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Chai Cancer Care Together Magazine 2016 The F Factor Could a brisk walk hold the key to stopping cancer in its tracks? We look at the latest research linking fitness and cancer prevention, and discover how Chai makes getting fit accessible to all The clearest proof yet that exercise can improve cancer survival rates came at this year’s American Society of Clinical Oncology conference in Chicago. Research showed mortality rates for women with cancer who did the equivalent of three hours brisk walking a week fell by 46%. By ONE-TO-ONE AND OPEN GYM SESSIONS The gym at Chai’s flagship centre is impressive by any standard. With guidance from physiotherapists Graham, Johnny and Natasha, clients recovering from surgery or treatment can build up their mobility and strength. ‘One-to-one sessions offer close monitoring while a person is physically unsteady and unsure about their capability,’ says Johnny. Clients can then progress to open gym sessions, where groups of three follow their personalised programmes. ‘The social aspect is very beneficial,’ adds Johnny. ‘As clients’ fitness, confidence and knowledge levels grow, they achieve more than they ever imagined.’ contrast, obese women with breast cancer and high blood pressure were 69% less likely to survive. Melinda Irwin of Yale University, who led many of the studies, was unequivocal: ‘Women diagnosed with breast cancer should be counselled about weight loss and exercise.’ Men, take note, too. A trial at the University of Montreal has seen mortality rates drop by up to 22% in men with late-stage metastatic cancer Equipment includes a multi-gym and leg press to restore muscle bulk and strength after surgery; a treadmill, recumbent, vertical bikes and hand bike, for cardiovascular work; a Swiss ball for building core strength and a small trampoline for improving balance. Free weights and floor mats provide further ways for trainers to work with clients. (when it has spread) who follow a highintensity exercise programme. A further 1.4 million cases surveyed revealed that taking significant amounts of exercise reduces the risk of a whole range of cancers, including oesophageal, lung, stomach and colon. ‘The more the body operates at its optimum, the better recovery and survival is,’ says Graham Silas, one of Chai’s physiotherapists. ‘It may seem an impossible demand to get fit when cancer is the main focus, but with support from experts who understand the impact of cancer, we can make it easier.’ ■ ISRAELI DANCING As a trained ballet dancer, Sara Last needs no convincing of the pleasures of music and movement. ‘Dancing transports me, which is my hope for Chai clients, too.’ Many scientific studies show how dance aids the functions of the circulatory, respiratory, skeletal, and muscular systems. ‘It’s a recognised form of therapy, helping people connect emotionally with their body and integrate what they have been through,’ says Sara. Israeli, Greek, and Chassidic dances are taught but luckily you don’t have to be an expert mover. ‘People go at their own pace. By the end of the class, it’s wonderful to see how people’s body language has brightened and relaxed.’ “I go into a class feeling tired and come out invigorated” Vivienne YOGA ‘Yoga is a bridge between body and mind, helping us to balance and adjust to changes in life,’ says Stacey Landau, a specialist in remedial yoga. Central to the practice is the breath, which is actively engaged to calm the mind throughout the class. Clients begin with a ‘body scan’ noting how they are feeling physically, before moving on to the yoga postures. ‘Everyone does what they can, even if they are seated,’ says Stacey who modifies poses such as the cobra and downward dog to make them more manageable. ‘The postures build muscle and core strength, improving balance, flexibility and alignment,’ Stacey explains. After a guided relaxation at the end of the class, clients often sleep better and have a more positive overall outlook. ‘When cancer makes you feel isolated, a yoga class can give you inner strength and group support.’ “Yoga sustains me physically and mentally – it’s my new normal” Jacky WALKING GROUP Chai’s weekly walkers value the exercise, fresh air and group contact as part of their re-hab routine. In collaboration with Maccabi GB and led by Janice Arons and volunteer Lisa Bogush, the group sets out from Chai to the nearby park, or follows a pretty route through Hendon’s streets for an hour. ‘Walking together provides a lovely, healthy distraction,’ says Janice. ‘If you’re nervous of going out on your own, this gives you extra support. With the chat, it doesn’t even feel like training!’ Both brisk walkers and amblers are catered for. ‘With two of us on hand, no-one is ever left behind,’ says Lisa. “Physical activity helps with my breathing and stamina – and I love meeting new people” Susie PILATES This low-impact, restorative exercise is an option for men and women at any stage of cancer treatment and recovery. In her Pilates class, teacher Fiona Good includes gentle, targeted muscle movements and weight-bearing exercises to encourage strength and endurance. That in turn helps joints to work better so stretching is easier – important for combatting excessive scar tissue. ‘Pilates re-establishes proper muscular firing patterns and improves body awareness, which may be lost as a result of surgery,’ says Fiona. For carers and the bereaved, too, Pilates can be a real confidencebuilder. ‘I’m humbled to witness my clients’ ability to adapt, as well as the body’s capacity to heal.’ TABLE TENNIS This is one of Chai’s newest activities. Carol Ellman, who runs the group says, ‘The effect of cancer treatment on your bones and muscles can be very harsh. Movement is critical to recovery.’ After her own double mastectomy four years ago, the shoulder and upper arm actions involved in playing table tennis have helped rebuild her muscle strength. The sport also helps maintain hand-eye coordination and mental alertness. One client relishes her weekly matches despite on-going treatment, while a widower who was isolated after his wife died, values taking part in a sociable sport. ‘People still have medical appointments to go to,’ says Carol, ‘but when you’re chasing that little white ball, you don’t think about anything else!’ “You lose so much when you have cancer. Playing table tennis has given me back my confidence” Linda For more information, please call Jodi Lazarus on 020 8457 3230 28 Chai Cancer Care Together 2016 Chai Cancer Care 29
Service Spotlight Manual lymphatic drainage update The phrase ‘living with and beyond cancer’ covers many scenarios – and heartening as the rising numbers of survivors are, the complexities of the onward journey include managing many long-term conditions. Lymphoedema – swelling of the legs, arms or other parts of the body – is one that requires continuous care. It occurs when the lymph nodes, located in the neck, armpits and groin area, are removed because they are cancerous or by damage to the skin from radiotherapy. Lymph fluid, which travels around the body collecting waste material and bacteria, cannot be expelled if the nodes are no longer there. “Chai is at the forefront of searching out ways that make a meaningful difference to clients’ lives” Tissue surrounding the damaged area then becomes swollen with fluid, causing the skin to feel tight and heavy and inhibiting mobility. Clothes or shoes may not fit properly and everyday activities such as gardening or shopping are more problematic. These physical compromises, coming on top Chai has introduced a new type of specialist treatment to help clients manage lymphoedema – one of cancer surgery’s long-term side effects of the cancer treatment, can be hard to cope with, leading to a loss of confidence affecting body image, social life and relationships. Upsettingly, too, lymphoedema may appear weeks, months or even years after surgery. Chai is at the forefront of searching out ways that make a meaningful difference to clients’ lives. With virtually no NHS resources available for dealing with lymphoedema, it recognised the need to support clients with this life-changing condition. Its Lymphoedema Clinic at the flagship centre launched in 2008. Specialist practitioner Sallyann Kaplan, explains its multi-faceted approach: ‘We provide MLD – manual lymphatic drainage – a very specific, slow, light and rhythmic massage that works on the network of vessels in the lymph system. Through gentle movement, lymph fluid is guided from the swollen area towards functioning nodes. We can fit clients for compression garments (such as sleeves, gloves, stockings or tights) and wrap the affected area in bandages where compression isn’t suitable. We also teach self-massage and exercises so there is continuity between visits. Swimming or yoga is recommended: movement is essential for the lymphatic system to function.’ The newest treatment component is the Physio Touch massage device. ‘The healing process can cause excessive amounts of scar or fibrotic tissue to build up,’ says Sallyann. ‘Physio Touch augments the range of massage techniques we have at our disposal. It works on a deeper level of the lymphatic system that is harder to reach by hand, so it’s very effective in dealing with localised and older scar tissue. It’s a pleasant and relaxing experience, too.’ As for the results, a newer client noticed a dramatic improvement in just two months. Some with more entrenched conditions have felt greater relief from their long-term symptoms. But the true impact goes beyond the physical. Says one, ‘I am feeling positive and have much more energy. This is the best I have felt in years.’ Adds Sallyann, ‘Although there is no way of repairing the damage to the lymph tissue, we can prevent it getting worse. We now have another way to restore dignity and quality of life for our clients.’ ■ For more information, please call Jo Awad on 020 8457 3396 Chai would like to thank the Outlook Committee for all their efforts in raising funds for the Physio Touch machine 30 Chai Cancer Care Together 2016 Chai Cancer Care The Chai Calendar AUGUST 2015 TRUDI BERMAN’S SPLENDID TEA A truly scrumptious tea for family and friends organised by Trudi Berman raised a fantastic £300 for Chai’s services in Manchester. ‘I wanted to do this as a thank you and to show my deep appreciation for Chai’s support and understanding,’ said Trudi, who used Chai’s services. Trudi Berman’s Manchester tea SEPTEMBER CHAI SOCIETY ROSH HASHANAH GIFT SALE It’s a save-the-date ‘must’ for anyone seeking special Rosh Hashanah gifts – and the 2015 Chai Society Gift Sale didn’t disappoint, drawing over 700 shoppers to the flagship centre last September. Generously sponsored by Glentree Estates, over 40 stalls offered up tempting gifts, from hats to honey cakes, jewellery to Judaica, kosher confectionery to chic millinery, Maxwell Williams tableware to tempting eyewear. Expertly organised by the Chai Society Committee, the event raised an incredible £36,000. Amanda Assheton at her bridge stall OCTOBER THE NATALIE SHIPMAN MEMORIAL LECTURE Shining the spotlight on advances in men’s cancer, the 25th annual lecture ‘Transforming the Prostate Cancer Pathway’ was given by Professor Mark Emberton, Professor of Interventional Oncology, UCL whose work is significantly influencing treatment. In the Chair was Professor Albert Singer, Consultant (Hon) The Whittington Hospital. The lecture series commemorates the passing of 8-year-old Natalie Shipman z’l who inspired her mother Susan to jointly found Chai with Frances Winegarten z’l. Lisa Steele, Louise Hager, Prof Mark Emberton, Prof Albert Singer, Susan Shipman NOVEMBER THE CHAI BAKE OFF Keen bakers showcased their best efforts at Manchester’s Great Chai Bake Off, organised by the Chai Lights Committee: Ann Audin, Fran Horwich, Stephanie Jacobs, Marcelle Kuhillow, Jakki Pinsley and Reba Tury. Held at Whitefield Golf Club, a tasty afternoon of judging saw prizes awarded in best decorated, best tasting, junior and gentleman baker categories with more than £1,000 raised for Chai’s Manchester services. Junior bake off winner Monty Super and Mayor of Bury, Michelle Wiseman Our committees and supporters surpassed themselves over the past 12 months with events that informed, entertained and charmed. Each one takes thought, organisation and commitment, and helps to raise funds while increasing awareness of Chai’s services CHAI FIVE MUSICAL BINGO A test of musical knowledge prompted a lively atmosphere and enthusiastic discussion at this event at the flagship centre. Aided by raffle prizes that included travel, restaurant and nail bar vouchers, delighted Committee member Liz Feiner announced £1,000 has been raised. BIRMINGHAM WELCOMES CHAI CANCER CARE A 70-strong audience attended the launch of the new Chai satellite service in Birmingham, the result of Chai working with BJCC trustee Karen Georgevic and Sharon Grey, Social Care Manager of the BJCC. Dr David Spooner, Consultant in Radiotherapy and Oncology gave a talk on latest cancer advances and took part in a Q&A session. The service is providing counselling, physiotherapy and massage. Lisa Steele, Dr David Spooner, Karen Georgevic, Louise Hager CHALLAH BAKE FOR MITZVAH DAY Delicious aromas filled the flagship centre when Year 6 pupils from the Independent Jewish Day School baked challah for clients on Mitzvah Day. After their kitchen activity the children saw the Children’s and Play Therapy room which supports young clients. Mia-Sara Rosenfeld, Jacob Gibson, Max Lanzkron and Avital Cohen 31
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