Hi friends! I thought I’d elaborate on this quote a bit. It is one of my favorites, and even serves as wallpaper on my phone, so I can be reminded of it daily.
I read several studies recently about mental/emotional qualities of breast cancer survivors in predicting distress, emotional well-being, and how well they coped with their disease and treatment. One (of many) interesting quality that was associated with less distress and better emotional well-being was seeing the cancer experience as an opportunity, rather than some horrible catastrophe. An opportunity to learn something from the experience, to use the experience to better ourselves in our habits or behaviors, or even an opportunity to help others going through something difficult.
Thinking this way is SO empowering! As Ram Dass says, “Everything in your life is there as a vehicle for your awakening. Use it!”. Even the shitty experiences (and maybe those most of all) can be great opportunities for us to grow and transform into better, healthier, happier people. I know I learned a lot (and continue to) through my cancer experience (patience, surrender, humility, tust, how to ask for and accept help, just to name a few). I bet you did too! I love studying Yogic philosophy to help me cultivate a healthy mindset.
With love for all going through any trying transformation, 💕🧘🏽♀️🙏🏼🕉
Author: yogawithleona
The essence of health is inner balance. – Dr Andrew Weil
Hey amigos! I’m back after a brief hiatus. As you can see in this photo, early this spring I was fortunate enough to take an amazing trip to India, the birthplace of yoga. It was beautiful, inspiring, and transformative, and I will talk more about all of that in a future post. But I wanted to use this gorgeous pic from the Taj Mahal today. I’ve been thinking a lot recently about inner balance, adaptability, resilience, equanimity, and how important those qualities are in recovering from breast cancer, or any stressful event in life, for that matter. And of course, how yoga helps us cultivate those qualities!
Equanimity is sometimes defined as “evenness of mind, especially under stress; a state of psychological stability and composure which is undisturbed by experience or exposure to events/emotions/circumstance”. And I like to add physical stability and composure (in addition to the psychological) to the equation as well, because of the clear interdependence of our bodies and our minds. If one is disturbed, it is more difficult to maintain composure in the other, and vice versa. So if we can aim to maintain stability of both, each can help the other.
Breast cancer, and the treatment thereof, is an inherently stressful situation that puts a lot of strain on the body, mind, and spirit. Our bodies and minds are burdened with healing from surgical wounds, the toxicities of chemotherapy and radiation, the fear of recurrence, the anxiety around follow up testing, etc…. all creating an environment that isn’t the healthiest in our bodies: surging stress hormones, inflammation, etc. Of course, these things are necessary in the short term for us to heal, but we want our bodies to return to a healthy state of inner balance as soon as possible, because chronically elevated stress hormones and chronic inflammation are known to result in myriad other problems and diseases (including things like diabetes, heart disease, depression, obesity, and auto-immune disease to name just a few). Fortunately, our bodies are highly intelligent and have systems in place to bring us back to that state of balance after a stressful event. But sometimes the shock to our systems from a serious illness like breast cancer can be so significant that we have a difficult time finding our way back to balance. The good news is that there are simple things that we can do to help our bodies along, and restore that balance more efficiently. Physical yoga asana practice, pranayama breathing exercises, and meditative practices have all been shown in scientific studies to stimulate and tone the parasympathetic nervous system, which orchestrates that return of balance. Other studies show the same types of yogic practices reduce stress hormones and markers of chronic inflammation.
I believe yogic practices are important at any stage of life, and can do so much to help us achieve our healthiest state of inner balance. But the benefits are even more profound when we are struggling to recover from such a threat as breast cancer and breast cancer treatment, which can knock us off kilter and make it so difficult to regain stability. Sometimes it can even feel like we are trying to balance on one foot on top of a beach ball that is rolling down hill! Yoga shows us the way back to equilibrium by training us in equanimity, adaptability, flexibility (both physical and mental), and resilience.
Join me at Yoga with Leona to learn more about how yoga can help you attain and maintain the essence of health– inner balance.
“Good times, bad times, you know I’ve had my share” — Led Zeppelin
In breast cancer, as in life, there are always going to be some days which are “better” or “worse” than others. But one thing that yoga teaches us is that so much of this has to do with our own judgement of the situation, and how we choose to react to that judgement. Santosha, which is the 2nd of the niyamas (the internal practices or guidelines for our behavior as we relate to ourselves) in the 8 limbs of yoga, teaches us to find contentment or a sense of satisfaction with ourselves and our situations, despite external circumstances. This allows us to find peace, true joy and happiness, despite the fluctuations in our surroundings and material things, which of course are all impermanent. Practicing santosha, or contentment, allows us to break free of the suffering we put ourelves through by always wanting things to be different than they are. When we drop that attachment to things or conditions, and instead become open to receiving whatever life brings us, we open ourselves up for gratitude, growth, peace, and bliss.
Of course, some days truly are very difficult, and it can feel almost impossible to be content. This is natural. I mean, the first few days after each of my chemotherapy treatments were truly crappy (no pun intended, as I received Perjeta, which causes severe diarrhea!). But like everything, those sensations and side effects were temporary, and eventually subsided, leaving space for better days to come. This photo is from one of those better days, about 2 weeks after my first chemotherapy. My hair had begun to fall out, so I shaved my head. But I was getting my appetite and strength back, was feeling a little better, and decided to do some yoga. It felt amazing to feel good again, and I realized I would be able to get through this, knowing that the bad would come and go, with beautiful rays of light in between, illuminating all that I had to be grateful for.
I was grateful for the chemotherapy I was receiving, which is really a modern miracle, capable of curing many women with breast cancers that would have killed them just decades earlier. I was grateful for the supportive care medications that helped with the side effects, for my loving and supportive family, for peanut butter cookies that tasted like magic when my appetite returned, and so many other things that were truly good in my life.
His Holiness the 14th Dalai Lama said “Unfortunate events, though potentially a source of anger and despair, have equal potential to be a source of spiritual growth. Whether or not this is the outcome depends on your response”.
So don’t worry if you have some rough moments. We all do, and it is natural when going through something difficult. But try to remember santosha, and find some level of contentment, despite all circumstances. Remembering the things in your life for which you are grateful is a great practice to help you cultivate santosha. Listen to some music that you like, take in a little nature, or practice some calming breathing exericises (more on this in the Pranayama video coming soon). As you feel the contentment creeping in and replacing more negative emotions like anger or frustration, you will feel the peace and joy expanding in your life. And the next time something difficult comes along, you will find it easier and easier to minimize the negative effects of those difficult experiences. And maybe instead of Zeppelin’s “Good times, bad times”, you’ll feel a little more like Louis Armstrong’s “What a wonderful world”.
Sending my love and light to you, as you progress through this cancer journey. Namaste.
Peace warrior
Anybody else ever feel a little unsure about all the “warrior” imagery in the breast cancer world? I know some people feel a little off-put by all the pink ribbon stuff, especially in October (or Pinktober, as some call it), when it seems like it is everywhere, being crammed down everyone’s throat, from the grocery store to the football players’ uniforms and more. The pink stuff doesn’t really bother me. In fact, I really embrace it, and am glad for the visibility of the push for advances in breast cancer care. However, the pink warrior/fight like a girl theme doesn’t really work for me. Don’t get me wrong, the breast cancer experience is indeed a tough battle, and our bodies and minds have to do a lot of fighting to get through it. But I guess that is exactly my point. Especially when I was actively in treatment, I really felt like I had more than enough fighting going on inside of me, like the last thing I needed was to perpetuate the idea of battle any more. From the toxicity of the chemotherapy and my body’s reaction to that, to the physical wounds from surgery and the inflammation from radiation, and the emotional resistance I felt against the cancer in general, I felt like my entire being was a war-zone. What I truly craved was peace; peace in my body, and peace in my mind. It seemed (and still seems) to me that what I needed most was to try to help my body and mind return to a place of peace, so that healing and recovery could take place. Yogic ideas from the yamas and niyamas (2 of Patanjali’s 8 limbs of yoga) helped me find that space.
Eckhart Tolle has been a favorite of mine since long before my cancer, and many of his teaching are right in line with basic yogic principles. During my active treatment, his writings about non-resistance and acceptance of the present moment spoke to me so profoundly. He says “To offer no resistance to life is to be in a state of grace, ease, and lightness” and “The moment that judgement stops – through acceptance of what is – you are free of the mind. You have made room for love, for joy, for peace”. This was exactly what I needed, to help me recover from all that breast cancer brought. Rather than go on mentally perpetuating the fight against my cancer, which I felt only created more turmoil and suffering in my mind and spirit, I accepted it, made peace with it. I mean, no amount of being angry could make the cancer go away, so why would I allow that anger and resentment to stay and make me more miserable than the cancer itself did?! Now, this is not to say that I enjoyed it, or that I wasn’t thrilled each time I passed another milestone, such as the final chemotherapy or the last day of radiation. But by releasing my resistance and aversion to the things that I needed to do, I felt such an increase in the sense of peace in my being, and the treatments actually became easier to tolerate. It is said that it is actually our resistance to, or our attachment to things or experiences that makes us suffer most. And this is taught in the yamas and the niyamas of the 8 limbs of yoga. We will talk more about these in detail in some of the videos.
Of course, if the warrior theme speaks to you, and makes you feel more empowered in your breast cancer recovery, by all means, fight on sister. We all have different ways of approaching this experience, and only you can know what feels healthiest for you.
In the meantime, I do love the physical asana warrior II (as in the photo above) in my yoga practice, so I’ll just take it nice and slow, with long deep breaths, and call it a peace warrior.
Wishing you all peace and healing on this breast cancer journey. Namaste
How does yoga work?
Well, this isn’t a simple question, and certainly not one that can be answered in one blog post. But I will begin to try to answer it with one of the many ways that I believe yoga works, which is also one of my favorite things about yoga.
As you can see in the photo, Bishnu Ghosh (brother of Paramahansa Yogananda, author of the famous book Autobiography of a Yogi) said “In the midst of movement and chaos, the practice of asana will generate physical and mental stillness”. So for any of you who are new to the yoga world, true yoga is much, much more than just a bunch of physical exercises and flexibility drills, as it is often perceived in the west. I will get into the full description of true yoga in other posts and in some of my videos, but I mention it today just to clarify that “asana”, as mentioned by Ghosh in the quote, refers to the physical practice of yoga postures, and is one of the 8 limbs of yoga.
So as Ghosh suggests, the physical practice of yoga asana helps us to cultivate mental and physical stillness. If you are anything like me (and most humans, I think), physical and mental stillness haven’t always been very familiar things in your life. It is common, and even encouraged and revered in our culture, to be busy all the time: busy in body, and busy in mind. We rarely take time to cultivate stillness, and if we do, we feel guilty about it, like there is something we should be doing with every second of every day. And this incessant busy-ness can send us into a whirlwind of chronic stress, that strains our bodies and minds, and can even contribute to serious illness (see my workshop video on stress and the nervous system if the details of this interest you).
Yoga practice trains us, in body and mind, to handle difficult situations with ease and equanimity, and to be able to find that still, calm place inside of us despite all circumstances. And it is from that place of stillness and calm that we can best operate in the world, making decisions and acting from a place of love and truth, rather than from a place of stress, emotion, and reactive behavior patterns.
Life naturally presents difficult situations all the time, right? It’s just the way life is. We lose our jobs, get divorced, lose loved ones, and even get diagnosed with cancer occasionally. And the smaller stressors happen even more frequently. We get cut off in traffic, someone steals our smart phone, you get the wrong food order at take-out, your kid struggles at school, your chemo gets delayed because of a screw up at the pharmacy or because your labs aren’t quite up to snuff. So when we are in that whirlwind of chronic stress and busy-ness, it is our tendency to react to these sorts of stressors emotionally, and sometimes in very maladaptive ways. This leaves us acting in ways that aren’t always in the best interest of ourselves or those around us, and that makes all of us suffer even more than the original experience itself would have. Don’t get me wrong, it sucks when some of these difficult things happen, but allowing them to wreck your mental and physical well being is a choice. So how can we learn to respond more mindfully and cultivate healthier coping mechanisms?
Well this is where yoga comes in. So one of my favorite things about yoga asana practice is so simple, yet so powerful. When we practice physical asana, our bodies and minds are placed into difficult circumstances (for example, standing in warrior II position for 10 breaths can really start to burn in that front leg quadriceps muscle and get pretty uncomfortable). It might be our first reaction to say “geez, I can’t stay here any longer! It feels like my quad is going to spontaneously combust”. But our practice trains us to come back to our calm, slow, rhythmic breath, finding again that place of stillness, each time we think we are about to lose it. And instead of falling down the wormhole of panic and hysteria, we harness the power of our breath, and come back. This practice creates a positive cycle of calming/relaxing signals between your brain and your body (see again the Stress and the Nervous system video for more detail on how this works). You learn that you could indeed hold that pose, how good it feels to do so calmly, and your body becomes healthier at the same time. After just a short while practicing, it becomes easier and easier to find and stay in that place of stillness, despite all of the difficult positions you place yourself in, and eventually you start to return to that place naturally, without even consciously trying. Even more importantly, the training then starts to show up in the way you react to things outside the yoga room. When you are made to wait a long time at the lab to have your blood drawn, you take a deep breath, and use the opportunity for a little stillness practice, instead of getting angry. I mean, I doubt if the lab personnel are back there screwing around just to make you wait. So why throw a fit and chew out the poor girl at the front desk? They might be busy and overworked, and could use a little kindness from you. Eventually you will notice that even the way you react to bigger challenges grows and changes in positive ways. As TKV Desikachar said “The success of yoga lies not in the ability to perform postures, but in how it positively changes the way we live our lives and our relationships”. Who doesn’t want that kind of positive change??
Being diagnosed with breast cancer and navigating breast cancer treatment was one of the most difficult things I have ever had to do. But I really believe my yoga practice helped train me to handle it with as much ease and equanimity as possible. I’m not going to lie, I still freak out from time to time when fears or frustrations hit. But with the help of yoga, I can quickly regain my balance, come back to my happy place, and get on with my life.
Give yoga a try, and see how it helps you.
photo credit Josef Kandoll Wepplo
Changed but not broken
My Mom bought me this beautiful figurine two years ago when I was sick during chemotherapy because she knows I love fairies. If you look closely you can see that one wing has a crack across it at the upper aspect. She apologized that it was broken, but I honestly thought that it was, in fact, perfect for me. I was feeling a little broken at the time; bald, sick, and knowing that I had a bunch of surgery ahead of me that would leave my body scarred and not quite the same. A little like a fairy with a broken wing.
Interestingly, a few months ago I realized that I have a partially “winged” scapula on the right side, which was the side of my cancer. It turns out this is a potential side effect of mastectomy and axillary node dissection, in which a nerve is damaged that controls a muscle called the serratus anterior, connecting the side ribs to the underside of the scapula (or shoulderblade). The result is that the scapula doesn’t move properly, and in some positions it protrudes like a wing off of your back. Some people have significant pain in the shoulder and upper back as a result of the dysfunction of these muscles and the scapula. I am lucky in that mine is not as dramatic as some people’s. And clearly many women have other complications much worse than this.
This serratus anterior paralysis is likely permanent for me, since it is still present nearly 2 years after surgery. But this is just one of many examples of a situation in which yoga has helped me in my recovery. Not only do the asanas themselves help me to strengthen surrounding muscles, so I am as little affected as possible. But the body awareness that we learn from practicing asana makes me much more aware of what is going on in my body so I can do more to try to keep the area in proper alignment. I have been fortunate enough to have very little pain associated with it, and I think that is thanks to yoga. Finally, focus on my favorite of the niyamas (part of the 8 limbs of yoga), santosha, or contentment, helps me to remain content despite all conditions. A deep, and abiding sense of contentment keeps me from feeling frustrated or upset about anything that happened as a result of my cancer treatment. Instead, I feel grateful that I am able to do what I can do, and I find the changes in my body are just a new challenge that gives me different things to focus on in my practice.
With santosha in my heart, I look at my little fairy, and now I think I am not broken at all, but instead just beautifully changed. Thank you, to yoga, for that.
May I live like the lotus, at ease in muddy water
This is a photograph of me working on my handstand in front of the beautiful mural at davannayoga (where I trained, still practice, and now lead a few yoga classes) in Puerto Vallarta, Mexico. It is an amazing yoga shala, if anyone is looking for a place to pursue some formal yoga training. I HIGHLY recommend it.
Anyway, I love this photograph for a number of reasons. First, the mural is just so breathtaking. It is funny how many traveling students come through the shala and want to take a photograph of it. It was painted on the wall there by another one of davannayoga’s teachers, who is a beautiful soul and a very talented friend. The mural depicts the 8 limbs of yoga, as originally described in the seminal text on yoga, Patanjali’s Yoga Sutras. I’ll talk more about the 8 limbs in other posts, and in some videos once I get them uploaded. But I love the mural, as it so beautifully arranges the different components of the 8 limbs of yoga, making them easy to visualize and study. As I suspect is true for many, there are certain limbs (or parts of limbs, such as individual components of the yamas or niyamas) that are easier for me to contemplate, or that resonate with me more strongly than others. The mural serves as a good reminder of the other limbs, and helps me remember to study and focus on each of them.
I also love that it utilizes the lotus flower theme, which is one of my favorite images. As you probably know, the lotus flower is an aquatic plant native to India and other tropical locales, and is referred to commonly as a symbol of purity, beauty, and growth or transformation in many religious and spiritual traditions. To me, the image of a lotus flower growing up through murky water, to rise above the surface and blossom into these beautiful, colorful flowers, couldn’t be a more perfect symbol for navigating the breast cancer experience. Just as the muddy pond is dark, ugly, dirty, and difficult to traverse, so too, can be the treatment for our cancer. However, like the muddy water, which provides needed nutrients to feed the lotus seedling on its path toward the surface and toward its blossoming, so too can our difficult experiences in treatment provide fodder for growth and evolution, if we allow them to. “Grist for the Mill”, as Ram Dass calls it in his beautiful book of the same name. While I’m not saying I enjoyed chemotherapy, or the ongoing crummy consequences of surgery or radiation, I do truly believe that those difficult experiences made me a better person. I know it sounds corny, but I learned big lessons in patience, in humility, in acceptance, and in surrender (among many others that I will surely come back to in other posts) that have made me a happier, more content, more compassionate human being. While in no way have I arisen from this cancer experience a perfect, pure, beautiful flower, I do think I transformed in some very positive ways.
Finally, that leads me to the handstand in the photo. While it is in no way perfect, and I can’t hold it for very long, nor do any other fancy shapes while holding it, I am proud of and grateful for the progress I have made. Obviously, handstanding isn’t the goal of yoga and isn’t, in and of itself, going to make anyone happy or a better person, but I have seen it as a challenge I wanted to tackle for a long time. I started working toward handstand a couple of years before I had breast cancer, but of course treatment affected my progress while I was sick and weak on chemotherapy, then while I was recovering from surgery and not allowed to put weight into my arms, and now dealing with imbalances in strength and flexibility in my shoulders relating to my treatment. But much like everything in yoga, I realized that the good stuff isn’t in the final product or the accomplishing of some perfect goal, but rather in everything you learn on the way there. So all of that falling out, crashing to the floor, rolling over, getting back up and trying again, learning new ways to improve my balance or my alignment…. all of those things are just more grist for the mill. They taught me important lessons like patience, humility, persistence, and that I can, with enough effort, eventually accomplish things that at one time seemed impossible. I don’t expect to ever be able to scorpion handstand (bending back and touching feet to the top of your head while balancing in handstand) like some of the famous instagram yogis that I follow. But who knows? In the meantime, I sure am enjoying the journey.
As they say, the jewel is in the lotus. Thanks for joining me along the way.
About Us
Leona grew up in a small town in Indiana, and was interested in medicine from a young age. She went to medical school at Indiana University School of Medicine, and then completed both her internal medicine residency and medical oncology fellowship at the University of Arizona. She then joined the faculty of the University of Arizona, Arizona Cancer Center, where she specialized in the treatment of breast cancer and worked in breast cancer clinical trials. She then joined a private practice group in Tucson, Arizona to bring specialized breast cancer care to the community practice setting. She loved the practice of oncology, and was passionate about her 10+ year career helping women (and a few men) through breast cancer diagnosis and treatment. But she decided she needed to make a change in her own life, and retired to Puerto Vallarta, Mexico in 2015, in order to slow down and simplify life, hoping to take better care of herself, have more time for yoga, healthy eating, gardening and other activities. See our post “Our back story” to hear about the ironic turn of events that happened next!
Aside from her interest in yoga and breast cancer, Leona enjoys spending time with her husband, relaxing on the beach, exploring all of the beauty and charm in Mexico, loves all animals- especially cats, and looks forward to visits from her family.
Our back story
It felt like the most ironic turn of events of all time when I found out I had a stage 3a breast cancer. As a medical oncologist, who had specialized in the treatment of breast cancer for more than 10 years, I knew that breast cancer could affect anyone. But somehow I thought, in some cosmic way, that it wouldn’t affect me. I mean, I had dedicated so much of my life to helping women fight this disease, I couldn’t possibly also get the disease, right? Wrong. At age 40, a large tumor developed in my breast and spread to local lymph nodes, and aggressive chemotherapy, surgery, and radiation ensued.
I had been an active yoga practitioner for 7-8 years before breast cancer, and had known that it helped me with many things (chronic back pain resolved, I felt more energy, stress eased, muscles toned). And I had always thought yoga would be helpful to my patients, for complaints like weight gain or anxiety, which commonly accompany breast cancer treatment. But I had no idea the depth or the breadth of the benefit that yoga could have for a breast cancer patient until I went through it myself. I truly believe that yoga (including much more than asana alone) got me through my cancer treatment and helped me recover to a place where I feel much stronger, healthier, and happier than I was before I had cancer. It is easy to think that cancer has to change us for the worse, like we will have physical limitations, weaknesses, or vulnerabilities as a result of the disease and the treatment. But yoga has taught me that with the proper perspective and approach, a breast cancer diagnosis (which seems so scary and horrible) can actually turn into a wonderful opportunity for growth and optimization of health in body, mind, and spirit. Your “new normal” can be the best version of you yet!
Study of the yamas and the niyamas helped me get my mind right, in the way that I thought about my situation during and after my cancer treatment. For example, focusing on santosha helped me find contentment instead of frustration with feeling sick during chemo or when the result of my breast reconstruction wasn’t perfect. Svadhyaya, or self-study, helped me to think about what I was learning through the experience, like patience or humility or how to ask for help. Asana practice was huge in restoring my range of motion after bilateral mastectomy, reconstruction, and radiation left my chest wall and shoulders very stiff and sore. Losing my yoga practice was one of my biggest fears, and a slow and steady return to asana allowed me to prove to myself that I could get back to full strength and activity, which was so empowering. Pranayama calmed my mind when I felt fear about the potential long term outcome of my cancer, or when I was going crazy anxiously awaiting test results. And mantra meditation literally took chemotherapy-induced abdominal pain away, getting me through some very tough days on the couch. I have since learned more about the underlying mechanisms by which yoga achieves some of these things, now coming to light through scientific research. There is fascinating research showing that yoga has anti-inflammatory effects in the body, and does amazing things like shift the balance of our nervous system toward rest and healing, and away from conditions of chronic stress.
In these ways and more, yoga can support us through the breast cancer experience, helping us connect to our true selves, to a place of peace, of gratitude for every day – including the tough ones, and of reverence for the beauty that is this life. I hope to help others examine how yoga might benefit them in their journeys. This site will hopefully allow me to reach anyone who is interested in learning more.
