Insurance, Hospice, & The Universe Balancing The Books

I thought I’d update the blog with a little bit of what I’m experiencing here in “my husband is dying” land.

Hospice. Our insurance (Kaiser) pays for Hospice 100%. Hospice’s “gating requirement” is that the patient has been given less than 6 months to live. So, in actual fact, we could have called in Hospice nearly 2 years ago, since my husband has had that prognosis since that time.

However, once you call Hospice in, you don’t get any more “regular” health care. Everything basically goes through them. We didn’t call them in because that would mean no more “allopathic” treatments. For example, my husband wanted to do one more “last ditch” Radiation treatment to try to shrink the tumor, even though he’s been well within the “6 month window” for a while.

Hospice will not do IVs. Just so you know. Their reasoning is that the IV sort of “perks the patient up,” where Hospice is trying to get them to “slowly slide into oblivion” as it were. So the IV really is almost “cruel” to the system. I have a whole IV story, but all it really comes down to is I badgered Kaiser into giving him one even though he had “just entered” Hospice, and as he took 3 LITERS of fluid, I felt quite vindicated.

Hospice takes care of bringing you all the meds you need, and keeps track of all of that. 24/7, if there is any sort of an issue, there is a number that you call. However, I also learned (good for all of us to know!) that if you need “non-emergency fall assistance,” you can call 911, and tell them that it’s a non-emergency fall and you need help. They will send the fire department, no sirens, etc. to come and help you out. (Then you call Hospice so that they can come and be sure that the patient is okay.)

I’m kind of in love with our hospice gal. She looks EXACTLY LIKE Amanda Giese from Animal Planet’s “Amanda To The Rescue.” (Well, Amanda Giese with a face mask.)

I’m sure I will have more to say, but right now, I just wanted to draft up a rough blog post about all of this.

Long Term Care Insurance. About 9 years ago, my husband did EXHAUSTIVE research into Long Term Care Insurance. What LTCI does is to basically pay for approved things that Hospice won’t do. This past year, our premiums were $2,800 (hubby) and $2,200 (me).

For this, we receive (as of this year – it goes up each year as there is a 5% interest bump) $391.50/day in not only “nursing home” care, but also “in-home care by anyone not the spouse.” There is a 3 year cap, which means that the total payout of the policy right now is just under $430,000. (For each of us – we each have a policy.)

To be able to get the benefit, you need to be unable to do two of a list of things for yourself. These include things like transportation, walking, cooking/feeding yourself, toileting, showering, etc. As hubby cannot drive and cannot get into the shower those were our “two items.”

There is a 90 day “waiting period” to begin receiving your daily benefit unless you are in Hospice care, at which point the benefits start immediately. As long as one of the couple is using the benefit, the premiums are stopped for both policies. It is possible (I actually have an email in to our agent) that if my husband doesn’t use his whole policy, the rest of it “rolls over onto” my policy.

If you choose to use a home care provider “service,” obviously, easiest is to ensure that they are already approved by New York Life. If, however, you are going to use just “a person,” you can have NYL send you a form for that person, and they will approve them to be paid – so long as they are not the spouse. (So, for example, we had my mom approved by NYL, which means that if we so choose, we can have NYL pay us to have her come and sit with my husband – this is, of course, income to that person.) Generally how it works is you pay the provider, then NYL pays you back.

What got me started on this blog post is our agent, Athena Webster. When we signed up for LTCI years ago after my husband did the research, I used a NYL Agent that I knew from a business networking group. She went out of the business probably 5 years or so ago, and so we have been “agent-less” as it were.

About six months ago, Athena called us, stating that we were an “orphan account,” and wondering whether we would like her to be our agent. We were in the middle of whatever health crisis was going on then, so I asked if she would call back in two months. She did. Then I asked her to call back two months later. Which was about 3 weeks ago. Then, I wanted to “tawk.”

We immediately had her assigned as our agent, and wow. She’s unbelievable. I can’t say enough about her. When we need to call New York Life, she makes the call, works through the telephone tree, then calls us back in a 3-way call. She even did a 4-way call with New York Life, us, and our palliative care doctor at Kaiser (huge shout-out to Dr. Damian as well) when NYL was stalling on starting our policy, because they said they “weren’t getting the right paperwork.” Dr. Damian’s assistant actually called me back and said that she’d never seen anything like it – in all her interactions with LTC insurance companies, that, with Athena’s guidance, this was “by far and away the #1.”

pomelo

Right now, things are a little “spicy,” as one of my Crossfit coaches used to say. My husband can only stomach watermelon, green grapes, canned peaches, cherries, and Saltines. Even that is all a bit of a crap shoot (I could make a very “TMI” comment here about how that, also, is a problem but I will leave it to your imagination). The tumor on his chest/under his arm is the size of a good-sized pomelo. It pulls on his skin, so it’s sore to the touch (he can only wear immensely soft shirts). It pulls on all the nerves/muscles going down his arm, so he’s in constant pain without the morphine/gabapentin/fentanyl/oxy cocktail he has to take every 4 hours – which makes him sick. So he can’t eat. Catch-22.

Hospice has given us a new “cocktail” to take for the nausea, since nothing else has worked – and they are “determined” to get his stomach settled. Hubby is in and out, due to all the meds – but when he’s “in,” he is arguing about having the home health care. I’m sure we will get this settled soon, as I haven’t been able to leave the house for the last week, since he can’t really stand. I have called the home care service that was recommended both by Dr. Damian and New York Life – I need to call them back today.

My mom came and “spelled me” yesterday so I could get out and do some rowing/weights with my “Crossfit wife,” and have a therapy/bodywork appointment, which I am very grateful for.

Speaking of my Crossfit wife, at therapy yesterday, I had to “talk a bit through” how much she has done for me. She and her fiance spent all last weekend (6 hours/day) helping me stain a huge trellising system that my husband had not quite finished for an area by our hot tub. My best friend’s son (a contractor) is installing it (it’s 1/2 done as I type), and hubby was even able to get out there with a cane to walk through what he exactly wanted yesterday (which was a big relief to me, frankly – that he could still “have a hand” in the work). But back to my “wifie.” She has also input and done Excel “pivot tables” for all the 2019 medical expenses – we’re talking hours and hours of time. (about $106,000 worth of out-of-pocket receipts for 2019 so far.) She keeps me sane in our “jenga gym” we set up at her house with my husband’s equipment, my rowing machine, and equipment our Crossfit gym loaned out at the beginning of the shelter-in-place (for free – God bless you Ross Valley Crossfit.) She does all of my grocery shopping.

A year or so ago, she had cancer, and I feel like a heel in that she said that she had so many people signed up to check in her/give her rides/make her food/etc. that she was fine – and I just took her at her word. It’s not that she wasn’t fine – it’s just that I should have done something. As I talked about in therapy yesterday, I am feeling unbelievably guilty for this sort of help and for not having helped her, while on the other hand feeling selfish that I need to get out of the house and do something as “silly” as lifting weights and have help painting trellises and doing tax-things that hubby has always done for the last 20 years.

I’ve had folks send flowers, fold tarps, bring watermelon, send meal kits, bring face masks and silly things, 6 packs of Lagunitas IPA, you name it. I still feel guilty each time. I think because these are folks who are doing this “for me,” not “for my husband” per se. He has had his friends take him to doctor’s appointments, walk with him (when he could do that), and the like, which I am grateful for and appreciate. But I am at the same time thankful and guilty of the help I am receiving “for me.” My cousin even sent me a weighted blanket and some amazing herbal tea the other day (Note: Don’t crawl under a weighted blanket unless you want to wake up 2 hours later drooling and snoring…), a client sent dog toys for Winston, stuff like that. Maybe this is just a test showing that I’m not a narcissistic sociopath, since I feel very strongly that it’s not all about me! :-)

In my therapy sesh, when I talked about how guilty I felt especially at all the things my “wifie” is doing for me, he said that I had to realize that “giving” isn’t a bank account. That when you give and really give from your heart, you might not “get back” from the same person. He pointed out, however, that I have given him things (I hadn’t even remembered 1/2 of them – example? He wanted to try a didgeridoo, I happened to have one, and I gave it to him). He said that if I thought about it that way, that I was doing this sort of un-self-centered “giving” to others, and now I was receiving it, not from someone I had given to, but from some other corner. That it was like a big energy circle. And when giving is done in this way – just “what can I do to help – oh I know, I can fold that tarp!” – that the person giving doesn’t expect to be “paid back” (even if you yourself might keep a mental note), but the Universe will be sure that all the books are balanced.

I liked that. I’m not sure whether I have really had that sort of effect on folks, but I do know that I try to be that sort of person. And it seems like the Universe is balancing the books, these past weeks.

Our Wedding (a/k/a The Best Wedding Ever)

With my husband sick (dying) with Stage 4 Cancer during the COVID-19 pandemic, I got to thinking back to our wedding oh so many moons ago. I only had one copy of the DVD from the wedding, but the amazing Joe Kenemore and Pat Roth of Cache Mediaworks were kind enough to put it into an MP4 format for me.

A few things to know before watching the video:

The video was put together by a documentary film production house that owed me a good bit of money for legal work. I asked them if they would “follow me around” before my wedding, for debt forgiveness. That’s why we have some of the film that we do.

The first thing you see in the video is our wedding invite, then the first “filming” takes place at my husband’s dance studio. My husband at the time was an advanced ballroom dancer . . . Me? Nope. Since he wanted to do a Quickstep, Foxtrot, and Viennese Waltz “mash up” for our “dance” at the wedding, I had a lot to learn! My Dad also took lessons so he could dance with me for the “Daddy-daughter” portion of the wedding.

I wore my Mom’s wedding dress. Luckily another client, the couturier Colleen Quen, was able to get a 6’2″ daughter into a 5’7″ mother’s dress! The Aloncon lace on the dress had been 50 years old when my mom married my dad. Check out the last photo of me with Colleen – she’s standing on a foot-high riser!

Some of the video is very pixelated. This was, unfortunately, due to the “wrong button being pressed” on a video camera brought by a friend. The documentary film company was able to “splice” photographs from the wedding into bits of that film and what they had from their camera. Phew!

We had a reception first, the wedding after. During the reception (while we were out having our photos taken), the guests all took foxtrot lessons. (Everyone had been “warned” on the invitation that this would be part of the “event”!) In this manner, we hoped that everyone would mingle and get to know one another. We only played foxtrot music during the “Dancing” portion of the wedding. While we were taking our photos, you can see my dad putting the “sixpence in my shoe” so I could have something old (my mom’s dress/my bridesmaid Allison’s veil), something new (my shoes), something borrowed (my Aunt Nina’s locket from my Nona), and something blue (my garter)….”And a sixpence in her shoe,” from my friend Leslie (dated the year she and I met).

The location, the Veterans Memorial Building on Lake Merritt in Oakland, did not have a finished dance floor, so guests were “forbidden” from taking food/drink into that room. We had a champagne bar and so hired a friend’s daughter (and avid scrapbooker) to host a “champagne glass decoration stand” for the guests. This way, guests could decorate their glasses as their “favors” for the wedding – and would be easily able to pick them back up after going in to dance. (Many folks still have their glasses! I know we do.)

The succulents that we had as our boutonnieres/bouquets were subsequently planted in our garden – and are very beautiful today!

We had been married the year previously (Shhh….) in Hawaii, since my husband, in his previous marriages, had only wanted to be married on the beach there. (Me? First marriage! Big blow out!) We used the exact same ceremony/vows in this marriage. The leis in both ceremonies were from a master lei maker on Kauai.

I had recently published my first book (Fempowerment: A Guide To Unleashing Your Inner Bond Girl), and my bridesmaid Allison and I were running an “Unleash your Bond Girl” business. That’s the “surprise” Bond portion of the wedding. Neither my mom, nor Allison, knew we were going to do this. As both had been incredibly Type A (in the best of ways) about the wedding, “surprising” them was a big deal. Seeing their shocked faces when the doors slammed shut and then were re-opened by our “bodyguards,” my cousins Lorenzo and James, and my friend Rod, is one of my favorite memories. You can even see me mouth “Surprise!” to Allison.

The Walther PPK in the garter, of course, was just a must. Right?

We had all the guests put their names in a hat, and then they drew out the “readings” from another hat. We had no way of knowing that our first reading, pulled by our friend Rosemary, would be a poem that was about 10 minutes long! :-)

There was a $200 Victoria’s Secret credit card in the bouquet, and a $200 Home Depot credit card on the garter. So you weren’t the next guy to get married – you were the next man with a Power Tool! My friend John not only was smart enough to stand in front – cos garters don’t fly very far! – but, as he was wearing his dress kilt, he “sported” the garter the rest of the evening!

I was, at the time, teaching pole dancing and a class in chair/tease dancing as well – hence, the shoes, the “lap dance,” and the “garter dance.” Hey, you only get married once!

Since this blog post is really probably just for me, HERE is the “raw copy” of the former “wedsite” HerbertAndSandy.com. (It’s an ~100 page download – be forewarned!) My friend Emily was gracious enough to find it on the “Wayback Machine” and send all the pages to me after I’d forgotten to renew the URL. The pages include a travelogue of our honeymoon, all the stories and quotes sent to us from friends worldwide, the story of how we met, our vows, etc. I’m so glad that she was able to reconstruct it!!!

HERE is the link to the video. Don’t hit download – it’s huge! Just hit preview. If you were a guest – or even if you weren’t! – I hope that this brings back fond memories (or makes fond new ones!)

 

Gyms & COVID-19

We have to close our gym! What can we do about our lease obligations? What about income?

1.       Quickly consider alternative/home-based workouts. Sometimes necessity has to be the mother of invention. Consider setting up a “virtual gym” for your members who may also be stuck at home because of school closings, work closings, etc. If you can still actually access your gym (i.e., you are not under a “shelter in place” order), set up a camera and do a Live Stream. Perhaps do it outside! (Maybe cajole your members outside, too!) Consider loaning out some of your equipment for the duration of any closing (keep a very good list of who took what, of course!) Maybe come up with “prizes” (case of Corona, anyone?) for members who can show that they kept up with their workouts – what about a dedicated “hashtag” related to your gym on social media? How about a prize for the biggest [weight loss/bicep increase/squat hold] differential during your shutdown? This is likely to be your best bet to keep your income flowing – keep your members happy and keep them working out. Your head too full to come up with workouts on your own? Always remember that Crossfit® HQ has your back 😊 www.crossfit.com/workout/

2.       Consider novel payment options. Perhaps, as an alternative to suspending monthly memberships, give your members the option to continue to pay while you “add more time onto” the “end” of their memberships. At our gym, we don’t have “punch cards,” we have drop-in fees (highest $), monthly fees (worthwhile if you’re coming more than once a week), and then annualized fees, paid monthly (lowest rate by far). When given the option today, annualized members seem overwhelmingly to be choosing not to suspend. As Crossfit members, we love our affiliates – give your members choices to help you that are still beneficial to them. Keeping payments flowing during the crisis should be your main goal – give something in the future to smooth your situation now. Even the promise of a Mexico-inspired (Corona, remember?) member party at the end of all this will keep community spirits up.

3.       Keep updated on your mayor’s proclamations. For example, as I write this, our local mayor and two others in different states’ cities (found in a cursory Google search) are stating that landlords cannot penalize tenants (including commercial tenants) that are unable to make their rent during the pandemic. Be sure you understand what might be available to you, and what you need to do to avail yourself of it. This might also include checking out any tenant organizations that cover commercial leases, as well as your local small business organizations. While it might seem unpalatable to take out a loan due to this situation, it is a better choice than to get behind on your obligations – things inevitably wind up snowballing.

4.       Read your lease. In general, to get a break as a tenant, you’d need to prove that either (i) your obligations under the lease have “substantially changed” so that it’s impossible to perform the lease (deeming the lease “frustrated”); or (ii) that a global pandemic like COVID-19 fits under a “force majeure” boilerplate in your lease.

Unfortunately, though not surprisingly, most leases do not have protections like this. Most (if not all) leases are drafted by the landlord. If you didn’t involve an attorney in your lease negotiation, it’s virtually guaranteed that your contract is “silent” on protections for you as a tenant. Moreover, in general, commercial leases require damage/destruction to the premises itself for rent suspension to be triggered under (i) in the above paragraph – and a pandemic doesn’t fit the bill.

What about (ii), force majeure? Force Majeure provisions address “Acts of God” – events “beyond the reasonable control of a party” that prevent that party from performing their contractual obligations. A typical “Act of God” is a hurricane, earthquake, or a flood.

 Sadly, it’s important to note that, even if a contract has a force majeure clause, nearly all of them exempt ”monetary obligations” (such as rent payments). But, it can’t hurt to take a look: If your contract has one, and it includes language that says “including, but not limited to…” then perhaps you can suspend your performance (in the case of a lease, this would be paying rent) until you can re-open your doors. However, this doesn’t actually excuse your payments . . . it just allows you to push your payment forward by the amount of time it takes to right yourself (or for the number of days stated in the contract – some state that you can push your obligations forward, for example, “the lesser of” the amount of time that it takes to right yourself, or [10] days).

As an aside, if you do happen to find a force majeure clause in a contract, also know that an Act of God clause can’t protect non-performance if the force majeure event occurs after the delayed performance; there are also always very specific notice provisions. 

If you’re actually planning to just throw up your hands and default on your contractual obligations, it really is strongly advisable not to do this. If your lease has an “attorneys’ fees” clause (nearly all of them do), it will cost your landlord nothing to sue you if/when they win – you’ll be paying all their fees and court costs. And… since you have your lease out… definitely check for things like: (i) acceleration clauses (which state if you are ever late, the entirety of the lease term’s payments are due immediately); (ii) attorneys’ fees clauses; (iii) penalties/interest clauses; (iv) jurisdiction clauses (did you agree to an inconvenient forum, and law that isn’t tenant-friendly?); (v) personal guarantee clauses (where, even if you’re incorporated, you are personally liable for the payments – a/k/a the “lose your house” clause); (vi) etc.

5.       Don’t forget to look at your insurance. While Force Majeure provisions, in general, allow a party to suspend performance until a catastrophic event is over, what covers loss of business due to general fear, governmental direction to engage in “social distancing,” or orders to shelter in place/stay home? This will severely impact many “brick and mortar” businesses, such as bars, event venues, restaurants, theaters, and, of course, gyms.

While some business insurance/business interruption policies cover disruptions, in general, they cover loss of earnings due to an ‘insured peril,’ which also require property damage. While Contingent Business Interruption (CBI) insurance is generally broader, you would have needed “Back to the Future” foresight to add this rider onto your business interruption insurance before the occurrence. Unfortunately and unsurprisingly, after the global outbreak of SARS in 2002-2003, many insurers have excluded viral outbreaks from standard business interruption policies, and coverage may only be procured through special endorsements/riders purchased at the time of coverage. (In other words – it’s too late now, sorry ☹ )

In sum, while insurance covering non-nature-related “interruptions to business” (such as strikes, lockouts, or down utilities) can compensate both parties during the period at issue, it’s unlikely (without physical loss or property damage) that business interruption and other current forms of coverage will compensate either landlords or tenants for loss of business or rent merely because the government mandates that potential customers stay home.

6.       Throw yourself on the mercy of the courts? Since your lease is likely silent on force majeure, and your insurance likely doesn’t call out “COVID-19” directly, if your landlord sues you, the courts in your jurisdiction will determine whether you win based on the foreseeability of the event and the jurisdiction’s statutes/ precedents. But don’t hold your breath. For example, in an insurance case where an event organizer intended to lease space at the Jacob Javits Center in Manhattan shortly after 9/11, but the City of New York decided to utilize the Javits Center as an operational hub and therefore “ordered” it closed to non-first responder personnel, the courts held that the event organizer’s insurance only covered “direct physical loss or damage,” not loss of business. Penton Media, Inc. v. Affiliated FM Insurance Co., 245 F. App’x 495, No. 06-4215 (2007).

Be safe – and live up to your side of contracts, even if you need to pay everyone a little versus paying nothing. If you wind up in court, while I can’t guarantee it, this is likely to be looked at more favorably than just throwing up your hands and hiding your head in the sand(bags).

The information provided in this article does not, and is not intended to, constitute legal advice; instead, all information and content are for general informational purposes only.  This article may not constitute the most up-to-date legal or other information. Readers should contact their attorney to obtain advice with respect to any particular legal matter.  No reader should act or refrain from acting on the basis of this article without first seeking legal advice from counsel in the relevant jurisdiction.  Only your individual attorney can provide assurances that the information contained herein – and your interpretation of it – is applicable or appropriate to your particular situation.  This article does not create an attorney-client relationship. All liability with respect to actions taken or not taken based on the contents are hereby expressly disclaimed. This article is provided AS IS; no representations are made that it is error-free.

5k Training Tips for Beginning Runners on a Busy Schedule by Julie Morris

We’re lucky enough to have another post by Coach Julie! You may remember our first post by Coach Julie on Stress Management, which you can re-read HERE. Today, she’s talking training tips to get you on the road to your first 5k!

Running is a fantastic way to keep in shape, but it can be a tricky activity to pin down when you’re a beginner. Not only do you have to figure out how to stay safe and make sure your body is well taken care of, you also have to find time to get in the amount of running that’s right for you. Busy professionals sometimes have a difficult time with this, especially when they decide they want to start training for a 5K race. Time management is important, but fortunately there are several simple things you can do to fit in some training.

Planning wisely is crucial, since your body needs time to cool down and recover. When you have a busy schedule, it’s important to prepare for every aspect of your workout, including the downtime. It’s also a good idea to start out slowly, which will allow you to focus on your body’s strengths and work on your weaknesses without risk of injury. And you’ll also need the right gear, including a fitness tracker, to help monitor your progress.

Here are a few tips on how to start training as a 5K runner when you have a busy schedule.

Use tech to your advantage

Technology can be extremely useful for beginners who want to figure out the best way to start training. Fitness trackers, apps, and smart watches are great tools to help you keep track of your progress, your health, and even the amount of calories you’re burning, meaning you’ll be using your time wisely each time you go for a run. They can even act as motivation and can help to keep you safe; for example, the latest model of Apple’s smartwatches, the Apple Watch Series 5, includes features like an electrocardiogram and has an SOS feature if you should find yourself in trouble while on a run. Meanwhile, the Fossil Gen 5 smartwatch delivers smooth performance and has a battery-saving mode for longer battery life. (Note from Sandy: I happen to have a Withings Steel HR smartwatch, and I LOVE IT. It has fantastic performance, is easy to use, and the battery lasts for weeks! It also “looks like a watch” which to me is a huge benefit. I have the black face/rose gold model, so even the black “notification” screen looks just like a regular watchface unless a notification is coming through. Because I had the initial generation of this watch, which had a flaw, they sent me the Withings SmartScale as an “apology” (and a new watch) – so that also links into the app. It doesn’t do all the fancy “close your rings” stuff that an Apple smart watch does, but because it actually looks like a classy non-digital, non-“smartwatch” watch, I’m willing to forego some of those “bells and whistles.” Links not tied into any sort of affiliate deal, btw.)

Focus on your recovery

It’s essential to make sure your body can recover after each run, especially as you start to train and are running more often. Staying hydrated and waiting at least three hours after eating before you go for a run are great tips, and you should also ice your muscles to keep soreness at bay. Keep your diet in mind as well; eating the right foods like bananas and plain yogurt can help you keep your body on track and will boost your energy and fuel your muscles. Make sure you integrate those foods into your daily routine; bring your own snacks to work so you won’t have to rely on unhealthy vending items, and start doing meal prep for the week so you can save time.

Come prepared

Running and training for marathons can be time-consuming activities, especially if you don’t have the right equipment beforehand. Come prepared with the right clothing, shoes, and other gear so you can get through the run without any distractions or issues. If you’re going to be a serious runner, it’s a good idea to choose shoes for your foot type (narrow or wide). Break them in beforehand, as well. Also, keep in mind that outside factors can affect your run, such as weather and terrain.

Run when you can

When you’re a busy professional, sometimes you have to seize the opportunity to run whenever you can. This might mean going out for a jog on your lunch break, or waking up earlier than normal to run, so think about the option that makes the most sense for you. Some people don’t do well with a routine that doesn’t have a schedule attached to it, but when you’re busy, sometimes you have to learn to work around things a little.

Training to be a 5K runner is a lot of hard work, but it can be very rewarding at the same time. By utilizing the tools at your disposal, you can ensure that you’re able to keep your body safe and in great shape as you go. Keep comfort in mind as much as possible so you won’t cut down on your run time with aches and pains.

Julie Morris is a Life and Career Coach, and can be found at JulieMorris.Org.

Resistant Starch & Bone Broth

Hi:

It’s funny the things that we do because we think that one thing (or another) is “better for” us.

I’ll give you an example. I have always really loved (and sometimes had a craving for) white rice. Butofcourse, white rice is not GOOD for you, BROWN rice is good for you. So I would always dutifully order the brown rice with Thai food, etc. – because, ya know, it’s BETTER for you.

Yeah…….Nope.

I have done a couple of those personalize nutrition (i.e., “match your DNA to what you eat”) tests. My favorite still being Habit for the presentation value alone – but I’ve done GenoPalate, etc.

Funniest thing? My DNA doesn’t like brown/wild rice. My DNA likes white rice.

I’m taking college-level Biology as a required prerequisite for my Nutrition degree, and my husband’s cancer profile has changed (Stage 4), so I’ve been consumed (Ha, ha) by nutrition.

Thought I’d share.

Resistant starch is what your gut microbiota (“gut bugs”) eat. It’s also called “pre-biotics.” (Probiotics are what makes the bugs themselves.) Because hubby was recently put on a huge dose of antibiotics due to pneumonia, we knew that he’d wiped out his gut bugs. And we needed to get them back – fast – especially as the current cancer regime he’s on (Keytruda) relies on you having a good, working, force of gut bugs at your disposal.

Moreover, we were instructed by our non-Western doctor, that, since practically no one eat animal protein “head to tail” (e.g., including offal and bone marrow), the standard daily diet needs to be supplemented for optimal health. Enter – bone broth.

So this post is just a quick one to show you (a) how to make a prebiotic to feed your good gut bugs that is also delicious (if you like white rice!) and (b) give you some pre-made bone broth ideas.

Broth Number One: Shelf Stable Kettle & Fire

Why yes, I do make my own bone broth. But it’s messy, takes a long time, and (since you need to freeze it or it goes off), can sometimes not be available right when you want it. By way of an aside, to be prepared to make your own bone broth, put “wiggly” veggies, sprouted onions, the parts of the chicken you didn’t eat, etc. into a huge gallon Ziploc in your freezer – once you have a couple of them, add them to a stew pot with some apple cider vinegar and water and spices, and then boil, boil boil. But I digress. (How unusual.)

Because it’s shelf stable (without any nasty preservatives, pasteurization, etc.), Kettle & Fire is my favorite. Since both the beef and the chicken have basically zero flavor profile, I use this as a base for everything from smoothies to rice to oatmeal to keto pancakes. Our non-Western medicine doctor actually recommends at least one cup of bone broth a day. It could be as “broffee” (bone broth with some butter, coconut oil and salt in it, blended up frothy in the morning), as a quick pick-me-up mid-day, etc. It’s also great right before you go to sleep – and gives your gut bugs something delish to devour while you’re snoozing.

Not getting what we “need” in what we eat (again – we aren’t breaking bones up to get the marrow, or eating offal) can help cause “leaky gut,” arthritis, inflammation (gout), joint pain, etc. Especially if you are eating any gluten, which wreaks havoc with inflammation/joints/etc., it’s imperative to have something to combat our “standard daily diet.”


Oh and hey – FWIW – if you add turmeric and black pepper (black pepper increases the effectiveness of turmeric by an exponential value), you can even more boost the inflammation -effect. 


HERE is a coupon for Kettle & Fire. If you use it, I get “Healthy Sips” (which basically gives me some free product at some point), and I think you get 10% (or maybe it’s $10) off your first order.

I’ve tried just about all the varieties of the K&F bone broth – my current favorites “as” broth (v. as additions to recipes instead of water) are the Chicken Coconut Keto Curry, the Chipotle Beef, and the Chili. But they’re all great.

Bone Broth #2: Broth Plus Chinese Herbs If You Like: Osso Good.


The other recommended bone broth is NOT shelf stable, so you need to keep it in your freezer. This bone broth, however, has had the Chinese herbs added to it that our non-Western medicine doctor recommends, for use during chemo, for anti-inflammation, ulcers, etc. These four particular ones are Ener-Qi, Revive (the gut), Immuni-Qi, and (Total Body) Recovery. 

HERE is a link to Osso Good. I think if you use this coupon, we both get some $ off – you on your first order, me on my next order. Think it’s $15.

Osso Good has a lot of different flavor profiles, a cleanse, a Whole 30 program, and the like. I have used and liked a lot of their different broths in the past, because they have a good Marketing department (ha!) that about once a quarter does a real blow-out sale. (And, we have a second freezer!)


The bone broths from these two companies are different – I use both, for different things. Again – I tend to reach for the K&F more often because it’s shelf stable, so can be right in the pantry.

White Rice: The Prebiotic

As I mentioned, a great prebiotic (the stuff that your good gut bacteria need to eat) is made out of cold sushi rice and coconut oil. 

Recipe

This recipe “grosses up” perfectly – I usually make 2-3x the below every time. Still (at least at that multiple) only takes about 20 minutes.

Boil 1.5 cups water (I actually use the K&F Bone Broth). Once it boils add to it 1 c. organic sushi rice (wash it after you measure it) and 3 Tb coconut oil. Let simmer, covered, for 20 minutes. The clinical tests have had better results with actually “cooked on the stovetop” rice, i.e., NOT a rice cooker, InstaPot, or microwave. 


Once the rice is cooked, “fluff it up” and then put it directly into the fridge to chill, to re-heat later. Don’t just “steam it and eat it,” or “cool it on the counter” then refrigerate it – again – in measuring the resistant starch that forms, this is the best way


When you heat it up to use it, the sugars (digestible starch) are “bound” in the rice grains and the starch is set up into its prebiotic form (what gut bacteria eat) (resistant starch). This also means there isn’t an insulin spike when using it this way. This is because only your gut biome can eat resistant starch, your body can’t break it down so just passes it on (to the waiting gut biota).

REMINDER: white rice is better for you than brown rice. Brown rice has phytic acid (an anti-nutrient that stops us from absorbing minerals) and arsenic (which is concentrated in the thin outer layer that makes brown rice brown). So if you were eschewing white rice for brown on the thought that it was “better for you” (even though you liked white rice more), you can stop that right now. :-)

HERE is a podcast about Resistant Starch.

Vegan Keto ? That’s a thing?

So.

courtesy of DrJockers.com

Hubby has Stage 4 bladder cancer. That means his bladder cancer has now left that general area, and has filled his lungs and is also in part of his muscles around his lungs.

I know – sucks.

The oncologist said he has “6 months to a year” to live (that was a month ago). It’s apparently a “10 month average.” Yes, we’ve been back to Broffman/Pine Street Clinic (previously discussed). We’ve also gotten him appointments with one doctor in Sebastopol (who will do the Vitamin C/doxycycline treatments), the big Cancer Center at UCSD, and a doctor down in San Diego who I mentioned before. (I’m not doing a lot of links here – and I have notes to write up, etc. – but basically treating this right this second as a “repository” versus an “information” blog.)

Some folks say that a Vegan diet is the best way to corral cancer. Others say that a Keto diet is. So, we just decided – Fxck it. We’ll do Vegan Keto.

I’ve had a number of articles open on my computer for quite some time, and it’s time to put the links somewhere else to refer to. So – here they are:

Vegan/Low Methionine Diet Starving Cancer Cells: HERE

Methionine Restricted Diet (plus food tables showing Methionine content): HERE. Note from this article:

If a methionine restricted diet is indicated for me, how much methionine should I be eating each day?
The RDA (recommended dietary allowance) for methionine + cysteine (adults 19 yrs+) is 19 mg/kg/day, while the EAR (estimated average requirement) is 15 mg/kg/day. People should not dip too much below these levels as they represent the lower end of what is needed for human health. Methionine-restricted diets allow 800-1200 mg methionine per day for most adults. For methionine alone, 15 mg/kg is thought to be a reasonable lower limit. So, if a therapeutic, methionine-restricted diet is indicated for you, multiply your healthy body weight by 15 to find a level of methionine intake that is appropriate. Let’s say your healthy body weight is 60 kg, you would need 900 mg methionine per day.

Hubby weighs (+/-) about 90 kg. So that would mean about 1350 mg per day. If you look at the table above, 3 oz. of salmon is 640, so you can see that this is going to be . . . interesting. I think that I might still be able to make egg cups (which he likes), because 1 egg is 132.

Ketogenic diets and cancer: HERE

Top cancer-fighting foods: HERE.

Top cancer stem cell killing nutrients: HERE

More about keto and cancer: HERE

So far I can tell you:

*The Trader Joe’s Jackfruit Crabcakes aren’t terrible. They come 4 to a pack and we had them with a vegan aioli that wasn’t terrible either. NOTE: If you don’t know what “aquafaba” is, it’s the juice from the inside of a can of organic chickpeas. You’re welcome.

*Zoodled zucchini with Trader Joe’s pesto is pretty good. Don’t use a ton of it – it is not vegan as it has cheese in it, but again, we’re just trying to do what we can. I added a jar of their sun dried tomatoes (squeezed the oil out of them by hand), and a bunch of their pine nuts. Since the pine nuts are raw, I toasted them in my big cast iron skillet in a little coconut oil until they turned brown. Very tasty.

Beyond Burgers are also not terrible. They have no soy, GMO, etc. – which is all good when it comes to the “stop cancer” diet. We tried to use the Miyoko’s Sharp English Farmhouse Cheddar (local company), but that was not a win. Didn’t melt, and had a super odd taste. It tasted a bit like those “faux” Hick’ry Farms cheeses that we would sometimes get in my youth. We have a few other Miyoko’s things to try, but this wasn’t a win. HOWEVER, their butter is NOT terrible – a little salty perhaps (we’re used to using grass-fed unsalted butter) – I had some today on a keto cracker with almond butter.

Sabra Olive Tapenade Hummus. This was a big win! I bought it one day and the next day 1/2 of it was gone. “Someone” had had a “midnight snack.” Since hubby is supposed to be doing intermittent fasting, when I queried him about it the next morning, he said “Oh, yessssss, I’m not eating until noon.” (Um, I’m not sure that’s how it’s supposed to work, dear . . . )

Non-dairy Yogurts: We have tried Forager (this is at Costco, which is a plus), Kite Hill, and Lava. All in the plain varieties (too much sugar in the “flavored” ones, which cancer loves nom nom). Hubby doesn’t care for coconut-based “dairy” and so those are off the list. Soy is suspect vis-a-vis cancer in a lot of reports. But these three yogurts have been pretty doggone good! Surprising, actually.

That’s about all I have to say for now – just more of a “where can I store this information for myself for later” than anything else. So no purdy pictures and all that.

My question to you:

Any recipe that you have that could be considered as “vegan keto“? Want to pass it along?

My Favorite Travel Bag

I travel a fair bit.

I have tried out a lot of travel bags. My hubby might tell you that I’m a bit of a sucker for travel bags. (And gizmos. And cell phone battery packs – don’t ask how many I have. Just don’t.)

Cool Bag, Gen 1

HERE is my favorite bag (not a sponsored post).

The Cool Bag is something that I originally got via Kickstarter … or Indiegogo. Which is, as you might have already guessed, my favorite place to purchase travel bags, gizmos, and cell phone battery packs. Suckah… ;-)

I do have a number of other bags that I’ve purchased and tried out via Kickstarter and Indiegogo, but I won’t mention them here, because they all failed for some reason or another.

I am back travelling again. This time, I didn’t “need to bring” the EmPack that I’ve talked about in previous posts. I bring that when I am going to be gone for a while, and need to keep up my Strength workouts. This time, I’m only gone for a couple of days, and I’ll be too busy to do anything more than a bodyweight workout or two. So I like using a bag that’s really made to be useful to the traveler.

The kicker on this trip (and my trip coming up in a few days, to the Crossfit Games) is that I didn’t pay the extra required for checked baggage. In fact, this current trip was on a tiny little plane, so many “standard” hard sided/wheeled carryons were required to be checked at the door. (Full plane, pissed off passengers.)

Not my Cool Bag. It fits in even the smallest overhead or (unless you’ve packed it to the gills), under the standard seat in front of you. (Note: It’s rated for about 30 pounds, but I’d be hard pressed to get heavier than that with clothes, a computer, and well, ya know, a few battery packs.)

So let’s get started on why I just love this bag.

Theft deterrence.

The Cool Bag’s padded, steel-cable-reinforced handle can be slipped out of a slot on the side, then you can wrap it around a stationary object, lock it back in, and lock the entire bag with the heavy-duty lock on the zipper. (You can even register your combination on their website, in case you forget it.) I remember a number of times swimming in the Bay in San Francisco where I would put the bag with my clothes, car keys, etc. against the big anchor at the side of Aquatic Park, and try to “keep an eye on it.” I mean – cummon. I know, stupid, but what’s a girl to do? With this bag, you can wrap the handle around something secure, and without a pair of bolt cutters, it’s not going to Go Walkabout.

If you’re feeling a bit sneaky at a busy beach resort, you actually could take the bag, clip it onto a recliner, and then come back after breakfast and still have your chair. While I have had a beach towel, and even a hat, moved by someone who has decided they want my chair, I’ve yet to have my entire bag moved. Because, of course, since it’s strapped and locked on, it’s just not possible.

Strap Length.

So many “shoulder” or “duffel” bags are impossible to carry, because the handles aren’t long enough to comfortably get the bag onto your shoulder. The padded handles of the Cool Bag make it super easy, and actually comfy, to carry it without wrestling. Moreover, it has a “hidden zipper” at the base of one of the outside magazine pockets on one side, so if you have a roller bag, you can open that zipper then slide the Cool Bag onto the roller bag’s handle to stack it securely on top. Finally, it has backpack straps – so if you want to go hands-free, you can put on the backpack straps and then slide the padded handles down into the compartment.

No worries – it is a carry-on.

The dimensions of the bag are small enough for even the smallest TSA carry on bag requirement. They are:

Height: 15.80  inches (40.1 cm)
Width: 19.65 inches (49.9 cm)
Depth: 7.5 inches (19 cm)
Weight: 3.15 pounds (1.44 kg)
Strap Length: 28.5 inches (72.4 cm)
Security Wire Gauge: 0.15 inches (0.38 cm)

Great colors.

The Cool Bag comes in super bright colors (I have the red). This photo is from their website; it shows the turquoise, purple, red, pink, green, orange, and black (they also have navy).

Stain Resistant, Tough Material; Pocketses.

The outside fabric is UV-resistant thick ripstop polyester, with a durable stain and water resistant coating on the front, and a urethane waterproofing on the back side. The inside is made of cut-resistant material. It has a passport pocket that is RFID proofed on the inside, plus two net cell phone pockets (so that you can see if you got a call without pulling the phone out of the pocket). The zipper is puncture resistant. The handles are soft injection-molded foam, with a security cable inside. As I mentioned, there are backpack straps that “live” in the outside pocket; you can quickly snap them onto the bag if you like. They’re form-fitting and adjustable. Finally, there are expandable bottle pockets on both ends.

The padded pocket inside can carry a small computer like a 10 inch MacBook Air; larger computers easily fit into the main compartment. 

But wait, there’s more!

It’s called the Cool Bag because . . . It’s a cooler.

The inside can be used as a carry on and then, underneath . . . there’s a leak-proof, water-proof cooler. It fits seven 12-oz cans or two 750 ml wine bottles. It also comes with a wine “sleeve” to put on one bottle, so they don’t clank.

You can get to the cooler via an outside zipper pocket along the bottom, OR through the inside. So let’s say that someone were to take this to a ball game- you could load up the bottom and then keep the hidden outside zipper turned “toward you” as you get your bag checked. There is no way to see the wine/cans on the inside if someone opens the bag. Then, to get to the bottom, there is a flap and zipper from the inside to reach down in. This zipper is secured from the main compartment, to deter access to the main compartment via unzipping this zipper.

They even sell a specific slim blue ice pack that fills the length of the cooler space, or a CoolPac that you can fill with your own ice. When I take it to the beach, I actually just use a blue ice pack I keep in the freezer – because not only can I bring a couple of cans of something cold, but I can also keep my sunscreen and lipstick in there, so they don’t melt in the heat.

HERE is a video that they made that shows all the features of the bag. Again – no promo code from me – I’m just sharing because I really think it’s a fantastic travel bag. I did notice that they’re having a promo through the end of July 2019, but as I am currently typing this on July 27th, that might not be that helpful to anyone.

Happy Travels!

Sanoviv: Fitness Lecture, Staff & Class Comments

Yeah fine – I lied. One more post.

We had a great lecture last night by Omar, who heads up Fitness here. It was the more amazing because, while all the lectures here have been in English, he did it simultaneously swapping back and forth between English and Spanish.

I really like Omar. He knows a lot about Fitness. There are three guys in the Fitness Center, and Omar is the quietest and perhaps “least muscular looking” if you want to put it that way. But he is infinitely smart about not only fitness, but also how to get the ‘best out of’ every single person he sees.

pelican (bottom, middle left)

In this post, I’m going to list some things about some of the Staff that you might “miss” at Sanoviv, or might want to be sure that you do not miss. Then I’ll talk about the Fitness lecture.

Before I start though, I thought I’d mention that I got my hemoglobin A1C and fasting insulin blood tests back yesterday. Both are normal. Because of the “inability to lose weight” issue, the doctor wanted to check these, even though my Fasting Glucose was fine. They’re more specific tests for insulin resistance and diabetes. As I said to her when she told me, I’m glad that they’re normal, but I’m also frustrated that they are normal. My DUTCH test won’t be back until we’re back home. THIS is what the results will look like.

Staff

I thought, since I’m writing, I should make a quick post about some of the Staff at Sanoviv. As I have mentioned before, you don’t tip the staff here, though when you do your check out and final billing, you can add to it for their “Christmas Fund.” We are adding $1,000, just by way of example. That said, here are a few completely random notes about Staff folks:

Roberto: He’s the shortest one in the kitchen/wait staff, but in my opinion has the best English. He has a great sense of humor, too. If you need something, see if you can snag Roberto. He’s very shy though, snag lightly. :-) He has the nicest smile.

Eunice (pron: you-NIECE-si): She is the Goddess of Massage. I’m not kidding. Her Swedish is the best I have had – In. The. World. And not only am I personally a licensed massage therapist, but I tend to “get massages” (and facials – more on that in a second) everywhere I go. This “honor” was previously held by a massage therapist in Sayulita, Mexico. Eunice’s Reflexology is outstanding as well – better than even the teacher who taught us reflexology at massage school. I have had 3 Swedish massages here, 2 from Eunice. The 2 she gave me were radically different, which is also important. She does a “once over,” then concentrates on what you need. She’s not just “following a template.” The first time she massaged me, I went from the Swedish to the Detox Bath – I’ve discussed that before. It knocked me out! The Reflexology is done with Parafango on your back (you lie on it), and is a great experience. Eunice goes through what she “found” after your Reflexology session (if you’d like), and she hit the nail on the head for me. WARNING: Her hands, elbows, etc. are Made Of Steel. She is no bigger than a minute, but believe me, if she asks you “Media, or Hard?” go for “Media.” Trust me on this. There will still be some excruciating points she finds, but I can’t imagine what “Hard” would feel like. (Her nickname is pronounced “niece.”)

art outside Special Care

Roberta: She doesn’t have a ton of English, but she’s the Goddess of Facials. If you like (well, not like, but desire/need) extractions, this is the woman. As those of you who feel that the “best” part of facials are the extractions, again, this is the best I’ve had – In. The. World. There was one gal up in Salt Spring Island (Canada) and another in Denver, Colorado who were tied for this “blue ribbon” before, but Roberta now has it, hand’s down. Warning: The extractions are as painful as painful can be. Breathe and pinch your hand or something. She does every. single. millimeter. of. your. skin. Including, like, in your ears. Yeeeee-owch!

Priscilla: Her seaweed wrap is the best. I had a couple, and she’s the winner. She’s hilarious, and she speaks English well. If you actually are going to Sanoviv, you can tell her that you understand that she learned her first English from Marvin Gaye “Let’s Get It On” (when she was six….) She’ll likely squeal though. ;-) She and her father are very musical and she mentioned it’s why she thinks some folks are better with languages than others. She said that her mother and brother aren’t that good musically and, in fact, neither of them “has English really at all.” If you’re doing a seaweed wrap, she’s your girl. If you have a good eggnog recipe, you can bring that to her, too. (She had her first eggnog this past Christmas and though she was freaked out at what was in it, she of course took one sip and had “eggnog love.”)

Brisi: She is the cutest kitchen/wait staff person (and only female). I don’t think that she would have a problem with me mentioning that (ahem) she somehow trails a little trouble after her when it comes to breakables. When we first arrived and were waiting for our tour, she came out to a table and dropped a tray of glasses on the floor. (Quite a crash!) Then a day later, another of the kitchen/wait staff “crew” were trying to hand her a pitcher of green juice, something slipped, and it wound up hitting the deck and all the green juice went up on her. A day or two later, she turned and knocked a glass off of the table with another spectacular crash. Just the other day there was a crash in the kitchen when I was standing outside the door, and she actually saw me through the window and held her hands up over her head like ‘It was not me!” She’s just the cutest.

Arturo: If you have any issues giving blood, ask for Arturo to do it. He’s magic. I have all sorts of issues (rolling veins, small veins, collapsing veins) and he took the gallon that they require with no sweat. (He doesn’t have English though.)

hubby’s “protein dinner” last night – stir fried chicken with a honey/coconut aminos sauce

Frankie: Frankie is sort of the “jefe” (boss) of the kitchen/wait staff. He’s not really (Sue Ward, Director of Nutrition, is), but he’s the one actually in the kitchen who will ensure that you get what you need at meals. Don’t be a douchebag though. Eat what they have, unless you have a medical reason not to. Believe me, in four weeks I have seen folks running the kitchen ragged with their “desires and choices.” The kitchen has to make special meals for folks who have medical reasons not to eat what is available at that meal. (For example, I am allergic to fish. So every time fish was the protein at lunch, they had to grill me up chicken. Similarly, hubby tested low in protein. So for dinner, which is always vegan, they would give him an animal protein.) There was a girl that would only eat kale chips and protein shakes. Another who wanted everything as sandwiches. This isn’t a resort – it’s a medical facility. So if you really do have allergies or sensitivities and you’re going to Sanoviv to get a handle on them – then whatever you and your Nutritionist have decided, your name will be on a “stick” at the front of the buffet – pick it up, and the kitchen will have a meal prepared for you. If you’re a Companion and have actual allergies, then put those in your intake form, and they will accommodate you. But if you don’t happen to “like” strawberries and so you go to the kitchen door to wheedle Frankie to “perhaps just bring me some of those blueberries we had for breakfast,” that’s being a douchebag. Just don’t eat the strawberries – there’s plenty more on the buffet. Enough said.

Dr. Sandra: She does the sound meditation class on Tuesday morning, which is wonderful and you really should go. (It’s in the Education Center, not the Meditation Room.) She also does the Energy Medicine/Meditation on Saturdays. Great classes. After sound meditation, head down to the Fitness Center for the Stretching class. Though it says “wear athletic shoes” on the calendar, that’s just the default for anything in the Fitness Center. If it’s yoga, stretching, tai chi, or the like no, you don’t need to wear athletic shoes.

Dr. Fernando: He was my psychotherapist. He does the Energy Medicine/Meditation on Thursday and Friday. He also does the Laughter Yoga in the Education Center on Monday mornings. It’s great. I was a little … ?suspicious?…can’t think of the word (didn’t want to go), but I did and loved it. I went the week that hubby was in the hospital in Tijuana, but then the next week we had to go back to the hospital to get hubby cleared (so missed class) and this week, Dr. Fernando is on vacation! So I only got to go once. It’s worth it, go! And here is a little secret: Fernando has a voice like an angel. If you ask him to sing, he was once told that “If people ask you to sing, you need to sing. If people do NOT ask you to sing, don’t sing!” He is very shy about it but his voice really is that beautiful. Make him tell you the story of serenading his (hopefully to be) wife under her window. :-) And don’t let on where you know this from, I’m sure that he can send the “evil eye” all the way back to San Francisco to “get” me!

Stretching, Kundalini Yoga, Swiss Ball Stretching, Water Aerobics, Tai Chi, Moving Meditation, Cooking classes: All the classes are great. While stretching sometimes is packed, they’ll make room. And I never did a water aerobics (Tuesdays) where there were more than 4 of us in the big pool. Today, it was only 2 of us! All these classes are for anyone (Companion or patient). Sometimes they are not listed on the patient’s schedule, due to a conflict with a doctor’s visit or the like. As such, be sure, if you go as a Companion, to keep your “group” schedule handy. (They give it to you at Intake.) You can go to any class, even if your patient is doing something else. Remember to bring them up their Snack before you go, though! They’ll be so grateful. (As an aside, I am surprised at how many Companions seem to just be swanning around not looking to their patient’s needs. Today, I took hubby up the Snack and his prescribed shake, and there were 6 people in the IV room, 2 of whom have Companions. They all ‘begged me’ to get them their Snack, or shake, or [whatever]. If you’re Companion-ing, come on, champ, do your job!)

The Fitness Lecture

Here are some notes that I took during Omar’s talk. It was a great talk, but the entire time I kept thinking about Greg Glassman. Everything that Omar said is exactly what Greg talks about constantly. The intersection of Physical Fitness and Functional Fitness. . . Eat real food, not too much, mostly plant-based . . . Sleep enough . . . Be your own Health advocate . . . Here we go with the notes:

Physical Fitness is “the ability to carry out daily tasks with vigor and alertness, without undue fatigue, and with ample energy to enjoy leisure-time pursuits and respond to emergencies.” — definition by the Centers for Disease Control and Prevention (CDC)

Functional Fitness is doing the things that you need to do every day, without pain or trouble. Examples that folks came up with – getting out of the car, picking up a heavy bag of groceries, but Omar said: Start smaller. These are things like bathing yourself and tying your shoelaces. Some people can’t even do that. It’s being able to do everything that allows you to “function” without pain or help.

Omar’s last slide

At Sanoviv, they concentrate on both. They do a hand grip test – but that will not only show that you can hold a barbell or a pullup bar, but also that you can open a jar. They do a squat test, which will show your mobility to get under a barbell, but it also will show that you can get out of a chair without pushing on the armrests or the seat. That is why they have the specific Physical/Functional Fitness “intake” test that they do – to see where you are on the spectrum, so that they can design a program that is specific for you, and that you can take home with you.

Physical Fitness has four components: Strength (“How much can I lift in a single exertion?”), Cardio (“How long can I do this exercise, at what effort, and how long does it take for my heart to calm down afterwards?”), Endurance (“How many repetitions of this exercise can I do before I can’t do any more?”), and Flexibility (“Can I move my body in all planes without pain and with good mobility?”). All of these are tested in the Sanoviv Intake Test. The “fifth” component is an overlap with Nutrition and that is your Body Composition.

The workshops and classes offered by Sanoviv address one or more of the above. For example, if you are talking about muscular fitness, that is addressed in Yoga, Rebounding, Pushups/Pullups, and Weight training, which is simulated through bands. (They are obtaining TRX equipment, however, in the next few months.)

Medical studies have shown that the optimal amount of exercise is, at minimum, five hours per week of moderate intensity and 2.5 hours per week of vigorous intensity. This has been “dumbed down” to “Do 30 minutes walking” and such, but the studies actually show that the body needs the 5 hours/2.5 hours at a minimum. This is similar to the “RDA” for vitamins (Recommended Dietary Allowance). The RDA amount that you see on a food or supplement label as a percentage of “100%” of a certain vitamin is so that you actually don’t come down with something like rickets or scurvy. It’s the absolutely minimum. Many people take this as a maximum, but it’s the exact opposite. Similarly, with physical fitness, the studies show that actually 90 minutes a day, with 60 minutes being moderate intensity, is the best level. After 90, the benefits flatten out. Perhaps people will throw up their hands hearing that this is what their body really needs, but instead of dumbing it down so that people will at least “do something” (though only a small percentage even reach that amount), it seems best to actually tell people what the studies show. Just like the RDA/vitamins. You can’t think “Oh, I didn’t get my 100% of Vitamin E today, but I got to 90%, that’s enough, it’s nearly there.” It is actually not – the RDA is the floor of what you should get daily.

When it comes to Strength training, everyone should be doing a minimum of two days per week. This should involve both strength and balance. For example, it could be body weight exercises (situps, pushups), or exercise bands, or yoga, or bar/dumbbells. “Gym machines” give you a false sense, because there is no balance involved in using them. Also doing non-functional movement (“bicep curls”) is suboptimal, because you are not training your body in a way that will translate into Functional Fitness. (example: Deadlifting directly translates into lifting a bag of groceries, whereas a leg press that works your leg muscles in what looks like the same “way” does not translate into lifting a bag of groceries.)

Older adults (NOTE: Hubby and I immediately said “Um, what do you consider ‘older’?” Omar smiled and said “70 and over”) need to do balance training, and should even think about “practicing falling.” Balance training can just be standing on one foot while cooking, then doing it with eyes closed, etc. You can’t start too early. An “adult gymnastics” or aikido or judo type class, if geared correctly towards older adult beginners, will teach falling. And everyone knows that the fall isn’t really the issue – it’s the break. And Strength training helps build stronger bones, as does eating the right foods.

The human body needs and likes being on a schedule. As such, you need to find something physical that you like to do, and block it into your schedule during the same time. Once you’ve been at it a month or two, your body will expect it. If you like to work out alone, check out apps that can help motivate you. If you like to work out with other people, visit gyms in your area and see if there is a class that speaks to you. Most gyms will give you a one-day pass. Find a buddy – you won’t want to “let each other down.”

There are items that can help you get more exercise during the day, such as “walking desks” (treadmill desk workstations) or something as easy as a desk cycle. Think about taking meetings while walking. Set a timer to stand up and do some stretches every hour if you are at your computer.

Hydration is a big issue. Most people don’t get enough water, and it can be an issue all the way down to the cell level. (I blogged about that HERE, a few years ago.) If you are working out, the only reason to step on a scale is to see if you’re dehydrated. (At Sanoviv, they don’t believe in weighing and measuring – yourself, or your food.) If you step on a scale before you work out and have lost weight after, you didn’t take in enough water. And a 1% body water decrease has been shown to lead to a 10% brain function decrease. Omar was a professional caliber soccer player (he now just plays for “fun”) and he said that this is why most goals are scored at the end of the game – because the teams are dehydrated. The team that stays the best hydrated is the team that’s the better able to see how to score.

Okay, since all that is left of today is dinner and then a lecture that we’ve heard before, I think that this really will be my last post! Thanks for reading what you have, and Commenting when you have. It’s spurred me on to keep blogging about this experiences – which I hope will wind up helping someone in the future looking for an in-depth write up from someone who has been at Sanoviv. I sure know I wanted one – so maybe I can be one!

See ya in the good ole U.S. of A.!

Sanoviv: Energy Medicine

Who knows? This might be my last post. We have one full and two half days left. I have done all but the largest one of my client projects, which I have just slated for tomorrow, leaving myself today and part of tomorrow to work out. The plan as it stands right now is to use the EmPack to do a “weighted Angie” of sorts. I’ll use the two 15# bladders, and instead of 100 pullups, 100 pushups, 100 situps and 100 squats, I will do 100 ring rows on the TRX, 100 pushups (1…(rest)…2…(rest)…), 100 plank holds and 100 squats. That should do me in. I figure it will take about an hour. (My “best” regular Angie time is 34:47, so that gives you some idea.)

view from our balcony (lap pool in the back, Thalasso Pools in the foreground)

UPDATE: Hubby and I did the Thalasso Pools protocol, then I did 500 yards swimming – 20 lengths/10 laps. I got dead bored and am now back up in the room, ready to try out my self-imposed “weighted Angie challenge.” I am laughing at HOW SHORT of a swim that is compared to my “Ironman Daze” . . . not depressed, not mad, not upset, just laughing. Now that the Elks pool in Marin has been remodeled, I do have it on my short list to start swimming again maybe a couple days a week – however – I need to find my Finish waterproof earbuds because I don’t got that “just swim forever” mentality no mo’!

UPDATE TWO: Oh for goodness sakes. That was ridiculous ;-) Did the “weighted Angie” with the EmPack plus 2 bladders (+/- 30 pounds). Split into 10s (pushups into 5s). So it was 10 TRX rows, 10 squats to the coffee table, 5 push ups, 10 second plank hold, then back around. Since of course I was basically looking at 50 pushups straight at the end that way, I started doing 5 in between the rows and the squats, so at the end I “only” had 20 to go. Did the whole thing in 35:37:44, which I think is pretty darned good as my “regular” Angie time was 34:47 and that was with banded push/pullups, the squat and situp alts the same. Not so terrible :-) Now I’m dead though…Like, single pushups at the end fo’sho’….

Suffering is a Choice, made in the Present, to live in the Past or the Future. [UPDATE: Unless you are doing a weighted Angie. Then suffering is just suffering, and there is no Past or Future. Just Suffering. Sandy ]

Dr. Sandra Toledo (Dr. Sandra)

Energy Medicine Notes

This post is the remainder of my notes taken during my stay. I broke out the “Nutrition” notes into a separate blog post, and I’m breaking out the Energy Medicine notes into this one. The others I just gathered together into a big lump in my last post. So here we go…

“K-27” is your “reset” point so not a bad idea to thump (“hard tap”) it a couple dozen times before starting any protocol. To find it, go to the inner edge of your collar bone, then about 1″ under it, press. There is a “sore spot.” (If you don’t feel one, keep looking – it’s there.) Once you find it, that’s the “reset” point. You can also use the “karate chop” point to reset. This is the inside edge of your hand (below the pinky, so if you’re looking at your palm, the lowest edge on the pinky side). Hit these two edges of your hands together a couple dozen times. Keep your mind clear, or just say to yourself “I am present.”

Meditation is not about staying in the Present. It’s about returning to the Present. So if your mind wanders 1,000 times and each time you tell it “Thank you, I’ll deal with that later” and return, you’ve been 1,001 times successful.

Dr. Sandra

Remember – you can find these on YouTube using the keywords “Donna Eden” and “Energy Medicine.” I wanted to link them here, but the WiFi is still not allowing me. So I will leave that up to you . . . .

Here are the postures that we did on Saturday, that I promised to ‘splain to you (Lucy):

Connecting Heaven and Earth

If you’ve picked up someone else’s energy or need fresh oxygen in your cells, this one’s for you.

Stand. Start by rubbing your hands together until they’re very warm (rub fast), then shake them off. Place your hands on your thighs and take a deep breath in through your nose, and out through your mouth. Swing your arms up from your sides and over your head, then down into prayer position. Take a deep breath through your nose and let it out. Breathe in, and as you do, stretch one arm up and one arm down, with your palms facing the ceiling (up hand) or floor (down hand). Hold your breath, and look up to the “Heaven hand,” then when you’re ready to let your breath out, look down to the “Floor hand.” Bring your arms back out and up over your head and down into prayer position. Now, do the same motion, but with the alternate hands up/down. Always remember to slowly swing your hands up and then to prayer position in between. Do this two or more times each side. When you feel finished, bend over from the prayer position (the last position after the last hand switch), and let your arms and head hang. Stay this way for two deep breaths. Roll yourself slowly up to standing position.

The Wayne Cook Posture

When you’re stressed, exhausted, can’t stop crying, overwhelmed, etc. this posture will help you think more clearly and get perspective.

Sit in a chair with your back straight. Sit so that you are able to “rock” backwards and forwards (so, you will be sitting more in the “middle” of the chair). Place your left foot over your right knee. Wrap your right hand around your left ankle, and your left hand over the ball of your foot, with your fingers curled around the sides, but thumb stays next to your index finger (doesn’t wrap). Keep your arms straight. Breathe in slowly through your nose, and pull your leg toward you/rock back, creating a stretch. As you exhale, breathe out of your mouth slowly with a “Haaaa” sound, letting your body relax/rock forward. Do this four or five times. Switch to the other foot. (Right foot on left knee, left hand around the front of your right ankle, right hand on ball of right foot.) Once you have done the other side 4-5 times, “steeple” your fingertips together to form a pyramid and uncross your legs, putting your feet on the floor. Bring your thumbs to rest on your “third eye,” above the bridge of your nose/in between your eyebrows. Breathe slowly and deeply (in/nose, out/mouth) for 3-4 full deep breaths. On the last exhalation, curl your fingers into the middle of your forehead and separate them, firmly pulling them across your forehead slowly to your temples.

Expelling the Venom (frustration/anger)

You can do this once you are already angry/frustrated, but also do this if you are going into a situation where you think that you might get angry or frustrated. It will act as a “buffer” if you do this before entering that arena.

Stand with your hands on your thighs, fingers spread, and take a deep breath. Ball up your hands, and with a deep inhalation through your nose, bring your arms up in a circle, ending them high above your head. As you exhale, make a very strong “Shhhh!!!” sound (as if telling someone, angrily, to be quiet) as you swing your arms down swiftly, opening them as they drop at the full length of your arms between your thighs. (As if you’re throwing something to the floor, hard.) You’ll likely be bent at the waist, knees slightly bent. Bring to mind the source of your anger as you do this, and make the movements very forceful. Repeat 3-4 times. Feel your muscles and power as you do this. On the last one, do the movement very slowly and deliberately, without the “Shhhhhh” sound.

An apology without change is just manipulation. (Read that again)

Some guru on Instagram

Anxiety: Two different exercises.

  1. Cross your arms and close your eyes. Rub your arm with the opposite hand, slowly, all over the arm from shoulder to wrist. This might make you feel a bit more anxious. But after you have really “felt” that, breathe in through your nose, and as you are breathing out, count out loud from 1-20 (in as many breaths as that takes – in other words, 1, 2, 3, 4, breathe back in then 5, 6, 7, 8…etc.). The idea is that the “rubbing” engages your “creative” brain where the counting engages your “logical” brain, and with both of them engaged, it will overtake your anxiety, causing you to be in the Present. (Anxiety is found in the Past or the Future.)
  2. Take one of your hands and place your palm over your chest. In between the ring and pinkie fingers on the outside of your hand, start tapping while thinking of what’s stressing you out. That point in your hand is where a meridian line flows that is related to the “fight or flight” response. By tapping, you interrupt that flow. It might take up to a minute to start to feel better. Once you start to feel better, change hands. It’s strongest if you do this over your chest/”Heart Chakra,” though if you want to be “unobtrusive” you can even do it in a meeting under the table, etc. Be sure to do both sides.

If you do an Energy Medicine exercise and you don’t feel any change from how you felt when you started, that just means that you might not have needed it. That is why some of you practicing these exercises will feel a profound difference, and some might feel nothing. If you feel that you are in an anxious, or angry, or stressed, or tapped, position and do the correct protocol, you will feel differently at the end from when you started. Even if it’s just a tiny change, that is profound. It shows your mind and your body that you can take control. Be sure to check how you feel before you start, then check back in when you’re through.

Dr. Sandra

The Sequence

The idea of this is to get out from under a Fear or a Problem. While you are doing it, repeat “Even though I [have this problem], I am deeply and completely [committed to a positive statement].” So for example it could be “Even though I have extra fat on my body, I love my body very much.” It might be hard to say the last part at first. Or, “Even though I am afraid of needles [if you’re doing the IV treatment], I am deeply and completely committed to my health.” Or, “Even though I am afraid of heights, I am committed to learning to rope climb.” Whatever it is, the second phrase cannot be a ‘No’ phrase, it must be a ‘Yes’ phrase, as your brain doesn’t know how to do anything but action, and the “action” that you tell the brain will be the “No.” So for example if you say “Even though I am afraid of heights, I won’t be afraid any more,” you are saying to your brain the phrase “…afraid…” since it loses the “won’t.” Or “Even though I don’t like needles, I won’t faint” – You are telling your brain, “Faint.”

Start by tapping the “Karate Chop Point” of your hands together about five times. This is not just light tapping. You need to put some force behind it (but don’t break anything ;-) ) Then, the sequence is do this (each about 5x) (1) on your third eye point (between your eyebrows), (2) one your temples, (3) under the middle of your eye on the bone there, (4) between your nose and your upper lip, (5) under your lower lip, (6) in the “sore spot under your collarbone” (K27, as noted above), (7) on the sides of your ribs (this is easier if you make a fist and “thump” your ribs a few inches below your armpit – there is a “sore spot” there – if you find it, that’s the place!), (8) in the middle below your last rib (so in the middle of your body, but on the last rib – you might think of this as on the “edges” of your diaphragm), (9) tap the tip of your thumbs together, (10) tip of your index fingers, (11) tip of your middle fingers, (12) inside of your pinkie fingers (you’ll need to flip one hand upside down, but if you think of it as the inside to inside of your pinkie fingers, you’ll get it right), (13) back to the karate chop point. No, not the ring finger, it has a meridian that has already been tapped up on your face.

Once you have done this once, the second time around, the wording you’ll use is “Even though I still have SOME OF this problem remaining…” Or if you want to move right to it, just do the phrase on the “right side” of the comma.” Do the entire thing over again from the beginning.

For the last part to “seal the deal,” you do just want to say what was “after the comma” in your original statement. So, for example, “I love my body” or “I am committed to health and healing.” For this one, tap your “gamma point,” which is your temples, with both hands. As you do this, perform these 9 actions: (1) eyes closed. (2) eyes open. (3) eyes hard down to the right (head steady, just move your eyes). (4) eyes hard down to the left (head steady). (5) roll your eyes in a circle clockwise. (6) roll your eyes in a circle anti-clockwise. (7) hum 5 seconds of a song that you know well (example: Happy Birthday). (8) count loudly from 1 to 5. (9) Hum 5 seconds of the song again.

I know that I’ve mentioned at least a couple of these elsewhere in the blog, but thought that I’d put them all in one place, here. I know that we did a few more of them (and I’m pretty sure that I wrote them up), but what I put above are my final notes that I had to transcribe (YAY!)

Have a great day – the sun is shining through the marine layer today and so it’s suddenly HOT! Hubby is done with his IVs so I might convince him to hit the Thalasso Pools. Can’t quite believe that I haven’t been in actually swimming the entire time we’ve been here. I think part of it is the fact it’s unheated. Also that usually if I’m doing something “work-out-y” (unless it’s in my room), hubby and I are doing it together, and he doesn’t like to swim.

Seeeeeeeee ya!!!!!!!!!

Sanoviv Weekends

Saturdays are still pretty much like a weekday – doctor visits, spa folks, Quiet Room, etc. However, you get dessert for lunch (the photo is of ours this week), and serenaded by a troubadour at dinner ;-)

Here’s a photo of our second favorite piece of art at the Mansion (first being the “dancing manatee”). It’s a solid sculpture – though not that big, it weighs enough that I was unable to lift it with one hand. :-)

Evenings on Saturday there is a “Hollywood movie.” Feature: Wild Hogs.

Sundays are super quiet. Though there is a coordinator and a few spa staff if you’d like to have a spa treatment, the bells don’t even go off on Sundays. This Sunday I had planned to do a workout, but I got lemon/cayenne tea, walked on the dewy grass for a bit, said goodbye to Arnold and Jay (Andy left Saturday), went in for breakfast, then “lay down for a nap” with hubby where we woke up at lunch . . . then another nap . . . woke up at dinner! Not kidding! This “ocean air” and the hypnotic waves hitting the cliff did us in!

Sunday is usually a “health movie,” but this Sunday the Coordinator was doing two tours for newcomers. So one of the other gals, and Dr. Danielle (OMG so embarrassed to have bothered her) figured out how to work the DVD in the theatre. We had four choices in the “sound booth,” and played That Vitamin Movie. It was good, and talked through a lot of what we have learned here about what vitamins do what, and how various vitamins help cells “return to their normal state.” It’s not so much that the vitamins “cure” things in the body, as they help it to return from arthritic states, cancer, gout, depression, etc. Of course, the first thing to do is stop eating processed food (or if you do eat it, eat it “as a treat”), but then – even if the food you buy is organic – our environment has so many more toxic pollutants that supplementing is (per the MDs in this movie) pretty much a requirement these days. Of course, if you look up any of the folks in this documentary (Erin Elizabeth, Dr. Mercola, Andrew Saul, etc.) you’ll find rabid “these folks are kooks” websites, and then rabid “these folks are God” websites. I think that the answer lies somewhere in between. The websites Doctor Yourself and Nutrition Facts also came up.

Because of all the napping, of course, I didn’t get to sleep until 2:00 a.m.!

I have done nothing productive or useful since Friday. Well, unless you count the Ngaio Marsh, Agatha Christie, Mary Higgins Clark, and Kathy Reichs novels I’ve added to the “Books Read” list I mentioned before. I have to admit that, given my “druthers,” the Cosy Mystery category is my favorite. I’ve picked up a Janet Evanovich from the library, but I’m telling myself I really must not start reading until I do both a workout today and the work that’s come in since Friday. Promises, Promises . . .

I’m writing this on Monday. After bidding adieu to two of my favorite folks here (leaving today), we had Forgiveness Meditation for 45 minutes, then hubby and I did our grounding-on-the-green, and I took some videos of the pelicans to post on Instagram. (No posting of videos here unfortunately, though I might be able to “backfill” them in once they’re on Instagram.) Mondays are “Nutola” day (with fresh coconut milk, papaya, blueberries, etc. to add) – so delicious. I plan to try making it when we get home. I have the mother-in-law of all shopping lists already started – yes, that’s what I do when I can’t get to sleep LOL.

I’d been tellnig myself that I didn’t get to open my tenth and final card until this morning, and when I did, I laughed out loud! (As I was told I would.) As my friend mentioned in a Marco Polo, this card just got better the longer I was here, especially given the whisking off to the Emergency room, etc. etc. I’d tend to agree! We have today and then one more full day – we leave Wednesday. I will do up the Energy Medicine blog, but I promised myself I wouldn’t do it until I did at least one work thing. Cheers!