Wednesday, July 12, 2023

PAST 15 MONTHS REFLECTIONS

I share health status updates about mobility, nutrition and several recently diagnosed cardiovascular issues.

[1]

MOBILITY

DAILY YOGA



MORNING & EVENING SESSIONS

FACILITATED BY

YOGA PROPS, MONTHLY MASSAGE

Twenty seven months have passed since my upper torso was subjected to significant soft tissue trauma during a car accident. 

-------

 SLOWLY  RECOVERING

During this time I have regained abilities to engage in many whole body movements involving co-ordination of both arms and shoulders including GOMUKHASANA (clasping of hands behind my back) - as demonstrated in a photo from a previous post on March 23, 2022, the one year anniversary of the incident.

_____

In the past 15 months, yoga props (exercise ball, block, strap, sandbag, wrist and knee supports among others) have continued to enhance my whole body movements (= achieve deeper range of motions) during each of the two daily sessions.


NOTABLE IMPOVEMENTS FROM MASSAGE

Monthly scheduled bodywork TUI NA sessions with RAY HOYT have contributed to an ongoing recovery during the past 12 months in addition to the props I use daily available in my condo yoga studio.


 YET

MOBILITY CHALLENGES REMAIN

DUPUYTREN'S CONTRACTURE

The progressive connective tissue disease I had been experiencing and only diagnosed at 65 - independent from the car crash - continues to impact my yoga activities and requires daily attention by controlled, gentle stretching. 

I have continued to devote between 30 to 60 minutes each evening to safely open (= lengthening muscles & connective tissues) in both hands (palms, fingers) before starting my sequence of asanas.

&

LOSS OF MUSCLE MASS (SARCOPENIA)

The most notable and lingering obstacle to my recovery after being injured is the loss of significant muscle strength in whole body movements involving the use of one and two hands to support my full weight.


HIGHLIGHTING MOBILITY RESTRICTIONS
WITH
EIGHT ANGLES 
ASANA

Immediately after the accident, I was unable to execute the EIGHT ANGLES asana - making the transition from a sitting position into a weight bearing posture with a lifted chest and elevated pelvic area with both legs extended laterally as demonstrated in the photo below.

An asana once done relatively well and often accompanied by an ability to do pushups for over a decade was beyond my abilities after to the extensive injuries.

During the past 15 months, my recovery has progressed slowly by using my total body weight alone as the primary source of resistance for brief durations to acquire muscle strength.

NOTE

FULL BODY EXTENSION, GOOD BODY LIFT

&

RELATIVELY GOOD FORM BEFORE TRAUMA

IN 

EIGHT ANGLES


AN UPDATE

"LESS IS MORE"

MODIFYING MY STRATEGY

Listening to my body, carefully assessing daily asana movements and outcomes and making modifications to avoid muscle and connective tissue injuries led to a different and more effective approach during 2023.


I focused on the seven weight bearing asanas listed below to gradually develop upper body strength.


7 ASANAS 

PUSH UPS, SIDE PLANK, CROW, PLANK, FOREARM PLANK

&

EIGHT ANGLES, FIREFLY

> During the past six months I have included one of the seven asanas listed above and added it to my customized sequence of movements during daily evening sessions. 

> The following night a different asana from this list is selected and continues for the week before the cycle is repeated. 


PROGRESS HAS BEEN EXPERIENCED

These changes, accompanied by making modifications to the number repetitions and/or the duration holding a posture, have led to improved upper body strength for each of these asanas including EIGHT ANGLES.

ACKNOWLEDGING OBSTACLES

I do understand the ability to do a specific asana with facility and range of motions achieved in the past may not be possible in the future.

My yoga instructor Ray Hoyt often reminded the classes he taught to appreciate what one can do now, that ones yoga practice can be a humbling experience.

MY DAILY WALKING

I have walked every day during 2023 - extending an activity without interruption for over two years. 

USING
A
WALKING STICK


Earlier this Spring I began to use the stick as a light weight - an effective yet gentle means to engage compromised muscles and connective tissues of both hands and upper torso while walking for durations lasting +/- 90 minutes. 

PHOTOGRAPHY

I also used this transition of seasons, time outdoors to photograph some of the newly emerging and attractive life forms in AUBURN, MA.

ENJOYING NATURE

WILLOW 



FUNGI



IRIS 


ONE

SIGNIFICANT

 HEALTH BENEFIT

FROM

 BOTH PHYSICAL ACTIVITIES  

WAS

IMPROVED

BLOOD PRESSURE VALUES

[ 110/62 ]

I have no doubt that walking every day in all weather conditions during the past 15 months has contributed to the reduction of my systolic and diastolic numbers without any prescribed medication.

[2]

NUTRITION

BY

 EATING REAL FOOD, IN SMALL AOUNTS, MOSTLY PLANTS

(MICHAEL POLLAN)

MAKING BETTER NUTRITION DECISIONS

DURING THE PAST 12 MONTHS

BACKGROUND

> My daily nutrition choices required prompt changes when, in 2021, I was diagnosed with CORONARY ARTERY DISEASE - a serious and previous unknown condition.


> Assessment of imaging data led to a CALCIUM SCORE indicating I was at a high statistical risk for a cardiac event during the following five years; as a consequence, three significant actions were initiated:

(1)

 DECREASING HYPERLIPIDEMIA

I began taking daily Rosuvastatin (40 mg) and an Aspirin (81 mg)

&

My lipid panel values from July 2022 continued to improve from 2021; my updated 2023 lipid assay numbers will be obtained during August. 


(2)

 ENHANCING MORNING MEALS

AT

THE ROSE ROOM 

(WEBSTER, MA)

 I have continued to consume their seasonal and diverse meals whose ingredients are locally sourced and freshly prepared.


Staff preparation on-site of breads (biscuit, molasses buns, English muffins and wheat flatbread) are enjoyed on a regular basis while selected pastry on infrequent occasions - acutely aware of my coronary atherosclerosis status.

Both water and hot coffee are consumed daily.

ONE NOTABLE CHANGE

In August, 2022, I began to add various raw veggies, fresh and dried fruits, legumes, mushrooms, nuts and seeds from home to my purchased selections.

This practice was begun with the knowledge of THE ROSE ROOM owner JESS SABINE and continues to this day.

ONE EXAMPLE

OVERNIGHT OATS, OAT MILK
WITH
BROCCOLI, MUSHROOM, CARROT
GARBANZO BEANS
GREEN ONIONS
BRAZIL NUTS

FRUITS


SEVERAL SEASONAL SELECTIONS ENJOYED

FALL
ROASTED SQUASH ON FLATBREAD
WITH
 EGG, GREENS



WINTER 
VEGGIE, BEAN SOUP


 

SPRING
ASPARAGUS ON FLATBREAD
WITH
EGG, GREENS



SUMMER
ROASTED CABBAGE
WITH
FETA, EGG


(3)

RESTRICTING QUANTITY

OF

AFTERNOON HOME MEALS  

I intentionally have consumed less food at this time of the day.

Some small combination of veggies, nuts, seeds, fruit and granola are eaten during afternoon hours - the only other source of nutrition during each day.

NO MEAT

I have continued a practice of several years of not eating any meats; no obvious negative health consequences have been experienced based on blood, urine lab data. 

TIME-RESTRICTED EATING

I have continued a practice of several years to limit daily food consumption to an 8 - 9 hour period without any sense of feeling hungry, malnourished or sensation of weakness.

KEEPING HYDRATED

Water continues to be enjoyed throughout the day - acknowledging the importance of remaining hydrated.


ONE POSITIVE

NUTRITION HEALTH OUTCOME

I

MAINTAINED 

A

STABLE ADOLESENCE WEIGHT

118 -119 POUNDS

DURING THE PAST 12 MONTHS


[3]


EMERGING CARDIOVASCULAR ISSUES


ELECTROCARDIOGRAM
DETECTS
CARDIAC ANOMALY

An electrocardiogram taken during an annual meeting with my Geriatric Specialist Dr. Faucher last July detected a previous unknown electrical conduction delay condition diagnosed as a LEFT BUNDLE BRANCH BLOCK.


I was referred to Dr. MAZEN ROUMIA, a CARDIOLOGIST at St. Vincent's Hospital in Worcester, MA and underwent three additional cardiovascular evaluations during the past year.

The tests, major imaging observations from each are listed below:



BILATERAL CAROTID ARTERY DOPPLER
EXPERIENCING
UNOBSTRUCTED BLOOD FLOW OF 4 ARTERIES
MINIMAL PLAQUE


NUCLEAR TRACER -
PHARMACOLOGICAL STRESS TEST
EXPERIENCING
LEFT VENTRICLE HYPOKINESIS
WITH
REDUCED EJECTION FRACTION,
NO EVIDENCE
 OF
 ISCHEMIA, PREVIOUS HEART ATTACK


2-D TRANSTHORACIC
 ECHOCARDIOGRAM
EXPERIENCING
NO MAJOR ISSUES WITH 4 HEART VALVES 
WITH
CONFIRMATION OF
  REDUCED LEFT VENTRICLE BLOOD FLOW TO BODY,
&
MILDLY DILATED DESCENDING AORTA

____

NOTE 

The data from these cardiovascular evaluations during this past year have contributed to a revision of my current health assessment at 72: from relatively good to fair. 


I do not know when these several cardiac conditions, possible future risk factors first developed: most likely they are a reflection of aging - involving likely interactions of my genetics and diverse environmental factors.


A NEW REALITY
These tests provide useful baseline data establishing both electrical and mechanical cardiac issues that currently seemingly appear to be asymptomatic but subject to change.

WITH 
IMPORTANT QUALIFICATIONS

[1] I acknowledge not experiencing any thoracic pain or symptoms of weakness, fatigue during any of my two daily yoga, walking physical activities during past years. 


[2] My daily emphasis on lifestyle choices: yoga mobility, walking and making better nutrition decisions for many years have led to positive, significant and valued health outcomes recently noted and commented on by my Geriatric Specialist and Cardiologist.


FUTURE EVALUATIONS

> These two newly revealed heart issues will continue to be monitored as will the status of my coronary artery disease (atherosclerosis).

> I have a scheduled meeting with the Cardiologist this December that will include further conversations about whether possibly obtaining more detailed coronary artery imaging via a catheterization procedure is warranted.


Remaining focused on  my whole body mobility and nutrition will continue to be a high priority. 

EXPRESSING APPRECIATION
I thank Dr. FAUCHER, Dr. ROUMIA and RAY HOYT for their professional services on my behalf.

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BOB CROWTHER - NUTRITION - YOGA

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