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 

2 

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

A YEAR LATER: REGAINED MOBILITY FOLLOWING INJURIES

I share updates on my overall health status including yoga mobility and nutrition since experiencing extensive upper body muscle and connective tissue trauma on March 23, 2021, days before my 70th birthday.

[1]

WELCOMED MOBILITY

UPPER TORSO RECOVERY

IN

GOMUKHASANA

I took the above asana image on March 16, 2022 using a smartphone camera ten second exposure delay after a recent evening yoga session. 

___

NOTABLY

These movements demonstrate a gradually acquired range of motions involving many upper body muscles (including chest, shoulders, back) and associated connective tissues/joints not possible a year ago.

&

With bent arms and elbows brought towards vertical, I am now able to easily clasp fingers deeply without experiencing any discomfort or pain.

____

Being able to move into GOMUKHASANA again is evidence of a relatively good range of motions for a senior approaching 71. 

Twelve months ago I recall being unable to hold and barely move a toothbrush without considerable pain, also unable to extend my arms forward in a restorative CHILD'S pose.

My Geriatric Specialist, Dr. Jarrod Faucher, will undoubtedly be pleased with my current shoulder mobility status.

[2]

ENJOYING

A

LIFESTYLE FOCUS

WHOLE BODY MOBILITY

A

DEMONSTRATION

OF

STRENGTH, BALANCE, FLEXIBILITY

IN

FIREFLY VARIATION

(20 March 2022)

TEN SECOND EXPOSURE DELAY

USING GLOVES, WRIST SUPPORTS

TO

SUPPORT FULL BODY WEIGHT

Being able to execute this challenging asana in less than ten seconds requires:

• both palms and fingers of each hand to be mobile to avoid serious injury from a diagnosed progressive and compromising connective tissue disease (Dupuytren's Contracture), both wrists need to be mobile as well

• mobile arms, shoulder girdle, back and chest muscles, associated connective tissues and joints

• coordinated mobility of pelvic girdle, leg, back and spinal muscles, joints

These conditions have led me to devote time (currently 45 - 60 minutes) to a warm up period each evening before starting my customized whole body sequence of asanas.

On many occasions I have altered planned asanas in response to how my body was moving during this time.

NOTE

In the FIREFLY VARIATION asana shown above, I experienced a restricted mobility of my lower back and pelvic girdle that occurred during the evening session and limited the upper elevation of my legs.

On other occasions during these past several months, I have been able to easily move elevated legs up higher and towards my torso. 

To avoid overuse and encourage time for recovery, I have limited my FIREFLY VARIATION to every other day.

[3]

FACILITATING MOBILITY

MY

USEFUL

EXERCISE BALL

 

My mobility during these past three months has benefitted from using an exercise ball before both morning and evening yoga sessions, after walking and at various times during each day to lengthen spine, back, pelvic areas and associated muscles compromised from sitting, also while reading, writing and other activities.

The exercise ball enabled me to safely, gradually initially open (lengthen muscles) of the back, pelvic and shoulder girdles and eventually my whole body.

Being able to have my feet and head on the mat simultaneously without any discomfort has been a welcomed outcome.

ALSO

Using this prop before retiring each evening has contributed to experiencing less muscle issues at night. 

As a consequence of starting this practice, I have been better prepared for the whole body morning yoga sequence of asanas.

[4]

HEALING HANDS

&

THE

BENEFITS 

OF 

TUI NA

 MASSAGE

My monthly meetings with RAY HOYT during the past three months have contributed significantly to healing of muscles and connective tissues - especially of the upper right arm, shoulder.

Our bodywork sessions have focused on (1) issues identified with specific sources of discomfort, pain [for example, in my upper right arm biceps, deltoids, rotator cuff infraspinatus, supraspinatus muscles] and (2) more general maintenance areas (lower, mid, upper back, neck, lower legs, calves) 

At this time my upper right arm biceps and deltoids continue to be monitored daily - fortunately I am experiencing pain on fewer occasions during the past three months.

[5]

REWARDING

DAILY WAKING

COUNTERS

SARCOPENIA

(LOSS OF MUSCLE MASS, STRENGTH)

Despite frequent challenging winter conditions, I have walked every day since January 1, 2022 - successfully continuing this still enjoyable physical activity from the previous year.

Continuous walking, often for +/- 90 minutes, has enhanced my cardiovascular system and breathing, likely moderating blood pressure systolic, diastolic values as well.

Significantly, daily walking has provided an effective way to help maintain muscle mass, tone and strength to counter and possibly slow the rate of sarcopenia (think = muscle atrophy) often documented with higher frequencies among older, more senior individuals.

&

At this time I am able to walk without experiencing any pain in my arms, neck, shoulder and chest areas - further evidence of my upper body healing from soft tissue trauma.

NOTE ABOVE IMAGES

The overly simplified illustrations of the bicep muscle (on left) in a young vs. older individual highlights their difference in muscle circumference.

Light microscopic analysis of the stained cross sections of the biceps muscle (on right ) of the two conditions provides one way for a pathologist to visualize the loss of muscle mass.  

________

I have begun to read older and more current research papers about our current understanding of the molecular and cellular basis of sarcopenia and will share some thoughts on this topic in future blogs.

[6]

MY

BETTER NUTRITION

HAS CONTRIBUTED TO

A

LOSS OF WEIGHT

TO

115.6 POUNDS

SINCE LAST DECEMBER

My lifestyle focus on making more informed nutrition choices have continued to contribute to positive health outcomes since January.

Both (1) calorie restriction and (2) time-restricted eating habits have continued to inform my lifestyle approaches to daily nutrition decisions.

___

Consuming more nutrient-rich and mostly plant-based food sources containing proteins, carbohydrates and fats has been a daily goal, a way to avoid muscle mass loss.

A high priority has been focused on avoiding highly processed products with elevated concentrations of salt, sugar and fat.

&

As a consequence of remaining focused and disciplined daily, I have been able to achieve (1) a healthy nutrition status resulting in (2) a leaner and more mobile body (3) while maintaining a desired adolescent, high school weight.

NOTEWORTHY

I have not experienced any sense of fatigue or of being malnourished following my current daily eating practices - currently being able to engage in all daily normal and physical activities (including yoga, walking) of interest without any difficulties.

&

Likewise, I have not experienced a craving for any foods - especially 'snack, bakery' selections (including cookies, brownies, biscotti, cake, pies).

I have intentionally mostly eliminated these and other processed items in response to a diagnosis of coronary artherosclerosis, being at a high statistical risk for a negative coronary event.

BODY MOVING BETTER

DRINKING MORE WATER

Consuming more water has been a priority these past months. 

STAYING HYDRATED 

IS 

IMPORTANT

This practice has contributed to overall better whole body mobility - especially recognized, appreciated during my yoga sessions, while walking.

NOTE

Drinking water while eating also serves a role in feeling full sooner resulting in consuming less calories at a given time.

TWO

RECENT NUTRITION SELECTIONS

SHIITAKE MUSHROOM RICE BOWL

FROM

THE ROSE ROOM

IN

WEBSTER, MASS

JESS & BILL SABINE, OWNERS

LOCALLY GROWN BROWN RICE

PICKLED VEGGIES

SHIITAKE MUSHROOMS

&

MISO DRESSING

AND

GRANOLA SELECTIONS

FROM

BOOKLOVERS' GOURMET

IN 

WEBSTER, MA

DEB HORAN, OWNER

MAPLE NUT KITCHEN

SWANZEY, NEW HAMPSHIRE

[7]

GETTING REST, REDUCING STRESS

Both are important, both have been achieved to various extents yet remain an ongoing challenge moving forward.

__________

I

WIIL

SHARE

PERSPECTIVES ON AGING

BY

JOHN JEROME

IN MY NEXT POST

SHARE YOUR THOUGHTS

BOB CROWTHER - NUTRITION - YOGA

NOTABLE 2021 GOALS ACHIEVED

I was able to achieve mobility, nutrition, weight and wellness objectives during the past twelve months while confronted with significant and lingering upper body traumas.

 REGAINING

UPPER BODY MOBILITY

 

IMPROVING

RANGE OF MOTIONS

IN

*DOWNDOG

OVER TWELVE MONTHS

Addressing (1) limitations from a right shoulder impingement and referred upper arm pain (pre Jan - Mar) and (2) more extensive and painful upper body trauma on March 23rd has been a challenging, lengthy healing process throughout this year.

Chest, back, neck, shoulders, arms, wrists and hands were all initially negatively impacted and extensively limited my range of motions from a car accident.

  -

The Downdog asana shown above was one of many hatha yoga movements I used to evaluate my mobility status.

Being patient and focusing on what was possible, what I could safely do each day was rewarded with a gradual return of range of motions before both injuries. 

NOTABLE ACCOMPLISHMENTS

[1]

MAINTAINING, IMPROVING

WHOLE BODY MOBILITY

FOURTH YEAR 

OF

MORNING AND EVENING YOGA

It has been rewarding - both a source of satisfaction and motivation - to successfully complete another full year of morning and evening yoga sessions in my condo studio while confronted with injuries not experienced during the past decade.

I was able to assess what asanas were possible, to make modifications as deemed necessary to accommodate limitations and to make changes to the sequence of asanas as deemed necessary while recovering. 

ONE EXAMPLE

My FIREFLY & EIGHT ANGLES asanas have not been done for several weeks since my last massage session to allow for chest, arm and shoulder recovery to occur without introducing new stress despite being able to do both of these movements.

Documentation of every morning and evening session provided instructive, useful information I intend to share with others in the future.

DAILY SESSIONS

ALSO

INCLUDED

FOCUS ON BALANCE

*TWO HAND LEG EXTENSION

The ability to raise and fully extend and support each leg to a position above parallel to the mats with both hands was another demonstration of a welcomed healing process of my upper body.

MY RECOVERY WAS FACILITATED

FROM

BOTH

PHYSICAL THERAPY

&

 MASSAGE 

SESSIONS

_

A 

SPECIAL

 ACKNOWLEDGEMENT

I remain grateful to RAY HOYT for offering me an opportunity to become a regular, monthly massage client.

My bodywork sessions with Ray during the past three months have been especially beneficial. 

NOTABLY

Significant improvements to address both mobility restrictions and pain in my upper body have been experienced.

The results from focusing on my right biceps and two rotator cuff muscles (supraspinatus, infraspinatus) as well as my left chest, clavicle has given me confidence of regaining most of my range of motions before the car accident. 

[2]

ENHANCING

CARDIOVASCULAR FUNCTIONS

WALKING

ON

352 DAYS

DURING 

2021

ENHANCING

BREATHING

&

CARDIOVASCULAR

ENDURANCE

WHILE

CONTRIBUTING 

TO

HEALTHY

BLOOD PRESSURE VALUES

I exceeded initial expectations in January with my walking this year - remaining focused, disciplined despite diverse weather conditions including the winter bitter cold, summer withering heat and humidity.

-

Especially satisfying was my success dealing with low temperatures, often high winds along with snow, sleet and icy and slippery surface conditions: none of these were considered a determent from being outside.

Likewise, early walks begun after 4am - starting in the dark at times during the summer - avoided the highest elevated afternoon temperatures and humidity.

Throughout the year I was successful to deal with most prevailing conditions except heavy rains. Keeping hydrated was a priority.

2022 PLANS

New walking shoes and rain gear to avoid getting soaked will be purchased. I have begun to evaluate available jacket options that provide protection but can breathe.

ALSO

Adding some form of biking along with walking entering the new year to complement my daily yoga activities is being considered.

I am looking forward to my walks on Wachusett Mountain, at the Tower Hill Botanic Garden and possibly joining The Massachusetts Walking Tour in Western MA with musicians Mark Mandeville and Raianne Richards among other locations.

 

[3]

EATING BETTER  

NUTRITION

Data obtained from my coronary calcium imaging, calcium score indicating high risk atherosclerosis from hyperlipidemia led me to begin taking a statin and aspirin daily.

This disclosure resulted in changes to my daily nutrition choices and to identifying alternative food sources to lessen the consumption of components (elevated and addictive levels of salt, sugar, fat) that would likely contribute to negative health outcomes.

HIGH NUTRIENT SOURCES

ARCADE SNACKS in Auburn, MA, has continued to provide me with diverse nuts, seeds and dried fruits - on most days, over twelve items are mixed and contribute to my first early morning meal.

Vegetables, fruits, legumes, mushrooms are among the plant-based foods I obtain from SHAWS and several other locations and consume frequently.

I also have benefitted and been rewarded by becoming a regular customer at THE ROSE ROOM during 2021 - consuming diverse, locally sourced and delicious meal selections prepared by JESS and BILL SABINE and their excellent staff.

As a consequence, my nutrition has been improved: better choices were made both at home, at selected local business establishments.  

TWO EXAMPLES

HOME AFTERNOON MEAL

HEATED

MIXED BEANS,

 BRUSSEL SPROUTS, 

ONIONS

&

SPICES

AND

A MORNING MEAL

AT 

THE ROSE ROOM

(WEBSTER, MA)

PAN SEARED TOFU ON FLATBREAD

WITH

SLAW, APPLE, RED ONION

&

CRANBERRY, HONEY MUSTARD

[4] 

MAINTAINING HIGH SCHOOL 

 WEIGHT

AT

117 POUNDS

BY

EATING REAL FOOD

IN SMALL AMOUNTS

AND

MOSTLY PLANT-BASED

PUMPKIN SOUP

INCLUDING

TAHINI

FROM

THE ROSE ROOM

-

(1) Calorie restriction and (2) time-restricted eating along with  (3) nutrient-rich food sources have each contributed to maintaining a stable adolescent weight at 70 along with my various physical activities (yoga, walking). 

-

Avoiding heavily processed BIG FOOD food products as described by Michael Moss in his book "HOOKED" - the subject of my October post - has been a priority.

It has been relatively easy for me these past six months to forgo processed baked foods, pastry, snacks previously eaten in small amounts during past years given what I know now about their adverse coronary health risks. 

MOST REWARDING

IS

 ENJOYING

SIGNIFICANT HEALTH BENEFITS

To say I am pleased, motivated to maintain this adolescent weight without experiencing any fatigue or sense of being hungry is an understatement.

[5]

EXPERIENCED

RESTORATIVE SLEEP

& 

REDUCED STRESS

Both have contributed to the overall positive health status I now enjoy.

I suspect my frequent visits to the BOOKLOVERS GOURMET in Webster, MA - owed and operated by DEB HORAN - where I can interact with others in a congenial and welcoming environment undoubtedly has contributed to reducing anxiety, promoting mindfulness.

A

RECOGNITION

DR. JARROD FAUCHER

KUDOS! ... to my PRIMARY CARE PHYSICIAN and GERIATRIC SPECIALIST for his important roles during this past year addressing my various health issues.

Dr. Faucher and his colleagues have provided valued, high quality care that is appreciated.

EXTENDING 

NEW YEAR GREETINGS TO ALL

FROM 

SANTA & ME

* DOWNDOG, TWO HAND LEG EXTENSION asana photos were taken by me using a smartphone camera with a ten second exposure delay

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BOB CROWTHER - NUTRITION - YOGA