Exercise as wellness

I recently learnt that some animals have an innate ability to literally shake off stress when they go through a frightening/stressful experience. This of course reminded me of the Taylor Swift song “Shake it Off” and also got me thinking about how movement and particularly exercise can be used to shake off stress and promote wellness. Here are some great ways I discovered to get moving:

1. Hiking: I’ve always been pleasantly surprised by how many beautiful trails and parks there are in big cities where you may not expect them; in Hamilton for example we have the Cootes Paradise Trail and the Bayfront Trail, as well as waterfall hikes. Going to a waterfall in the winter can also be a beautiful experience to see the layer of frost covering everything! You can also check to see if your school has an outdoor club that organizes hikes.

2. Gym: When I first started going to the gym I found the classes really helpful to get started on a fitness routine, and overtime learnt to use the machines and plan my own workout. I found the staff and even the other people at the gym really helpful for any questions I had. One of the great things about my gym, is that I can freeze my membership if I’m going to be out of town on an elective until I get back. This really helps me get the most out of my membership and could be worth asking about at your local gym!

3. Skating: This semester our tutorial group went skating at an outdoor skating rink. It was a great bonding activity and a great workout; especially if some group members haven’t gone skating before, it can be a great way to try a new activity and explore the city.

Guided meditations

I recently came across Harvard University’s Center for Wellness mindfulness page (http://cw.uhs.harvard.edu/mindfulness/index.html) which included the following guided meditations:

Koru Mindfulness Guided Meditations 
Mindfulness Based Stress Reduction 

Coming together through storytelling

Despite the fact that we are learning to help and to heal, most medical students would agree that it can be challenging to admit to ourselves or our peers when we are not doing well and to reach out for help. One of the biggest barriers seems to be the shame and the stigma associated with mental illness or, more broadly, with not being able to cope with everything that comes our way. When things are going poorly, many of us stay silent, try to handle it alone as much as possible, and seek help only when things become dire.

The Aesculapian Society, the Student Wellness Committee and Mind the Gap are three student groups at the University of Ottawa who came together and decided to make a change and start building up a culture of support within our student body. Having heard of similar events being very successful at other schools across Canada, we decided to run an open-mic event inviting students to share a story of a time when they have struggled. We called our event “Our Stories”.

mic pic

We wanted students to know that the event was a safe place where they could feel at-ease listening or telling these stories, so we decided to host the event off campus. However, having never run the event before we weren’t sure that we’d sell enough tickets to cover the cost of a venue. This is where the OMSA Wellness Initiative Grant saved the day. We applied for funding and thanks to the OMSA grant we were able to rent out a private room in an Irish cultural center, with a pub just outside the doors. We started collecting stories through an online submission form, and at first the going was a bit slow. As the date of the event drew nearer, the submissions started pouring in and we had to extend the time allotted at the venue! We recruited volunteers to read anonymous stories and hosted a prep night the evening before to allow storytellers a chance to practice reading their story to a small group before they stood up at the mic.

We decided to sell tickets at a low cost in order to cover the cost of a few extra items, including snacks. All profits went to a local charity known as Do It For Daron (DIFD), which does important work in the community to encourage young people to talk openly about mental illness. This mission was very in-keeping with the goal of our event and we hope that the money we donated will help them continue to host suicide prevention sessions, work with the school board to develop a mental health curriculum, and prompt discussions that save lives.

Approximately 150 students came to the event and 17 stories were told. The atmosphere was warm and supportive and we couldn’t have imagined the event going better. We have received an abundance of positive feedback about the event. Importantly, we have heard that more students have shared their own stories with friends, and have even gone to get help that they had been avoiding for some time. We hope that this event will become an annual tradition that will foster a culture of support, openness, and solidarity among medical students and beyond.

Thank you so much OMSA for helping us make this happen!

 

 

The art of saying “no”

So many of us who go into medical school are overachievers. We have tried to do everything. Student council presidents, valedictorians, researchers, first aiders, varsity athletes, talented musicians, debaters, model UNers, actors, etc. The list goes on. We like to be busy and we’re very good at balancing our schedules and very good at achieving. That’s part of how we ended up in medicine in the first place.

This, our greatest strength, is also our greatest weakness. Anything is good in moderation. However, for any virtue, there is a vice of excess. For me, I know that I struggle with saying “No”. Part of this is because the world is fascinating and I so badly want to help as many people as possible, and part of it is that I don’t want to let anyone down.

Unfortunately, if you don’t say no sometimes, it’s only a matter of time before your schedule gets too full and you end up completely overwhelmed and burnout. I felt burnt out after pushing myself too hard this year and it was challenging to fulfil any of my commitments. I knew I needed a reality check and a shift in my thinking. So I said “No.”

I said “No” to social events when I was tired, to extra curriculars that sounded great but I didn’t have time for. I said “No” to taking on extra work in class. I said “No” to sitting on new subcommittees that didn’t fit with my goals and that I wasn’t completely passionate about. In doing this I made new time for my friends, my family, the hobbies that I love, and commitments that will help me achieve my goals. My stress levels are lower. And, every time saying no gets a little bit easier.

You can be an impressive person without overwhelming yourself. To be the best you, say no to the extraneous and do what you love with 110% commitment. Take breaks when you need them. Saying “No” doesn’t make you any less or weak – it makes you strong and wise!

Say “No” sometimes!

 

My wellness playlist

Music Doodle

One thing that helps me relax after a long day is listening to music. Especially when I’m discovering new music. So for this blog post I thought I would share with you some of the music that I’m jamming to right now! Hope you enjoy my playlist!

P.S.: If you have any songs that help you unwind please share them in the comments section below!

Enjoying some Latin Vibes

Dancing While Doing the Dishes

Nostalgia

 

My top 5 free mindfulness resources in medical school

It is now well known that mindful meditation has a lot of benefits. However, just like a dancer warms up and stretches daily for a perfect performance, meditation needs regular practice. This might be the hardest part of achieving some results and benefits from it. Have you ever struggled to keep meditating daily?

For the past couple of years I have been exploring mindfulness and meditation through a variety of encounters: in medical school extracurricular lunchtime talks, at the OMSA Wellness Retreats, through participating in a 7 week mindfulness curriculum research project and some self-learning.  I came across a wide range of YouTube videos, books, apps and iTunes dedicated to mindfulness.  A lot of them helped me establish my own habits of meditation.  Here I just wanted to share my favorite free resources that can be used on different occasions. You may or may not like all of them but I am hoping this will help you find one or two things you can use on a regular basis.

  • When you got three minutes – Three Minute Breathing Space by Danny Pennman and Mark Williams.

untitledWhen I just started to meditate it was not easy. I know some people find it enlightening from the first try, but I was not one of those. I did not have enough patience and self-discipline to commit to a regular meditation practice. My mind was wondering even more if the meditation was longer than five minutes and it was discouraging. Sometimes I felt I am failing at meditation. But of course, you cannot fail in mindfulness; there is no deadline, and no grade. It is a matter of accepting yourself in order to start and maintain meditation practice. I also used lack of time as a self- excuse to prevent me from daily meditation until I came across one YouTube recording that for some reason I particularly liked. It was a track for the book ‘Mindfulness: Finding Peace in a Frantic World’ by Danny Pennman and Mark Williams. This brief meditation is just three minutes long and I started using it when I get home from school while waiting for my meal to heat or in the evening in between reviewing the lectures. It may be the voice, or the way the narrator guides this meditation, but it worked like a switch for me turning me into a more alert, yet calmer state of mind. And I used it for a few months to just get accustomed to daily meditation. So if you are like me and don’t know how to begin, maybe you will like Three Minute Breathing Space just like I did to get you started. Here is a link to the free meditations on the author’s web site (you will need to scroll down for the Three Minute Breathing Space): http://franticworld.com/free-meditations-from-mindfulness/. You can just download that track and save on your device.

  • You Got More Than 3 Minutes – Body Scan Meditations with Calm.

untitled-2My next level was to start tracking my progress and try new things. I found a lot of free or semi-free Apps that offered guided meditations. Calm is one of those semi-free Apps that has various meditations programs (7 Days of Calm, 7 Days of Calming Anxiety etc. which are locked in a free version) but really all you need is to go to Guided Meditations and see which ones are available. I really enjoy Body Scan and Forgiveness narrated by Tamara Levitt. She has a really nice manner of guiding the meditation, with a very soft and relaxed voice, with no rush and no pressure. The time of the Body Scan meditation can be set to 3, 5, 10, 15 min etc.  You can pick the scenery with or without a sound e.g. a fireplace, rain on leaves, beach sunset, or a Mountain Lake that will take you places that make you feel calm, happy or content. The App will track how many days and minutes have you been meditating and can remind you to meditate daily at a certain time.  Another nice feature of this App is Breathe that helps guiding you through timed inhale-hold-exhale cycle when you need it the most (and you can customize it too). A recent new addition is Sleep Stories which is a variety of narrated stories to help you settle down for the night. Unfortunately I am one of those people who fall asleep the minute my head hits the pillow so as much as I tried I could never finish a single story and cannot comment on the utility of those.  Overall this is one of my favorite Apps so far and I highly recommend the Calm.

  • If you had a Stressful Day – Self Compassion Break With Dr. Shaila Vaidya

untitled-3I met Dr. Vaidya at the last year’s OMSA Wellness Retreat where she held the Science of Yoga Workshop. During that session she also guided us through a couple of meditations with her kind, pleasant tone of voice. One of the meditations I really liked  was Self-Compassion. As medical students we strive for the excellence and perfection and we often blame ourselves for things we could have done better. Sometimes we get into environment that makes us feel inadequate, inefficient, or simply tired and we often don’t realize that it is normal to feel that way in these circumstances. At the same time we are trained to be empathetic and compassionate with our patients, but those skills begin from the inside within us. So how about some compassion to ourselves first?

Here is a link to Dr. Vaidya’s portal http://www.drvaidya.ca/meditations  where you can find a ton of interesting blog posts and resources as well as free meditations (if you bookmark it and listen it is free, you only need to pay to download).  Also, take a look at the Patient’s Resources – Reading List, you may find some good suggestions!

  • You Got Time to Explore  – Smiling Mind App

untitled-4 This is one of my most recent discoveries. The Smiling Mind is a free Australian App with a ton of meditations for various ages and purposes. Like Calm, it will track your progress, but it will also ask you about how happy, content and alert you are before and after each meditation. I think is it a great way to become more aware of your own state of mind, feelings and inner peace. Recordings are arranged into themed programs with lessons, activities and meditations. I find it well organized into small tracks that won’t take a lot of time out of your busy schedule. One great activity is “Finding Your Inner Master” which guides you through imaging your role model giving you advice about something you need. I find this is a really good strategy to deal with difficult situations that helps cultivate and maintain the feeling of confidence and excitement.

  • You Have Got time to Read– Mindfulness in Medical School Residency and Beyond

untitled-5Finally, if you feel like reading about Mindfulness here is one good read. Written by Dr. Heather Maclean with the Mindfulness Curriculum Working Group, “Mindfulness for Medical School, Residency and Beyond” is just a perfect collection of information you need to know if you don’t have a lot of time to read outside of medical textbooks. It is available for free on iBooks (https://itun.es/ca/cuUF2.l. Dr. Maclean is a neurologist, our lecturer and a CBL tutor at the University of Ottawa. She is also the one who lead periodic Mindfulness lunchtime talks in preclerkship which I really enjoyed and who inspired me to explore meditation. Here is what she writes about this book in the first section:

“To medical students, residents and medical practitioners who are left-brained and scientific by nature, this type of curriculum can be a little out of their comfort zone. They might feel it is too soft, too unstructured, too “touchy-feely”, too unproven. For them while I will point out that there is clear scientific evidence of the benefits of mindfulness, and we will present some data in Chapter 4, this course is less about science and more about spirit. Less left brain, more right brain. It is supposed to expose you to something out of your comfort zone, which you might not have been drawn to otherwise.”

I hope you find some of these resources useful for your mindfulness journey. Of course just like everything else this is a matter of personal preference: the time of meditation, duration, theme and the voice you chose to guide you. No matter which one you pick and use, I wish you good luck and happy meditating!