Thursday, 28 August 2014

My first Published Article



 My journey continues and whilst these blogs initially started as a way to raise awareness things have developed and now I am being commissioned (well kinda) to write some blogs and articles.

Below is such an article that will soon be published as an article.  My first official commissioned piece of work!  Have a read, hopefully for Ostomist and non-Ostomist alike it should be interesting.




So what is my biggest fear as a Cancer survivor and Ostomist?  Believe it or not it isn’t actually the return of the ‘BIG C’.  I have learned that life really is too short and there is no point is worrying about things that are out of your control.  I am in remission now, and long may that continue, but if that changes it will not be due to anything I have or haven’t done.
No my biggest fear as an Ostomist is a hernia!

When I first came out of surgery I had plenty of other things to worry about, like dealing with my newly formed stoma.  I recall hernias being discussed and how as my stomach is now a weak spot I was at a higher risk.  In the first few months after surgery even sitting up caused a lot of strain on my core and I was terrified of herniation.  I invented cleaver ways to sit up in bed. I became terrified of lifting almost anything.  Including my own son!  But I soon realised hernias aren’t the Ostomists 'Boogey Man'.  Prevention became just another obstacle that needs to be overcome

So I guess the key question that needs asking is exactly what is a  Ostomy hernia?

Rolstad and Boarini (1996) define a parastomal hernia asa bulging of peristomal skin indicating the passage of oneor more loops of bowel through a fascial defect aroundthe stoma and into the subcutaneous tissues



Now I personally did not exercise until a few years after my surgery and my stoma has settled.  When I did decide to get fit I always feared I could never really get there as lifting any type of ‘heavy’ weight would create an issue.  So I decided to do things right and met my personal trainer.  Im not saying that a P.T. is always needed but as I had not been a gym goer before my operation I needed to make sure that what I was doing was correct and more importantly safe.

For the first few months I lifted no weight, everything was body-weight actions.  This slowly built up my core (which as an added bonus also improved by posture!)  This consisted of some very simple yet effective movements, shuttle runs lunges etc mixed with moderate running.  Well I say running but at first it was fast walking mixed with brief jogging!

I then progressed to some light kettle bell work and finally a few months ago progressed to what I class as real weight lifting.

I am now in training 4-5 days a week with a mixture of running, core conditioning (still a vital piece of my training to maintain my core stability)  I am also doing something now that I never felt possible.  I am dead-lifting.  This is ultimately a movement where you squat down and then stand up holding the weight.  I weigh approximately 90kgs.  I am now lifting 105kg plus for multiple reps over multiple sets.  Something I couldn’t do before my surgery and thought impossible with my stoma.

I guess what I am trying to share is, yes hernias are a risk for us Ostiomists.  But so is being struck by lightning or winning the lottery.  That doesn’t mean that it’s going to happen to every one of us. 
 
If you want to return to any type of physical activity take things slowly, at a walking pace at first if necessary.  Through my journey the one true fact that has guided me during all my training sessions, all my Obstacle Racing is LISTEN TO YOUR BODY!