JULY 2015 NEWSLETTER Vol 1 Issue 5 Dragonfly Angel Wings Newsletter COMBATING CHEMO BRAIN BY ANGELA PENNISI, PT, MS, OCS & HUNTER VAN HOUTEN , PT , DPT Executive cognitive functioning encompasses several domains, including attention and concentration, speed of processing information, working memory/learning, adaptability/flexibility and problem solving. The belief that your brain health and performance reaches a maximum potential in adulthood and then slowly declines as you age is no longer accepted as true. Strong research and evidence points to the adult brain’s ability to regenerate cells and wire new neural pathways throughout life. The most substantial evidence supporting the brain's capacity to renew itself is based in exercise. Being diagnosed with cancer creates many stresses in one's life, and the brain is not immune from the effects. One study of patients with breast cancer demonstrated cognitive changes compared with healthy subjects even before initiating treatment with chemotherapy. However, studies show that animals treated with chemotherapy demonstrated anxious behavior, had impaired memory of the space around them, and difficulty with decision making. Chemotherapy appears to impair the brain's ability to make connections, known as synapses. While practicing puzzles and brain games have a place in maintaining and improving cognitive function, skills learned are not always transferable to real life. In addition, while playing brain games certainly is much better than watching television on the sofa, sedentary brain games and puzzles miss out on the proven brain-stimulating potential of exercise. CONTINUED ON PG 3 INSIDE THIS ISSUE EDITOR’S NOTE ..................... 2 THE FLUTTER ........................ 2 CHEMO BRAIN....................... 3 THE NOTICER ........................ 4 INSPIRATION CORNER ........ 5 SPECIAL POINTS OF INTEREST Combat Chemo Brain Cancerversaries The Noticer Are You Keeping Perspective? EDITOR’S NOTE How often do you keep things in perspective? I mean really keep things in perspective—whether it is in regards to something you fought over with someone you love, some time when you got what you felt was the worst news in the world, a time when someone told you their news, or when you thought you should have gotten a promotion at work. The list of things that could happen goes on and on. We all have highs and we all have lows. Sometimes we tend to lose perspective on what all that means. Sure, when the news is really bad, it is normal to freak out. When the news is really good, it is normal to be overjoyed, but what about all those times in-between? I think that is when we tend to lose perspective on whatever situation we find ourselves in. It’s easy to do. Just because of that, we decided to make PERSPECTIVE our July focus. Think about perspective the next time you find yourself in a situation. Find that comment too general? It was meant to be that way and perhaps make you think….about how to keep it all in perspective….. What do you want to see in a cancer survivorship website? Go to www.dragonflyangelsociety.com and tell us what you think! THE FLUTTER - CANCERVERSARIES I know I am tackling a massive topic here but I have been thinking a lot about cancerversaries. I have been thinking about how they are celebrated, when they are celebrated and for some, if they are even acknowledged. For me any answer to any of the above questions is true and works. I am focused on it this month for two reasons. The first is I find July to be a difficult month. It should be a lot more exciting than it is and I will tell you why. My cancerversary takes place every July on July 13th to be exact. I never loved the number 13 and thanks to a cancer diagnosis given to me on that day in July, I am not too thrilled with July either. A little too much over thinking? Perhaps. The even bigger news this month is I celebrate 5 years since diagnosis. That should be cause for major celebration, at least that was what I thought 5 years earlier as I sat there listening to the doctor on the other end of the phone giving me news that would forever change my life. As I write this on my actual cancerversary, I feel the need to almost tip-toe around it and just whisper “hey, it’s my 5 year cancerversary.” I don’t want to wave my hands around and make a lot of attention for myself. What am I afraid of? Well, lots, but as a survivor, let’s face it, the fears of recurrence are never too far behind. I don’t ever want them to catch up. The other reason I focused on cancerversaries is perspective. I know I need to “keep it in perspective” as they say, when I look at my 5 year cancerversary. Cheering and celebrating doesn’t attract recurrence. It doesn’t do anything except mark a milestone to celebrate. There may be worse times, there may be better times to come. The point is today is today and we all only get to live it once. Keeping a little perspective in our back pockets might just help remind us of all that every now and then. So for today—I decided to simply enjoy. 2 COMBATING CHEMO BRAIN CONTINUED FROM PG 1 Exercise improves brain health and cognitive function at any age. Even short bouts of exercise throughout the day can enhance your brain’s performance. Additional evidence states that exercise may prime the brain to respond more adaptively to damage by protecting the brain against aging, stress, depression, neurodegeneration, and injury. Exercise elevates levels of neurotrophic (neuron-generating) factors by buffering against illness or injury, prompting neurons to grow, and strengthening connections between neurons, the cells that make up our brain, spinal cord, and nerves) ceived exertion is one method for estimating the intensity of cardiovascular exercise, and your body and brain enjoy the benefits at only 4-5 on a scale of 10, which is defined as exercising "moderately hard", but still being able to carry on a conversation. The proper dosage of this brain "medicine" of exercise is 150 minutes per week. If you are not able to exercise for 30 minutes at a time today, start with 3 bouts of 10 minutes or by repeating even shorter bouts of exercise. With consistency, your activity tolerance will increase until you are able to achieve the maximum Every time the brain processes inforbenefit. Ask your doctor if you have any mation, new pathways are generated for medical limitations on your activity level, both learning skills and creating memoand if not, put on your tennis shoes and ries, a process known as neuroplasticity start moving! Many types of activities can that continues across the lifespan. Brain help you reach 150 minutes for the week, Derived Neurotrophic Factor (BDNF) is ranging from walking or stationary bicyone factor that influences neuroplasticity, cling to repeatedly standing up and down and low levels of BDNF are correlated with from a chair. If you work steadily at a rate memory problems. BDNF levels increase of 4-5 on the 10 point scale of perceived with aerobic exercise, particularly in the exertion, you will reap the benefits of exhippocampus, which has many responsi- ercise for your brain! bilities related to memory. Gliogenesis, Angela Wilson Pennisi, PT, MS, OCS, the generation of new neurons, also inand Hunter Van Houten, PT, DPT, are creases with aerobic exercise, resulting in physical therapists at Lakeshore Sports Physical Therapy, PC, in Chicago, IL. increased thickness of the motor cortex Dr. Van Houten is a certified BrainyEX and the posterior hippocampi. Brain Coach and can be reached at However, you do not have to take up run- [email protected]. ning to enjoy the benefits of aerobic exer- This article is written for personal information, general education and should not be used as medical advice. cise for your brain! Relatively lowPlease consult your doctor before starting any new prointensity cardiovascular exercise benefits grams or activities or if you have any questions. 3 both the body and the brain. Rate of per- THE NOTICER Book by Andy Andrews It is no secret that I LOVE to read. It is my absolute favorite past time. I am not too picky either. I like to read books from all categories—fiction, romance, poetry, non-fiction, biographies, etc. If it is a good book, you can count me in. Every now and then, I get into reading ruts, and I look for anything to get me out of it. This time around, I had been in a reading depression for quite some time. No books had sparked my interest for a really long time. A couple weeks ago, I was browsing books and came across The Noticer by Andy Andrews. I honestly don’t know why, but it caught my attention. I started reading about the book and it seemed like a decent story, but when I read the reviews, I couldn’t believe what I was seeing: comment after comment of how good this book was, how much it helped people, etc. Well, anytime I read things like that, I am usually automatically hooked. I look for inspirational stores ANYWHERE I can get them. I decided I had nothing to lose, so I picked up a copy of The Noticer and began to read. It’s a short book so I pretty much finished it in a day. If it was a long book, I think I still would have finished it in a day. It captured me from the very first words. What I will tell you is if you need a little inspiration and need somewhere to start, pick up this book. It’s based on a true story. The book takes the reader through a troubled beginning, but a remarkable end. I won’t give it away but all I can tell you is if you are looking for some PERSPECTIVE, I think you will find some in this book. To find out more information about Andy Andrews, The Noticer and Andy’s other books, go to: www.andyandrews.com Comments or feedback? Dana Stewart can be reached at [email protected] 4 PERSPECTIVE. “It doesn’t matter whether the glass is half full or half empty, if you stop focusing on the glass and look at the world around you, you will see there is a full pitcher right next to it.”—Shawn Achor This quote screams perspective. Just take a look around you and make sure you notice everything, not just what you think you want to or need to see. You might be surprised by what you find. Enjoy a little perspective. What do you want to see in a cancer survivorship website? Go to www.dragonflyangelsociety.com and tell us what you think! The Dragonfly Angel Society 7316 Hartford Rd Downers Grove, IL 60516 www.dragonflyangelsociety.com E-Mail: [email protected] [email protected] 5
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