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SHIATSU AND HEART SURGERY

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Just going through my notes for a presentation I’ll be giving tomorrow at the european Shiatsu Congress in Vienna, Austria, I came across this article I wrote in 2004 for the Shiatsu Society News in the UK.

They Do It In Hospitals, Don’t They?

 

Shiatsu Society News, UK, 2004

Just knowing that something you dream of actually exists can be a great catalyst towards making your own dreams come true. When I was younger my interest in health drove me to medical school, but I quit, disillusioned, shortly after. While studying shiatsu in England, a few years ago, I took a workshop by a visiting teacher who was having his shiatsu students practice at a Vienna hospital. Here I was, thinking I was worlds apart from the traditional medicine I had initially approached, when it dawns on me that actually doing shiatsu in a hospital would make a lot of sense. That “Shiatsu in Hospitals” workshop I attended helped materialize my vision of marrying the two worlds.
This vision helped me through a long time of proposing, lobbying and finally convincing MDs and the powers-that-be that shiatsu practitioners had something of value for their patients and that ABT (Asian Bodywork Therapy, as all the bodywork techniques that use Traditional Asian Medicine theory are known in the U.S. ) should be taken seriously.
I now work for the Columbia University Hospital’s Integrative Medicine Program, in New York City, one of the most renowned hospitals in the world, and famous for their excellence in heart surgery. I was lucky to get to meet Dr Mehmet Oz of Discovery Channel and Oprah fame and author of “Healing from the Heart”. Dr Oz is a heart surgeon, co-inventor of the LVAD pump (Left Ventricular Assistance Device) that helps transplant candidates keep their hearts working until a suitable heart is found for them. Dr Oz is a pioneer of CAM (Complementary and Alternative Medicine) integration and he is the medical director of the program at Columbia. In his book, he says that he realized that a heart surgery procedure could be a success but that alone didn’t determine the outcome of recovery. Patients that had more support from their immediate circle and the ones that kept a positive outlook, had better rates of survival than those that didn’t. Thus he started experimenting with giving extra support to the ones that needed it. The way was through touch therapies, guided imagery (visualization techniques of positive images) and spiritual healing.
It took a couple of years until I got what was needed (more credentials, amongst oher things) to see the first of his patients, then I worked solely on referrals on a fee-per-service basis at the hospital, and recently the program hired me and another ABT practitioner to see as many heart surgery patients as we can every week. When offered a session (pre or post open-heart surgery and transplant candidates) 93% of the patients were interested. Of those, we get to treat about 96% of the patients between us, just working part time.
The program regards our work as a great success and the feedback they get from patients is excellent. It’s interesting to note the high percentage of people interested in getting a session, considering that many have never had any bodywork whatsoever before. Some patients actively seek us since they heard about our services even before being admitted for their surgery.
Amongst the anecdotal results we consistently see is a reduction in pain and anxiety and an improvement in the mood of the patients. We haven’t yet come up with a system to collect data that would be scientifically acceptable with the budget we have, but we want to do it in the future.
Doing shiatsu in the hospital is challenging on many aspects. Misconceptions about shiatsu being painful, deep tissue, too vigorous for ailing patients, etc., and other perceived contraindications still abound. This is what took me the most time to change people’s minds about before I even laid hands on anyone at the hospital. The way to verbally present what we do has to be done carefully, both with patients and health professionals that are not familiar with our work. Now, with the experience of approaching hundreds of total strangers with my “spiel” I feel a lot more at ease, but it used to take a lot of my energy. Sometimes it still feels odd to approach a patient in the intensive care unit (ICU) when they are plugged into so many machines and maybe still confused from the after-effects of anaesthesia. “Appropriate” becomes a big word to live by when deciding the time and manner to approach a patient that is coming from such a life-altering experience.
Another challenge is my body posture to work on a hospital bed. I learned to do shiatsu on a mat at floor level so I had to re-invent a lot of the techniques as I adapted them to working on the upright position. I must thank my teacher Pauline Sasaki for helping and supporting me through this. It wasn’t easy to let go of prejudices I had, that if it wasn’t on the floor it was almost surely not “shiatsu”. Working upright liberated a lot of my creativity to work with shiatsu, at the same time that I keep true to the principles of touch I’ve always used. As a matter of fact, all the years of experience working on the floor gave me an invaluable connection to the Earth and grounding that I would need in this job. The kind of grounding I’m talking about also helped to deal with difficult conditions like stuck bed mechanisms that leave me working in impossible positions, tubes gone astray, bleeding patients, mentally confused patients, etc., as well as in helping patients re-build their connection with, and trust in, their own bodies.
I still get queasy sometimes. I observed two surgeries in the operating room during which I worked on the surgeon’s back, since they are standing for hours perched over the patient. (We do get calls often to treat surgeons with back pain). It was very helpful to observe the operations because it gave me an idea of what patients go through. It helped me to see why I was seeing back and shoulder pain, for example. The mechanics of the opening of the chest, displacing the ribcage, results in back pain due to the stress on the rib heads that attach to the spine. The patients are tied to the operating table for long periods and this creates shoulder pain and sometimes numbness in the arm and hand (curiously often along the Heart channel and ending in the ring and little fingers).
Shiatsu provides a lot of relief for these symptoms. Using distal points to relieve chest pain that is created from the huge incisions as they heal is a frequent technique that I use. Just the thought of someone touching their chest could send a patient into a panic. Working on the relevant meridians from the feet or hands is extremely effective. More than once when I do this I’ve been told: “It’s like a weight gets lifted from my chest”. Oedema, cramps, dropped foot, numbness, insomnia, constipation, neck and back pain, anxiety, fatigue and more symptoms are usually relieved during our rounds. We can only see patients for short sessions but it still works pretty well. Some patients hire us privately to keep treating them when they go home.
Shiatsu theory explains quite beautifully a lot of the symptoms we encounter. Although I can’t usually do a Hara palpation because of tubes and/or electrical devices (the LVAD, for example) inserted in the abdomen, I rely on intuition and my own energy perception system to determine which meridians are the relevant ones to work on. It’s very important to listen carefully since a complaint of a specific issue could be a door to understand an important imbalance somewhere else. There’s no way to generalise but I’ve noticed certain trends: Other than Heart and Heart Protector, some symptoms are related to the Blood and circulation imbalances, also affecting the Spleen; some to the disturbance of the Shen, housed in the Heart. Large Intestine, in the “holding on for their dear lives”. A very responsive one is Small Intestine, for its connection to the Heart, its meridian pathway and its role in the “shock response”. Stomach and Bladder are crucial to give someone that “oomph” to get them going. It’s also interesting to note the interplay that the symptoms have with the various medications regularly administered .
The social worker that visits the patients in the ward explained to me that she resists being moved to other areas of the hospital. “Heart patients are special”, she said and couldn’t explain further. There’s a sense of compassion in the air. I believe patients change somehow after their “hearts are touched” (metaphorically and literally) during the surgery. The heart is, after all, a very special organ. It’s difficult to measure compassion (an emotion traditionally associated to the Heart) but there are studies that determined that one third of heart surgery patients get depression after surgery. Depression is a risk factor that also affects levels of morbidity and death months and years after heart surgery.
This is something where caring and compassionate touch can make a difference, and I believe another important reason why it’s important to be there.
Diego Sanchez
Diego Sanchez Dipl. ABT (NCCAOM), C.P. (AOBTA), L.M.T. was a MRSS until he moved to the U.S. in 1998. He has a private practice in New York (www.Sohoshiatsu.com) where he also teaches shiatsu. He’ll be presenting workshops in Boston U.S.A. (www.CharlesRiverShiatsu.com in October 2004) and next year in Italy on the applications of shiatsu for critical illness patients and hospital work.

 

Diego would like to hear from anyone that may be already working in a hospital providing shiatsu. You can contact him at diego@sohoshiatsu.com

©Diego Sanchez 2004 www.sohoshiatsu.com

En Busqueda de Sentido

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Apoyando a las nuevas generaciones

“Nuestro miedo más profundo no es que seamos inadecuados.
Nuestro miedo más profundo es que somos inmensamente poderosos.
Es nuestra luz, y no la oscuridad, lo que más nos asusta.
Nos preguntamos: ¿quién soy yo para ser brillante, precioso, talentoso, o fabuloso? En realidad, ¿quién eres tú para no serlo?
Eres hijo de Dios. Jugar a ser pequeño no sirve al mundo.
No hay nada iluminador en encogerte para que otras personas cerca de ti no se sientan inseguras.
Nacemos para hacer manifiesta la gloria del universo que está dentro de nosotros. Esto no está solamente en algunos: está en todos nosotros.
A medida que nos permitimos que nuestra luz se irradie, inconscientemente estamos permitiendo que otras personas hagan lo mismo.
Y al liberarnos de nuestro miedo, nuestra presencia automáticamente libera a los demás.” 

 

Estas palabras las escuché por primera vez en el discurso inaugural de Nelson Mandela, llegando a la presidencia de Sudafrica después de 25 años de prisión. Me impactaron profundamente y durante años las volvía a leer pensando que eran de su autoría. Luego supe que fueron extraídas de un libro de Marianne Williamson, una predicadora de las enseñanzas de Un Curso de Milagros. El libro se llama Regreso al Amor (Return to Love) y lo recomiendo como una de las guías más prácticas para sanar relaciones humanas y para crecer en ellas de una forma integrada con el Universo.

Las enseñanzas de Marianne Williamson han sido vitales para mis relaciones personales y las uso en mi práctica terapéutica con Shiatsu.

Permitirnos brillar, hace que “nuestra presencia automáticamente libere a los demás” por eso no dejo de compartir las cosas que me han ayudado en el camino.

El shiatsu por supuesto, que comparto diariamente en mi consultorio, las clases de crecimiento personal* y de vez en cuando alguna joyita más como lo escrito arriba y esta película que podrán ver gratuitamente el miércoles 26 de julio a las 19:30hs.

En Búsqueda de Sentido es un documental sobre las cosas que podemos hacer para generar cambios a nivel local con efecto global. Podes saber más sobre le film y anotarte para verlo gratuitamente en Montevideo en us7.campaign-archive2.com/?u=af1fa613a4fff4aa1bf82a1bb&id=4246c825ea.

Después de la proyección participaré en un pequeño coloquio con la audiencia.

* el 29 y 30 de julio es mi próxima clase del curso de desarrollo personal a través del shiatsu. Es la última oportunidad de unirse al grupo. diego-sanchez.com/event/zen-shiatsu-curso-de-formacion-profesional-en-uruguay/

Para dejar un mundo mejor para nuestros hijos, tenemos que empezar a mejorarnos nosotros mismos.
Aprovecha estas oportunidades!

Con mis mejores deseos,

Diego

Cambios Duraderos, en un instante.

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A veces no es complicado, ni difícil, cambiar comportamientos que se han repetido durante muchos, muchos años.

En mi último viaje a dar cursos en Europa, una de mis estudiantes vino con su esposo para una clase de introducción a la dinámica energética del enraizamiento.

Era una clase abierta, así que no se necesitaba experiencia previa para asistir. Sólo duró una hora y media, pero podía observar que este hombre se sentía un poco incómodo de estar allí. Me imaginé que él había venido sólo para darle una satisfacción a su esposa.

En esa clase hicimos algunos ejercicios y expliqué la relación entre la energía de la Tierra, el Chakra de la Raíz, la función del Intestino Grueso y nuestra habilidad para soltar y estar presente en cada momento.

Tan pronto como regresé a Uruguay, recibí este mensaje de ella:

“Hola Diego!

Debo decirte algunas cosas que sucedieron desde que asistimos a tu clase.

Mi marido y yo hemos estado casados ​​por 20 años.

En todo este tiempo ha sufrido de estreñimiento crónico. Podía movilizar sus intestinos sólo una o dos veces por semana.

Cuando estaba de vacaciones en otra ciudad o país le tomaba por lo menos 3 o más días para poder ir al baño.

Siempre fue una persona muy reservada. Nunca habló de su infancia, ni de sus miedos.

Esta es una de las razones por las que nuestro matrimonio ha estado en crisis durante años.

Y ahora la noticia:

¡Después del seminario el viernes movilizó el intestino con facilidad!

A partir de este punto, lo ha hecho regularmente casi cada día!

¡Finalmente habló de su infancia y de sus miedos!

Hablamos de nuestro matrimonio con corazones abiertos y vemos nuevos horizontes para nuestra relación.

Estos son solo algunos de los cambios desde tu clase. ¡pero hay mucho mas!

¡Eres increíble!”

Como practicantes de shiatsu, y yo como instructor, tenemos que ser conscientes del potencial de cambiar la vida de alguien con un solo toque.

Solo una palabra.

Esta es una gran responsabilidad que tomo con alegría porque veo cosas como esta, sucediendo en mi práctica a menudo.

Me siento eternamente bendecido por esto.

¿QUÉ PARTES DE TI, ESTAN PELEADAS ENTRE SI?

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¿Tu sentido del deber, esta en conflicto con tu conexión con el placer?

¿Podes luchar por tener, pero no podes tener?
¿Podés hacer, pero no amar lo que haces?
¿Si amas no podes sentir? ¿Si sentís no podes amar?
¿Tu parte masculina, no deja aflorar tu parte femenina?
¿Tu pasado esté peleado con tu futuro?
¿Tu mandato familiar, no es lo que querés para tu destino?

 

 

Darse cuenta de los contratos inconscientes que tenemos firmados con nosotros mismos o con nuestros ancestros, nos ayuda a elegir constructivamente. Si mi mandato familiar implica algo que no esta alineado con mis deseos personales, viviré una lucha interna que desgastará mi energía. Si al contrario, puedo encontrar una manera de armonizar lo que se quiere de mí, con lo que yo quiero, estaré mucho más cerca de materializar mi misión en la vida.

En este retiro identificaremos las incongruencias inconscientes que te hacen perder tu energía y aprenderemos a armonizarlas para maximizar tu potencial creativo.

No hace falta experiencia previa para participar de este taller.

RETIRO EN LA PEDRERA

del 5 al 7 de mayo 2017

Alojamiento frente al mar, todas la comidas, clases y actividades incluidas. El precio de retiro no incluye transporte.

 

DURABLE CHANGE can happen in a minute.

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Sometimes it’s not complicated or difficult to change behaviors that have been repeated for many, many years.
In my last teaching tour to Europe, one of my students came with her husband for an introduction class to The Energetic Dynamics of Grounding.
It was an open class, so no previous experience was needed to attend. It only lasted an hour and a half but I could tell that he felt a little awkward being there. My guess was that he was there just to humor his wife.
In that class we did some exercises and I explained the relationship between the energy of the Earth, the Root Chakra, the function of the Large Intestine and our ability to let go and be present in every moment.
As soon as I returned home to Uruguay, I got this message from her:
Hola Diego!
I must tell you some things that happened since we attended your class.
My husband and I have been married for 20 years.
In ALL this time he has suffered from chronic constipation. He could move his bowels only once or twice a week.
When he was on holidays in another town or country he took at least 3 or MORE days for using the bathroom.
He was always a very reserved person. He never talked about his childhood, or about his fears.
This is one of the reasons why our marrige has been in crisis for years.
And now the news:
After the seminar on Friday he moved his bowels with ease!!!
From this point on, he’s done it regularly nearly each day!!!
He finally talked about his childhood and about his fears!
We talked about our marrige with open hearts and we see new horizons for our relationship.
These are only some of the changes since your class. but there is so much more!
You’re amazing!”
As shiatsu practitioners, and myself as a teacher, we have to be aware of the potential to change someone’s life with just one touch.
Just one word.
This is a high responsibility that I take with joy because I see things like this happening in my practice often.
I feel eternally blessed for this.