This session is an introduction to cancer exercise. We will cover information to help you understand the cancer exercise guidelines and the importance of lifestyle changes in cancer prevention and management.

We will review the content of the 4 Modules handbooks and familiarize you with the information on grading and staging of tumors, patient considerations, and the impact of lifestyle choices on cancer risk.

We will highlight an approach to start coaching clients to work on lifestyle changes, focusing on one specific area, and gradually building up to more comprehensive changes over time.

ZOOM TRANSCRIPT

00:00:00

What is your? Why, why are you here of all the fun workshops that are out there, all the fun ways to get ceus? Why cancer

00:00:11

and I'll share with you my quick story, which, if you don't already know it, you're going to be sick of hearing after a while. But in 1981, my mom was diagnosed with her 1st breast cancer.

00:00:23

I was 15 and sort of didn't really understand what was going on. And this was right at the cusp of when they were doing very, very, very aggressive radical mastectomies, removing the muscle, removing all of the lymph nodes the breast. What have you? She ended up with permanent nerve damage. She ended up with a frozen shoulder. She became addicted to narcotics to manage the pain, and she's never been the same. She's had chronic pain for the last, you know. 40 odd years.

00:00:51

3 years later I was diagnosed with thyroid cancer. I was had just finished. My senior year of high school was getting a college physical. They found a lump in my throat, and lo and behold! A few weeks later I was going to have my thyroid removed, and

00:01:04

while I consider myself one of the lucky ones, that is actually what prompted me to get into fitness, because when your thyroid is removed, you have no energy, you gain weight, you know just everything, you know, it affects your hair, your nails, your whole body. And so I developed a number of eating disorders and

00:01:24

decided, in 1992, I'm going to become a personal trainer, and that way I can help other people who are are dealing with similar issues while helping myself. In 1996,

00:01:36

5, my mom was diagnosed with breast cancer in the other breast. At this time she decided to undergo reconstruction, which she didn't do the 1st time because of the nerve damage. So they literally, we'll talk about this next week they took her rectus abdominis. They tunnel it along with the abdominal fat, and skin up under her chest. Bring it out to make a breast.

00:01:57

She didn't have enough tissue to do to do both breasts. So one side the one without the nerve damage, they did an implant over the course of the next 10 years, the implant, because the skin was pulled so thin it kept ripping, and she kept getting staph infections, and eventually they had to remove the implant. Now she's in her seventies.

00:02:17

they're telling her. Oh, well, why don't you get a lap flap? Let's take your latissimus muscle and create another breast, and I'm like Mom, you know, this is, this is getting ridiculous. I know you want to be whole and complete, and all this but

00:02:30

this is too much and then in

00:02:35

oh, God! 6 years ago, she was diagnosed with metastatic breast cancer. So because they did not treat her properly.

00:02:41

they did not give her hormone blockers when she was estrogen receptor positive, which means her cancer grows in the presence of estrogen.

00:02:49

Cancer came back 23 years later, and so fortunately, the medicine that she's on now is working. She's 86. She's doing pretty well.

00:02:58

but the bottom line is, you know, that was that was the beginning, when my mom was diagnosed the second time I was training her breast surgeon, and I said, What do you think about writing a book on exercises for breast cancer survivors. And she said, This is a great idea.

00:03:12

So we spent the following 3 years with the chiefs of breast surgery at Georgetown, Gw. And Johns Hopkins, and wrote a book called Essential Exercises for Breast Cancer Survivors. And then, within a few more years, my father was diagnosed with prostate cancer, bladder cancer, myodysplastic disease. My grandfather had lung cancer.

00:03:31

And I learned that I had about 23 relatives who all had different types of cancer. And I said, Wow.

00:03:37

this goes well beyond breast cancer.

00:03:40

We need more people who know how to work with these patients. And so in 2,004 started the Cancer Exercise Training Institute. So that is my very long. Why.

00:03:53

Daryl, I'm I'm reading. Yeah, Daryl, do me a favor. Email me, please, at. Just scroll up. You'll see C. Eti [email protected], and we'll get you all squared away.

00:04:07

Okay.

00:04:08

alright. Well, anytime. You guys feel like sharing. You know my email address otherwise feel free to put it in the chat box.

00:04:18

This is what I call the cancer continuum.

00:04:21

Now, it may seem odd that it starts with prevention when you're like, well, but I'm already dealing with somebody who has cancer, maybe. But this is also part of your your spiel is teaching people how to prevent cancer, you know, because, knowing what the statistics are, knowing that the cancer numbers are going up every year. Yes, more people are surviving.

00:04:44

Many more treatments are are fabulous. However.

00:04:49

the numbers of diagnoses are are not going down.

00:04:53

So that's 1 point to the people who've never had cancer. Let's keep from getting it. But the other is for people who have had cancer. Diet plays a critical role as does exercise, especially with certain cancers. There are about 13 cancers that are linked to obesity. So when you think of heart disease and diabetes, and just the unhealthy people.

00:05:19

I can speak for the United States. Obviously, you know, we're not the only ones that share these issues, but certain places in the world have different types of cancer, you know, like, for example, in Asia or in Europe, high incidences of lung cancer, because the smoking is much more common. So all of these things are really important, and if you are not a registered dietitian who specializes in oncology.

00:05:45

you should not be making nutritional recommendations beyond the basics like, here's a Carb, here's fat. Here's protein. Here's how to read a food label. Let's go through your kitchen and get rid of this, this, this this teach them about processed foods, all of those basic things organics. We'll talk about oxidative stress.

00:06:07

But if somebody is going through cancer treatment, you don't want to make recommendations without that background because there are certain foods and herbs that can actually interfere with the efficacy of certain cancer treatments. And we certainly don't want to do that. So. Yes, you can talk about. You know a calorie. How many calories they're burning, how many calories they're consuming, what the best

00:06:35

types of proteins and fats are. Those things are fine, but don't get into specific food recommendations or or herbs in particular, because they can definitely affect some of these treatments.

00:06:45

Take a sip of water real quick.

00:06:50

Okay, prehab

00:06:52

is a very small window of opportunity. So that means somebody gets diagnosed with cancer. Let's say you're already training them.

00:06:59

and they come to you and say, Hey, Michelle, I was just diagnosed with

00:07:05

testicular cancer, and I'm going to start treatment in 3 weeks. Can you help me get strong

00:07:12

to prepare. And so Michelle's going to go into her book. She's going to look up testicular cancer. And Michelle, I'm just picking your name. I'm not going to ask you any questions. Don't worry. I can see. I can see the nervous look. You're going to look up the surgeries and be like, all right. Here's here's what we need to do to prepare this guy, and maybe it's core strength. Maybe it's Cardio. Maybe it's stretching. You're not going to get a whole lot done in 3 weeks.

00:07:36

but it's more of an empowerment, you know, and just making them feel strong and ready to go, and you got this you know, as soon as your doctor gives you the medical clearance, we're going to just jump back into this, although, you know, then we're dealing with recovering from surgery and that type of thing. So

00:07:52

these are all the steps that I'm going to teach you, and that are in the book, and I employ you to not go into the book yet. I know none of you. Most of you should not have the hard copy. If you do want it, and you jumped on later. Email me, I will give you the links where you can order the hard copies. Otherwise you have the Pdfs. In your teachable in each module. But don't start reading them yet. You will do nothing but confuse yourself

00:08:21

for the next 2 weeks. I want you to do nothing but watch the videos. Okay? So you go to teachable. You go to courses. You have these zoom sessions. So you're going to watch these either live or in recording. But then you're going to go to your 14th edition, and I want you to watch all the videos from prostate cancer through breast reconstruction and and breast is in Module 2.

00:08:43

After you watch those. Then you start looking at the book because it's going to help you to just graze through the book as opposed to reading it. Line for line. I'm going to teach you what to focus on as a health or fitness, professional as opposed to memorizing statistics or memorizing. You know who is the most common person to get prostate cancer, or you know where in the world has the highest number of breast cancer. It's all in there. But you don't need to focus on that

00:09:10

focus on what pertains to you as a health and fitness, professional or someone who is going to be prescribing exercise programs

00:09:18

during treatment. There are

00:09:21

so many studies, so many studies in these next 2 phases during treatment and recovery and survivorship that show during treatment that it minimizes treatment side effects. The number one reported side effect is fatigue. I mean mind numbing fatigue. It can obviously improve

00:09:43

overall happiness. Mood, you know, decrease, depression, increased appetite. A lot of people lose their appetite and they have muscle wasting. It can manage body composition. I mean, the list goes on and on, and all of these things we have these pre-made brochures and everything that you can order. Also one of your fellow students designed these all, and I'll share that with you later on down the line. But all these benefits are listed, and it's kind of already done for you.

00:10:10

and in recovery and survivorship, if we take the same

00:10:14

kind of cohort of a hundred breast cancer survivors between 40 and 50, who all you know, eat the same thing. But this group exercises and this group doesn't. The one that exercises is going to have a longer life expectancy and a better quality of life. So it begs the question, why is every doctor not saying you need to exercise?

00:10:38

And in speaking to some doctors, not a ton. I've tried to come up with the answer to that, and I have had doctors that have said, I have told my patient. You know this is what you need to do, and there's just some, some lapse they just don't follow through. But those are few and far between. The bigger issue is that the doctors don't know who to refer to.

00:11:03

And so this is again, which is going to be part of your branding and part of your business that Greg's going to help you with. And that's another thing you can start to think of. Now, who are in your 6 degrees of separation.

00:11:16

Did you have cancer? Who was your surgeon? Who was your oncologist? Who was your radiation oncologist? Who was your physical therapist? If you didn't have cancer? But you know your mother did. Who's her surgeon, you know. So on and so forth. Do you know somebody in the news media? Do you know somebody?

00:11:34

You know some famous person who had cancer, who would be a spokesperson, I mean, I'm stretching it now. But but start to think about these things so that you're in a position to just rock and roll as soon as you pass your test, and you're ready to go.

00:11:49

So what exactly, is the role? I've told you what it isn't, and that is, we are not. You know we are not registered dietitians. We are also not doctors. We are not, I mean, you might be. If you're a doctor, then you're a doctor who's also a cancer exercise specialist. If you're a physical therapist, then you're a physical therapist who's also a cancer exercise specialist. So we can all share that umbrella.

00:12:10

But we each have our different specialties or our own modalities, and that's what you want to stick with. So I'm as a personal trainer, even though I know some Yoga and some Pilates. I'm not marketing myself as a Pilates specialist because I'm not. And and so you know, you're going to see different exercises that are Pilates that are yoga.

00:12:29

You make it your own, and it'll make more sense as as we get to that point. But the goal, of course, is to improve overall physical strength and flexibility, correct muscle imbalances. So I'm going to give you a visual. And how apropos, today is October first.st So the beginning of breast cancer awareness month.

00:12:49

This is also a fantastic time for you guys to start talking about this. Hey? I'm taking this course. I just want to bring your attention. It's breast cancer, awareness month. Feel it on the first, st you know. Whatever. There's plenty of stuff that you can grab off of the Internet. And it's a great segue to introduce yourself to people. I'll try and get some stuff posted in the next day or 2, and you guys are welcome to just

00:13:14

share or copy. If you don't have canva CANV. A. Get canva, you can get it for free. It's an app. I pay a hundred dollars a year, and, you know, get more stuff.

00:13:25

But it's so easy for all your graphic stuff and plopping and dropping, and it's I can't imagine living without it. So you can make some great social media posts, and there's probably other apps, I'm sure, as well.

00:13:38

But going back to breast cancer, somebody has a mastectomy, so they've got. Let's say they had both breasts removed. They've got an incision here and here, and then they've had lymph nodes removed here, and then maybe they've had radiation to the chest. So what happens is you've got scar tissue and adhesions that are pulling this inward

00:13:56

head goes forward, shoulders are rounded back, gets kyphotic. People start to have neck pain. It leads to low back pain. Then, because of this, they have limited range of motion, so they can't perform the activities of daily living that they're used to. So we have to identify these range of motion limitations, these muscle imbalances, and choose the appropriate exercises for this person, because the wrong exercises can make it worse, and it can also bring on lymphedema.

00:14:25

Now, lymphedema is the swelling. In this case of the affected arm, it could be the chest or the lat area. It depends on the part of the body that has either had radiation or lymph nodes removed. So we will also have a session on lymphedema, so don't don't worry too much, but it can be prevented through exercise. It can also be made worse

00:14:49

by exercise if you do too much too fast.

00:14:55

So a lot of fitness professionals.

00:15:00

you know, people will ask me what what's so different about working with cancer patients. And I'm going to say to you, you tell me when you're done with this month with me.

00:15:09

because it is so comprehensive that if you don't understand any of these elements.

00:15:16

that's 1 thing. But then we have to add the acute and chronic side effects of treatment.

00:15:21

the acute and chronic side effects of surgery. And we're going to build this like a cake if you will, or a mathematical equation. We take, you know, the the surgeries and their side effects, the treatments and their side effects. We take the physical assessment, the range of motion, the postural assessment, and then the rest of their medical history. And it's only when we have all of that information that we can actually safely

00:15:46

and effectively prescribe an exercise program. Otherwise, we're just, you know, pulling things out of a hat.

00:15:52

So ultimately, once we have all that information, then we can design, prescribe and teach personalized exercise programs. And please let me know if you are a group exercise instructor because I will spend more time talking about that and even if you're a personal trainer doing small group training, or or you know your your

00:16:15

Yoga therapist or a Pilates instructor doing small group training can be beneficial for both you and and the patients, because it's going to make it more affordable to them. And you're going to make more money. So you charge less, but you get more.

00:16:29

So all of those things are part of the business strategy.

00:16:33

Okay, I did something to animate this, and it slows it down all right. These are just the general categories of cancer. So again, cancers here. And then you've got these categories next. So if you hear that somebody says I have a carcinoma

00:16:49

again. You don't have to memorize this, but you'll just become familiar with it. It's organs. It's internal and external linings, different parts of the bodies are labeled, different sarcomas are bone, their cartilage, their muscle, their vessels.

00:17:04

Leukemia is blood and bone marrow. So now we're looking at more of a

00:17:09

systemic cancer as opposed to, or, you know, there's not a tumor per se. It's affecting the blood. Same thing with lymphomas, lymph nodes, and the lymphatic system are affected. But this is not the same as cancer that has spread to the lymphatic system. So, for example, my mother has breast cancer that has spread in her lymphatic system. And it's in the liver, it's in the bones, it's in the lungs. It's not lymphoma.

00:17:36

That's a totally different cancer. Okay? So and in fact, it's not liver cancer. It's not lung cancer. It's not bone cancer. It is primary breast cancer.

00:17:46

And then those other cancers are what we call secondary, and when we're at stage 4 cancer, the cells are not easily distinguishable. They start to look like this so that it becomes very difficult to determine what type of cancer the cancer of origin was. So it took them several weeks to figure out that she had metastatic breast cancer. We didn't know if it was just a new cancer.

00:18:12

So then, of course, we have skin cancer, melanoma being the most deadly. But we also have basal cell and squamous cell gliomas are of the brain and the spinal cord.

00:18:24

So those are our our different different types. So humor me, guys for a sec. And

00:18:32

will you please write in the chat box? What you think the number one cause of cancer is, you're not graded. You're not going to be insulted. You're not going to be laughed at. You're probably going to get it right.

00:18:43

But what do you think the number one cause of cancer is?

00:18:50

It's just I get time to drink water.

00:18:59

Okay? And I didn't mean to press heredity diet can actually be a very big big part of it. What I was hoping to see is that a lot of people say heredity when, in fact, it is only making up 5 to 10%. So Daryl, lifestyle, yes, all of the things that we do on a daily basis. So think about this. Let me press the next button here. Radiation.

00:19:27

I was in 1st grade and knocked my front teeth out playing hopscotch. I had tons of dental work.

00:19:35

unhealthy diet and lifestyle. Yes, and so throughout my life, I continue. You know, every year you go to the dentist. They do your you know your X-rays, and then you break your arm. You get your MRI, you get your cat scan whatever over a lifetime.

00:19:50

You are accumulating that radiation.

00:19:54

If you fly all the time

00:19:56

in an airplane, I don't think any of us have wings yet. You are exposed to more radiation. My husband works in nuclear facilities, and he told me that there's more radiation in an airplane. So all of these things over time accumulate. And when you, when you realize that most people who most people who get cancer are in their sixties, their seventies, you know, it increases as you get older. A lot of it is because of this accumulation

00:20:23

of toxins, of viruses. Epstein-barr, Hpv. Hep, B. You know. Hpv. Human Papillomavirus. Now they have Gardasil, which is a vaccine for it. But you know what was vaginal warts or venereal warts, because it's guys and girls is now presenting itself as cancer, and it's throat cancer. It's esophageal cancer. It's mouth cancer. I'll let you figure out how and why

00:20:50

obesity not only can lead to certain cancers, particularly like breast cancer, ovarian cancer, stomach cancer, any kind of hormonally driven cancer. Not only can it lead to an initial cancer, but then, of course, it can decrease your risk of survival and increase your risk of a secondary cancer. All right. The big key word for today is oxidative stress.

00:21:18

To think that 10 years ago. I had no idea what this was in all my naivety, and I continued to do all these terrible things that now I have to stop doing.

00:21:29

This list is so important.

00:21:32

Create your own if if you want me to share this slide presentation email, you, I'll send it to you through dropbox. And you can.

00:21:40

you know, copy and paste it, or whatever.

00:21:44

This is so important to share with your clients and don't expect them. You're not going to go. Okay, guys, everything on this list. We're starting today. Forget it. They will never succeed, neither will you. Nobody can do this all at once. So you pick you have your client. Look at this, and be what? What? Pick one thing here, and tell me what is a reasonable place to start. And so let's say they say well.

00:22:10

you know I do live in Texas, and I like my steak, and I have a steak at least 5 times a week.

00:22:17

you might say, and does that concern you? And and they say, Well, that is too much animal protein in my diet. So is that something you would like to change.

00:22:26

Yeah, I think I could start with that.

00:22:30

So what I'm hearing you say is that of all these things on this list that you think reducing the amount of steak you eat is a goal that you can achieve. Is that correct?

00:22:41

Yes, I think I can do that. Okay, so that is a goal you believe you can achieve. Let's narrow this down. How many times a week do you think you can commit to not having steak?

00:22:55

And they think about it. Well, I know Friday night is barbecue, and oh, Saturday is our church potluck, and you know I can commit to only eating steak

00:23:06

3 times a week.

00:23:08

All right, we can start there. So what I hear you say is that on Wednesday, Friday, and Saturday you're going to have your steak days. But the rest of the week. Is it safe to say you're going to avoid animal? You see where I'm going with this? I don't. I don't need to keep going, but this is the style of coaching

00:23:25

for them to figure out. You know, they're giving you the answers. They're making the commitment. It's inherent. Okay? As opposed to me, saying, All right. This week we're going to quit sugar.

00:23:36

You are just going to wipe out all sugar, all carbohydrates, no sugar, and if you succeed for a month you're going to get a gold star. That's not

00:23:46

motivation. Extrinsic motivation can work. But we want it to come from inside. Okay.

00:23:53

so we look at this list. All of these things are a part of pretty much everybody's life one way or the other. So toxic chemical compounds and pollutants in the body. From the minute you wake up and you put your body lotion on you, brush your teeth you put gel in your hair, you put your makeup on, you go, and you have coffee that has 200 chemicals in it.

00:24:17

or pesticides. Maybe you start with a glass of red wine in the morning, which has 80 pesticides. You have your eggs, which are not organic, and the chickens are not grass fed, and they've been eating

00:24:32

poisonous grass, so on and so forth. Each of these things begins to accumulate. So it's not one thing, and it's not one day it's all of the things every day. So if we start to cut back a little bit, little bit, little bit, little bit, you may never have this list down. I don't, but I'm much better off

00:24:52

than I was. We hear about hydrogenated fats, you know. We know you shouldn't eat hydrogenated fats, but what does that mean to most people. Can you explain that to your client in a way that they understand it?

00:25:06

All kinds of pollution? So if you live in Shanghai or New York City or India, you know Bangladesh, or you know, wherever

00:25:15

there's a lot more air pollution, there's a lot more water pollution.

00:25:20

How do you think the crops are getting fed? They're getting fed with the polluted water

00:25:25

if you're in California. And there's, you know, massive wildfires. All that that

00:25:32

ash is going on the crops, and we're then eating the crops. Everybody knows about Monsanto, if you don't, the roundup lawsuit for lymphoma, so roundup is a pesticide that's used on on crops. I mean, it's 1 of them sure, many. And over the years it's been linked to lymphoma.

00:25:52

So I never thought about buying baking flour. Okay.

00:25:59

go buy baking flour. Did you ever think about buying organic baking flour because the flour that is in the field that is treated with the pesticides. You are now eating flour with pesticides in it, which is making up your bread, your cookies, your pastries, whatever else.

00:26:15

So Monsanto is, is fascinating because they settled out billions of dollars in lawsuits, which is a direct admission of guilt. Okay, I think Monsanto is owned by Bayer. I'm not 100% surely bear aspirin.

00:26:31

They continue to say that roundup is safe.

00:26:35

So if you go to the website, it says roundup is safe to use. Meanwhile they've paid billions of dollars

00:26:44

to people who have died or are dying, or are living with lymphoma.

00:26:50

So, being a staunch advocate for yourself, for your clients, for your family for your friends is the number. One thing that that I can tell you through all of this, through everything I've seen personally, professionally, is empowering people to take control of their own health.

00:27:11

their own health care, and the healthcare decisions that they have to make, because

00:27:18

throughout our times together I'll give you some different examples where I've embellished things because I knew I needed to get a cat scan, or a pet scan, or a MRI, or whatever, and insurance wasn't about to give me one. And I'm like, you know, I need to know what's going on. And a lot of times people are not diagnosed early enough because they can't get the tests that they need

00:27:42

to get the diagnosis. So I know I'm a little bit all over the place, but there's so many things that I just want to share with you that are so important. And this 1st session is kind of all about that excitement.

00:27:55

Oils. So olive oil is fantastic. The Mediterranean diet is hands down, probably at least in the top. 2 healthiest diets you can

00:28:06

consume.

00:28:08

olive oil heated above 375°F can become carcinogenic, which means cancer causing. So if you're using olive oil, make sure you're cooking at lower temperatures, otherwise use your coconut oils, your grape seed oils, or you know whatever other healthy oils you have at your disposal.

00:28:27

Not much needs to be said about cigarette smoke. We all know about it. Don't smoke, don't inhale smoke. I grew up with a father who smoked in our car, so you know, hopefully, one day I don't get secondhand lung cancer dehydration. Our bodies are made up of mostly water. We need to replenish the water.

00:28:45

How are we getting? Our water?

00:28:48

Is the water filtered. Is it pure? I switched to this big.

00:28:53

whatever tin thingamajigger stop drinking out of plastic unless I have no choice. I'm on a road trip and go to 7, 11, and all they have is plastic bottles of water, you know, whatever. But the Bpa is the chemicals that are in those bottles that are in anything that is stored in plastic are being absorbed into your food. This is in the news pretty regularly now that they do these tests, and you know, people have, like a credit card size, worth amount of

00:29:20

plastic in their body from all of the plastic that's been absorbed through the foods. We eat everything you go to buy, buy meat. It's packaged in a styrofoam thing, and it's wrapped in plastic. All of your processed foods are wrapped in plastic. Get rid of your plastic, Tupperware substitute glass. Don't use Saran Wrap. Don't put it in the microwave. I mean all of these things, and you've probably heard some of them.

00:29:45

But this is how we prevent cancer guys for the 1st time for the second time. For the 3rd time it starts with this

00:29:53

and so, even though this is a cancer exercise course, I'd be remiss by not sharing this with you

00:30:00

too much sugar.

00:30:03

According to the National Institute on Health, the National Cancer Society. All of these big organizations. There is no direct link between cancer and sugar.

00:30:12

however.

00:30:14

Eating too much sugar, of course, affects our blood sugar levels, it affects our insulin production, it affects our growth hormones, it affects obesity, it can lead to diabetes, diabetes can lead to, you know, all these other things can increase our risk of cancer.

00:30:30

And while I can't say it factually, I can say, just through personal experience, I do recommend that people reduce the amount of sugar for all health reasons, not not just cancer, but

00:30:44

and dairy. And you know, carbohydrates, you know, not not healthy carbohydrates, but processed carbohydrates because none of it is going to have health advantages for patients who are fighting for their life and trying to make healthier choices. So there are so many options now of making baked goods with almond flours, and you know all kinds of different nut flours and whatnot

00:31:09

not using dates and monk fruits and different things for sweeteners that aren't processed. Refined sugar.

00:31:18

even sugar in the raw is better than white sugar. Brown rice is better than white white rice, whole grains better than

00:31:26

process. All the all of those things we already kind of talked about, too much animal protein, geophysical stress, so living near power lines or waste dumps. If you've ever seen Aaron Brockovich or heard of it, or I think there's another movie called Muddy Water, or Black water where environmentally, you see, pockets of people who all come, you know, end up with a certain type of cancer. And it could, it could be due to to something like this. There's runoff from a dump.

00:31:53

So you've got all this, this food decaying, and it rains, and it goes into the river, and the river feeds the the crops, and

00:32:00

so on and so forth. Some things we can control, some things we can't. If you have a choice between moving into a house that has huge power lines running behind it, and not, I would choose the not

00:32:15

oftentimes you can tell when a house is on the market for a long time, or the price is much lower than a neighboring house. There's often a reason why, and so it's important to look into that

00:32:28

there's a section in your book. I believe it's in module, one on the human microbiome. It's not too complex, because it's just very basic information from for you, but it's really important to understand, because without a healthy gut, nothing in your body is going to be healthy when you talk about the gut brain axis, there truly is a connection. And so a bacterial, fungal viral infections that are going on within your body can also cause dis-ease

00:32:57

preservatives and food. Need I say more preservatives or preservatives? You could take a Mcdonald's happy meal, put it in your garage for a year. Come back a year later. It's going to look exactly the same

00:33:11

drugs over the counter or prescription. You're taking a magnesium capsule or a calcium, that's, you know, like a horse pill.

00:33:19

What is it made out of? Aside from the calcium, what's encapsulating it? How is it sourced? So yeah, that one calcium tablet is not going to give you cancer. But when you think of the 20 vitamins you might take like me in a given day, I get organic vitamins. Now I look at how they are sourced, artificial, same thing as preservatives. That word should be an indicator. That it's not something that we should eat

00:33:43

doesn't mean I don't. Doesn't you know I'm not perfect

00:33:47

talked about plastic chemical cleaning supplies. If you're not wearing rubber gloves, and you're you know, you're using ammonia, and you're using scrubbing this and that whatever it's going right into your skin, your skin's your largest organ, so you may as well just drink the ammonia

00:34:02

try and wear rubber gloves that also can help prevent lymphedema for those who are at risk for lymphedema

00:34:09

chlorinated water.

00:34:11

I say this every session, and maybe one of these days I'll actually get a chance to look it up. But I'd be curious how many people who are

00:34:19

avid swimmers in chlorinated water, and what their you know if they get cancer more than other people.

00:34:28

I think there has to be a correlation, you know, for people who swim all the time. If you're in a hot tub or a Jacuzzi. You're absorbing that chlorine into your skin. I'm not saying to never do these things. I'm just saying, be aware

00:34:43

and and keep these things in mind, and maybe that's something that you, you know I swim. I swim every day. I can't live without that. That's fine. Then then ease up on some of the other things. Pesticides we're just talking about, you know, buying organic organic food still has pesticide on it. But it's like 7% instead of a hundred percent unless you grow it yourself.

00:35:06

Radiation exposures. Talking about that with, you know, X-rays and and flying. And then, lastly, psychological and emotional stress destroys our body.

00:35:17

It's linked to so many different disease. And cancer is no exception. So you're going to also read about the type C. Personality which which we talk about in the Handbook, and that this certain personality type, you know, kind of the worry wart. The person who's always taking care of everybody else doesn't take care of themselves. There is a strong correlation between those people and cancer.

00:35:41

So infection, chronic irritation and inflammation

00:35:47

all kind of make up oxidative stress, and that ultimately leads to cancer.

00:35:54

So out of everything I've just shared with you, you know, I propose to you as well. Look at. Look at your own lifestyle choices and and pick one thing to start with. If it's a client I'm going to try and say, you know, look for 2 weeks. Let's try this and see how you do, and if they're successful I'll ask them if they're ready to check off another item on the list. If they're not, I'll say, all right. You're doing great with this. Let's stick with it.

00:36:18

and we'll reevaluate this in another 2 weeks, but by not addressing these things.

00:36:25

You know you can't out exercise a bad diet. You've heard that expression, and usually it's about weight gain, but it's also about lifestyle and and overall health. So start to think about what lifestyle changes can reduce cancer risk. And that is, you know, mental health, that is sleep.

00:36:46

that is food that is exercise surrounding yourself with with people that make you feel good about yourself that could be quitting a job that

00:36:58

does not

00:37:00

make you happy. I mean, you know, it's it's everything, and I'm not. I'm not suggesting you overstep your boundaries and become a therapist. But you can certainly propose things that people can. That's where the coaching comes in which I like, because you're not a therapist. But you're you're helping people to find their own answers whereby a therapist is giving them the answers.

00:37:19

So I kind of like the coaching better.

00:37:22

All right. There's much more information in your handbook than what I'm going to cover here. But I just want you to understand what you need to know about grading and staging of tumors, which is very little. Okay, it's really about, what does this mean to the client? So if I come to you and I say, I have stage 0 cancer.

00:37:41

you're going to go. Okay, this is the earliest stage cancer it is contained. It's non-invasive. Andrea got a really good diagnosis. So she has a 97% chance of beating this. So

00:37:56

I'm not happy. Andrea is not happy that she's been diagnosed with cancer. No one is, however, I have a much better outlook than somebody, perhaps, who has been diagnosed with a more aggressive cancer. And this is subjective, because I know people who have stage 4 cancer who have amazing outlooks on life

00:38:14

stage one. When looking at the cells under a microscope, they are still well differentiated. They look like normal, healthy cells, slow growing. They're less aggressive. And they're still in this contained site. They have not, you know, jumped a ride into the lymphatic system or into the bloodstream. They haven't broken out of this specific area. So again, it's a very good prognosis

00:38:41

stage 2 and 3. Now we talk about moderately and poorly differentiated. So now they're not. So.

00:38:48

They're more like this.

00:38:50

you know. They're they're reproducing more rapidly, they become less differentiated. And as that happens, the cancer becomes increasingly life threatening. So stage 2 still remains confined. Stage 3 has usually metastasized, which means again, it's gotten into the lymphatic system, into the bloodstream, it's probably, you know, gone to another part of the body. And typically it's like the brain, the liver, the lungs.

00:39:18

So we know that somebody with Stage 2 stage 3 does not have quite as good of a prognosis, and so we can anticipate that they might be a little bit more depressed. They're a little more scared. Maybe they're having a harder time processing this. We're in Stage 4. I described this with my mom. The cells were so deformed they couldn't even tell what the site of origin was. It took quite a while, they.

00:39:47

And if you can't determine the site of origin, it makes it difficult to treat it appropriately, because the treatment for breast cancer is different than the treatment for lung cancer, liver, cancer, brain cancer, different types of chemos, different types of

00:39:59

you know, immunotherapies, and so on and so forth. There's so many these days. They grow rapidly and are extremely aggressive. So

00:40:08

your client comes to you and or your friend says, I was just diagnosed with stage 4 breast cancer.

00:40:16

There is nothing that you can or should say other than I am. So sorry I'm here for you. I got you.

00:40:26

I got you back. We're gonna get through this

00:40:28

because unless you have the same exact cancer diagnosis, unless you have walked the same path, don't pretend you understand you don't.

00:40:38

And I'm not being mean. I don't understand. Even though I've had cancer. It's different different cancers, different treatments, different family situations. So there's also a section in your book on what to say to someone who has been diagnosed with cancer. So in my opinion, less is more. I'm here for you

00:40:58

anything you need. I got your back

00:41:01

and you'll figure it out on your own. I had one situation. I was teaching a group of prostate and breast cancer patients. They're about

00:41:12

30 of them that would come to class, and before class they would all sit outside the classroom and just chit chat.

00:41:19

And one day I I get to class, and just everybody goes quiet.

00:41:24

And

00:41:26

this gal, Pat says, Can I talk to you? And I had a pit in my stomach? You know. I knew it wasn't good, and she walks me into the room and says.

00:41:34

My cancer has come back. It has spread to my brain. I've been given a month to live.

00:41:42

So a what did I say? B. What did I do? What I said? I gave her a big hug. I mean, I was really close to these people, and I said, I'm so sorry.

00:41:52

and I probably said, You know I'm here for you.

00:41:55

And then I had to go. All right, let's go. We're going to teach this class.

00:42:01

you know. And then I had to teach the class like everything was okay, because I wasn't gonna like, you know, take her down and everyone else with me. So prepare yourself. It's not gonna happen often. I've been doing this for 30 something years. I've lost

00:42:18

more than a handful, less than 2 clients each one sucks.

00:42:25

but the positive is that you know you made a difference, and their family members say to you. You know what you made her life so much better. She had a better quality of life. She she loved you like family, you know, so so on and so forth, and it can be gut wrenching.

00:42:45

But it's also the most rewarding thing I have ever done.

00:42:49

And there are times I'm not gonna lie that I want to run away.

00:42:54

But I'm always pulled back in, because I know that the work that I've done has changed so many lives. And it's through you guys that that has happened because I can only do so many people on my own. And so when I look at training 20,000 other people to go out and maybe train 1020 individuals

00:43:12

exponentially, we're changing the world. So thank you for being a part of this. I know there are easier and more fun things that you can do.

00:43:20

So to finish up for today. Just think about prognosis. What is the stage of the tumor which we just talked about. If the patient is sedentary or bedridden, they're not going to have as good of a prognosis as someone who is physically active. So getting people moving, even if it's in chair exercise really important. And then the biological features of the drug of the tumor. Pardon me, play a big role, too, because

00:43:47

some are resistant to certain drugs. So you'll have people who have tried 5 different types of chemo. They go to immunotherapy. And basically they're told. We can't do anything for you. Very rare. But it can happen. Metastasis means the cancer has spread, and apoptosis means programmed cell death, which is the goal of treatment. So all of these things obviously are going to affect

00:44:13

the life expectancy. So that's the prognosis. And as far as patient considerations, you know. Where are they at? In the stages of grief, anger, denial, bargaining, depression, acceptance, understanding, or trying to get a feel for that will will also help you to relate to them, because if you're dealing with someone who's angry.

00:44:33

I mean 1st off, it may not be a great relationship for you, but there's going to be a certain way. You're going to interact with that person versus the person who's in denial. And they're like, Oh, I'm going to live forever. And this and that. I'm not going to tell them that they're wrong or they're not. You know. It's it's just. It's it's a different personality, dynamic.

00:44:54

Their life choices. You know what kind of family support they have. Are they able to work or they've lost their job. How are they? Financially? We know cancer can financially destroy you? Are they able to do their activities of daily living to continue the things that make them happy? And then, you know, worst case scenario. They're at end of life planning.

00:45:15

All of these things are kind of the underpinnings of the cancer diagnosis.