Category: hospital

creativity, health, healthcare, hope, hospital, medical, medicine, time

Leap: The Tricky Truth About Using Our Time Efficiently

Christa Avampato
From Pinterest

I am by nature an efficiency hound. I hate wasting time, I love to be productive, and I feel an outsized sense of pride as I check off items on my to-do list. Yoga and meditation have taught me a subtle truth about efficiency that I didn’t know for a long time: sometimes what looks inefficient in the short-term is the most efficient thing to do in the name of long-term productivity.

At the suggestion of Anne Lamott, one of my favorite writers, I started reading God’s Hotel: A Doctor, A Hospital, and a Pilgrimage to the Heart of Medicine. The book chronicles the 20+ year career of Dr. Victoria Sweet at Laguna Honda Hospital in San Francisco, the last almshouse in the country. Low-tech and human-paced the work of Laguna Honda is a far cry from any hospital I’ve ever been to or read about. Early on in the book, Dr. Sweet gives samples of surface inefficiencies that proved to be tremendously helpful when viewed with the gift of time.

There was a nurse who dedicated a good chunk of her work time to hand-knitting blankets for each patient. Efficiency consultants were aghast and put a stop to it. However, those blankets were tangible symbols of how personally vested the entire staff at the hospital was to all patients. It let the patients, many of whom were so ill that no other hospital would admit them, and their family members know how much care and attention was being paid to their health.

Another example of inefficiency was the process of giving Christmas gifts. Collected and wrapped every year, the nursing staff would dole out the gifts randomly and then a day of festive trading between the patients would ensue. It made for a lively atmosphere with plenty of interaction throughout the entire hospital community. Again, the efficiency consultants saw all of this festivity as a terrible waste.

Rather than collect random gifts and wrap them up without any indication of what was inside, the nurses were instructed to ask each patient what they wanted, including size and color, and then that is exactly the gift they would receive. Though the gifts were still lovely, the loss of the trading process deflated the celebration. Christmas at Laguna Honda lost its sparkle when it lost the activity of swapping. And with the loss of celebration, they lost some of the spirit of deep, true healing.

These examples made me think about the efficiency of my own life – my to-do list, the structure of my days, and my constant pursuit of more productivity in less time. These things have their purpose and they’ve served me well but perhaps there’s a bit more wiggle room than I typically allow.

Maybe it’s okay to spend part of my afternoon at a museum today rather than spending that time on business development. Going to the museum probably won’t yield a client contract, but what it may give me in terms of inspiration may be just what the doctor would order and exactly what I need to be at my best tomorrow.

healthcare, hospital, war, yoga

Beginning: Compass Yoga Begins Classes at the Manhattan VA Hospital

Christa Avampato

Yesterday I taught the first Compass Yoga class at the Manhattan VA Hospital. At the New York State Health Foundation Conference on Community Readiness to Assist Returning in June I met someone from the VA who referred me to one of the doctors at the VA who has been working on a staff resiliency program. We met and then worked through how a class would be structured for the mental health staff, and then we went through the paperwork process, scheduling, and promotion. Yesterday’s class was the culmination of all of that work. The doctor I am working with has practiced yoga and Tai Chi for a number of years and is a strong believer in the power of mindfulness practices. Her passion makes this class possible.

The class is a result of a great many influences conspiring together. I tapped into a calling to help returning veterans just as the NYS Health Foundation was having their conference in New York, as this enlightened doctor had been pushing for yoga at the VA, and the VA happened to be ready to give this idea a try. Had I called the VA last year, it may have fallen on deaf ears. Timing is everything.

I was up before the crack of dawn to walk Phin, get ready, and hop the train across town. As usual, I was a bit nervous to teach in a new place. I always get this twinge of stagefright before I start a class, particularly in a new environment with new students. I’ve been waiting to teach this class for a long time and I couldn’t let the jitters get in the way.

One class in and the students are talking about how to get more yoga into the VA. They started talking about how to get this practice to patients and families for mental and physical health benefits. One is even looking into how we can get grant money to build up the program. By showing up and giving my best, the way seems to be opening slowly but surely. A little focus goes a long way.

Classes will continue every Friday. I’ll let you know about more learnings as they happen…

health, hospital, yoga

Teaching Yoga in Geriatric Psych at New York Methodist Hospital

Christa Avampato

This post is available as a podcast on Cinch and iTunes.

“The years teach much which the days never knew.” ~ Ralph Waldo Emerson

Last week, I went to New York Methodist Hospital to meet with the Recreational Therapist in the Geriatric Psych Department. She was interested in having a yoga instructor come into the department to do chair yoga with the patients that have the mobility to exercise. The Department is an acute care facility, meaning that patients are there following some incident that requires close monitoring by a medical staff. Their average length of stay is 3 weeks, and many of the patients are in their 70s and 80s.

I had my first class today with a small group of patients. “We don’t allow children here,” said Wesley*. In the next breath be threatened to kill me (in words only – he is physically harmless and apparently says that to everyone). He read the paper cover to cover every day of his life. Now he can no longer read (that is one of the saddest parts of dementia to me) though still insists on leafing through the paper and cutting out pictures that interest him. Another patient, Lola, told me she is 4 months pregnant and going home tomorrow. Minnie, the most coherent of the group, rolled her eyes at every comment made by the other patients. There was something both sweet and sad about the class.

My emotions on the train back to Manhattan were complex and jumbled. I’m fascinated by how the brain functions (or malfunctions), and supremely interested in how yoga, meditation, and breath work can alter the brain’s long-term health. “Where did they do?” I kept asking myself. Why can’t Wesley read any more? Why does this beautiful, blessed machine of a brain have to unravel?

If I could find a way to use yoga to help a mind stay calm and balanced and among us just a little while longer, then I would consider myself so lucky to have done work worth doing.

* All names have been changed to protect the patients’ confidentiality.

health, healthcare, hope, hospital, New York City, teaching, yoga

Step 258: Teaching Yoga at New York Methodist Hospital

Christa Avampato

Yoga provides an incredible well-being practice for everyone. There are no physical or mental limitations that prohibit a yoga practice of some variety. If someone can breath, they can do yoga. I began my journey toward becoming a yoga teacher focusing on my classmates at the Darden School at the University of Virginia. They had stress and I knew how to relieve stress through yoga since I had been on a journey of self-study and yoga for close to a decade. A classic case of filling a need in the market.

In May, I made my teaching path “official” and received my 200-hour certification through Sonic Yoga and started Compass Yoga. During my teacher-training process, I turned my attention toward making yoga accessible to people who had few opportunities to experience it, namely people with serious physical and mental health ailments. Almost 4 months to the day after completing my training at Sonic, I will begin offering classes in the pediatric unit at New York Methodist Hospital in Brooklyn to patients, caregivers, and the hospital staff. This is exactly the type of yoga work I set out to do and it feels like such an incredible gift to do the work I know I was meant to do.

I begin on Saturday, September 25th with a trial run at New York Methodist. I will be sure to update this blog as I get further along the path, though wanted to share this wonderful news, for which I am infinitely grateful, as it happens. Where there’s a will there is most certainly always a way. Namaste.

GEL conference, gel2008, health, hospital

GEL 2008: Bridget Duffy

Christa Avampato

If there is any industry that needs a major make-over, it’s health care. And if I or anyone I know ever needs a major procedure done, I am am likely to make the decision to choose the Cleveland Clinic as a result of Bridget Duffy’s talk at GEL. She is an accomplished doctor, as well as the Clinic’s Chief Innovation Officer. She’s involved with everything from empathy projects to redesigning the hospital gown. Originally she wanted her title to be “Chief Empathy Officer” – that’s how much she believes in empathy’s value.

Empathy is a funny thing. Kids have tons of it. In our early adult years through midlife, we lose a large amount of it, and then as we move into our later years, we revert back to our empathic capacity from childhood. So we have it – we are born with it. And like the creative spirit, we bury it somewhere deep within our recesses, until some life-altering event brings it back. Our challenge is to find a way to keep our empathy from being beaten down in the wake our busy lives.

My favorite quote from Bridget’s talk: “Everyone needs GPS – a guide to take them through every system. And companies need it, too.”