Thursday, May 31, 2012

Survei Tempat Asik asikkan

Survei Tempat Asik asikkan
welcome
yang dimaksudkan judul diatas adalah survei tempat - tempat dimana anak muda sering melakukan hal Sembrono / tidak etis dan hanya menikmati nafsu semata , Na'udzubillah .
Berdasarkan hasil pengamatan selama saya menjalani masa muda ini dia :
1 . Bioskop
pasti anda ternga-nga kenapa bioskop dikategorikan sebagai tempat asik asikkan , ya dalam pikiran ane juga gitu , maklum ane belum pernah ke bioskop heheh , tapi menurut temen temen
di bioskop itu sangat berbahaya ( akidah ) karena "katanya" di bioskop itu banyak orang orang melakukan hal yang tak pernah saya bayangkan , yah tidak bisa saya sebut satu persatu , tidak etis . sorry . Mungkin dari sini saya belum berani menuju bioskop , tapi tenang
tak semua orang yang menonton Movie di Bioskop melakukan hal itu .

2. Kost - Kostan
ini sudah jelas bagi yang nakal , dan dia berkehidupan mandiri ( hidup sendiri / ngekost ) tempat Kost - kosatan bisa jadi tempat asik asikan di peringkat k - 2 .

3. warnet
nah ... Soal warnet ane tau jelas soalnya sebelum punya leptop ane sering main ke warnet , Astagfirullah . . . setiap ane ngeliat ke- Cilent , waduw ampun tuh anak lagi apa apaan , ngerti sendiri aja lah .

4. Lapangan ( sepak Bola )
lapangan sepak bola ini / Lapangan Identik dengan Tempat sepi , nah jadi tidak ada kemungkinan orang ngeganggu , bisa jadi kan tempat untuk asik asikkan , apa lagi kalu malam Minggu , Jangan di tanya . sana Survei .

Jika kalian Tidak Percaya silahkan Survei , temukan orang orang yang sedang asik asikkan  ( tapi inget Khusus Dewasa dan kalian Harus Coba Berulang - ulang Jangan cuman sekali )

Pesan ane Tulung - Tulung kawan , jangan nakal , Jika laki laki Hormatilah Perempuan dan jika perempuan taatilah laki laki .
(Um)

Spy - Key - Logger

Alat pemungut Kata Sandi 



yah mumpeng inget ane punya janji ke kalian semua , setelah mempublikasikan hack dengan pikiran mu kini saya akan mempublikasikan bagaimana Hack dengan menggunakan Teknologi , yang pertama ane mau membagikan cara hack dengan Spy Keylogger .
alat hack ini menginput / mengesave semua aktivitas yang dikerjakan di komputer melalui Keyboard , sungguh jail bukan teman , kita bisa memasang Key Logger ini pada warnet , rumah , kantor bahkan laptop temen anda . Tapi sayangnya di Spy keylogger ini mengidap / terdeteksi Virus , so saya anjurin buat maen maen Key logger ini di warnet saja ,
nah ini dia caranya :
masuk Google / apa saja lah yang penting bisa ngeakses
selanjutnya Clik ajah di sini .
terus akan tampil tampilan , Pilih arena Download
setelah tampil arena Download , anda pilih aplikasi yang pertma saja
setelah itu Download lah
setelah File terinstal Happy setting dah , ane percaya pasti kalian semua bisa kan nge-instalnya .
jika sudah terinstal kalian bisa nge-Hide supaya tidak terlihat alat spy ini . dan untuk memunculkannya lagi kalian bisa merubah kodenya sendiri tapi kode awal " ctrl +alt+sift+K " tekan tombol secara bersamaan .
terimakasih (Um)

Kebesaran Sang Pencipta

Kebesaran Sang Pencipta
Guru Besar

Kali ini saya akan mendemonstrasikan Label "Drama " , Drama ini belum sempat kami pentaskan padahal kami buat dengan susah payah , tapi tidak kenapa napa , masi ada adek adek saya , tolong jika kalian berminat make drama ini silahkan m di tambahin ya silahkan , ( Bahasa Sunda )

Kebesaran Sang Pencipta

Aya hiji carita kaluarga nu bahagia anu kasiksa karena ilmu agama jeung sopan santun , tapi kekeluargaan jeung silih asih terikat erat nu keluarga kitu. Tersirat lah sebuah alkisah tentang bagaimana keluargi niku ngejalani idupe. Mau tau ceritanya saksikan di TKP.

Gagap    : pa-pa-pa ma- ma...
Buta    : ma.. ma.. macul ?
Budeg    : naon ? buncul
Buta    : mana bunculna
Budeg    :meja makan aya daharan
Gagap    : ha.. ha..
Budeg    : naon ? Hantu
Gagap    :da.. da... dahar pak , abdi teh lapar
Bapak    :saengges indung maneh maot , bapak ditinggalkeun sorangan . penghasilan bapak geus menurun teu bisa nyukupi kahirupan.
Budeg    :naon ? bade meser mobil ? asik..
Buta     :maneh teh kumha ieu bapak keur sedih, dassar budegg..
Gagap    :e,, e..  emang budeg
Bapak    : geus-geus maraneh ulah pasea maraneh kedu ngarti artina kahirupan. Anjen kabeh kudu saling mikahonan ulah sok pasea bae bapa hente resep komo ibu lamun masih aya mah pasti ibu sadaya oge sedih,
Budeg    : enya pak engke abdi rek macul
Bapa    : Astagfirullah, ges maneh teh cicing wae atuh.
Budeg    : masa pak can macul ges dititah panen ?
Bapa    : cicing !!
Buta    :enya pak abdi ngarti perasaan bapak aya to bapak entosan di dien nyuhunkeun biduana. Bapak abdi sadaya bade marantau ka luar desa
Budeg    : naon ngalangkah 5 lengkanh, ayo !
Buta    : ges dasar budeg cicing !. jadi abdi nyuhunkeun piduan ti bapak
Budeg    : naon Moal ?
Bapak    : nya sok maneh di ijinan marantau tapi ulah nararakal di desa ku.
Buta    : nuhun pak, Assalamu’alaikum
Bapak    : wassalamu’alaikum, semogi urang sedya dilindungi Gusti Pangeran

Ahirna mah 3 sadulur niku indit marantau ka desa lain keur neangan jati diri, 3 dinten  sa antosna, maranehna teh pararuguh. Palay apal caritana saksikan teng TKP.

Gagap    : ha.. haduh su.. su.. dh
Budeg    : aya susu ?
Buta    : giliran susu wae gewai!
Gagap    : ges 3 poe urang sadaya teu dahar
Buta    :enya neangan pegawean teu ditarima
Budeg    :naon ? aya barck obama?
Buta    : mana.. mana.. barack obama na, abdi bade poto poto
Gagap    : wah, da.. dasar budeg, buta teu aya obama teh, teu aya !
Budeg    : hahahahah,,
Buta    :nya ges urang neangan daharan
Budeg    : nya gewai lapar pisan
Gagap    : gi.. gi.. giliran lapar ajah gewai
Budeg    : hahaha.. lapar na ,,,,
Buta    : sok neangan mangsa yuk.
jadi 3 bersodara niku teh kaluar tina tempat persembunyian jeung kaluar bebas rek nentuken kabutuhan hidup.palay apal caritane saksiken teng TKP.
Budeg    : tah ien yeh mangsana
Buta    : mana –mana ? euweh !
Gagap    : ma.. ma..makannya benta
Buta    : enya lamun bisa.
Budeg    : sok sikat
Buta    : mana sikatna?
Gagap    : a..aya di tukang dagang
Budeg    : sok langsung di tampiling
Buta    : hai maneh kadiekeun dompetna
Gagap    : enya- enya kadieu dompetna
Budeg     : nuhun kurung sadaya teu acan dahar enan 3 dinten
Buta     : bu.. bu.. bu.. sini dompetna
Gagap    : ha ha.. la.. lalaki ieu
Buta    : ha ha ha arane oge buta ?
Diki    : dompet naon kang , abdi ngan gadah hiji , lamun jang akang abi teu gadah dompet deui
Budeg    : aduh si akang teh bodo, sekola mboten
Diki    : enya sakola lah ?
Buta    : sakolae sampe mendi S1,S2, atawa S3
Diki    : kang, ari sakola Ssan si uwis biyasa , abdi teh malahan dagang Es teler di rumah
Gagap    : yo namine teu sekola atu, jadi bodo maneh kitu
Diki    : enak mawon ? manehe dewek sakola sampe mendi
Buta    : abdi si sakola ku nyampe gerbange mawon teras indit malih,
Budeg    : abdi teh sakolae ku nongkrong be ning pangkalan , dados pao gen wajar
Gagap    : a..aa....abdi teh sekolae di ......, ah.. mikiri sakola mana dompetnya
Buta     : enya mana dompetna
Diki    : abdi gadah dompetna acan hiji, hiji gan kredit
Budeg    : aduh si akang teh bodo amat di penta dompetna mere kartu keredit
Gagap    : wa wa.. budeg ges cicing !
Buta    : eusina deui kitu ? ngenah wae maneh , digawe hela
Diki    :eusinya, duitna gitu ? enak aja maneh , kerja dong ?
Buta    : enya, abdi sadaya sakien lagi kerja
Gagap    : Enya enya..
Diki    : emtung
Budeg    : hayang salamat atawa maot
Diki    : salamat
Buta    : duit atawa maot
Diki    : atawa si akang
Gagap    : eh.. eh kurang ajar
Budeg    (langsung njokot dompet )
Gagap    : ka.. ka.. kabur.
Diki    : wah dasar pereman? Teu nyaho eusi dompetna naon ? duitna kan teu aya ti dompet tapi aya di tas. Haahah
Akhirna pereman tadi menay dompet . palay apal lanjutan caritana, saksikan di TKP
Budeg    : akhirna mah menay dompet oge
Buta    : ahirna dahar oge
Gagap    : e.. enya saha heulu nu nyokot
Buta    : ges lokot duitna, teras urang dahar
Budeg    :yah... can untung euy
Buta    : naon naon?
Budeg    : enyah duitna
Gagap    : e.. enyahna bon kabeh
Budeg    : naon aya bom ?
Buta    : dasar torek.. bon-bon hutang lain bom
Budeg    : oh, ges lah maklum masih keneh lapar ngarampok deui ya
Buta    : enya
Ahirna 3 saudara niku tekade gulati duit maning. Palay apal ceritana saksikan di TKP
Gagap    : heh, niku aya mangsa deui
Buta     : mana – mana euy
Budeg    : masa ka tempo. Maneh buta
Gagap    : ka.. kang bagi duitna
Teguh    : naon bagi duit
Buta    : enya bagi duitna , lamun teu mere ruksah maneh ( di gagap )
Budeg    : lain urang itu  itu jelma abdi torek
Buta    :wah sala jelma
Teguh    : ah... maranehna luru maot enya. Maraneh teu nyaho saha urang , urang teh preman di pasar ieu , rek naon maneh
Buta    : aduh pereman deui
Budeg    : naon , menta permenna
Teguh    :naon heh maneh ngece ya
Budeg    : kang abdi teh torek kang
Teguh    : ah teu nanya
Budeg    : ampun kang ampun
Teguh    : hahahha
Budeg    : di cabokan
Teguh    : naon maneh
Buta    : hey...  ceuk bapak lalan lamun geus ka peped mendingan kabur
Gagap    : ka.. ka.. kabur ?
Sekien 3 bersaudara ieu , gagal total untuk memalak , tapi maneh mendapatkan mangsa lagi . palay apal caritana saksikan di TKP.
Budeg    : tadi malak teu menang , ayeuna mah kudu menang duit , lapaar pisan euy
Buta    : nya aya mangsa deui pisan
Gagap    : enya.. ih.ih .. aya ma.. manuk
Buta    : mangsa manuk , moal sebeh akeh urang
Budek    : cicing bae, mangsana nu benghar
Gagap    : haya urang mulai malak
Buta     : hayu atuh
Budeg    : hey kang duit.. duit.
Ghinadi    : naon kang ? nami abi lain duit
Bimo    : ges aya naon?
Gagap    :kien pak abi niken artos sabab abi can eman
Ghinadi    : jang naon ?
Gagap    : ah..ge.. gewai lah pak
Buta    : sabar- sabar ieu
Budeg    : naon – naon , mang sabar
Gagap    : ka.. kan ges maot atuh mang sabar teh
Ghinadi    : hampura bae yalamun hayang duit kudu digawe heula
Buta    : emang kieu digawena
Ghinadi    : tapi teu halal atuh
Gagap    : ku.. kumaha atuh lapr ieu
Ghinadi    :usaha neangan gawe nu halal
Budeg    : hararese kang
Bimo    : astagfirullah Hal’adzim kabeh oge eweh nu susah lamun dibarengi jeung niat mah pastina mah     aya bae pegawean
Ghinadi    : dengerkeun atuh ulah sok malak bae hayang asup ka naraka.
Budeg    :tah erek ka mall? Hayang lah
Buta    : naraka torek, dasar torek
Gagap    : ne.. neraka teh naon ?
Ghinadi    : masya Allah kumah yeh pak ustad
Bimo    : jadi kieu neraka teh tempat anu panas pisan, tempate kangge urang – urang teu taat ka Allah
Buta     : wah ayeuna mah pasti sukses dagang es bae di nerakana, pasti laris
Bimo    : astgfirullah... ngomong bae can angges dijerona teh kasiksa kabeh, sengsara
Ghinadi    : makanna lamun aya nu ngomong , cicing dengerkeun heula
Gagap    : ma.. masa pak’
Buta    : ampun abi sleun
Budeg    : nya nya sleun pak
Bimo    : jadi kumaha masi rek malak   ? lamun masih siap – siap asup ka naraka
Budeg    : tapi kumaha pak abi lapar
Ghinadi    : aranjen janji hela moal malak deui
Buta    :nuhun pak,
Bimo    : alhamdulillah , bapk aya rezeki buat maneh ,mohon teu liat nilai duitna, tapi liat ka keiklasan. Abdi mohon setelah maneh dahar , hayuh maneh sadaya pergi ka gua padepokan. Bapak tunggu.
Budeg    : naon pak ? bapak pake popok.
Gagap    : ci.. cicing budeg
Buta    :enya pak matur kasuwun
Ahirna 3 bersaudara itu mendapatkan uang jeung segera mencari daharan. Setelah maneh sadaya gadah daharnna itu, mereka langsung mencari gua padepokkan , seperti yang disarankan pak ustad
Gagap    : i.. ini tah gua padepokan?
Budeg    : ieu bener, tu ada tulisannya “ gua padepokan”
Buta    : mana – mana
Budeg    : percuma moal ka tempo atuh
Gagap    : ge..geus lah urang asup. Assalamua’laikum
Diki    : wassalamua’laikum wr wb
Gagap    : haggh ! ieu kan jalmi anu pernah ku urang palak , waktu eta teh eusi dompetna hutnag bon kabeh.
Ghinadi    : Astgfirullah, maraneh teh pernah malak guru besar abi ?
Budeg    : nuhun punten ?
Bimo    : ennya tenag wae pasti guru oge memberikan 3 bersaudara niku hadiah jeung mema’apkeun kasalaan kasalaan urnag niku, kranten sesungguhnya maraneh kitu cacad fisik,lan sebagaina.benarkan guru?
Diki    : em.. heehe.. Allahuakbar
Ghinadi    :sok kadinga menta maap ka guru
Budeg    : maap guru maap guru
Gagap    : ma..ma.. maap guru maap guru
Buta    : enya, maap guru ??
Diki    : enya? guru maapin, eh ini aya cai minum, diminum dulu atuh ?
Gagap    : e.. enya guru

Waktu salaman maring guru si Buta tisa ningal deui
Si budek waktos dibacaaken syahadat maring guru tiasa nguping deui
Sareng si gagap tos teu gagap deui sa atos ngalecai cai ti guru besar.
Ahir carita 3 sahabt niku terbebas saking kecacatan fisik mereka
Guru berpesan” sebenarnya yang menyembuhkan kalian semua itu
Hakikatnya dari sang pencipta , abdi hanya sebagai perantarana”
Dan beberapa hari sa atos ngadalami ilmu di gua padepokan
3 bersaudara itu, pulang ke desa asalna teras mengabdi ieu
Pada bapana , nagara, desa jeung masyarakat di desa kitu.

Para pemain
Umar        : budeg            fani        : bapak
Eki        : buta                teguh    : pereman pasar
Jabal        : gagap
Diki        : guru besar
Bimo        : pak ustad
F Ghinadi    : murid
(Um)

Nutrition for Breast Cancer Survivorship (Video)

June 3 is the National Cancer Survivorship Day - a day on which cancer survivors celebrate life after a cancer diagnosis. Healthy eating after cancer treatment is important for weight control and nutrition.

This video from the Joan Karnell Cancer Center takes a look at nutrition and survivorship after treatment for breast cancer is complete.













Wednesday, May 30, 2012

New Uses for Old Drugs to Treat Pancreatic Cancer

Christine Wilson, cancer survivor, shares her experiences from the Abramson Cancer Center’s Focus On Pancreatic Cancer Conference. In this blog, she recaps the conference. You can view the conference in its entirety, including presentations here.

A Day of Cautious Optimism

"I have been to everyone of these pancreatic cancer conferences, and this is the most hopeful one yet."

These are the words of the wife of a six-year survivor of pancreatic cancer.  They speak to a genuine sense of cautious optimism that pervaded the annual Focus on Pancreatic Cancer Conference sponsored by Penn’s Abramson Cancer Center.  This new hope, grounded within innovative research, doesn't replace realism about the heavy toll pancreatic cancer takes and the persistently disappointing outcomes for most patients.  Patients, caregivers and physicians share an understanding that pancreatic cancer remains one of the most difficult forms of cancer to diagnose early and treat effectively. 

For the first time, though, there is real excitement about progress on a number of fronts, including better understanding of the biology and genetics of pancreatic cancer, improved technology for imaging and surgical interventions, and a more proactive approach to identifying individuals and families who are at increased risk of developing pancreatic cancer.  These aggressive approaches to diagnosing and treating pancreatic cancer are beginning to yield small, but real improvements in survival rates. 

Pancreatic cancer experts from all clinical disciplines discussed the promise of the future and the work under way at Penn to find better ways to diagnose and treat this disease to an audience of 200 patients and caregivers.

Innovative Research:  "Seeing Cancer Differently"

Starving Cancer Cells

Abramson Cancer Center Director, Chi Van Dang, MD, PhD, welcomed attendees, providing a short, clear primer on the complex biology of how pancreatic cancer cells grow, divide and invade neighboring tissue. The key to the future, he said, is "in seeing cancer differently." 

One key area of inquiry for pancreatic cancers is in studying the way these cells utilize energy – in effect what and how they feed themselves. The theory, Dr. Dang, explained, is that normal cells take in nutrients to divide, and then stop when the process is complete.  Cancer cells, on the other hand, are "addicted to nutrients," constantly gorging on them so that they can continue to grow and divide in an uncontrolled way.  They may also use different "food" than normal cells. 

One very exciting line of research is directed at this "addiction model" of pancreatic cells with the goal of basically starving cancer cells to death by depriving them of the nutrients they require.  The concept sounds simple, the implementation is far more complex, but the potential for developing targeted, metabolically based therapies is very real.

New Uses for Old Drugs

Most people think of new cancer treatments as developing new drugs. But in at least two cases, drugs that have been used to treat other conditions for many years are showing promise for treating pancreatic cancer. 

Led by researcher Peter O'Dwyer, MD, Penn is launching a clinical trial for cancer to test the efficacy of chloroquine, a drug used to treat malaria. Research has shown that chloroquine is highly effective in inhibiting what is known as autophagy, the ability of cells to replenish needed nutrients by eating themselves until they are able to find new sources of nutrition.  Pancreatic cancer cells are known to have a very high rate of autophagy and the hope is that chloroquine will stop that from happening and in the process slow down or stop the growth of the cancer. 

Metformin is another drug that is being "repurposed," finding new uses as an anti-cancer agent.  Metformin is traditionally used to treat diabetes.  It inhibits one step in the metabolic process and thus slows down the ability of cells to grow and divide. Like chloroquine, metformin is known to be safe.
Both of these drugs provide real hope for developing new therapies that will in effect cut the fuel line for pancreatic cancer cells.  In Dr. Van Dang's words, this research focuses on the "many differences between cancer cells and normal cells," differences that are becoming the basis for innovative clinical approaches to treating pancreatic cancers.

Learn more about pancreatic cancer clinical trials offered at the Abramson Cancer Center.

View the Focus On Pancreatic Cancer Conference to learn more about treatment options for pancreatic cancer at the Abramson Cancer Center.

Tuesday, May 29, 2012

10 Tips for Talking to Kids About Cancer

Ruth Steinman, MD, is a clinical associate professor of psychiatry at Penn’s Abramson Cancer Center. In this blog, Dr. Steinman discusses how to tell children about a cancer diagnosis and offers suggestions on how to make the conversation easier.

Children who are old enough to speak need to be told about a cancer diagnosis. Begin by identifying your illness by name without confusing euphemisms. Discuss how it will be treated and what will happen to you during treatment (losing your hair, feeling tired and so on). Tell them who will be taking them to soccer practice, cooking their meals and how their day-to-day lives may change.

Don’t let them overhear it
Prevent your children from hearing the news of your cancer by overhearing. Let them know what is happening and what to expect directly from you. Tell them you will let them know any new information that comes up.

Welcome all questions warmly
Your child needs to know they can talk to you about any topic. Be available to talk about what is on their minds at times when they are likely to talk to you such as in the car, while doing an activity or at bedtime.

Try to tease out the “real” question your child wants to ask
“What are you wondering about?”

Often the real worry is something much more concrete and readily addressed. For example, children may ask: “Will you be better by summertime?” Rather than a question about prognosis or a request for a guaranteed cure, they may be asking if they will go to summer camp as usual. Remember: not every question requires immediate or detailed answers. “That is a good question. Let me think about it/discuss it with daddy/ask my doctor/ and get back to you.”

Respect children who wish not to talk
You can still provide basic information in order to prevent confusion or surprises even with children who don’t want to talk. Check in from time to time and ask what they are hearing and make sure they are getting the right amount of information. Instead of asking: “How are you feeling about Mommy’s cancer?” ask: “How is it working out with Katie’s mom picking you up from practice?”

Don’t let your child worry alone
Kids often hear or read frightening information. Tell your children you understand that they may feel more comfortable talking about what is worrying them with someone else and that you will arrange this if that is the case.

Try to maintain your child’s usual schedule
Assign a point person for each child. Post schedules and calendars for caregivers. Keep the channels of communication open with key caregivers who provide appropriate emotional support and ensure your children’s routines are disrupted as little as possible.

Let your kid’s teachers know who they can go to if they are having a hard time. Make sure the teachers do not share the information with other children in the class. School should be free of cancer talk unless your children initiate the discussion. Ask the teachers not to share information about cancer or about someone else who went through a similar situation. This information, while given with well meaning, can be burdensome to children.

Carve out protected time for the family
Turn off telephones and tell friends and family not to visit during these times so that your children have your full attention without distractions. Ask about their day. Try to use this time to focus on the children and not on your illness.

Have support around hospital visits
Hospital visits often help children feel less worried. Have extra support people accompany your children to the hospital to allow you to adjust the length of the visit to what your children can comfortably manage. Younger children should have toys available. When visits are not possible, cards, drawings and such are helpful. Be sure to have an adult check in with each child after the visit to answer questions about what they saw or heard which might have been confusing or worrisome.

Be honest
Don’t lie, no matter how much you think a lie will protect them. Children are less anxious when they can trust that the information they get from you is true. We all want to promise our children that we will never die. It is important not to make promises you may not be able to keep.

Talking to children about end-of-life
Acknowledge that sometimes people die of cancer. Reinforce the plan for your treatment and the hope that it will keep the illness from getting worse. The most important worry for children is who will look after them if something happens to you. You need to assure them that no matter what happens, they will be cared for.

After Death
Children need to know they are loved and why they are loved. It is also important to:
  • Maintain a routine for kids of all ages.
  • Include children in rituals but explain beforehand what will happen: the coffin, people crying, that they can leave at any time and this is who will go with them (family or friend).
  • As time goes on, demonstrate that it is ok to discuss good and bad memories. Help your children find a way to maintain an emotional, internal connection.
It can often be difficult to tell when children need professional intervention. Certainly if a child asks to speak with someone outside of the family, he or she should be helped to do so. Symptoms that may indicate a need for intervention include depressed mood or high anxiety for more than a couple of weeks, changes in appetite and/or sleep, risk-taking behavior, problems with school (academic or behavioral) and substance abuse. Any expression of suicidal thinking needs to be taken seriously and evaluated by a professional despite the resistance in doing so.

Read “Speaking with Children about Cancer”

Monday, May 28, 2012

Yoga for Cancer Patients

yoga classes for cancr patients in philadelphia

Michelle Stortz, CYT, CMT, MFA is a yoga therapist, massage therapist and movement educator. She specializes in yoga therapy for cancer and works with cancer survivors in the Philadelphia region.

Yoga has recently been the subject of much attention from the medical community as the field begins to confirm its many benefits. For those undergoing cancer treatment, yoga is especially helpful in managing side effects of cancer as well as some of the more difficult emotional and mental aspects of a cancer diagnosis and treatment.

There is a common misconception that yoga is limited to stretching and practicing difficult poses. In truth, long before the physical aspect of yoga developed - largely what we see today - yoga was concerned with meditation and the achieving of heightened states of consciousness. Related breathing techniques have also long been a part of the yoga toolbox.

These tools and techniques, in combination with movement, are proving invaluable in reducing stress, pain, fatigue, insomnia, depression and anxiety; improving both coping skills and overall quality of life.

The methodology behind the yoga class I teach in partnership with the Joan Karnell Cancer Center at Pennsylvania Hospital called “Yoga Therapy for Cancer Patients” emphasizes the stress reduction aspects of yoga.

Benefits of yoga for cancer patients

Gentle movement, breathing techniques, meditation, deep relaxation and imagery work to guide patients to an energized yet calm state of peaceful awareness. As fatigue is the number one side effect of cancer treatment, patients spend approximately 60 to 75% of class time in chairs, with some choosing to remain in the chair for the entire class.

Movements can be modified to accommodate all types of limitations.

In addition to these classic elements of yoga, “Yoga Therapy for Cancer Patients” includes concise lectures on the physiology behind yoga and arms patients with information and an understanding of yoga’s workings.

For instance, meditation elicits the “relaxation response,” a term coined by researcher Herbert Benson at Harvard Medical School to describe a phenomenon in which the following physiological changes take place:

  • Metabolism decreases
  • Heart rate lowers
  • Muscles tension is reduced
  • Breath rate slows
  • Blood pressure decreases
  • Chemicals associated with stress, cortisol and adrenalin, are reduced

When patients know these benefits of yoga, they are inspired to practice more frequently.

These yoga techniques affect the body by quieting down the sympathetic nervous system and engaging the parasympathetic nervous system.

The sympathetic nervous system is the “fight or flight” process of the limbic brain. It sends adrenalin and cortisol through the body, which in turn sends blood to the extremities - arms and legs - leaving the organs at the core of the body functioning with less blood and interfering with their efficient functioning. In this situation the digestive and reproductive systems are suppressed and the immune system altered.

The parasympathetic nervous system tells the body that everything is okay, that it can relax. It returns the blood to the organs so they can operate efficiently. If stress is prolonged and the body is continuously exposed to the stress hormones, one becomes at risk for heart disease, sleep problems, digestive problems, depression, obesity and memory impairment.

Register for yoga

Registration for yoga classes at Pennsylvania Hospital is recommended.

Dates: Tuesdays
Time: 5:30 to 7 pm
Location: Old Pine Community Center, 401 Lombard Street, Philadelphia, PA

To learn more, or to register for yoga therapy classes, email at Michelle michelle@ironjon.com or call 215-242-1366.

Friday, May 25, 2012

For 6 Weeks, I Had Cancer

Melanie Gaffney is a proud childhood cancer survivor, and a contributor to the Focus On Cancer blog. Today she is cancer-free, but lives with the after effects of her cancer treatments. 

As a cancer survivor, relapse and second cancers are always in the back of your mind. The thought of cancer coming back doesn’t rear its ugly head daily, but sometimes the idea of getting cancer again can stop you dead in your tracks.

I have been cancer free for a very long time. I’ve had a couple of scares, but have always come out on top. Just this past January, during a routine cardiology visit, my incredible physician, Dr. Joseph Carver, discovered a lump on my thyroid. It wasn’t visible to the eye on the outside, but it was there, just under the skin.

I sat there at the end of my exam and stared, listening to him tell me about this lump, and all I could hear was “cancer, cancer, cancer.” As he spoke, all I could think was: “How will I prepare my kids? How will I afford childcare during treatments? Will my 5-year-old son be scared and understand? Will I lose my hair?”

Dr. Carver’s words would penetrate my thoughts every now and then, but for the most part he was just a blur.

Learn more about the Abramson Cancer Center's Living Well After Childhood Cancer program.
Once I mentally came back to the room, I sat and listened. He told me: “Melanie, people find lumps and nodules on their thyroids all the time, and they turn out to be nothing. But, with your personal history, your chances of having cancer again are higher than average.”

He told me I’d need a biopsy, and as he discussed the next steps, I listened intently to every word. I knew that I had to do everything just right to make sure that if it was in fact cancer, I had the knowledge I needed to take care of myself and those around me.

After my appointment it was time to start to make the calls to my family to tell them what was going on. They weren’t easy calls to make - even though I only knew it was a lump –we all knew my chances of what it could be.

Because of my scheduling preferences, my appointment for a biopsy wasn’t for six weeks. I can honestly say, without hesitation, that they were the longest six weeks of my adult life. I went through the motions, work, home, kids, etc. without always focusing on it, but I would break down in tears every day, every single day.
For those six weeks I had cancer, or, I might as well have.

I have incredible people in my life, that change their plans to accommodate my appointments, who are there for me as soon as a I need them, who blindly support me and my family. My friends actually organized a dinner during those six weeks, to just celebrate our friendships and lives together. At that point, I knew that if I did have cancer again, I was going to be just fine regardless of the outcome.

The day came for my biopsy, I was ready; emotional but not scared, strong but humble. I was ready for whatever the results were going to be.

I got my results: 100 percent benign.

I had cancer for six weeks – in my head and in my soul and in my heart, I had cancer. But now, knowing I don’t, I am ready for whatever else being a survivor may throw at me.

I have a feeling this may be just the beginning, that more scares will come and there may be a time where I am not as lucky with the outcome, but until then….
I don’t have cancer.