Don't forget your colonoscopy.

Hey everyone. Yesterday I blogged about recent news showing that patients whose colorectal cancer (CRC) is detected during a screening colonoscopy are likely to survive longer than those who wait until they have symptoms before having the test.

If you're 50+ years of age, please don't be afraid to talk to me about getting a colonoscopy. Read more about the common myths here, and also learn more about the process here. 

I got you, 

-- Dr. Dale

Mindfulness for Stress Reduction

“This is a great article by Blue Shield.”
— Dr. Dale

Source: Here

What is mindfulness-based stress reduction (MBSR)?

MBSR is a program that helps you learn to calm your mind and body to help you cope with illness, pain, and stress.

MBSR teaches "mindfulness," which is a focus only on things happening in the present moment. Mindfulness is not a time to "zone out" or "space out" but is rather a time to purposefully pay attention and be aware of your surroundings, your emotions, your thoughts, and how your body feels. For example, you may sit quietly and notice your emotions. You might focus only on the sounds around you or how your food tastes and smells. When you are mindful, you do just one thing and you pay close attention to that one thing.

Another important part of mindfulness is to not judge the present moment. This is because judgments may lead you to dwell on (or "get stuck" thinking about) bad situations, feelings, or thoughts. And dwelling on the past does not help you accept or solve problems. It just brings you down.

By training your mind to focus only on the present, you learn not to get lost in regrets from the past or worries about the future. Letting go of such thoughts may help you worry less and accept things as they are. Mindfulness teaches you to be in control of your mind so that your mind doesn't control you.

How does MBSR work?

To help you focus your mind on the present, a class in MBSR usually teaches you to:

  • Focus your attention on your entire body, starting with your feet and ending at your head. As you do this "body scan," you might note places where you're tense or have pain. You might notice how your belly rises and falls as you breathe.

  • Focus on thoughts and distractions that run through your mind, but don't judge them. For example, you might notice that a thought about work comes to your mind. Rather than worry about your thought, simply note the thought ("work") and feeling ("worry") without dwelling on them. Then turn your attention back to the present moment. It is common for the mind to wander when a person begins to practice mindfulness. If that happens to you, it's okay. Keep trying. This is why mindfulness is called a practiceit takes practice to not judge your feelings and thoughts. It takes practice to stay in the present moment.

  • Practice yoga breathing exercises, stretches, and poses to strengthen and relax muscles.

Try MBSR on your own

  • When you go outside, take a few deep breaths. What's the air like? Is it warm or cold? How does the warmth or chill feel on your body? Try to accept that feeling and not resist it. Notice any plants, their colors, and the contrast of those colors against the sky and clouds.

  • Eat a meal in silence. Don't do anything but focus on your food. Smell your food before eating it. Notice what your food looks like. Eat slowly, and savor each bite. What flavors do you taste?

  • When you can, take some time at the beginning of your day to sit alone and think. Focus on your breathing. Gaze out the window, and listen to the sounds outdoors. Or take a slow walk by yourself. Count your steps while you breathe in and out.

  • If you can do this at work, try to stop for a few moments each hour. Note how your body feels. Let yourself regroup and let your mind settle before you return to what you were doing.

  • If you struggle with anxiety or "worry thoughts," imagine your mind as a blue sky and your worry thoughts as clouds. Now imagine those worry thoughts floating across your mind's sky, almost the same as you would watch clouds float across the sky. Do not judge or resist your thoughts. Just let them pass by as you watch.

How effective is MBSR?

Studies show that MBSR can reduce stress and help people relax. Studies of people who have type 2 diabetes, rheumatoid arthritis, heart disease, chronic pain, and other problems show that MBSR helped some people cope better with symptoms and improved their quality of life.

Research also shows that MBSR helped people sleep better and feel less anxious, and it helped ease depression symptoms. In some people, MBSR also helped improve blood sugar and blood pressure. 1, 2, 3

Taking part in MBSR has been linked to positive changes in the areas of the brain that affect how you pay attention, how you feel, and how you think. 4

RELATED INFORMATION

Protect your skin from cancer!

It's summer! Stay protected.

Protecting your skin

Most skin cancer can be prevented. Use the following tips to protect your skin from the sun. You may decrease your chances of developing skin cancer and help prevent wrinkles.

Although people with darker skin don't sunburn as easily, they can still get skin cancer. So it's important to use sun protection, no matter what your skin color is. 

Avoid sun exposure

The best way to prevent a sunburn is to avoid sun exposure.

Stay out of the midday sun (from 10 in the morning to 4 in the afternoon), which is the strongest sunlight. Find shade if you need to be outdoors. You can also calculate how much ultraviolet (UV) exposure you are getting by using the shadow rule: A shadow that is longer than you are means UV exposure is low; a shadow that is shorter than you are means the UV exposure is high.

Other ways to protect yourself from the sun include wearing protective clothing, such as:

  • Hats with wide 4 in. (10 cm) brims that cover your neck, ears, eyes, and scalp.

  • Sunglasses with UV ray protection, to prevent eye damage.

  • Loose-fitting, tightly woven clothing that covers your arms and legs.

  • Clothing made with sun protective fabric. These clothes have a special label that tells you how effective they are in protecting your skin from ultraviolet rays.

Preventing sun exposure in children

You should start protecting your child from the sun when he or she is a baby. Because children spend a lot of time outdoors playing, they get most of their lifetime sun exposure in their first 18 years.

  • It's safest to keep babies younger than 6 months out of the sun.

  • Teach children the ABCs of how to protect their skin from getting sunburned. 

    • A = Away. Stay away from the sun in the middle of the day (from 10 in the morning to 4 in the afternoon). Seek shade. Be sure to use sun protection when you are near water, snow, or sand, because the sun's rays reflect off of these.

    • B = Block. Use a sunscreen with a sun protection factor (SPF) of 30 or higher to protect babies' and children's very sensitive skin. 

    • C = Cover up. Wear clothing that covers the skin, hats with wide brims, and sunglasses with UV protection. Even children 1 year old should wear sunglasses with UV protection.

    • S = Speak out. Teach others to protect their skin from sun damage. Tanning beds can cause the same skin damage as sunburns and suntanning.

Sunscreen protection

If you can't avoid being in the sun, use a sunscreen to help protect your skin while you are in the sun.

Be sure to read the information on the sunscreen label about its SPF value and how much protection it gives your skin. Follow the directions on the label for applying the sunscreen so it is most effective in protecting your skin from the sun's ultraviolet rays.

Choosing a sunscreen

  • Sunscreens come in lotions, gels, creams, ointments, and sprays. Use a sunscreen that:

    • Has a sun protection factor (SPF) of at least 30 or higher.

    • Says "broad-spectrum" that protects the skin from ultraviolet A and B (UVA and UVB) rays.

  • Use lip balm or cream that has SPF of 30 or higher to protect your lips from getting sunburned or developing cold sores.

  • Use a higher SPF at when you are near water, at higher elevations or in tropical climates. Sunscreen effectiveness is affected by the wind, humidity, and altitude.

Some sunscreens say they are water-resistant or waterproof and can protect for about 40 minutes in the sun if a person is doing a water activity. 

Applying a sunscreen

  • Apply the sunscreen at least 30 minutes before going in the sun.

  • Apply sunscreen to all the skin that will be exposed to the sun, including the nose, ears, neck, scalp, and lips. Sunscreen needs to be applied evenly over the skin and in the amount recommended on the label. Most sunscreens are not completely effective because they are not applied correctly. It usually takes about 1 fl oz (30 mL) to cover an adult's body.

  • Apply sunscreen every 2 to 3 hours while in the sun and after swimming or sweating a lot. The SPF value decreases if a person sweats heavily or is in water, because water on the skin reduces the amount of protection the sunscreen provides. Wearing a T-shirt while swimming does not protect your skin unless sunscreen has also been applied to your skin under the T-shirt. 

Other sunscreen tips

The following tips about sunscreen will help you use it more effectively:

  • Older adults should always use a sunscreen with an SPF of at least 30 to protect their very sensitive skin.

  • If you have sensitive skin that burns easily, use a sunscreen with an SPF of at least 30.

  • If you have dry skin, use a cream or lotion sunscreen.

  • If you have oily skin or you work in dusty or sandy conditions, use a gel, which dries on the skin without leaving a film.

  • If your skin is sensitive to skin products or you have had a skin reaction ( allergic reaction ) to a sunscreen, use a sunscreen that is free of chemicals, para-aminobenzoic acid (PABA), preservatives, perfumes, and alcohol.

  • If you are going to have high exposure to the sun, consider using a physical sunscreen (sunblock), such as zinc oxide, which will stop all sunlight from reaching the skin.

  • If you need to use sunscreen and insect repellent with DEET, do not use a product that combines the two. You can apply sunscreen first and then apply the insect repellent with DEET, but the sunscreen needs to be reapplied every 2 hours.

Source: Blue Shield https://www.blueshieldca.com/bsca/health-wellness/health-library/article.sp?articleId=HWTV6658SPEC&fromTopics=all_topics&WT.mc_id=nlc-mem-healthupdate-2099&mkt_tok=3RkMMJWWfF9wsRojvqvJZKXonjHpfsX57ukqXaK0lMI%2F0ER3fOvrPUfGjI4ET8RhI%2BSLDwEYGJlv6SgFTrHCMap4w7gJUxg%3D

Do not use tanning booths to get a tan. Artificial tanning devices can cause skin damage and increase the risk of skin cancer.

For information on sun exposure and vitamin D, see Getting Enough Calcium and Vitamin D.