“Adding Exercise for Everyday Life and Developing a Medical Device to Personalize Cancer Treatment”
Featuring: Cathy Skinner
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Cathy Skinner
“Adding Exercise for Everyday Life and Developing a Medical Device to Personalize Cancer Treatment” (Cathy Skinner) [#47] Brad Power March 8, 2023 “The focus of the protocol was to help people build their muscle mass, bone density, deal with pain, and deal with fatigue, all based on the notion that moving weight in a systematic way can actually help people get stronger during and after cancer treatment.
” – Cathy Skinner “My claim to fame, when I work with cancer patients face-to-face, is I'm the queen of modifications. For example, if you're someone who is limited in their movement, because your bone metastases are at risk for falls, I can modify the exercises and make them more appropriate for someone at risk. Or I can take it to the other extreme on how to make them more challenging.
” – Cathy Skinner Meeting Summary Advanced cancer patients, especially patients on hormone therapy, want to learn more about how exercise can help treat their disease. Advanced prostate cancer and breast cancer patients on hormone deprivation therapy suffer a decline in their muscle. Their heart is a muscle, and declines in cardio health are a common side effect.
Another side effect can be weight gain or weight loss. Exercise is an intervention patients can control to offset the side effects of hormone therapy, and is generally one of the best anti-cancer therapies, strengthening the immune system and resiliency. What should a cancer patient do? How can exercise be added into everyday life?
Cathy Skinner, CEO of The Art of Well and NXgenPort, has designed exercise programs that focus on building strength, balance, flexibility, and addressing weight management for cancer patients. Along with improving physical well-being, the program improves quality of life, function, range of motion, and stress management for survivors.
Cathy shared ten exercises which can be personalized for cancer patients. You can see the exercises in the transcript or slide deck. What is Cathy working on now? During the pandemic, Cathy had an opportunity to work on a new startup, NXgenPort. This is a smart port that can monitor biomarkers and potentially personalize dosing. It is in an early stage of development.
The information and opinions expressed on this website or platform, or during discussions and presentations (both verbal and written) are not intended as health care recommendations or medical advice by Cancer Patient Lab/Prostate Cancer Lab, its principals, presenters, participants, or representatives for any medical treatment, product, or course of action.
You should always consult a doctor about your specific situation before pursuing any health care program, treatment, product or other course of action that might affect your health.
“Adding Exercise for Everyday Life and Developing a Medical Device to Personalize Cancer Treatment” (Cathy Skinner) [#47] Meeting Notes
ult a doctor about your specific situation before pursuing any health care program, treatment, product or other course of action that might affect your health.
“Adding Exercise for Everyday Life and Developing a Medical Device to Personalize Cancer Treatment” (Cathy Skinner) [#47] Meeting Notes The information and opinions expressed on this website or platform, or during discussions and presentations (both verbal and written) are not intended as health care recommendations or medical advice by Cancer Patient Lab/Prostate Cancer Lab, its principals, presenters, participants, or representatives for any medical treatment, product, or course of action.
You should always consult a doctor about your specific situation before pursuing any health care program, treatment, product or other course of action that might affect your health. Conversation Outline 1.Introduction to today’s topic. (2:01) 2.Hormone therapy and exercise. (5:44) 3.Dealing with muscle mass loss. (10:48) 4.What is lymphedema and how to manage it? (16:04) 5.
Sitting twist exercise to relieve stress. (21:36) 6.How to do modifications for each exercise? (27:41) 7.How to prevent injuries? (33:52) 8.What’s next for bone strengthening? (39:20) 9.NXgenPort: Pre- submission to the FDA. (44:21) 10.Challenges of going to market with a startup.
(49:06) SUMMARY KEYWORDS exercise, people, cancer, called, hormone therapy, cancer patients, lymphedema, data, physician, lower extremities, shared, port, predicate, squats, kathy, hips, question, hand, patient, knees SPEAKERS Cathy Skinner (58%), Brad Power (9%), Rick Stanton (8%), Russ Holyer (7%), Amit Gattani (6%), Eric Hall (5%), Dale Yahnke (2%), Jeff Krolick (2%), Brian McCloskey (1%), Kevin Fordney (1%).
Brad Power We're honored to have Cathy Skinner with us. I met Cathy at the Personalized Medicine Coalition conference four years ago. I was very intrigued by the work that she was doing at that time in exercise, which she will explain. Recently, she's done a pivot and is working on a very interesting medical device, an intelligent port.
When people are getting infusions, sometimes they get a port. This port then also measures various vital signs since it's stuck in your chest. Cathy Skinner 2:01 I come to the cancer space because cancer came to my house over 20 years ago where my dad sadly was diagnosed with multiple myeloma, and he passed away. His journey inspired me to work in the cancer space.
“Adding Exercise for Everyday Life and Developing a Medical Device to Personalize Cancer Treatment” (Cathy Skinner) [#47] services to cancer patients and survivors. The first one that I started was called “The Art of Well,” and that's what I'm going to be bringing to you today. It's a research-based protocol for cancer patients and survivors. I say “research-based” because of a woman named Katie Schmitz. I call her “The Queen of Cancer Exercise”.
survivors. The first one that I started was called “The Art of Well,” and that's what I'm going to be bringing to you today. It's a research-based protocol for cancer patients and survivors. I say “research-based” because of a woman named Katie Schmitz. I call her “The Queen of Cancer Exercise”.
Back in the mid-2000s, like 2007, she started doing research on the impact of exercise on cancer patients and survivors. She did a study called the “PAL trial” (Physical Activity and Lymphedema), which she started here at the University of Minnesota and then migrated it to the University of Pennsylvania, which was a better move because she had a more diverse population of participants.
She studied how moving and weight strength training could benefit breast cancer patients and not trigger their lymphedema. (Lymphedema is swelling due to build-up of lymph fluid in the body. Lymph nodes act like a drain in your sink. If the drain is clogged, the fluid cannot drain. It usually happens in the arms or legs, but can occur in other parts of the body.
) Lymphedema for breast cancer patients happens in the upper extremities. For prostate cancer patients it can happen in the trunk and the lower extremities. I want to make sure we touch on that today and see if that's an area of concern.
I've worked for over 10 years face-to-face with cancer patients, men, women, all different types of cancer stages in treatment, post treatment, metastatic disease, and I would meet with people face-to-face in their homes or meet with them at a fitness studio, yoga studio, Pilates studio, and do a cancer exercise protocol together.
The focus of the protocol was to help people build their muscle mass, bone density, deal with pain, and deal with fatigue, all based on the notion that moving weight in a systematic way can actually help people get stronger during and after cancer treatment. There's a whole bunch of research that shows what exercise can do to improve quality of life.
In some cases and some cancers exercise can have an impact on recurrence of disease; not all cancers, but on some. We're gonna do an exercise protocol today. I know some of you are physically active and some of you not so much. Some of you just need a kick in the pants to get going.
Before we get started it would be helpful for me to understand from you, what are maybe one or two things that you love about exercise, or you hate about exercise. Where are you at? What are you doing? What's working? And where do you have gaps? Where do you need support? Rick Stanton 5:44 I can start. It always seems like it's always later in the day.
Like today, I think, “I'm going to work out in the morning.” Then with interruptions and laziness, it shifts to later in the day. For example, yesterday, I ended up lifting a few weights. I need to focus.
going to work out in the morning.” Then with interruptions and laziness, it shifts to later in the day. For example, yesterday, I ended up lifting a few weights. I need to focus. I bought an elliptical machine, and I get on it every three days and do “HIIT”, high intensity, two-minute segments eight times, where 30 seconds is max, and 90 seconds is recovery. It's “Dr. Kevin” from Abundant.
He's engaging; he's fun. During the 90 seconds, the music goes really loud. Then during the 30 seconds, you relax. It gets my heart by the end to about 151 or 155 beats per minute. So I try to get my heart up there. But I'm all on board to listen to what you're going to present. I'm excited about it.
“Adding Exercise for Everyday Life and Developing a Medical Device to Personalize Cancer Treatment” (Cathy Skinner) [#47] Ross is in a frickin’ gym. He's lifting while we're talking. He should be super impressive. Russ Holyer 7:06 I work out a lot. Today I'm going to do the middle of 60 minutes – my first workout. My second workout is 30 minutes, and my third one at night.
I'm one of those guys, if I work out late at night, I can't sleep. So my third one's only six minutes. Rick Stanton 7:25 Way to go. Russ Holyer 7:26 I've been working out my whole life. It's something I really enjoy. One thing that doesn’t get enough attention is the brain benefits, the outlook benefits. When I don't work out, if I stop for a couple of weeks, I start to get depressed; I get blue.
When I work out, everything looks brighter. Cathy Skinner You’re addicted. It’s the endorphins. Russ Holyer Probably the endorphins, more than the enkephalins (compounds that occur naturally in the brain — peptides related to the endorphins, with similar physiological effects).
Cathy Skinner
Russ brings a good point to the conversation: that you can hit a threshold where you actually miss exercise. Some of you will be going, “What?” But yes, it can become a habit. And it becomes essential. I have to exercise frequently because I am under a lot of stress, and that's the only way for me to manage my stress.
I injured my knee in November playing volleyball, and I was in a dark place because I couldn't process my stress. I was worried about my knee recovery. I had to think differently. There are some challenges out there, and there are some benefits to it. Dale Yahnke 8:39 How many people are on hormone therapy? I'm 14 months into it. I'm like Russ a little bit. I've worked out my whole life.
My doctor told me that weight training is good. But without any testosterone, it's hard to build muscles. I try to do three or four sets of 30 push ups a day. I do planks. I do dumbbells, not really heavy weight. I try to walk two and a half miles on the treadmill each day.
“Adding Exercise for Everyday Life and Developing a Medical Device to Personalize Cancer Treatment” (Cathy Skinner) [#47]
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