. Danny is in Pre-K. And I am at home -- all alone, for four and a half hours, five days per week, in total and complete silence. I get to exercise, read, write, fold my laundry, wash my dishes, run errands, whatever my little heart desires.

It's been six whole years since I've been able to go to the bathroom by myself, take a shower without the distant sounds of fighting and tormenting in the background, and eat lunch with slow, purposeful bites. After all these years as a full-time mom, my new-found free time is glorious.

Today, I am grateful for the stillness and silence that fills my house when my little wonders are at school.

Worthy Wisdom: Suncreen, sunscreen, sunscreen

I'm a little tired of reading and writing about sunscreen. Maybe it's not the actual reading and writing that has me worn out. Maybe it's the realization that I keep reading and writing about sunscreen yet the information is just not sinking in with the masses of sun-hungry people out there -- according to the EPA, there has been a staggering 1,800 percent increase in malignant melanoma cases since 1930. Recent figures show a shocking rise in skin cancers among those in their 20s and 30s.

The experts at Canyon Ranch are weighing in on sunscreen. So here I go again, with some more about this tiring topic.
  • Sunscreen contains unique chemical components which absorb ultraviolet (UV) light. When applied to the skin, the chemical molecules form an invisible, protective layer that repels the penetrating UV rays. It also helps prevent premature aging and pre-cancerous growths.

Continue reading Worthy Wisdom: Suncreen, sunscreen, sunscreen

Thought for the Day: All the ways we say 'I Love You'

If there's one thing that I've learned about cancer, it's this: Life is too fragile to worry about the things we usually spend all our energy on, like deadlines, traffic, working late, making money and so on. Cancer isn't always a death sentence but it should always be a wake-up call. Whether it happens to you or someone close to you, it should always remind you of what's really important.

When my dad passed away, I went through the anger stage of grief being angry at him because although he knew he was dying and I didn't, he never once told me he loved me, even though we had about a dozen conversations during that time. I took grief counseling shortly after and my counselor said something simple but profound and definitely thought-provoking: sometimes the way we say I love you isn't through words.

Continue reading Thought for the Day: All the ways we say 'I Love You'

Cancer patients and fatigue

Cancer patients will inevitably develop some sort of fatigue while going through chemotherapy or radiation therapy. The problem is that it is difficult for health care professionals to accurately assess its severity. There is a new method being studied to help nurses and physicians provide an instant measurement of a patient's fatigue.

The method is called ecological momentary assessment, also known as real-time assessment. The National Comprehensive Cancer Network defines fatigue as "an unusual, persistent, subjective sense of tiredness related to cancer or cancer treatment that interferes with usual functioning".

Continue reading Cancer patients and fatigue

Breast cancer drug Herceptin approved in Europe

Breast cancer drug Herceptin has been approved in Europe for use with hormonal therapy for postmenopausal patients with HER2 and hormone receptor positive metastatic disease.

Herceptin, made by Swiss drugmaker Roche Holding AG, is already approved in Europe for early and metastatic HER2-positive breast cancer.

This new approval is based on data from an international late stage clinical trial showing the combination of Herceptin with hormonal therapy doubled the median progression-free survival time.

Thought for the Day: Banning junk food ads

If eating junk food and watching television lead to obesity, a sedentary lifestyle, and a road marked by diminished health and increased illness, then kids living in Britain are about to get a whole lot healthier.

Think about this:

According to the March 19, 2007 issue of TIME magazine, British broadcasting regulator Ofcom will phase out all commercials on children's programming that promote junk food containing high fat, sugar, and salt.

The ban will begin at the end of the year.

Sunday Seven: Seven happy, healthy habits

The experts at Canyon Ranch resort and spa know what they're talking about when it comes to health and happiness. They make a living off their expertise, in fact. But they're not stingy when it comes to sharing their know-how, and on the Canyon Ranch website, they offer us all a chance to better our lives.

I promised in an earlier post to share more of what the Canyon Ranchers have to say -- so here are seven more healthy habits you just might want to embrace.

To Carb or Not to Carb

Canyon Ranch has watched "fad" diets come and go, never falling for their quick, easy-fix mentality and consistently advocating for balance, moderation and basic good nutrition. In recent years, some diets have forsaken whole grains for foods rich in protein and essentially free of carbohydrates. Whole grains, which are carbs, have always been a vital part of good nutrition. And while removing high-carbohydrate foods from your diet may initially help you lose weight faster, over time their absence can negatively influence your health.

Making Time for Time

People take classes to learn time management, they rely on the latest technologies to make the most of it and budget time as carefully as their money. Still, when it comes to health care, you may find yourself in a time crunch. Fortunately, Carl Pratt, managing director of the Canyon Ranch in Lenox, offers a timely solution: The 90-Minute Program. "It really only takes 90 minutes a week to stay focused on maintaining a healthy lifestyle. If you aren't willing to dedicate 90 minutes, you aren't willing to take care of yourself, and you need to accept that fact," says Carl. Carl breaks down the 90 minutes per week as follows:
  • 15 minutes of planning for "mindful eating"
  • 45 minutes of exercise (15 minutes, three days a week)
  • 30 minutes of relaxation (five minutes, six days a week)
Commuting Bliss

When you change your mindset and treat commutes as a transition time for relaxation or education by listening to music or books on tape, your daily drive becomes a worthwhile experience. "We all see commutes as inconvenient, and we need to think of them as something valuable. Remember, the ultimate removal of commute time is not what people want. Otherwise, we would go directly from birth to death and skip everything in between. If you can't enjoy the commute -- and indeed, some are more difficult than others -- you are simply losing part of your life," says Robert Rhode, Ph.D., clinical psychologist at Canyon Ranch in Tucson.

Family Bonds Tied to Well-Being


Even painful family connections can be a significant part of personal growth. Learn to feel reverence toward yourself even as you feel pain. This connects you with your humanity and your ability to give and receive love. How to get comfortable with painful memories? Relax your body and allow yourself to feel emotions -- anger, pain, sadness -- while maintaining a positive attitude toward you.

An Attitude of Gratitude


Being thankful each day for the good things in your life and the ability to appreciate what you have rather than what you do not have is an important aspect of emotional health and well-being.

Think Big

One key to spiritual well-being is to get outside yourself with activities such as volunteering or contributing to worthy causes."Get involved with others and become committed to something greater than yourself. You start worrying about the greater good and you feel better about yourself," says Evan Kligman, M.D., at Canyon Ranch in Tucson.

Not a Morning Person? It's OK


Giving yourself a workout boost first thing is great for some, but an early morning workout may not be for everyone. Phil Eichling, M.D., sleep expert at Canyon Ranch in Tucson, encourages people with sleep problems to put off their workout for later. He says to enhance sleep, the best time to exercise is usually late afternoon. And people who have cardiovascular issues or certain other health concerns may also want to ease into the day before they strap on their running shoes or cross trainers.

Florida Gator victory sparks vivid cancer memory

I often note the passage of time according to events. My husband does it with songs -- if he hears Cheap Trick's I Want You to Want Me, for example, his mind takes him back to a buddy's basement in Jersey where he played pool with a bunch of other 10-year-old boys.

Music just doesn't do it for me. It has to be some sort of happening for my mind to travel back in time -- something like the Florida Gators SEC victory over Arkansas on Sunday.

Last year, the Gators were also SEC champs. And the year before that too. And I think I'll know the status of this team at this same time every year for as many years as I survive cancer -- because two years ago, I sat cooped up in a University of Florida hospital room trying to recover from the effects of chemotherapy and the only real excitement piped into my cubicle of a room was the thrill of a big Gator win.

It was the same kind of win the team repeated the following year -- the win that marked my first year of survival. And now, the Gators win again. And so do I.

While the defending National Champions celebrate their accomplishments and head into the first round of NCAA tournament play in New Orleans, I celebrate my accomplishment -- surviving cancer for two years. And when the Gators play in whatever game comes their way next March, I will be reminded of that same hospital room, that same dark and dreary time in my life. And then I will marvel at the power of time and the unlikely collision of cancer and college basketball.

And then I will pause, reflect, and head straight into my third year of survival.

Go Gators!

Thought for the Day: On losing an hour

For those of you living for the moment, you are about to lose 60 whole minutes come Sunday when Daylight-saving time strikes once again.

This may throw you off a bit if you are one to maximize every second, minute, and hour you are afforded in this tenuous life. And while I can't offer you any secrets for recapturing this lost time, I can share some thoughts, compliments of professional organizer Linda Richards of Organize and More, on how you might compensate for Sunday's lost hour.

Think about this:
  • Go to bed 15 minutes earlier and get up 15 minutes earlier starting a few days before the time change.
  • Move any important meetings to later in the week so you body isn't as tired.
  • Snack on healthy foods such as fruits and nuts to replenish energy.
  • Shorten your to-do list to your top three to five priorities.
  • Print out a copy of your calendar and appointments for March and make sure your computer has a patch to handle the earlier time change this year.

Time heals some wounds

I just heard someone say that time doesn't heal all wounds -- it just makes them worse. I guess it depends on the wound. I imagine losing a child is one wound that never really heals. But I've found that my cancer wounds -- both physical and emotional -- have healed with time. And a trip down memory lane proves it.

Two years ago I wrote about my wounds, fresh and raw and painful, on my Breast Cancer blog.

Confession
Wednesday, February 23rd, 2005

I must confess my not-so-positive feelings about my treatment process. In addition to the queasiness I feel from the chemo drugs, I have started feeling ill at the mere thought of this entire ordeal. It's hard not to think about it so I get this feeling quite often. I am actually repulsed by what is happening to me - the drugs that are cycling through my system, the scars on my body, my bald head, the nausea, the dry taste in my mouth. Reading my breast cancer books makes me feel ill. Sometimes when I look back on my journal entries, I feel sick. Some of it I suppose I can control. I can stop reading. I can stop looking at what I've written in this journal. But the day-to-day thoughts and experiences I cannot erase.

I am still making it through each day without too much difficulty. I am still positive and hopeful. But while I once felt completely motivated and somewhat unphased by breast cancer and its implications, I now feel sickened and a bit angry. I am sure I will someday turn towards acceptance and will one day think of this journey as a life-changing gift. But for now, I just feel sick.

I read recently that some patients feel nauseated each time they see their oncologists - even years after cancer and treatment. So I know I am not alone.

These wounds are gone, missing, absent from the life I live today. Time may not heal all wounds -- and I agree that it can make some worse -- but in my case, I am thankful for the passage of seconds, minutes, hours, days, weeks, months, years. Because time has healed the worst of my wounds.

And then there were four

I never tire of cherishing the moment. Sometimes I get busy and distracted and caught up in the hustle and bustle of life, but I always come back to the simple appreciation of time. There's no stopping it -- time -- and there's no telling how my days will unfold as the seconds and minutes and hours tick by, so I try to live in the present with every breath I take.

Cancer taught me this lesson -- this realization that time is not a guarantee, this deep-down feeling that I must soak up every experience that faces me.

Each night when my husband and I check on our sleeping boys, we sigh with amazement and one of us religiously says something like, Wow, they are so great. We never want to lose sight of the joy these sometimes-challenging little people share with us. And so we watch them in their most peaceful moments, while emotion fills our heads and hearts.

My husband has lost sight of his father -- literally. He died eight years ago today and while John can no longer see the man who passed away suddenly, without warning, and at a much-too-young age, his memories are still vivid. It's the simple things he didn't let slip by that are fresh in his mind today.

John wrote this essay for his mom and two brothers and sent it to them today, in honor of his dad whose life he hopes will never escape him.

And then there were four

I think about him just about every day. Most often it's a song that reminds me of Dad, such as Cats in the Cradle, or even one of his favorite TV shows, Quantum Leap. I was shopping in Publix the other day while a great mix of music played -- a song from Three Degree's came on, When Will I See You Again, and I stood there with a thousand-mile stare on my face as I thought of Dad. I work in a building that looks right across the street from the last residence hall I lived in, Yulee Hall -- the last dorm from which Dad muscled all my belongings. I see that building every day.

The passing of time doesn't fade the memories I have of him, the distance between the last one just increases. Just about this time eight years ago, I laid across Dad's chest well after he took is last breath. That memory is forever burned into my mind along side the memory I have of walking past Kristin's room that fateful day many years ago. Before that day there were six of us, then there were five, and now there are four. Every force of nature cannot stop that number from reaching zero, so I wanted to take this opportunity to tell you all that I love you and think about you every day. Although death may be the worst gift of life, the gift of our kids will keep our numbers growing. It's unfortunate he didn't get to meet any of our kids and they didn't get to meet him -- but in a way they do. There is no doubt I share some of his qualities and those (hopefully only the good ones) affect the way I parent, the way I work, and the way I love.

I miss you, Dad.

Love, JP

Are schools doing enough to keep our children safe from UV rays?

Lee Hemming was diagnosed with malignant melanoma at the age of 18. She says she was never desperate for a tan and only would get a sunburn twice a year - on the days of her school swimming and athletics carnivals.

Even though we know that genetics plays an important role in skin cancer, the total amount of time a person spent in the sun and the intensity of the UV rays at the time were also key factors.

Some professionals think it goes as far as saying schools that allow children to become sun burnt are guilty of exposing them to injury. Schools need to provide a safe environment for their students.

The World Health Organization says that when ultraviolet radiation is extreme it is often between the hours of 10am and 2pm.

Maybe it would beneficial to move outdoor activities to a time in the day that does not fall into the killer hours. They advise slapping on that sunscreen for outdoor activities and stay indoors if the index is eight or above!

Procrastination a waste of time, money, health

It's been reported that procrastination is on the rise. Not only that, but it makes people poorer, fatter, and unhappier too.

It took 10 years of research when it was projected to take only five years -- procrastination at its best -- to come to this conclusion. And now Canadian industrial psychologist and University of Calgary professor Piers Steel is talking about his giant 30-page study that appears in this month's Psychological Bulletin.

Something must be done about this problem, says Steel, who reveals 26 percent of the American public consider themselves chronic procrastinators. This is up from five percent in 1978 and is likely due to the tempting diversions facing us in this day and age -- TVs, cell phones, video games, iPods, the Internet, and Blackberries.

It's no surprise with such temptations that a quarter of Americans say they procrastinate. When it comes to the sexes, men are worse than women -- about 54 out of 100 chronic procrastinators are men -- and the young are more like to procrastinate than the old. Three out of four college students consider themselves procrastinators. And it seems perfectionists procrastinate less because they don't like to delay.

Steel says procrastination wastes time. And it's costly too.

"The U.S. gross national product would probably rise by $50 billion if the icon and sound that notifies people of new e-mail suddenly disappear," he said.

Steel found a delay in filing taxes on average costs a person $400 a year. Last-minute Christmas shopping with credit cards was five times higher in 1999 than in 1991. Clearly, procrastination is expensive.

Procrastination also has physical and emotional costs. Procrastinators tend to be less healthy, less wealthy, and less happy. They are also harder to heal of their problems than alcoholics.

Steel, who plans to one day compare the procrastination practices in various countries and cultures, says his field has benefits. The more he knows about the problem, the less he indulges in delay tactics. He did, however, acknowledge that his study was completed five years late. But what he likes about this study is this -- "If you take a day off from it, you can always say it's field research."

Reader's Digest packs a healthy punch

The January 2007 issue of Reader's Digest is full of little tidbits of health news. Like how patients are losing patience with hospital emergency rooms.

In an effort to cut the waiting time for ER patients -- the average wait time is three hours and 42 minutes -- some hospitals are offering incentives. One Ohio hospital is giving $25 gift cards to those made to wait longer than 30 minutes. Patients at three Virginia hospitals get a pair of movie tickets if they are not treated in 30 minutes, and a Nevada hospital is cutting fees for those who are not seen by a nurse within 15 minutes of arrival. The incentives appear to be working. One hospital cites a new wait average of 23 minutes and new patient satisfaction score of 90 percent.

In other Reader's Digest news, it is reported that people who weigh themselves daily as part of a diet and fitness routine are more likely to regain lost pounds than those who avoid the scale. And in another news brief, information about the transnasal esophagoscopy (TNE) is shared.

The TNE is an esophageal cancer screening procedure worth some attention. Few know about it's merits yet it may be a tool allowing earlier detection of a cancer often caught too late. It's a less risky procedure than tests requiring sedation, and the whole process is quite simiple. It merely involves numbing of the nose and insertion of an endoscope and tiny camera through the nostrils so pictures of the esophagus can be taken. This test is not recommended for symptom-free individuals -- just for those with a persistent cough or hoarseness, which are early signs of the disease.

There's more where all this comes from -- hiding among the pages of this month's Reader's Digest. So take a peek -- try a visit to www.rd.com -- because you're likely to find something geared just for you.

Sunday Seven: Seven memories of time lost to cancer

I once waited to see my oncologist -- in a room with nothing more than outdated magazines and my own wandering mind -- for four hours. I offered up 20 hours of my time for chemotherapy treatments and then spent five days -- two times, for a total of ten days -- waiting in the hospital for doctors to determine how to raise my blood counts and decrease my fever after the completion of a dose-dense chemotherapy attack. I traveled to and from radiation appointments for 35 days, spending an average of 90 minutes on each of these round-trip excursions. I reclined in an infusion chair every three weeks for 12 months so that a new breast cancer wonder drug could sail through my veins. I spent 52 hours in that chair. And I spent countless hours pouring out my emotions to a counselor, in an attempt to clear my mind of all that cancer took from me -- including my time.

These are just seven memories I have of time lost to cancer. There are others -- countless others -- but this should suffice as proof that among all the potential side effects that accompany cancer, loss of time is a guarantee.

According to the first study to put a price tag on the time patients spend battling cancer, it seems the disease steals at least $2.3 billion worth of time for patients in the first year of treatment alone.

Eleven of the most common cancers were included in the study. And it was determined that 368 hours are lost during the first year of treatment for ovarian cancer. For lung cancer, 272 hours are lost. For kidney cancer, 193 hours go down the drain. These hours don't take into account time spent in bed recovering from surgery or chemotherapy treatments. It accounts only for time engaged in actively receiving care -- it counts chemotherapy, radiation, blood tests, scans, surgery, check-ups, waiting to see doctors, and driving to and from appointments.

The study, published in the Journal of the National Cancer Institute, sheds new light on the burden of commitment -- the human cost of cancer.

"Cancer is more than the just the dollars and cents for the medicines and the treatments and the doctors. It's also the lost opportunities for the patients," said the American Cancer Society's Dr. Len Lichtenfeld, of this overlooked reality.

Lichtenfeld says this study demonstrates the need for early detection. The earlier cancer is caught, the less time patients spend in the system. It also shows the need for more targeted therapies that spare patients physical side effects and allow them opportunities for taking pills at home instead of receiving treatment in clinics.

I would love to have back the time I spent treating and recovering from cancer. But I'm not heartbroken over my lost time. Because it bought me something in the end -- more time.

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