12 February 2018

Alzheimers-and-impotence-This-ain’t-all-in-the-mind!

For our brain to be fully functional, it takes a good deal of blood. For a bloke to get an erection, it takes a good deal of blood.

Ever wondered how Alzheimer’s and male impotence may be connected?

Well, for our brain to be fully functional, it requires a good deal of blood all of the time - around 750ml every minute. For a bloke to get an erection, it takes a good deal of blood some of the time… in fact, around 130ml each time.

However, what if the blood vessels were impaired? Clogged up? Suffering from atherosclerosis? Became worse with simple old age? If so, then blood could not get to the brain or the penis so easily. For the brain - multiple small strokes and brain atrophy - Alzheimer’s. For the penis - not enough blood flowing quickly enough to produce and sustain an erection - impotence!

So this week we investigate and explore how to prevent and even possibly reverse two of the most feared conditions going around, but first



          Thought for the day

              At some point
              We all sit down
              To a banquet of consequences.

                         Robert Louis Stevenson 





Let us begin with the brain. 

Apparently we normally lose around .5% of our blood flow per year. So at 65 the blood flow to our brains may be down 15 - 20%. Sounds a lot, but we are well designed and have built in reserves, so at this point, no obvious problems.

However, we are not designed for a high fat, high protein diet. This contributes to atherosclerosis; other risk factors being smoking, obesity, high blood pressure, diabetes and genetics. All but the last are lifestyle factors; factors over which we have some control.

Atherosclerosis in the brain is found to be significantly more frequent and severe in those with Alzheimer’s disease. One recent study even examined specific arteries in the brains of healthy, non-demented controls and compared them to those with Alzheimer’s. They looked at the specific arteries critical to memory and the learning centers of the brain and found major differences - way more plaque in those with Alzheimer’s.

In another study, 400 people with cognitive impairment for were tracked for 4 years using CAT scan angiography.

The cognition of those with the least atherosclerosis in their heads remained pretty stable over the years, but those with more cholesterol plaques became worse and those with the most blockages rapidly declined.

The ability to carry on the activities of daily living was also affected, and the progression to Alzheimer’s disease was doubled.

An inefficient blood supply to the brain has very grave consequences on brain function. Based upon these and many other studies, more and more Alzheimer’s is being described as a vascular disorder.

Good news! Atherosclerosis is preventable and reversible - like all lifestyle related diseases.

But does treatment of vascular risk factors like high blood pressure and high cholesterol actually make a difference? Well, a recent ground-breaking study did focus upon treating  vascular risk factors. Happily, those treated showed significantly less decline and slowed progression of their disease, compared with those who went untreated.

This is one of the first positive outcome studies for Alzheimer’s - and it is based upon Lifestyle Medicine.

So what about male impotence? 

Same risk factors. Same problem. Atherosclerosis affects blood vessels to the penis just like it affects blood vessels to the heart. It impairs blood flow making an erection much more difficult.

More good news! Prevent atherosclerosis, prevent male impotence. Treat atherosclerosis, treat male impotence. Pretty simple formula really.

And sure, there are other issues when it comes to impotence, but this is a big one and one not well recognised and frequently left untreated.

There is hope for both Alzheimer’s and impotence.



As for the old saying…

“Feed the man meat”?

Maybe not ....

Happy days


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15 January 2018

Relaxation-mindfulness-and-meditation-What-are-the-differences?

We know they are all good. We also know the words are often used inter-changeably in a way that can be confusing and sometimes lead to unhelpful or disappointing expectations.

So this week, what are they really and how do we practice each one most simply and directly? And then a glimpse into what meditation really is and what differentiates it from the others, but first


   
                 Thought for the day

     The longer you meditate,
     The longer you persevere
     Through the difficulties and the false starts,
     Then the clearer it becomes to you
     That you have to continue
     - if you are to lead your life
     In a meaningful and profound way

                              Fr John Maine





RELAXATION
For most of us this is the easiest one. Learn to relax the body, learn to relax the mind. Reasonably straight forward.

My definition for relaxation is “using just that amount of energy required to do whatever it is that you are doing”.

It is like a stringed musical instrument.

Tune a guitar or violin too tightly and it sounds horrid.

Too loose, horrid in a different way.

Not too tight, not too loose - that is relaxation.

Body relaxed, thoughts come and go - just do not dwell on them. Relax. Let go a little.

Come back to the feeling of the physical relaxation if thoughts do become distracting.

Simple. Not too tight, not too loose. Not concentrating too tightly; not so relaxed as to space out.

The Progressive Muscle Relaxation exercise remains after 40 years of experience, experimentation and research analysis by far my preferred relaxation technique. Easy to learn, easy to practise, very reliable for body and mind. Almost no associated difficulties…

Just do it! And reap the benefits.

MINDFULNESS
An easy concept. By definition (according to Jon Kabot-Zinn and associates) “simply paying attention to our present moment experience, deliberately and non-judgementally”.

Basically this means allowing whatever is happening to happen but that we take the mental/emotional reaction out of it.

Becoming more like an impartial observer.

Letting things go.

This does not mean we are passive and inactive; it means clearing the mind of internal argument, debate, commentary and particularly judgement.

Doing so will leave the mind clearer and calmer; much more able to evaluate things and act appropriately.

In practice, mindfulness is also easy to teach, learn and apply. It translates directly into daily life leaving us more present and better able to function stress-free.

To develop the practice it is recommended to start with something simple like mindfulness of the breath. Just give your full attention to the breath and aim to let go of any reaction in the form of self-evaluation/criticism, commentary or distraction. Can take a while but benefits often accrue remarkably quickly.


MEDITATION
Both of the words mindfulness and meditation are currently being used very loosely in many forums, including teaching environments.

My definition of meditation is that “Meditation is a process that takes us beyond our engagement with the Active Mind, into a direct experience of the Still Mind”.

Beyond the clouds into the blue sky.

This definition is based upon the fact that our minds have 2 aspects.

There is the Active Mind we are all familiar with that is the seat of conscious and unconscious thought, along with perception, volition (or will) and feelings.

Then there is the Still Mind that is beyond all that.

Ever feel like a functional half-wit? Many of us will have spent many years using only half our mind’s potential; maybe even totally unaware of the other half. Yet the Still Mind is the seat of wisdom and insight. The place of inner knowing, of inner truth. The real objective of the inner search that meditation shines the light upon.

Learning meditation is potentially much trickier than the other two. Maybe you are lucky and can take the Direct Path, but for most of us there is the rather long and tortuous Gradual Path based upon any variety of methods. Simple is always best.

IN SUMMARY

So here is the thing. Relaxation and mindfulness as defined are to do with the Active Mind. Sure some people brand mindfulness as meditation and claim it does more, but then if so, they need to define it more clearly and if they were to do that they would be re-defining a traditional Buddhist term in a way that it has not been used for thousands of years. Seems many have actually done this…

And meditation as defined is not a passive thing as in we enter into some empty void. It is actually about seeing the truth of how things are. The truth of an absolute reality. Making any real progress with it is highly likely to change our life irrevocably.

Looking forward to focusing upon all this in the last 2 meditation retreats Ruth and I will do before I
conclude that work this Easter (both programs are fully booked as we speak but are taking waiting lists).

And I am near to completing a new meditation book that will explore and elaborate on this short summary - may be released within 6 months… We shall see.


Happy relaxing. Happy mindfulnessing. Happy meditating!

RESOURCES

Click here - Books and downloads

04 January 2018

Intention-The-secret-behind-positive-thinking

Positive thinking. We all value it and know its importance in every aspect of our lives. And there are two great ways I know of that explain how to “do it”. Yet even so, it seems some people do really “get it”, apply it, and flourish. Others seem to flounder…

So what is the key ingredient? And how do we activate that? 

This week we explore the power of intention, why it is so crucial, and how to bring it forward into our lives more directly, but first

            Thought for the day

Until one is committed, there is hesitancy, 
The chance to draw back, always ineffectiveness. 
Concerning all acts of initiative and creation, 
There is one elementary truth 
The ignorance of which kills countless ideas and splendid plans: 

That the moment one definitely commits oneself, 
Then providence moves too.

All sorts of things occur to help one 
That would never otherwise have occurred. 

A whole stream of events issues from the decision, 
Raising in one's favour all manner 

Of unforeseen incidents, meetings and material assistance 
Which no man could have dreamed would have come his way.


I learned a deep respect for one of Goethe's couplets:


“Whatever you can do or dream you can, begin it. 
Boldness has genius, power and magic in it. Begin it now.”

                                                       William Murray


NOTE This whole quote is often attributed to Johann Wolfgang von Goethe,
however, it was actually written by Murray at the start of the 1961 Scottish Himalayan Expedition.

Why is it that so many New Year’s resolutions do not actually lead to personal change? 

Maybe the problem is lack of resolve?

Consider “Positive Thinking”. My take on positive thinking is that it is all to do with understanding how our thinking mind works, and using it intelligently.

The Oxford dictionary defines mind as being “the seat of perception, thinking, volition and feeling”. 

A very instructive definition. Now, we hear a good deal about perception, thinking and feeling. 

But then there is volition. 

Do not hear much about that! Volition is our will, our determination, our resolve. Without it nothing gets done. Without it we are left vulnerable to all sorts of outer and inner conflicts.

With our volition active, with our resolve in hand, there is clarity, there is commitment and confidence. With resolve there is the energy to follow through amidst all manner of challenges, obstacles, successes and failures; there is the energy to accomplish just about anything. Resolve. Volition.

So what is the secret? How do we manifest a healthy resolve?

There are two useful ways of explaining how to put positive thinking into action. My own preference that features in several of my books is the Three Principles of Positive Thinking - 

1. Have a clear goal
2. Do whatever it takes (to accomplish that goal)
3. Choose to enjoy doing it.

The other that is often used in sporting and business circles is more instructive when it comes to resolve. This approach is based upon clarifying 4 steps - What, Why, How and How much? 

What you intend to do, Why you intend to do it, How you intend to do it, and How much you want to do it.

This last point is the key to resolve. How much do you want to do something? Is this a casual business? If it happens it would be nice, or if not, no big deal? 

Or is this endeavour a matter of life and death? 

I must say over the years it has amazed me to observe the number of people who faced with a life threatening condition life cancer remain casual. Others are more like how I was when acutely ill 40 years ago; my recovery was based on a life or death commitment. 

My resolve was that during my recovery nothing was more important than getting well. Everything I did for several years had to satisfy the basic question - is this good for my health? My recovery? Of course that included having fun, but it also made it easy to fore-go many things, and to do stuff that was not always as “easy” as it may have seemed on the surface.

I have seen this same level of resolve in business, in study, in sport, in music and in the intention to become a better person.

A strong resolve is the secret to positive thinking - to bringing into reality our good intentions.

So how important to you are the things you aspire to?



Finally, the Dalai Lama has had something useful to say on this in his New Year’s day address …

“It’s important that, as we begin the New Year, look forward. We should project our intention ahead, so that we make this year a meaningful one.”

“If an individual were to make conscious intention to live his or her life with a sense of purpose, live it in a good way, then the ripple effect of that really spreads. First, from the individual to the family, then to the community… and so on. This is how society gets changed and effected.

“When we talk about the transformation of society, the transformation really has to start from the individual, from inside to outwards,” said His Holiness.


May you all experience a healthy, content and meaningful year in 2018.


SPEAKING PERSONALLY
The last 4 months have been physically challenging for me. I have been in hospital 4 times - 3 times with acute bowel obstructions; once for a laparoscopy to clear adhesions thought to have been behind it all and acquired when my acute appendix was removed at age eight. 

Extensive testing has confirmed there is nothing sinister going on like a tumour or some other exotic condition, however, seems likely I have also had a bacterial overgrowth that has precipitated these acute episodes. So have been treated for that and we await the next exciting episode… which hopefully will be nothing at all!

Good news is I am feeling well again, have had yet another opportunity to personally test all I teach, and yes, may write something about being in hospital. What I can say is how wonderful all the staff were - from doctors through nurses, ambulance staff - yes had close encounters with them too - and the delightful cleaners. And Ruth - as well as being through a tough time, she has been just marvellous in all the ways she has supported, cared for and loved me. Much to be grateful for…


Anyway, here again is the wish for all of us to have a healthy, content and meaningful year in 2018.


18 December 2017

A-Christmas-Miracle

Have you ever had an experience that was so remarkable, so out of the ordinary, so amazing, that it seemed almost miraculous? With Christmas approaching it seems timely to recount the Christmas miracle that occurred for our family some years ago.

Maybe you have your own story that kindles the wonder of Christmas - the metaphorical birth of unconditional love? Also an opportune moment to send a wish that love fills your life in 2018, but first




    Thought for the day

       Only when you drink 
       From the river of silence
       Will you indeed sing

                 Kahlil Gibran








Some years ago,
a good number of our family gathered at our small farm for Christmas (with 6 children, getting them all together at one time would indeed be a miracle!).

The oldest grandson was of an age where suspicion about this Father Christmas stuff was rampant; so much so that he was keen to tell his younger sister what he was thinking was the truth of the matter - it is all a fantasy. Popular thinking amongst the adults was that she was not ready for this!

Now me being the keen gardener, for many years I have always had a live Christmas tree. When my children were growing up, we had a new one each year and then planted it out. So on our old farm there developed the Christmas tree avenue, made up of all the different pine trees, cedars and like minded trees.

In more recent times, we have grown the Christmas tree on in a pot until it really is large enough to demand planting. So at the time of the miracle, on the current farm there was only one ex-Christmas tree in the ground.

The summer of year of the miracle was very hot and so a good deal of tree watering was required. Having checked the trees on Christmas Eve, I went out to water them on Boxing Day.


Imagine this.

Under the ex-Christmas tree were two deer horns! And yes, that is them in the photo.

Each about 4 – 5” long, or 10 – 15 cms in the new money, and they looked for all the world like baby reindeer horns.

Now you may think I was dreaming, but never having found such things in our area before or since (and I have lived in the area for over 35 years), or even heard of anyone else finding them, what are the chances?



They turned up specifically on Christmas Eve or night, and specifically under the Christmas tree! And they are real deer horns that look just like reindeer horns!

Moral of the story? The grandson was deeply confused but still managed to believed in Santa for another year or two. The granddaughter carried on unperturbed! The adults were content to be amazed and to smile whenever we recount or recall the story.


So, Happy Christmas. Tell some good stories, enjoy some regenerative time amidst the spirit of Christmas, and may 2018 be filled with love, good health, happiness and peace.

NEWS
A post on mammography has been pre-empted, but will be held over until the New Year.

A Christmas miracle seems more appropriate for now...

29 November 2017

Cancer-management-36-years,-4-big-changes-and-some-recommendations

Last week Ruth, Julia Broome, Siegfried Gutbrod, Michael Johnson and myself, along with the excellent team at the Yarra Valley Living Centre, presented the last cancer residential program of my working career.

The first cancer program I presented was at the Melbourne Cancer Support Group in Hawthorn, 16th September 1981.

During the intervening 36 years much has changed in the cancer world, especially for those directly affected; the patients.




So this week some observations around the biggest of those changes and some suggestions, but first


Thought for the day



Every public action which is not customary,
Either is wrong,
Or, if it is right,
Is a dangerous precedent.

It follows
That nothing should ever be done for the first time.


Francis Cornford, academic



FOUR BIG CHANGES 
that directly impact people affected by cancer in 2017 compared to 1981

1. Information has moved into overload
BACK THEN
In 1981 there were very few cancer self help books. A couple on nutrition, Ainslie Meares’ Relief Without Drugs on meditation from 1967, the Simonton’s Getting Well Again was published in 1978 and covered imagery and psychology of cancer; you could read all available in a couple of weeks.



No computers.

No internet.

What was in place was like an underground network where information was shared by adventurous patients and families via letters - remember them - phone calls and the occasional Roneo and Gestetner offering.

When our groups commenced, people came to learn.

They often came with the feeling there was nothing they could do. When they discovered what was possible, it was like a light was turned on. A surge of hope transformed their situation and state of mind and new possibilities opened. Confidence arose and healing was begun.

THESE DAYS
So much information.

A myriad of books.

The internet laden with possibilities. So many competing views.

Of course there is a lot that is good, but amidst the overload, confusion often reigns. People seem overawed by the choices. Many seem to become stuck; unable to sort the proverbial wheat from the chaff, and inaction often follows. Or at best for many, indecision. Uncertainty.

So while many do come to our groups seeking help to clarify what is in their own best interests, so much of this is compounded by the next issue.

2. The power to discriminate has diminished
BACK THEN
People diagnosed with cancer faced simpler choices. If a medical cure was on offer, they generally took it. If there was no cure on offer, they were often told rather bluntly with words to the effect of “there is nothing more we can do for you, you have a short time to live, go home and come back near the end and maybe Palliative Care will be helpful”.

So the choices were stark. If there was no medical cure and yet people still aspired to recovering against the odds, they knew it was up to them. Simple. Because competing sources of information were few, people trusted in what was available, applied it and for many, it worked. Simple.

THESE DAYS
So much information and so many people with an opinion, with advice and highly geared Social Media machines; and often with vested interests based on what is being sold.

Not simple. Confusing. What to do? A difficulty with discriminating further complicated by the next issue.

3. Palliative Care has become Palliative Treatment

BACK THEN
Palliative Care was just emerging as a medical discipline in its own right.

Dame Cicely Saunders started it all in London in 1967; Elizabeth Kubler-Ross published On Death and Dying in 1969.

Palliative Care was all about caring for the dying. Making life as comfortable and meaningful as possible. Minimal treatment, maximum symptom control; aiming for a good end to life, a good death.


THESE DAYS
Some while back, well meaning doctors realized telling people there was “nothing more we can do for you” was not very kind. At the same time, in my view big business in medicine realized they were missing a huge market. Palliative Care moved into Palliative Treatment.

Now most people who do not have a medical cure on offer for their cancer are being offered some
form of active treatment or are yearning to be on a trial.

Of course, much of this is good but there is a hidden cost that does not seem popular to talk about.

These Palliative Treatments by definition are non-curative.

They have the stated intention of what Palliative care used to offer - to extend life and improve Quality of life. But many can observe this is not always the case. The treatments can be demanding, quite often debilitating, and there is a hidden issue.


These treatments may - not always, but may - compete with a person’s own ability to heal.

To discuss this issue seems almost like a taboo in current time, yet surely for those aiming for full recovery, this is a real issue. There is always a balance to strike.

And it is no easy balance. Maybe through one’s own efforts one can transform a treatment whose intention is palliative into one that is curative. But equally, maybe if one is fully focussed on recovery, some Palliative Treatments are not in one’s best interests.

In a world of open-mindedness, these issues would be excellent ones to question, discuss, investigate and research seriously. But then complication of the final issue.

4. Big business has moved into cancer medicine.
BACK THEN
Cancer medicine was somewhat under-serviced and under-resourced. Because there were limited treatments there was a limited market. The influence of Big Pharma was limited.

THESE DAYS
As Palliative Treatment developed so too did the interests of big business.

Investigations became big business.

Doctors were convinced to have less confidence in their very cheap, but previously highly developed clinical skills, and instead to trust in not just X Rays but highly expensive scans and extensive blood tests.

New treatments whilst still clearly palliative in nature, are hugely expensive. Many of the recent “breakthroughs” offer some life extension, quite a side-effect profile, almost irresistible allure to patients and families, and great cost. Many of the new treatments are $100,000 and beyond per person per year.

Maybe these innovations will lead to real cures in the future. Maybe. For now, they are incredibly expensive and there is a limit to how many more the public purse can fund. And how many of us have the resources to fund them privately?

What is clear from the medical literature at present is that many cancer services, both investigatory and for treatment, are being over-recommended and over-utilised. Cancer is very big business.

WHAT TO DO?
Trust in your own capacity to discriminate - or find someone highly trustworthy to tell you what to do.

Ideally work out what you really want. If you are fully intent on recovering from cancer then the number one question has to be “What is most likely to heal me?”

Back in the mid seventies when I was totally committed to recovery, everything I did was put through the first big filter… Will this thing I am considering to do actually help me to recover?” Everything went through that filter. Everything. I was uncompromising.

Everything I did was considered deliberately. Everything was subjected to the discrimination we are talking about. I sought the best advice I could. I read what was relevant. I considered people’s qualifications and experience. I consider the impact of vested interests and big business. I asked heaps of questions. I made notes, lists. I analysed and then I sat quietly to reflect, to contemplate and to seek counsel from my own inner wisdom through contemplation.

Once I made a decision I stuck with it long enough to find out whether it was actually working for me or not and while very focussed, was not stupid enough to keep doing something that was not working.



So my work with residential cancer groups has come to an end.


There are probably many ways of explaining this - many levels - but perhaps the simplest is to say that I trust that inner wisdom, that intuitive capacity we all have and that tells me loud and clear this is the right thing to have done at the right time.


So amidst this awkward sense of knowing there has been so much knowledge and experience built up over the years that could still be helpful to others, there is the comfort of knowing that the Foundation I established is in good hands and going well and that others are spreading this work far and wide. So much more on offer now compared to when we were all that was on offer in 1981.

So my heart will always be with those affected by cancer.

In the longer term, cancer is clearly a lifestyle related disease and the best way to treat it is to prevent it. Much better never to develop cancer than to get it and recover - wonderful as recovering, especially against the odds may be.

I will continue to post blogs and write elsewhere on these issues. Maybe I will be persuaded to do the occasional public event. Maybe. Whatever happens there, my over-riding wish is that you all find long-lasting peace, deep inner contentment and live long and fulfilling lives.

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REFERENCE
You Can Conquer Cancer