10
HEALTHY LIFESTYLES
Mountain Views-News Saturday, February 27, 2016
THE JOY OF YOGA
A RETROSPECTIVE CASE STUDY ON ACUPUNCTURE
FOR LYMPHEDEMA IN AN ONCOLOGY SETTING 1
Lymphedema is a common complaint of male and female
breast cancer patients following breast surgery with lymph
node removal or commonly following radiation to the
axilla. Lymphedema is an abnormal buildup of lymph fluid
that causes swelling and sometimes pain and occurs most
often in the arms and legs.
In a healthy lymphatic system, fluid containing debris is
pushed through vessels and back into the blood circulation.
Lymphocytes, which are housed within nodes, trap and
destroy harmful organisms, playing a major role in our
immune system. Surgical removal of breast tissue, lymph
node removal and radiation are essential components of
breast cancer treatment. Staging alone also involves breast
tissue and lymph node removal. Some individuals have
2-3 lymph nodes removed while others may have all of the
lymph nodes in a particular area removed. The likelihood
of developing lymphedema increases with more extensive
surgery, increased number of lymph nodes removed, and
amount of radiation therapy to the axilla following surgery.
According to HYPERLINK “http://www.uptodate.com/”
\t “_blank” UpToDate, an online evidence-based resource,
women undergoing sentinel lymph node biopsy (fewer
lymph nodes removed) versus axillary dissection (a greater
number of nodes removed) have a 64 percent lower risk
of developing lymphedema. However, there still remains
a clinically relevant risk of lymphedema in women with
sentinel lymph node biopsy alone. Increased risk is also
associated with higher body mass index, delayed wound
healing, postoperative infection and injury. Women with
lymphedema may experience pain, limited range of motion,
physical and emotional distress, body image insecurities
and hypervigilance to avoid symptom exacerbating
activities. Risk reduction practices according to the
National Lymphedema Network include maintaining clean
and dry extremities and nails, providing sun protection,
and avoiding punctures in the affected area. If the affected
area is scratched or punctured, it is very important to wash
with soap and water and use topical antibiotics on the area
of concern.
Few research studies have been published on the benefits of
acupuncture for lymphedema. Although we are not aware
of any negative studies of needling into the affected arm,
caution is used when performing acupuncture in a hospital
setting. Theoretical concerns exist based on the avoidance
of injections and blood draws as a precaution against
infection. A study reported in “Acupuncture in Medicine”
shows that acupuncture and topical herbs have the potential
to clinically cure 44 percent and positively affect 52 percent
of lymphedema cases when used together for 12 weeks.
A safety study from the same journal in 2011 found no
adverse events in 73 treatment sessions of acupuncture
and 30 percent reduction in the extent of lymphedema
after four weeks. A recent study from the journal “Cancer”
found no serious adverse events and no infections after
255 treatment sessions and 33 percent reduction in
lymphedema. The only side effects that could be found in
any study were minimal discomfort or bruising, which are
typical side effects of acupuncture in general. The authors
concluded that acupuncture appears safe and may reduce
lymphedema associated with breast cancer treatments. A
randomized clinical trial is currently underway to follow-
up on this pilot study.
RIPPLE EFFECT
How does yoga
make the world
a better place
exactly?
The short answer is awareness and compassion.
What I love about yoga is it’s complete, dynamic
approach to living. There are so many workable
parts to the yogic path that create this awareness
and compassion. We’ve got the physical practice
for optimum health and function. Prayers and
Mantras serve as medicine for the mind and the
meditation practices cleanse, grow and sustain
our spiritual condition. The practice as a whole
is unique because it’s completely individual. We
each have our own experience, gain insights and
progress at our own pace.
One of the greatest benefits of yoga (and
countless students report), is an increased feeling
of self acceptance and self love. It’s the foundation
from which we grow, transform and heal. Imagine
if each yogi cultivated awareness of themselves
(physical, mental, their energy, and their choices.)
and cultivated compassion for themselves. The
world would, and DOES transform. It’s just an
organic cause and effect. When we treat ourselves
in love and high regard, we act better, are able
to give more and see and empathize with our
fellow brothers and sisters. One good act leads
to another, and when we make a mistake and
take responsibility in a graceful way, people are
inspired by that. It’s in embracing our humanness
with careful, thoughtful awareness, that the world
begins to respond. There is a starting place for
each one of us on the path. Give your body a little
love and spend some time in your practice. You
never know who you may inspire.
Namaste and Love,
Keely
FOOD AND DRINK
DEL FRISCO’S GRILLE
Living in Pasadena the past forty-plus years I have
seen many restaurants come and go. Some should
have gone, but others, I felt, put real effort into the
craft. I can’t believe the influx of steakhouses to
our fair city. But, I am here to tell you I love a
good steak , and one of the best for my dollar is
Del Frisco’s Grille on Lake. Pasadena might rival
only Chicago as the steak capital of the world. Del
Frisco’s is related to the Double Eagle Grille in Las
Vegas where they have built their reputation on a
menu that features all prime beef.
What they have going here is a great location,
an incredible wine list, and a top-notch filet
mignon. My assignment was to enjoy pairing of
fine wines with Del Frisco’s popular menu, aided
by Del Frisco’s own sommelier – a fun way to
go if the restaurant has a sommelier. My dinner
started with the ahi
tuna tartare with
avocado and a spicy
citrus mayo. Ahi tuna
tacos have become
a popular appetizer
in restaurants and I
had these paired with
a Paco & Lalo white
wine, one of the most
popular wines from
the region of Rias
Baixas in Spain. I’ve
never been to Spain,
but when I go I’ll
visit this wine region
for sure. Next in the
adventure was the kale
quinoa salad, which was spectacular and went very
well with my taste of Flora Springs Chardonnay.
Finally came the reason for our review: the steak –
a generous eight-ounce filet mignon with a side of
truffled mac and cheese. If you’ve heard my radio
show, you know I often talk about steaks and my
contention that I can make I great steak at home.
This one is as good as it gets, and sommelier Sharha
paired it with a wine that I reviewed recently - the
Decoy Cabernet Sauvignon. But wait! There’s
more! The night was completed with their coconut
cream pie. This was so good we went back the next
night and got it to go.
One more note: their crab cake is one of the best
I’ve had, and that’s saying a lot. No matter the
price, when I see the crab cake on the menu, it’s
ordered.
Del Frisco’s Grille 55 S. Lake Pasadena (626)
765-9913
Dining with Dills is on AM 830 KLAA every
Saturday afternoon at 6 PM. Reach me through
my website www.peterdills.com
TABLE FOR TWO by Peter Dills
thechefknows@yahoo.com
Julie’s Favorite Family Recipes
BRAD’S GUACAMOLE
Mix
1. Two very ripe avocados smashed
2. One teaspoon fresh garlic
3. 5 drops or so of lemon or lime (if you have lime, lime)
4. One ripe diced large tomato
5. One small diced brown onion
6. Some Chile to taste
7. A hand full of fresh diced coriander
8. Lots of salt (it really brings out the taste)
9. Some pepper
10. To keep it green the best umbrella seems to be plastic wrap tamped down snugly to the surface of
the dip, to limit as much oxygen exposure as possible.
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