6 Stress-Busting Techniques from a Cardiologist

Joel Kahn —

November 22, 2017

For many heart patients, stress is the elephant in the room – not only around the holidays, but all the time. When we discuss why they missed their goals for proper exercise, nutrition, abstinence from smoking, and proper sleep, stress is often the reason. Here are some stress-management tips taken from a series of lectures I’ve given – I share them with the hope that they help manage stresses in your life.

Adaptogens

When I talk to patients about stress, I begin by describing adaptogens, or herbs that appear useful in stabilizing physiology and improving anxiety and stress. I do this because so many of them are already using pills — typically benzodiazepines like Xanax and Ativan — and my goal is to get them off those prescription medications ASAP. Frankly, substituting one pill for another is something most patients accept faster than any other technique. I’ve had success in many patients using L-theanine 200 mg twice a day and ashwagandha 500 mg twice daily, usually together. Even elderly patients report they feel less stressed and more functional. Rhodiola is another adaptogen I like because it’s been studied in heart patients and shows benefits for their symptoms. I recommend 100 mg a day.

Breath-work

There are many styles of breath-work, but I find I can teach my patients the 4-7-8 breathing practice in the office in just a few minutes, and they use it right away. I refer them to an online video created for children, and ask them to practice this at home and use it in their daily routine:

Meditation

Teaching meditation is a longer process than the first two techniques, but has been shown to benefit heart patients and should be taught routinely. I ask them to study the Kirtan Kriya taught by Dr. Khalsa because it’s only 12 minutes and is supported by great research results at UCLA. When I tell them that they may slow aging and improve their memory while dealing with their stress, they’re eager to use it in their lives.

HeartMath

This is an online program using heart-centered breathing and positive emotions to restore balance between the sympathetic and parasympathetic nervous systems. It requires purchasing a cable that clips on the earlobe and connects to a smartphone, tablet or a PC. I recommend it to patients because it resembles a game, is easy to learn, and is supported by published scientific studies showing lower blood pressure, lower cortisol levels, improved memory, and better school performance.

Yoga

Different styles of yoga have been studied in a variety of serious stress disorders including cancer, post-trauma, and addictions, and has been found to be beneficial even when tested using rigorous scientific study design. Yoga can be adapted for the elderly using only a chair; it provides a sense of community, and offers some cardio benefit as well.

Massage

My patients ask me if massage is worthwhile, and when I tell them that medical benefits have been identified for this therapy, including blood pressure and stress reduction, they’re excited.

Will these six tips help offer something for everyone? Unfortunately, there are people who aren’t willing to try and stick with these practices, and others who have unrealistic expectations. There are other approaches to consider, including essential oils, music, exercise proper nutrition, hormonal balance, and improved GI tract function. I refer challenging patients to holistic psychiatrists and counselors.

I remind my patients of a story about a man speaking to a religious leader repeating over and over that he was frustrated with the stresses in life. The leader suggested they take a walk, and stopped in front of a cemetery. The man asked why they stopped there and the leader replied, “They are the only people who have no worries and stress, for the rest of us, we need to manage and work out the issues.”

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Dr. Kahn is a Clinical Professor of Medicine at Wayne State University School of Medicine and Director of Cardiac Wellness, Michigan Healthcare Professionals PC. He is a graduate Summa Cum Laude of the University of Michigan School of Medicine. He lectures widely on the cardiac benefits of vegan nutrition, mind body practices and heart attack prevention. He writes blogs for MindBodyGreen, OneGreenPlanet, Aloha.com, Forksoverknives.com, and for Readers Digest Magazine as the Holistic Heart Doc. His latest book, The Plant-Based Solution will be released in January 2018.

Posted November 22, 2017

Joel Kahn

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6 Stress-Busting Techniques from a Cardiologist

Joel Kahn — November 22, 2017

Adaptogens

Breath-work

Meditation

HeartMath

Yoga

Massage

My patients ask me if massage is worthwhile, and when I tell them that medical benefits have been identified for this therapy, including blood pressure and stress reduction, they’re excited.

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Note: This episode originally aired on Sounds True One, where these special episodes of Insights at the Edge are available to watch live on video and with exclusive access to Q&As with our guests. Learn more at join.soundstrue.com.

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Turning to my Filipino Roots to Tend to Womb Loss

Eileen S. Rosete — October 18, 2024

October is a meaningful month for me as it honors two important parts of my identity. It is Filipino American History Month, a time to acknowledge and honor the presence and contributions of Filipino Americans. Although my parents immigrated to the United States from the Philippines in 1980, records show that Filipinos were present here as early as 1587, landing in present-day Morro Bay, California as part of a Spanish galleon. In an interesting moment of alignment, I am writing this to you from Morro Bay, feeling the palpable power of the land and seeing the sacred 600-foot-tall Morro Rock–known as Lisamu’ in the Chumash language and Lesa’mo’ by the Salinan people–standing proudly just outside the window of our Airstream trailer. October is also Pregnancy and Infant Loss Awareness Month, a time to increase awareness about and honor those of us who have endured such loss- what I often refer to as womb loss.

This October is particularly meaningful with my book, To Tend and To Hold: Honoring Our Bodies, Our Needs, and Our Grief Through Pregnancy and Infant Loss, officially launching on October 22. In it I share how my identities as a Filipina American and bereaved mother intertwine, and how valuable it can be for survivors of womb loss to turn to their cultural traditions for support as they grieve and as their postpartum bodies return to a non-pregnant state. How I came across this online essay and found solace in the language of my ancestors who use terms to describe miscarriage as “someone from whom something was taken away” rather than placing blame with the prefix mis- which means wrongly or badly. I did not carry my pregnancies wrongly or badly. Loss was something that my body experienced.

The following is an excerpt from To Tend and To Hold that I hold dear as it shares a traditional Filipino dish I grew up eating and that I share now as a postpartum doula to offer comfort and nourishment to those who are postpartum, both with living children and after loss. I hope it may offer you comfort as well, no matter if your experience of womb loss was recent, in the past weeks, months or even many years ago. My heart is with you and please know that you are not alone as you grieve and as you heal- at your own pace and in your own way.

I recently cooked this recipe for champorado, a Filipino rice porridge, for my beloved friend Katrina on a very tender anniversary, the due date of one of her children and the death date of another. Her child, Zeo Thomas, would have been born that day had he not died in the womb at five months gestation. It was within the same year of his death that her second child, Solis Vida, died in the womb in the first trimester. In truth, Katrina had been bleeding for over a week to release her second pregnancy, but as she bled through Zeo’s due date, she felt an intuitive pull to honor this same date as Solis’s death date. I thought of my friend as I made my way slowly through the grocery store. Though it was crowded and busy, I felt cocooned in my thoughts and intentions for her—how I wanted to help her feel seen and held during this difficult time—and I found myself gathering each of the ingredients in a mindful way that felt like the beginning of a bigger ritual. Knowing I was going to cook for her to honor her, her babies, her grief, and also her longings added a layer of reverence to what would otherwise be a standard grocery run. Later as I cooked the porridge in her home, I channeled my love and condolences into each step. And when I finally brought the warm bowl of champorado to her and saw her reaction, it was my turn to feel honored. Honored to be there with her. Honored to tend to her. And with a dish we both knew from our childhoods. She dubbed it “postpartum champorado,” and so it shall be known.

Warm and soft, rice porridge is one of the best postpartum foods as it is easy to eat, warming to the body, and gentle on the digestive system. Its very nature is to offer comfort. In my opinion, champorado, a Filipino chocolate rice porridge I grew up savoring, is one of the most heartwarming dishes, with the cacao tending as much to the emotional heart as to the physical body. It can be offered any time of day for both a filling meal and a gentle reminder that there is still sweetness in life even amidst grief.

In this nourishing version, cacao powder is used in place of cocoa so that we may benefit from all that this superfood has to offer, including iron to help rebuild red blood cells, flavonoids to improve blood flow, and magnesium to ease anxiety and depression. In addition to being nutrient-rich, cacao is also known to lift the mood. If the thought of preparing food feels beyond your current capacity at this moment, consider sharing this recipe with a partner, postpartum doula, or other support person and asking them to cook it for you. Additionally, if you are currently pregnant, please consult your health-care provider before consuming cacao as it contains caffeine.

Champorado: Filipino chocolate rice porridge

1 cup sweet rice (also called glutinous or sticky rice) or sushi rice
5 cups water
1/4 cup cacao powder
1/2 cup brown sugar
1 tablespoon unflavored protein powder (optional)
Condensed coconut milk for topping
Cacao nibs (optional)

Rinse the sweet rice several times until the water runs clear when drained.

Combine rice and water in a pot over medium-high heat. Bring to a boil, then reduce heat to medium and continue to cook until the rice is soft and the porridge thickens (about 20 minutes), stirring often to keep from sticking to the bottom of the pot.

Add cacao powder, brown sugar, and unflavored protein powder. Stir to combine, then remove from heat.

Drizzle condensed coconut milk (or other milk of choice) and top with cacao nibs. Serve hot.

This is an adapted excerpt from To Tend and to Hold: Honoring Our Bodies, Our Needs, and Our Grief Through Pregnancy and Infant Loss by Eileen S. Rosete.

6 Stress-Busting Techniques from a Cardiologist

Joel Kahn

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The Plant-Based Solution

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Joel Kahn: The Plant-Based Solution

6 Stress-Busting Techniques from a Cardiologist

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