Monday, August 28, 2017

Bodybuilding benefits

Bodybuilding exercises are a great confidence booster. The Turning Point program is offered by some YMCA branches for breast cancer patients. One of these classes introduced me to bodybuilding. It is lovely to build up muscles in the chest, arms, and back after mastectomy. However, when trying something new, it is important to build up slowly to avoid complications such as lymphedema [see references below].

Weightlifters can use bodybuilding exercises to complement their training. It is not necessary to add more leg work as this is covered in the lifts, pulls, and squats during the regular training. But upper body exercises for  shoulders, chest, back, and arms can be helpful to gain stability or confidence in the overhead position of the Olympic lifts.

About 8-12 repetitions and 3 sets are sufficient. The bodybuilding exercises can be organized such that different muscles are used in any two exercises. In that case very little, if any, rest periods are needed between sets. It is helpful to use concentric and eccentric motions for each muscle group. For example,  push-ups vs rowing for the arms or pulls vs pushes (e.g. squats) for the legs. Using free weights rather than machines train combinations of muscles and activate the core (and won't strain the back through sitting). There are many exercises so that a bodybuilding program can be changed every couple of weeks to add variety. Having someone correct your form is needed to avoid injury and to get the most out of these exercises.
Soon we can start posing in front of a mirror and flex muscles.

References
  1. Stegink-Jansen et al.  Computer Simulation of Pectoralis Major Muscle Strain to Guide Exercise Protocols for Patients After Breast Cancer Surgery. Journal of Orthopaedic & Sports Physical Therapy 2011: 41(6); 417-426. Link to article.   Findings: Combined stretches, such as extension and external rotation puts most strain on the pec muscle. Early postoperative abduction should be increased gradually. 
  2. Schmitz.  Weightlifting and lymphedema: Clearing up misconceptions (about interpretations of the Physical Activity and Lymphedema (PAL) trial with  7 guidelines)

Sample exercises by muscle group:

Legs
  • squats
  • leg presses
Back
  • Lat pull downs
  • cable rows
Shoulders
  • lateral raises
  • DB presses
Chest
  • pec flys
  • chest presses
Triceps
  • tricep extensions
  • reverse cable pull down
Biceps
  • DB curls
  • hammer grip row
Core
  • planks and side planks


Wednesday, July 5, 2017

International Womens Weightlifting Grand Prix

This competition took place in Nagold, Germany, June 8-10. There were around 100 women weightlifters from 16 countries, ages 10 to 58.  There was a DJ playing encouraging music when a lifter walked onto the stage, the audience clapped in rhythm, and, as we stepped up to the bar to get ready to lift - silence. It was fun, and a great opportunity to make new friends.

 Global sisterhood!

Thursday, May 25, 2017

Reach to Recovery

I finished volunteer training with the American Cancer Society, Reach to Recovery Program. This is to talk to women going through the breast cancer experience who need a sympathetic listener ,or more information ,or just know that others have gone through similar things and came out OK.

Thursday, April 20, 2017

Warm flashes

Hot flashes have arrived! I was hoping to avoid them, since I have had no problem even though the menses have become irregular, and my sister had no problem. It may be possible that Tamoxifen speeds up the natural process of entering menopause.
They started mild, just like blushing, so it took two weeks to recognize for what they are. At first they were few and far in between, e.g once during the day, twice at night, but now they are visiting regularly, at least hourly, and during every kind of situation, including while talking with others. Sigh....    At this point they could be described as warm flashes.
It is said that they stop when hormonal therapy stops. FOUR YEARS of this???
What may help:
  • acupuncture (already doing it, it didn't prevent it)
  • diet without alcohol or spicy foods (already doing it)
  • relaxation (stressful situations/thoughts can bring this on, so be sure to have  regular meditation practice)
  • drugs (treat side effects of drugs with more drugs, possibly on the WADA list)

Update from the future: The warm flashes only lasted about 6-7 weeks. 😊

Sunday, April 16, 2017

What we say or how we react


"There is no single right approach and no simple answer to dealing with the human side of cancer." 
--JC Holland, The Human Side of Cancer

You will find out that you are not the only woman with breast cancer and that breast cancer patients come from all paths of lifestyles. Beware that incomplete information can result in erroneous ideas, and decisions may be made without backing of scientific evidence.

Upon hearing of a breast cancer diagnosis or treatment, people have to deal with their fears and uncertainties. That includes both sides, women who get the diagnosis, and people who come in contact with these women. We can switch between numerous coping mechanisms during a cancer journey.

Here are some coping mechanisms/attitudes of women with a cancer diagnosis:
Avoider/Procrastinator:  Me? It can't be that bad. I don't need to see a doctor/get treatment/...
Fighters:  I am going to beat this thing. I am going to start exercise/meditation/acupuncture/....  I choose to do the most aggressive treatment, chemo, mastectomy,  even if it is not needed scientifically.
Stoics/Non-fighters: Accept and endure what comes, but I don't go out of my way to seek new treatments.
Paranoid: May choose aggressive treatments so that the cancer won't come back.  I can (will) die from this even though the diagnosis was 15 years ago.

Here are some coping mechanisms by people who hear about your cancer journey:
Cheerleaders: You'll be fine. They caught it early. You don't look like you have cancer.
Therapists: This is because you have too much stress in your life (bad job, difficult relationships, ...). Think positively, so that you can beat the odds.
Fighters:  Who needs boobs, cut them off. Get over it and move on.
Problem Solvers: You can cure your cancer, if you take whatchamacallit, or become a vegan, or ...
Unsure what to say, but want to say something: The relative of a friend has cancer and has such and such an experience.
Clichés: Everything happens for a reason. Think positively.

Bad things happen:
"Everyone who is born holds dual citizenship, in the kingdom of the well and in the kingdom of the sick.[...] Sooner or later each of us is obliged, at least for a spell, to identify ourselves as citizens of that other place."
--Susan Sontag, Illness as Metaphor

What can we do?
Cancer patient: Separate fact from fiction and seek medical help, and otherwise stay with the attitude that comes natural.
Supporter of the cancer patient: Listen! Say you are here for them. Give some concrete suggestions how you can help.
P.S. Take this moment to familiarize yourself about choices such as mastectomy or reconstruction and what decisions you might be inclined to make. It might happen to you in the future.