Research is in: Music during Surgery is a great idea!

Research is in:  Music during Surgery is a great idea!
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Thursday, December 20, 2007

Should you use Christmas Music with your surgery?

You know, that may sound like a silly question, but I have gotten it and many more like it and it is actually a very logical question. Is there a magical formula for the music that works best during surgery? Believe it or not, there is! And I'm going to give it to you in a general way The music you already love that is:
  • slow and steady-tempo of the healthy, resting heartbeat
  • purely instrumental
  • no more than three gentle instruments

What do I mean by "gentle instruments"? I mean something like a flute, a harp, a cello, or even a quiet piano. What wouldn't work?...a trumpet, a tuba, anything that has a bit of an "edge" to it. Feel free to disagree, but these are the instruments that people report that they find relaxing, soothing, comforting.

Can Christmas music fall nto this category? Of course! This year I made a CD that is mostly soft, quiet Christmas music. At least one person I know used it during their surgery and reported good results!

Tuesday, November 20, 2007

Music and Hip Replacements

This morning I was working with a new client of mine who is having total hip replacement surgery. She's 75 years old and has had a couple ofunfortunate surgical experiences lately in large hospitals. This time she's decided to go with a small local hospital and to try some alternative therapies along with the traditional. In looking online she found my site, http://www.healingmusicenterprises.com/ and loads of information about music and surgery. She immediately set up a 30-minute consultation which we had this morning. She's come up with the idea that she'll get two brand-new Ipod shuffles and use one fo the pre ad post surgery music and one for the surgery music. In talking with her, we came up with several different ideas for her music and I told her how to download it on her computer and then upload it to her iPod. Technology is amazing! Having surgery? Please give me a call so that I can help YOU!

Friday, November 09, 2007

The Hospital of the Future

Music is being utilized today in hospitals and clinics around the world. Music has an ability to minimize pain, leading to the combination of music and anesthesia in operations where routine medical sedatives are not effective. Music medicine is beginning to be considered a complimentary therapy. "People undergoing surgery require less anesthesia, awaken from anesthesia more quickly and with less side effects, and heal more rapidly when healing music is played before, during and after the surgical procedure. Patients recovering from heart attacks and strokes respond much more quickly to treatment when soothing music is played in their rooms." 1 In 2004, the Robert Wood Johnson Foundation released a report based on 600 studies showing that design in hospitals, including sound and light, can have a dramatic effect on how fast and how well patients recover. The concept is to program the hospital with musical selections, one for every place, time and stage of recovery. From the intensive care unit to the chapel, music will be used in each space to speed up the healing process, assure optimal performance by hospital staff, and help visitors best pass the time and peacefully find their way around. The designers of today's hospitals are thinking about the idea of 'prescriptive sound', sound designed for direct application to ease specific traumas, as part of an effort to create a new holistic healing environment. Many diverse hospitals around the country are incorporating music as therapy in a variety of applications. At St. Agnes hospital in Baltimore , Maryland , critical care patients listen to classical music. "Half an hour of music produces the same effect as 10 milligrams of Valium," reports Raymond Bahr, MD, director of coronary care. At Nathan Goldblatt Memorial hospital in Chicago , Ill , music precedes anesthesia in the operating rooms. The University of Chicago 's Medical Research Center combines music and anesthesia. "Music can reduce anxiety and stress, lower heart rates and blood pressure and help minimize cardiac complications after an operation." "Picture your hospital experience in the year 2084. Your first floor room opens onto a lush courtyard garden. The TV & soap operas have been replaced with the gentle sounds of healing music. Fresh scents of various flowers, spices and herbs waive through the room in prescriptioned response to your ailment. A nearby lamp bathes you in soft colors, which seem to soothe your pain. Barely audible words of encouragement, joy and humor come from the tiny speaker near your pillow. A fantasy? Not so say the participants at the Hospital As Temple conference which took place earlier this year in the Netherlands . Creating a healing environment was the theme of this second of a series of three conferences, organized by the Forum Health Care division of the Davidhuis Foundation in Rotterdam . These series of conferences endeavor to foster a new vision of medicine as it might be practiced in the Hospital of the future."

Friday, October 26, 2007

Will Alice Win the Vogt Award this Year?

Yesterday I dropped off my 30-page application for the 2007 Vogt Award. You may remember that I applied last year for my invention and made it to the finals only to find out that I needed FDA approval for anything used in surgery. Soooo, I've spent a lot of time this year getting the FDA to approve. I'm sure you know about my invention, right? I hold a preliminary patent and am getting the final patent now. The invention is ______________. Actually I can't give you the precise information because my lawyer says that until I get the final patent it would not be smart to tell people. Suffice it to say that it has to do with delivering music to the patient during surgery for the purpose of reducing the amount of anesthesia required. Once you hear all the details, you are going to LOVE it, I'm seriously hoping that it will revolutionize the field of surgery. Please keep your fingers crossed that I get the award this year because that will help pay for creating the prototype, legal expenses and a little marketing! You can also go to my blogs listed below and catch up on all that I've been doing in the huge field of music medicine. You might especially want to read the "Surgery with Music" blog, listed below. Music without words means leaving behind the mind. And leaving behind the mind is meditation. Meditation returns you to the source. And the source of all is sound. -- Kabir Healing Music Enterprises 2518 Frankfort Ave. Louisville, KY 40206 502-419-1698

Sunday, October 07, 2007

Have you heard about the cyberknife?

Have you heard about the cyberknife? The name certainly cauht my attention but the really exciting thing for me is that the patients use only music to relax before the treatment, i.e. no anesthesia! The following article came from the Star-Telegram.com. "The sharpest knives don't even cut," proclaims a billboard near downtown Fort Worth promoting CyberKnife, a high-tech device that delivers radiation therapy with sub-millimeter precision. Its robotic tracking system keeps a targeted tumor in its crosshair focus while zapping the tumor with 150 to 300 high-energy X-ray beams. We asked Dr. Peter LaNasa, medical director of the Harris Methodist CyberKnife Center in the Center for Cancer and Blood Disorders in Fort Worth, to tell us more: Is it actually a knife? No, it is called the CyberKnife because it can be used to treat tumors with surgical precision, including tumors considered "inoperable" because of their location or because the patient can't tolerate traditional surgery -- for example, a lung cancer patient with severe emphysema. What kinds of cancer is it used for? The CyberKnife can be used for brain, spine, head and neck, lung, liver, pancreas, prostate, bone and other localized tumors. It is not used for tumors that cannot be tracked precisely (tongue) or tumors in organs particularly sensitive to radiosurgery (bowel). Is there any discomfort? No. Patients lie quietly on an open table and listen to music for 45 to 60 minutes. No anesthesia is used. All treatments are performed as outpatient, and Medicare and most insurance plans cover the costs. Are there other CyberKnife centers in this area? There are two in Dallas, one in Tyler, one here, one in Austin and one in San Antonio, but not another going west until you get to Arizona. None in Louisville, KY, I'm assuming!

Friday, September 28, 2007

Surgery with music invention coming along

This week I've been on vacation in Florida and I've had the distinct pleasure of talking at length with my original music medicine mentor, Dr. Arthur Harvey. I am now in the final stages of choosing music that will be used with my music and surgery invention and we have heard back from the patent office. I am also required to get FDA approval and so am going through the hoops and the red tape to get that. In the end, I believe that all the money I've spent and all the work I've done will be well worth it because this device will change the way surgery is approached by both the doctors and the patient. I'm really excited about it and wanted to share with you a little interview that was done with me today as I was leaving the beach here on Lido Key. Enjoy!

Friday, September 07, 2007

Update on Music with Surgery

It seems that every day brings new articles and press releases about a certain hospital or surgeon who is now using music routinely with his surgeries. By now, you know that benefits to patients and benefits to surgeon are different. Music for the surgeon came first as Don Campbell's book, "The Mozart Effect" proclaimed back in 1998. Don cited my work educating surgeons at the University of Louisville School of Medicine about benefits of music in surgery, but people were not taking into accout that the patients, even though anesthetized could still hear andbe influenced physiologically by the music. For this reason, doctors and patients alike are becoming more and more aware that the patient needs his own separate and different music during the surgical procedure! What kind of music? Preferably slow, steady, purely instrumental music that comes through headphones directly into the patient's brain through the 8th cranial nerve. This way the patient not only has their heartrate and breathing stabilized through the process of entrainment, but also they don't have to hear the bleeps and blips of OR machines and conversations of surgical staff that are irrelevant and potentially upsetting to them. Currently, I am working on an invention to be used during surgery. The patent is pending but I hope to make a major announcement about its availability in the next six months. Stay tuned! Alice

Tuesday, August 07, 2007

Music helps doctors focus in the operating room

If you've been reading this blog for awhile you know what I advocate different music for the patient from what the surgeon hears. The surgeon needs upbeat, high-energy music that keeps him wide-awake and focused while the patient needs slow, soothing, very steady music that will stabilize his heart-rate and breathing. Today I read a story about a hospital and a surgeon that are utilizing music in the O.R. for the surgeon, through iPods! Enjoy! Dr. Kalpaj Parekh has two loves in his life: surgery and rockin' out to Led Zeppelin. He considers himself lucky to do both at the same time. Although "rockin' out" is an exaggeration, music is definitely a fixture for Parekh during surgery. Operating rooms at University Hospitals, along with many other U.S. hospitals, are equipped with sound systems. Surgeons say music relaxes them, focuses their attention, relieves tension and even helps pass the time. "I think it just relaxes me right away. It takes the pressure off," said Parekh, 38, a cardiothoracic surgeon who operates on the heart and lungs. "It cuts out all the other noise that I don't want to listen to." Music as a tool in health care is not new. Studies have shown that it helps patients recover after surgery. But research also shows that even surgeons benefit from hearing their favorite tunes. A study done in 1994 by the State University of New York found not only that surgeons performed better with music, but that being able to pick their own music also made them even more proficient. "I find that when I'm operating it's very visual, and I think the music, in a way, does something to keep the verbal side of my brain busy. It's kind of a strange feeling, (but) maybe it's complementary," said Dr. Grant Hamilton, a University Hospitals' surgeon who does facial plastic and reconstructive surgery on the head and neck. Surgery can be routine and short or it can be highly stressful and stretch on the entire day. Although very little talking occurs, the murmurs of machines and other extraneous noise are loud enough to make hours seem like days, said Dr. Mark Iannettoni, 49, of University Hospitals. "There's no talking. Nothing is routine, and there's always a lot of tension," he said. "Music relieves that without making people slack off." Dr. John Canady, a plastic surgeon known for working on cleft lip and palate, prefers that music blend in as background noise when he operates at University Hospitals. "Some surgeons don't like to have any background distraction in the OR at all," said Canady, 49. "For me, it depends on the case, the mood I'm in going into the case, how difficult the case will be." University Hospitals provides a radio sound system in its operating rooms, but in the age of technology, doctors are opting for iPods hooked into speakers. That way they can play their own playlists. Parekh is happy with classic rock, mostly Led Zeppelin, and in particular "Tangerine" or "The Rain Song." Hamilton listens to music by the decade. Sometimes it's the Eagles' "Hotel California," and at times, every pop song played in the '80s. Iannettoni's tastes run from Dave Matthews to Eminem. Canady prefers light country or classic rock. Some music is banned from the operating room, although only by the doctor's preferences and out of regard for patients. For personal reasons, Parekh won't play country. Iannettoni thinks heavy metal would be too distracting. Hamilton prefers familiar songs, which keeps him focused on his patient and not on trying to learn the words. Canady refuses to play Barry Manilow. "When properly used, music can contribute to a patient's safety," Canady said. "A more relaxed ... operating room is a safer one." While some might find it unsettling to think that surgery could include more than scalpel and suture, surgeons said music is present only to assist, not detract, from their work. Hamilton, recalling one surgeon in his residency that turned the OR into what seemed like a bass-thumping dance hall, said music is usually loud enough to be effective but never so loud that it distracts. "You can hear it, but we can easily talk and be heard," Hamilton said. The surgeons said music is common in the operating room and becoming more regular with the younger generation of doctors. Also common, they said, is the seniority that surgeons have to be the real DJs of the medical team. "Even though surgery is a team approach, it's surgeons who get to pick the music, unfortunately," Parekh said.

Saturday, July 28, 2007

In surgery, practice makes perfect

We know that practice makes perfect in music, in sports and in most everything else, but read this important release about the importance of choosing an experienced surgeon. And tell your friends about this too!
WASHINGTON (AP) - Practice matters for doctors, too: A 15-year study found men whose cancerous prostates were removed by a more experienced surgeon were less likely to relapse. Specialists have long advised people who need surgery for whatever reason to pick an experienced surgeon. But how experienced? For prostate cancer, surgeons seemed to improve until they'd done 250 of the operations, concludes the study published Tuesday by the Journal of the National Cancer Institute. Researchers from Memorial Sloan-Kettering Cancer Center tracked the outcomes of more than 7,700 men who had their cancerous prostates removed between 1987 and 2003 by 72 surgeons at that hospital and three other respected university-based hospitals. Within five years of their prostate removal, 17.9 percent of men treated by inexperienced surgeons _ those who had done just 10 prior operations _ had evidence that their cancer was back. Among men treated by experienced surgeons _ 250 prior operations _ 10.7 percent relapsed.

Tuesday, July 17, 2007

Great success using music with knee replacement surgery

The stories keep pouring in of people who have used music through headphones with their various surgeries and had faster recoveries, less anesthesia and overall better experiences. One woman told me that if she had not had her headphones and music in the recovery room that the noise level in there would have driven her crazy. When you're in a large room with lots of other people who have just had surgery, it's inevitable that there will be a few people who are in acute pain. As you know, when people are in pain, they often cry out or at least moan and groan! My patient (who recently had knee replacement surgery) had to get past a nurse who initially said no to get to her anesthesiologist who said "I can't imagine why it would cause any harm and if it makes you feel better, then go right ahead!"
PLEASE contact me at chantdoc@healingmusicenterprises.com and let me hel you prepare for your surgery with music. If you live in the Louisville, KY area I can even come to your home. If you live in Seattle or Boston or Dallas, we can do it over the phone or even have a teleseminar! Please take advantage of this easy-to-use technique that can greatly improve your chances of a successful surgery!

Tuesday, June 12, 2007

Should the patient choose his own music?

Would you prefer to choose your own music for surgery? The responses I get are about 50/50. Many people do want to choose their favorite music because they have definite musical taste and don't want to risk having someone else choose the music that accompanies them into a long (or even a short!) surgery. Then there are those who would prefer that someone else choose relaxing music for them. If you do want to choose your own music, keep these guidelines in mind:
1. Studies show that instrumental music is best. Lyrics tend to engage the left brain causing the patient to begin analyzing the music; not relaxing!
2. Choose some music that has the tempo of a healthy resting heart beat...between 40-50 beats per second.
3. Choose music that has positive associations for you. Music that you have loved for many years is always good.
4. You can choose music that you don't know well or maybe have never heard. Just listen to enough of it that you know it isn't upsetting or agitating.
5. Many people believe that slow classical music is best.
6. Some people really prefer slow and soft New Age music.
7. Personal taste in music is the key that opens the mind and body to a good surgical experience.
As soon as you know you're going to need surgery, start listening to many types of music. You know what you respond to. Talk with confidence to your surgeon about what you want to do. There is plenty of research that documents the benefits. You won't regret it! Let me know if I can help!

Tuesday, May 15, 2007

Man sings to infant daughter during surgery

Just moments ago I read about a man who sang a love song to his six-month-old daughter during her open-heart surgery. The original citation of this can be found at http://teamtsunamiblog.blogspot.com/. What a beautiful thing! I would love to know more about this story but it definitely seems like a good idea! What do you think? Just click on "comment" and share your reaction to this. You don't have to sign up for a Blogger account but you'd probably enjoy that!

Wednesday, April 11, 2007

iPod or Headphones in surgery?

With all the news and research about the numerous benefits of music for the patient undergoing surgery, many people are wondering if actual headphones or iPod earbuds are best. At this point, I would say that overall, headphones are best, primarily because they will have a more secure fit. There are many cases in which the iPod would probably be fine but my experience is that with some patients they just don't stay in the ear securely. Babyboomers and older are not used to earbuds and so are probably better off with full headphones that comfortably cover the entire ear. After all, one of the benefits is blocking conversations that the medical staff might be having that the patient doesn't need to hear. Please write to me on this blog with your questions and concerns.

Tuesday, March 27, 2007

An interesting surgery experience

Recently, a friend of mine's son had to have brain surgery. Thankfully, the tumor was benign and he is recovering fabulously well, but over coffee the other day, the father related an interesting and humorous experience his son had while coming out of the anesthesia. Apparently he was thinking of the new TV Show "Deal or No Deal." In his "dream state" he was playing the game and was asked "deal or no deal." He said "deal" and when the pretty girl opened the case, in it was a NEW BRAIN!
What does this have to do with music? Nothing, but I thought my readers would enjoy the story! Actually I will say this: if my friend had been wearing headphone (or earbuds in this case since it was brain surgery) he might or might not have had this dream. I believe that music affects the thoughts and probably dreams of people who are listening. In this case, the dream was funny and amusing. I believe that the chances for a positive surgical experience are greatly increased when listening to music through headphones or earbuds.

Wednesday, March 07, 2007

Recent Research on Music and Surgery

There is so much data about the benefits of music before, during and after surgery. You can search by type of surgery or you can search by type of adjunctive intervention like music, relaxation tapes, aromatherapy or any of dozens of things! If you want to see some of the most recent, go to http://www.ncbi.nlm.nih.gov/entrez. Just do a search for what interests you most. Please let me know how I can help you!

Tuesday, February 20, 2007

Plan ahead for surgery, if you can

Many people cannot plan ahead for surgery beause it is last-minut and urgent. However, if you do have some advance notice start making plans to use music before, during and after the surgery. There is lots of documentation that using music through headphones before, during and after surgery can greatly reduce the amount of anxiety medication needed before, the amount of anesthesia needed during and the amount of pain medication needed afterwards.
For more information, order my tape set, CD, or download on how to talk with your doctor before the procedure and then also provides the music that I recommend for you to listen to during the procedure. Go to www.HealingMusicEnterprises.com/products/music_surgery/music_surgery.html
You can also purchase consulting time with me on the website. Best wishes for a healthy result if you're planning to have surgery.

Friday, February 02, 2007

Research on Music with Surgery

I've been talking about music with surgery for a long time and I believe that hundreds of thousands of people have paid attention and are now asking for music before their surgery. Looking at some of the clinical research is helpful too. Studies have been done around the world but here are two that I thought you might find interesting:
Unassisted music listening has also been studied with patients undergoing elective procedures using regional anesthesia to determine music’s effect on decreasing anxiety levels during surgery. Eisenman & Cohen (1995) studied patients undergoing orthopedic surgery. Patients reported that music listening during surgery helped make the time pass more quickly, masked background noises and diverted attention away from the surgical procedure. Anesthetists also reported that patients required less anesthesia, were calmer, and maintained more stable pulse rates and blood pressures. In a similar study, Cruise, Chung, Yogendran & Little (1997) studied elderly patients who were scheduled for cataract extraction surgery. Patients were randomly assigned to one of four groups. Subjects in group one listened to relaxing suggestions; group two listened to white noise (level of normal noise in a quiet environment); group three listened to operating room noise recorded during a cataract operation; and group four listened to relaxing, classical music with sounds of nature. After surgery, no significant differences were noted in vital signs between any of the groups. No significant differences were found in STAI or VAS scores among the groups before or after surgery. Patients in group four did report being more satisfied with the surgery experience and feeling more relaxed than was reported by other subjects. Results of this study showed a subjective improvement in anxiety with music listening but lacked objective evidence to support music listening as an effective medium to decrease physiological responses caused by stress.

Saturday, January 27, 2007

Will the Dr. allow music in surgery?

Today I was speaking before a group of nearly 100 people. As usual, most of them were shocked and excited to find that when the patient listens to music through headphones during surgery, the amount of anesthesia needed can be decreased by as much as 50%. A valid question is "will the Dr. automatically allow the patient to bring music into the O.R.?" and the answer is "NO." You must let your doctor know as much in advance as possible so that if persuasion is needed, you'll have time to provide evidence and documentation of music's effectiveness. If you are interested in knowing more about this, you can visit my website, www.HealingMusicEnterprises.com or just put "music and surgery" into a search engine. You'll be amazed at how much information is out there!

Friday, January 05, 2007

What do you know about the FDA??

What do you know about the FDA?? You may remember my invention for delivering music during surgery. The final patent is almost in place and I had applied for an award that would provide money for marketing this device. To my shock and dismay, I did not make the final cut because I was told that anything used in surgery must have FDA approval. I was under the impression that because my device is non-invasive that there was no need for FDA approval. Now I know that this is not true. If one makes any sort of medical claim then FDA approval is necessary. Soooo, it's a bit of a set-back, but also just a little bit more of a challenge, which I'm always up for!! Stay tuned!