Living in New York City, I and many others have the challenge of finding decent public restrooms. When I say decent, of course I mean clean and not foul-smelling – don’t want to have to decide whether to sit or stand, if you know what I mean! Anyway, because we here have the problem of homelessness, clean public restrooms are a real challenge. And in the wake of 9/11, the challenge has become even greater. It was easy to duck into a hotel lobby restroom; but since 9/11, the concierge started asking to see your room key.

Still, there are several public restrooms for us out and about-ers. Any Barnes and Noble book store can accommodate your urgent needs. After you go, grab a book, purchase a latte and sit and rest. Although B&N has restrooms, there isn’t much resting going on in them; unless you rest while waiting on the line for the stall. I must say that Borders Booksellers have fabulous restrooms – clean, spacious and with foamy soap. Like B&N, you can rest with a good book once you are done.

I have become addicted to Starbucks’ Vanilla Lattes. And guess what? Yes, you guessed it – there is a public restroom. After a Grande Vanilla Latte, there had better be a restroom; though some of the smaller Starbucks don’t have public facilities. Take your own paper goods because there is rarely any toilet tissue or paper towels. But there is a toilet. So far, so good. I have noticed that not many street people use the facilities at Starbucks. They are probably put off by the price of a cup of coffee. Dunkin Donuts and McDonald’s is more their style – fast, cheap and yes, a toilet.

Now, except for the bookstores, ladies don’t look for a mirror. And no resting or socializing. Starbucks is a one-person-at-a-time facility; so no groups. But when you gotta go fast, it’s convenient. And when you really gotta go, you lose the whole socializing thing anyway. As for hotels, if there are restaurants, shops, and a bank of public phones (remember those?), then there are public restrooms. These are my personal favorites. Hotels restrooms are real meeting rooms. Women can sit, rest, socialize, and have decent conversations. The restrooms in the hotels have a sitting area, the stalls, and an area to spruce up. It’s like a condo! And everything works; there are enough paper goods to last through a flood. Hot water is hot and not lukewarm. And the paper towels are the quality kind, you know, lint-free. Good for dusting and cleaning. Okay, so I take a few. What, do they want them back? But I digress….

When I counsel clients in grief, especially women, I always tell them to honor their feelings and when you need to have a meltdown, duck into a ladies room. It is socially accepted, no one is going to stop you from needing to go to the loo, and it is full of tissues (at least we pray that it is) and, there is a mirror; except Starbucks. Wonder what’s up with that? With the prices they charge they should be able to afford bathroom mirrors, don’t you think? I mean, what's a restroom without a mirror? Just a loo!


"...I'll be back real soon..."

Coach Carolyn

Welcome to the annual Bathroom Blogfest, which runs from October 29 to November 2, during National Kitchen and Bath Month. Bloggers from around the globe write about the importance of bathrooms in the customer experience with photographs of great and terrible bathrooms. Their posts come from a wide range of perspectives that include sociology, marketing, research, psychology, environmental, customer experience, and user-experience design.

To meet all the bloggers and read their posts, visit the official Bathroom Blogfest Blog. Also check out the hilarious bathroom videos. I want to thank the instigators and animators of this fest: Stephanie Weaver, Susan Abbott, and C.B. Whittemore.

C.B. asked me if I would participate this year. And just having come from France and visiting so many WC's, I said of course. So here is my kickoff. Enjoy!

In honor of the 2007 Bathroom Blogfest, I thought I would focus on the ladies room as the meeting room. Back in the day, 1986, Klymaxx, an all-female band came out with a song called, “Meeting in the Ladies Room.” The chorus went:

“I got a meeting in the ladies room,
I’ll be back real soon…”

Unofficially, women have made the ladies restrooms a gathering place not only for rest, but relaxation, refreshment and conversation. Women of all ages gathered and took their place in front of the huge mirror. And by the way, because of the lighting in most restrooms, did you notice that every flaw is magnified? What’s up with that? But I digress…

I have always been intrigued with this notion of meeting in the ladies room. Why is it that women go to the ladies room in pairs or groups? Because it is a meeting room! Yes, there is the urgent business to take care of, but then there is the real business – socializing. And you socialize while you “fix your face.” Never understood that one, but I go with the flow. When you situate yourself next to another woman in the ladies room, find one with a “normal-size” handbag. She’s got everything you need in that bag! She may even have a spare roll of tissues. She has the sprays, the fix-its, the gels, and the Krazy Glue. I cannot understand the women who carry these teeny-weeny little handbags. All you can fit in one is a lipstick and a mobile phone…. As if! But again, I digress.

I am one of these women with a kidney the size of, well, a kidney bean. So I need to visit the ladies room quite often. What do I look for in a ladies room? Once upon a time, I wanted comfort and a clean smell. Today, just give me a toilet! I can manage the rest. No tissues? No worries, I travel with my own. No soap? No worries, I travel with my own. What, no water? No worries, that’s what hand sanitizers are for. Yes, I have been in many a ladies rooms, so I know lack.

My tip for the day: Always travel with a pack of tissues, a pack of soap leaves and/or a small bottle of hand sanitizer. If the ladies room has a toilet with a door, you are ahead of the game.

Uh-oh!
I got a meeting in the ladies room…
But I’ll be back real soon…


My Fellow Rockin' Bathroom Bloggers:

Kate Rutter—Adaptive Path
Laurence Helene Borel—Blog Till You Drop
Iris Shreve Garrott—checking out and checking in
Susan Abbott—Customer Experience Crossroads
Maria Palma—Customers Are Always
Becky Carroll—Customers Rock!
Toby Bloomberg—Diva Marketing
Stephanie Weaver—Experienceology
Linda Tischler—Fast Company Now
C.B. Whittemore—Flooring the Consumer
Ed Pell—K+B DeltaVee
Helene Blowers—Library Bytes
Claudia Schiepers—Life and its little pleasures
Katie Clark—Practical Katie
Sandra Renshaw—Purple Wren
Reshma Anand—Qualitative Research
Marianna Hayes—Results Revolution
Sara Cantor—The Curious Shopper
Anna Farmery—The Engaging Brand
Dee McCrorey—The Ultimate Corporate Entrepreneur
Katia S. Adams—Transcultural

Again, the round-up is at the Bathroom Blogfest Blog.

See you in the ladies room,
Coach Carolyn

One of the classes I have begun teaching is called A Spirituality of Purpose. It is a mix of men and women and a very interesting mix, I must say. In listening to the introductions and why people are taking the course, I always find some common threads. When the discussions begin, I find that people want to find their purpose, they want to live a life of passion, but they just don’t want to work at making that possible. If passion and purpose could just fall into their laps, without them having to do too much, then they would be satisfied.

I find that folks want a neat little packaged answer with a carefully mapped out blueprint detailing exactly how to live and what to do. Well, I’m here to pop that little fantasy balloon and tell you that it just does not work that way. Most of the fun of living a life of purpose is in the discoveries that we continue to make. I wouldn’t like it if my life was handed to me on some platinum platter with all the answers to all the questions. Yet, this is exactly how some people live their lives. Their parents, their family members, their peers, their community, or society has imposed their life purpose on to them; and now they are following a script that was written by and for someone else.

The only person that can plan your life is you. Someone else can help finance it, but even then, there may be restrictions. Get in touch with your own authenticity – you have an authentic self, you know. When are you going to start finding out who that self is and start making her happy? Living a life of passion and purpose means living from center, your center, and honoring what is in your core. As women, we tend to take care of everyone around us, which is not a bad thing unless it is at the expense of taking care of ourselves. I always say that we cannot give away what we ourselves do not have. If our love tank is empty, how on earth do we expect to fill someone else’s?

Last week, I signed up for a women’s workshop called “Spark Your Fire.” I wanted to be at a workshop where I was being taken care of and not facilitating for a change. I went with no expectations, only wanting to connect with self and other women. Boy, did I connect with self! After the deep breathing exercises, which left me feeling as if I was melting into the floor, I felt the traumatized Carolyn and knew I needed to pamper her. Again, I am so about taking care of other women, that it is too easy to neglect my own self care. But I was so held and honored that evening; it was all about pampering me. I shared my feelings with one of the facilitators at the end, and she was so supportive and caring, hugging me and reminding me to honor my feelings.

All this to simply say, I honored myself and filled my love tank. To do the work I do with women, I must have a full tank, or I absolutely could not hold anyone sacredly or safely. I would be too toxic. And worse, I wouldn’t have the presence to shield other’s toxins. Pretty scary!

One way to live a life of passion and purpose is to choose to want to live a life of passion and purpose. If you want to and hold that intention, then it will begin to show up for you. If you do not, then you will get a whole lot of what you do not want. First begin by choosing to live a life of purpose. If you want to change your life, then you have to work at it. The Law of Attraction includes the Law of Action. Make the conscious intention, then take the necessary steps to create the space for it to start showing up for you.


Start by choosing to change your life,
Coach Carolyn

5:10 PM

Lessons on Love and Fear

Posted by Doncrack |

During one of my Artist Dates, I had a lovely epiphany. I want to live more in love than in fear. Brilliant, huh? Well, yeah okay, what I mean is… I want to operate my entire life, including my coaching practice, in the love realm. The more speaking engagements I do, the more workshops I conduct, the more students I teach, the more clients I coach, the same issue always comes up: what blocks your living a life of passion and purpose? FEAR.

In my leadership coaching, I teach leaders how to love those they lead. However, this should not be confined to just those in traditional leadership positions, but to anyone who is in the position to influence someone. Guess what? That’s everyone, including you! When we can focus on loving, I believe there will be no room to focus on what we fear. And as I mentioned before, fears will always be a part of our stories, but they should not be to paralyze us, but to bring us to a new awareness. Fear means that something exciting is about to happen.

So are you wondering how do I teach people how to love? So glad you asked! Four simple words: Love as a verb! We need to wrap our brains around loving as something we make a conscious choice to do. Love is not about how we feel; we need to act our way into the feeling. When we behave lovingly, the feelings will come. Saint Thomas Aquinas, one of the Church Fathers, said: “Love is the effective willing of the good of the other.” Fancy, yes? Simply put, we choose to behave toward the other for their good. We want only the best for the other, acknowledging the other as other.

We can sometimes get in the habit of lumping groups of people together and classifying or labeling them; those people, that group. Danish philosopher Søren Kierkegaard once wrote, "When you label me, you negate me." (I love the Kierkster, as I affectionately call him) We must see each person as an individually-made expression of the Divine. This is part of our purpose, to recognize that we are uniquely made expressions of the Divine and live that to the fullest. When we live this, fear has no hold on us; we only operate in love.

Lovely epiphany? I think so. I look forward to your epiphanies and your comments on my epiphany. Take yourself on an Artist Date and dream. You never know what the Universe has in store for you.


Live purposely, in love,
Coach Carolyn

THURSDAY, Feb. 15 (HealthDay News) — Children whose mothers ate at least three servings of fish a week during pregnancy had higher scores in tests of mental function in their early years.

That's the conclusion of a new British-American study that conflicts with advice on fish consumption for pregnant women given by U.S. government agencies.
 
"For the baby's development, at the level of 12 ounces a week during pregnancy, the beneficial effects of the nutrients in fish far outweigh the risk," said Dr. Joseph Hibbeln. He is a clinical investigator at the U.S. National Institute of Alcohol Abuse and Alcoholism and lead author of a report on the study in the Feb. 17 issue of the journal The Lancet.

That assessment contradicts advice given by two U.S. agencies, the Environmental Protection Administration and the Food and Drug Administration, which issued an advisory in 2004 telling pregnant women to avoid eating more than 340 grams of fish — about 12 ounces a week — because of the danger of mercury poisoning.

The new study found that maternal seafood intake during pregnancy of less than 340 grams a week was associated with increased risk of children being in the bottom 25 percent of verbal IQ at 8 years of age and with suboptimum performance on tests of social behavior, fine motor activity, communication, and social development.

Hibbeln said the FDA and the EPA have been briefed on the results of the study.

Suzanne Ackerman, a spokeswoman for the EPA, said, "We looked at all the relevant information before issuing the guidelines. It is much too early to say whether one study will change the guidelines."

Veronica Castro, an FDA spokeswoman, said, "We have made no changes to our current information regarding pregnant women and seafood consumption."

The new study followed the children of 11,875 women living in Bristol, England, who had expected delivery dates between April 1991 and December 1992. The women were sent postal questionnaires about their diet four times during pregnancy and then periodically afterward about their children's social and developmental outcomes.

"We noted that children of mothers who ate small amounts (less than 340 grams per week) of seafood were more likely to have suboptimum neurodevelopmental outcomes than children of mothers who ate more seafood than the recommended amounts," the researchers reported.

The benefits "most likely" came from the high content of omega-3 fatty acids in fish, Hibbeln said. As for mercury, the fish consumed in England "appears to have more methyl mercury in it than the fish eaten in the United States, particularly tuna," he said.

"Our study has shown that the benefits of eating fish do outweigh the risks," said Jean Golding, professor emeritus of pediatric epidemiology at the University of Bristol and a member of the research team. "That might be at least three portions a week. Not at every meal, but we couldn't see with the information we had any harm from eating fish."

Dr. Gary Myers is a professor of neurology, pediatrics and environmental medicine at the University of Rochester in New York, and co-author of an accompanying editorial in the journal. He said the study "says that it is very important for children's cognitive development to get adequate amounts of long-chain fatty acids."

And there are few other dietary sources of those omega-3 fatty acids, he said, such as walnuts and flaxseeds.

"This article really points out the benefits of eating fish," Myers said. "It is important when people think about children to keep a balanced view of these things. There are no documented cases of people being damaged by eating fish. Reports of damage are based on epidemiological studies that are complex and difficult to interpret at times."

He said that one major problem with conducting a similar study in the United States is that "it is hard to get together people who eat large amounts of fish. Finding a group of individuals to study is not easy."

Asked what he would recommend to pregnant women, Myers answered with a question: "You know for a fact that eating fish improves your child's cognitive development. Someone tells you there might be a risk of eating mercury. Which would you choose?"

11:46 AM

Secrets of maternity dressing

Posted by Doncrack |

 You're thrilled about having a baby. But you're less than excited about the prospect of giving up your hip clothes in favor of tent dresses and sweats. Fear not — with a few simple wardrobe tweaks, you can be a hip mama. "The key is to stick with the same kinds of things you wear when you're not pregnant," advises fashion designer Liz Lange. If you wear a lot of black and that makes you feel confident and comfortable, then by all means, don't start wearing pink just because you're pregnant.
If you prefer solid colors to prints, choose a favorite neutral — say, gray, black, or khaki — and build your wardrobe around that. And if bows aren't your thing, then be glad that the days are gone when virtually every maternity top and dress was adorned with one!


Borrow before you buy
Maternity clothes can be expensive, especially when you consider that you'll wear them for only a few short months. In fact, the more you can borrow from friends who blazed the baby trail before you, the better.

Check out consignment shops and thrift stores. Women who spend a lot on maternity clothes often try to recoup some of their costs by reselling them at such stores. With a little patience, you can score designer maternity duds at a fraction of the original price.
 
Scour your closet — and your man's
"We all have at least a couple of things in our closets that we wear when we're a few pounds heavier than usual," says Lange. Loose tops and pants or skirts with elastic or drawstring waistbands can be terrific pieces to get you through the first few months.

Even your favorite jeans can last a couple of extra months if you use a little ingenuity. Try this trick: Loop a rubber band through the buttonhole and then wrap it around the button. This will provide that crucial extra inch or two of breathing room.

A store-bought alternative is the belly band, a stretchy band you wear around your waist. The band holds up your jeans so you can leave them unzipped. On top, wear a long shirt to cover your quick fix.

Certain silhouettes are especially becoming on your changing form: A-line shifts, empire-waist dresses and tops, and pencil skirts paired with swingy shirts. For a sporty, hip look that showcases your "bump," pair low-rise pants with a fitted tee. Stretchy gauchos create a trim, neat silhouette, topped by a loose peasant-style top. And just about any style made out of slinky, stretchy fabrics can go the distance right up to delivery day.

Don't forget your mate's side of the closet, either. One of his oxford shirts worn unbuttoned over a form-fitting tee or tank — or buttoned over leggings — is a classic look. Make it more feminine by rolling up the sleeves and pairing it with an eye-catching choker or bangles.
 
Ready to shop? First, buy several transitional pieces
When your regular clothes are just too tight but you're not ready for full-fledged maternity wear, buy a couple of pairs of inexpensive non-maternity pants and tops a size or two larger than you normally wear. Some women have great success finding both transitional clothes and maternity clothing alternatives in boutiques and departments that specialize in "plus sizes." They tend to be less expensive than maternity retailers, too.

"If you shop for maternity clothes too soon, the stuff you buy will be too big at first and then too small later in pregnancy," Lange says. "You'll be frustrated, plus you'll spend much more money than you need to." An added bonus: You'll be able to wear these transitional clothes during the awkward months after you deliver, too.
 
Don't be afraid to show off those curves
Today's moms-to-be are flaunting their blossoming bellies and breasts in body-conscious clothes that are miles removed from the frumpy, voluminous maternity smocks of yesteryear. And for good reason: Form-fitting is much more flattering than really loose. "If you can't see where the clothing ends and the woman begins, the clothes are too baggy," says Lange.
 
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Show a little skin
If your gams are gorgeous, flaunt them in a short dress. Upper arms like Madonna's? Show them off with a sleeveless shirt. Proud of your new, more expansive cleavage? Try a low-cut top. Neck and shoulders to die for? Highlight them with a ballet-cut or bateau neckline. You don't have to go undercover just because you're pregnant. "I'm not a fan of showing your entire belly — unless you're at the beach — but showing a little skin is always flattering," says Madie.
 
Paint yourself in one color
"When you're dressed in one color from head to toe, you look really put together," says Madie. You can use a scarf or sweater or even jewelry to add splashes of color, she says.
 
Layer
Your metabolic rate increases by about 20 percent when you're pregnant, which means that if everyone else is shivering, you're just as likely to be complaining about the heat. With a layered look, you can peel clothes off as needed. On cold days, wear a T-shirt or polo under a sweater or a turtleneck under a long cardigan.

Don't get carried away, though — too many layers or layers that are too loose can look sloppy instead of sophisticated. Sweater sets (maternity or otherwise) are a great way to look sleek and pulled together.
 
The image
 
Flex your shoe sense
Shoes feeling a little tight? Many women's feet expand a half or even a full size during pregnancy (and some never go back to their original size).

Fluid retention is only part of the problem. The joints in your body — including those in your feet — are loosening up in response to relaxin, the pregnancy hormone that allows your pelvis to expand to make way for your baby during delivery. So as your hips spread, so do your feet.

What's more, as relaxin loosens your joints, you'll also find your balance becoming a bit more precarious. Needless to say, this is not the time to be strutting around in stilettos. Choose flats or shoes with wide, chunky heels or lower "kitten heels" instead. And be sure to buy slip-ons — you're not going to want to bend over and lace up your shoes when you're nine months pregnant!
 
Accessorize
Accessories are a great way to get more mileage out of an outfit. You can give a basic piece, such as a black dress, a whole new look by swapping a chunky necklace for a silk scarf. An added bonus: If you splurge on a few accessories, at least you know you'll be able to wear them after you give birth.

Here are some ways to add a little oomph to your outfits:

•  Use a bright piece of jewelry, such as a turquoise or beaded bracelet or necklace, to give a monochromatic outfit some zip.

•  Wear a pair of funky shoes and carry a matching handbag to add your signature to a basic piece.

•  Punch up an outfit with a colorful scarf or by tying a sweater around your shoulders.

Pay attention to what's underneath it all
Whatever you do, don't try to squeeze into your pre-pregnancy bras and panties. Whether you're planning a night on the town or an afternoon lounging around the house, you'll look and feel better if your unmentionables aren't pinching you in all the wrong places.

Your breasts will swell during pregnancy — some women go up as much as three cup sizes — so look for bras that have at least two sets of hooks that let you adjust the band size, as well as adjustable shoulder straps. "You don't need a special maternity bra," says Lange. "Just buy one or two new bras at a time, as you need them."

Lange also recommends letting a knowledgeable saleswoman into the dressing room with you when you go bra shopping: "It sounds humiliating, but these women know their stuff and can help you select the right style and size for you."
As for underwear, loose is key. If you wear briefs, you may prefer over-the-belly maternity underwear. Otherwise, just buy your favorite thongs or bikinis in a size or two larger and let the waistband rest under your tummy.

http://images.inmagine.com/168nwm/blendimages/bld050/bld050012.jpg

Splurge (a little)
Few women can afford to buy a completely new wardrobe for pregnancy. But you should definitely invest in at least one outfit that makes you feel comfortable and confident. A sexy dress, black velvet pants and a swingy top, or a stunning suit can make you look like a million bucks when you feel like anything but. Wear it as much as possible while you can.

Last evening was the first of a follow-up coaching session to The Confident Woman workshop. Most of the women returned, and a few new women joined us. It was one of the most enjoyable and fun-filled sessions I have ever facilitated. I know, I say that about all my workshops!

But this one was different, as it was not a workshop but a group coaching session. So thoughts and questions came up and the women were instrumental in tapping into their own inner spirits to discover what their own confidence blocks were and we discussed ways to break through those blocks. Again, we spoke a lot about operating in a spirit of love as opposed to operating in a spirit of fear.

One of the biggest blocks for many women is finding the time and space to get in touch with the inner spirit. Though we say we want to build a relationship with ourselves, we don’t make it a top priority. We need to schedule an appointment with ourselves to take ourselves out on an Artist Date. And we must keep the appointment as we would any other appointment.

What is an Artist Date? Well, I am so glad you asked! In her ground-breaking book The Artist’s Way, Julia Cameron speaks of two ways of tapping into the inner creative or inner spirit: Morning Pages and Artist Dates. Morning pages are just long hand, stream of conscious writing in a journal every morning without censorship or edit.

Then there is my favorite, the Artist Date. Take yourself out on a date, just you and perhaps your journal and just be. I love long bus rides. So I will hop on the bus and ride all the way to the final stop, with no destination in mind. I usually end up in my favorite café where I write about anything that has come up for me. Sometimes, I just go to Central Park and sit near the water and watch the ducks and the swans. Other times, I do a combination of things, all the while carrying my journal to capture any dreams, thoughts, ideas, or just musings.

If you are having a difficult time tapping into your inner spirit – the only way to really know who you are and what you want – then I suggest picking up The Artist’s Way. It is a fabulous read and I believe for any of us to really become confident in our lives, we need to know what and who is inside of us.


Another tool I shared was repetition. When I find a book, podcast, article, or any other resource that has what I need to work on, I read or listen over and over and over and over again; until it has permeated my soul. I only want my soul filled with positive energy – so I will fill it with only positive things. The negative is far to easy and in abundance.

The second follow-up session is in December. The women have some tools and techniques on living a confident life. Can’t wait to see what unfolds.

Live confidently with passion,
Coach Carolyn


This post is in honor of Blog Action Day!

Unless you have been away from the planet for awhile, I am sure you are aware of the green movement -- the effort to create a more eco-friendly environment. This movement has many different layers, from recycling to carpooling to growing things. This move was brought to a new level with An Inconvenient Truth, former Vice President Al Gore's award-winning documentary about global warming.

Passionate congrats to Al and IPCC for winning the 2007 Nobel Peace Prize.

Living on purpose is about holistic living -- mind, body and spirit. And this involves our global home. When we do not take care of our health, parts of our bodies begin to whither. When we do not keep our minds sharp and entertained, slowly we lose our emotional and mental acumen. And so it is with our planet. Unwittingly, we are slowly destroying our global home. It is very easy to say this is not my responsibility. Ah, but you see, it is! It is ALL of our responsibility.

Some of us are complete greenies! Some of us have never heard the term. Okay, maybe I made it up, but you get my point. Ignorance does not exempt you of responsibility. So get in the know! Three little words that I have heard since I was a child: Reduce, recycle, reuse. Not difficult at all. Take one a day, like a multi-vitamin. It is like any muscle, when you do not use it, it atrophies. Frequent and constant use will strengthen and become a habit. Then it will become second nature.

Start small. Use a mug instead of Styrofoam cups. Run your dishwasher when it is full. Throw cans and bottles in proper receptacles. Use rechargeable batteries. Reuse grocery bags. We often throw things away that we think are no longer useful. Do we do that with people? Of course not. We think of other ways to be of use. Purpose has no expiration dates.

So, think of ways to reuse the things that no longer seem usable. I would be interested in your comments and ideas.

Live green on purpose,
Coach Carolyn

6:13 AM

Breast Augmentation - part 2

Posted by Doncrack |

Planning Your Surgery

In your initial consultation, your surgeon will evaluate your health and explain which surgical techniques are most appropriate for you, based on the condition of your breasts and skin tone. If your breasts are sagging, your doctor may also recommend a breast lift.

Be sure to discuss your expectations frankly with your surgeon. He or she should be equally frank with you, describing your alternatives and the risks and limitations of each. You may want to ask your surgeon for a copy of the manufacturer's insert that comes with the implant he or she will use—just so you are fully informed about it. And, be sure to tell your surgeon if you smoke, and if you're taking any medications, vitamins, or other drugs.

Your surgeon should also explain the type of anesthesia to be used, the type of facility where the surgery will be performed, and the costs involved. Because most insurance companies do not consider breast augmentation to be medically necessary, carriers generally do not cover the cost of this procedure.

Preparing For Your Surgery

Your surgeon will give you instructions to prepare for surgery, including guidelines on eating and drinking, smoking, and taking or avoiding certain vitamins and medications. A mammogram may be recommended prior to your procedure to ensure breast health and serve as a baseline for future comparison.

In addition to explaining your surgical procedure, you plastic surgeon will discuss anesthesia, the recovery process and your obligations as a patient. You will also discuss where your procedure will be performed. You will be asked to sign consent forms to ensure that you fully understand the procedure you will undergo and any risks and potential complications of your surgery. There may be a waiting period of several days to weeks from the time of your consent to the day of surgery.

While making preparations, be sure to arrange for someone to drive you home after your surgery and to help you out for a few days, if needed.

Where Your Surgery Will Be Performed

Your surgeon may prefer to perform the operation in an office facility, a freestanding surgery center, or a hospital outpatient facility. Occasionally, the surgery may be done as an inpatient in a hospital, in which case you can plan on staying for a day or two.

Types of Anesthesia

Breast augmentation can be performed with a general anesthesia, so you'll sleep through the entire operation. Some surgeons may use a local anesthesia, combined with a sedative to make you drowsy, so you'll be relaxed but awake, and may feel some discomfort.




Before
 
After

The Surgery

The method of inserting and positioning your implant will depend on your anatomy and your surgeon's recommendation. The incision can be made either in the crease where the breast meets the chest, around the areola (the dark skin surrounding the nipple), or in the armpit. In addition, a saline implant may be placed through an incision at the navel. Every effort will be made to assure that the incision is placed so resulting scars will be as inconspicuous as possible.

Working through the incision, the surgeon will lift your breast tissue and skin to create a pocket, either directly behind the breast tissue (submammary or subglandular placement) or may be placed beneath the pectoral muscle and on top of the chest wall (submuscular placement). Once the implant is positioned within this pocket, the incisions are closed with sutures, skin adhesive and/or surgical tape. A gauze bandage may be applied over your breasts to help with healing.

The surgery usually takes one to two hours to complete. You'll want to discuss the pros and cons of these alternatives with your doctor before surgery to make sure you fully understand the implications of the procedure he or she recommends for you.

After Your Surgery

You're likely to feel tired and sore for a few days following your surgery, but you'll be up and around in 24 to 48 hours. Most of your discomfort can be controlled by medication prescribed by your doctor.

Within several days, the gauze dressings, if you have them, will be removed, and you may be given a surgical bra. You should wear it as directed by your surgeon. You may also experience a burning sensation in your nipples for about two weeks, but this will subside as bruising fades.

Your stitches will come out in a week to 10 days, but the swelling in your breasts may take three to five weeks to disappear.

Getting Back to Normal

You should be able to return to work within a few days, depending on the level of activity required for your job.

Follow your surgeon's advice on when to begin exercises and normal activities. Your breasts will probably be sensitive to direct stimulation for two to three weeks, so you should avoid much physical contact. After that, breast contact is fine once your breasts are no longer sore, usually three to four weeks after surgery.

Your scars will be firm and pink for at least six weeks. Then they may remain the same size for several months, or even appear to widen. After several months, your scars will begin to fade, although they will never disappear completely.

Routine mammograms should be continued after breast augmentation for women who are in the appropriate age group, although the mammographic technician should use a special technique to assure that you get a reliable reading, as discussed earlier.

Your New Look

For many women, the result of breast augmentation can be satisfying, even exhilarating, as they learn to appreciate their fuller appearance.

Even if you believe your implants are functioning well, it is important that you follow-up as directed with your plastic surgeon to assess the condition of your breast implants. In addition, whether you choose to have breast implants or not, it is essential to your health that you practice a monthly breast self-exam and schedule regular diagnostic breast screenings.

Your decision to have breast augmentation is a highly personal one that not everyone will understand. The important thing is how you feel about it. If you've met your goals, then your surgery is a success.

6:04 AM

Breast Augmentation - part1

Posted by Doncrack |

If You're Considering Breast Augmentation...

Breast augmentation, technically known as augmentation mammoplasty, is a surgical procedure to enhance the size and shape of a woman's breast for a number of reasons:

  • To enhance the body contour of a woman who, for personal reasons, feels her breast size is too small.
  • To restore breast volume lost due to weight loss or following pregnancy
  • To achieve better symmetry when breasts are moderately disproportionate in size and shape
  • To improve the shape of breasts that are sagging or have lost firmness, often used with a breast lift procedure
  • To provide the foundation of a breast contour when a breast has been removed or disfigured by surgery to treat breast cancer
  • To improve breast appearance or create the appearance of a breast that is missing or disfigured due to trauma, heredity, or congenital abnormalities

By inserting an implant behind each breast, surgeons are able to increase a woman's bustline by one or more bra cup sizes. If you're considering breast augmentation, this will give you a basic understanding of the procedure—when it can help, how it's performed, and what results you can expect. It can't answer all of your questions, since a lot depends on your individual circumstances. Please ask your surgeon if there is anything you don't understand about the procedure.

breast_augmentation-1

Types of Implants

The choice of implant filler, implant size, shape and other features will be determined based on your breast anatomy, body type and your desired increase in size. Your lifestyle, goals and personal preferences, as well your plastic surgeon's recommendations and sound surgical judgment are also determining factors. Implant manufacturers occasionally introduce new styles and types of implants, and therefore there may be additional options available to you.

Breast implants are medical devices with a solid silicone, rubber shell. The implant shell may be filled with either saline solution (sterile salt water) or elastic silicone gel. Both saline and silicone gel breast implants are approved by the U.S. Food and Drug Administration (FDA). Approval means that an implant has been rigorously researched and tested, and reviewed by an independent panel of physicians for safety.

The size of a breast implant is measured in cubic centimeters (ccs) based on the volume of the saline or silicone filler. Breast implants vary both by filler and in size, but there are additional features to consider:

  • Texture: the implant shell may be smooth or textured
  • Shape: the implant may have a round profile or one that is anatomic (teardrop or tapered shape)
  • Profile: the implant may have a low, medium or high projection (the depth of the implant from the base to the highest point of the implant curve)
  • Diameter: the width of the implant measured across it's base (the side of the implant that will be positioned over the chest wall)

breast_augmentation-2

Adult women of any age can benefit greatly from the enhancement breast implants provide. It is usually recommended, however, that a woman's breasts are fully developed prior to placement of breast implants. Saline implants are FDA approved for augmentation in women 18 years of age and older. Silicone implants are FDA approved for augmentation in women age 22 and older. Saline or silicone implants may be recommended at a younger age if used for reconstruction purposes.

You should be aware that breast implants are not guaranteed to last a lifetime and future surgery may be required to replace one or both implants. Regular examinations for breast health and to evaluate the condition of your implants are important whether you have chosen saline or silicone breast implants.

breast_augmentation-3

All Surgery Carries Some Uncertainty and Risk

Breast augmentation is relatively straightforward. But as with any operation, there are risks associated with surgery and specific complications associated with this procedure.

The most common problem, capsular contracture, occurs if the scar or capsule around the implant begins to tighten. This squeezing of the soft implant can cause the breast to feel hard. Capsular contracture can be treated in several ways, and sometimes requires either removal or "scoring" of the scar tissue, or perhaps removal or replacement of the implant.

As with any surgical procedure, excessive bleeding following the operation may cause some swelling and pain. If excessive bleeding continues, another operation may be needed to control the bleeding and remove the accumulated blood.

A small percentage of women develop an infection around an implant. This may occur at any time, but is most often seen within a week after surgery. In some cases, the implant may need to be removed for several months until the infection clears. A new implant can then be inserted.

Some women report that their nipples become oversensitive, undersensitive, or even numb. You may also notice small patches of numbness near your incisions. These symptoms usually disappear within time, but may be permanent in some patients.

Breast implants do not generally interfere with a woman's ability to breast feed, or present a health hazard during pregnancy to a woman or her baby. However, pregnancy and the associated changes to a woman's body may alter the results of any breast surgery, including surgery to place breast implants. Therefore, it is important to discuss the options of breast implant surgery with your plastic surgeon if you are interested in becoming pregnant and breast feeding in the future.

breast_augmentation-4

Occasionally, breast implants may break or leak. Rupture can occur as a result of injury or even from the normal compression and movement of your breast and implant, causing the man-made shell to leak.

  • If a saline-filled implant breaks, the implant will deflate in a few hours and the salt water will be absorbed and naturally expelled by the body.
  • If a silicone-gel filled implant leak or break, the elastic silicone gel may remain within the implant shell, or may escape into the breast implant pocket (a capsule of tissue that surrounds the implant). A leaking implant filled with silicone gel may not deflate and may not be noticeable except through imaging techniques such as an MRI. For this reason, a woman with silicone breast implants is advised to visit her plastic surgeon annually to assess that her implants are functioning well. An ultrasound exam or MRI screening can assess the condition of breast implants; after 3 years it is recommended that all silicone implants be properly screened.

Following the placement of breast implants mammography is technically more difficult. Obtaining the best possible results requires specialized techniques and additional views. You must be candid about your implants when undergoing any diagnostic breast exam. In many cases, an ultrasound exam or MRI may be recommended in addition to mammography.

While the majority of women do not experience these complications, you should discuss each of them with your physician to make sure you understand the risks and consequences of breast augmentation.

 

Most women experience the onset of the menopause at an average age of about 50, but it can start anytime from the early forties to the late fifties. Symptoms can vary: some women sail through but others suffer the miseries of hot flushes, night sweats, irritability, depression, lack of energy and loss of libido.

Orthodox medical practitioners invariably prescribe hormone replacement therapy (HRT) and often anti-depressants and tranquillisers, which can become addictive. However, there is a natural alternative.
 
Hormone Replacement Therapy
 
HRT is prescribed to counter balance the reduced production by your body of oestrogen which can lead to increased risk of osteoporosis and weakened bones leading to fractures. However, two large clinical trials have shown that HRT does not, in fact, significantly reduce the incidence of bone fractures, and there is an increased risk of heart disease, gallstones, and breast and endometrial cancer.

Rather than a shortage of hormones, it is said that most menopausal symptoms are more to do with an imbalance. By eating a healthy diet, taking regular exercise and natural supplements, you can boost the health of your bones, and balance sugar levels and your hormones.

It is well known that people in some parts of the world (for example Japan and the Mediterranean countries) rarely suffer from heart disease due to their different national diets. It is less well known that women in the Andes region of Peru do not suffer menopausal symptoms. Peruvian women take Maca, a tuberous plant related to the potato. As well as the beneficial effect on menopausal symptoms, Maca boosts energy and libido. Maca is also known as "Peruvian Ginseng" and "Peruvian Viagra".

Centuries ago, the Incas inhabited this area and, in order to boost their energy, their warriors used to take Maca before going into battle. When the Spanish conquered the area they found that their horses suffered from the high altitude. The locals advised them to feed Maca to the horses and the animals immediately experienced an increase in energy levels. The Spanish found that what was good for their horses would also benefit humans, so payment for the taxes levied on the locals was taken in Maca.
Hormone Replacement
 
There are three phases of menopause: the peri-menopause or the year or so prior to the onset of the menopause when the your body misses the occasional menstrual period. During this time a low dose of 1500mg is recommended to counteract the slow down in the production by your body of hormones. During the actual menopause, increase the dose to around 4000mg each day for a period of 2-3 months, and then reduce the dose to 2000mg. In the post menopause phase, reduce your daily intake of Maca to 1500mg. The risk of osteoporosis is apparent from the onset of the menopause and thereafter. In addition to your daily intake of maca, you are advised to also take a daily dose of Forever Freedom, a natural health drink that contains aloe vera with added Glucosamine, Chondroitin, MSM, and vitamin C. This will ease stiffness and pain in the joints and promote mobility and good bone health.
 

7:56 AM

The Confident Woman

Posted by Doncrack |

This past weekend, I conducted a new workshop called The Confident Woman. It was a blessed experience. The women were awesome and the sharing and caring was tremendous. We shared, prayed, laughed, cried, ate, and hugged in a sacred space that made us all feel like family.

One of the stumbling blocks to being confident was fear. I have spoken quite a bit on this blog about fears and how they keep us from living a passionate and purposeful life. Fears block our confidence. Just imagine the things you would try if fears were not limiting you.

A building block to living a confident life is gratitude, again an old friend of this blog. Living in an attitude of gratitude opens the door to abundance giving you the confidence to live a life free of negativity.

I am a firm believer in visuals. Visuals create a picture in the mind that mere words cannot top. One of my dear friends and workshop participants, Kathleen bought me a beautiful perfume bottle for my last birthday. I asked the women if they would love to have this bottle. They all said they would. I then explained that it is filled with poison (not the fragrance). Now would you like to have this bottle? Of course, this time all said no. Yet, I explained, when someone offends, demeans, or insults you, you take that and ingest it – like poison. Realization! Don’t you love it?

To be a confident woman, you must make the conscious choice to not attend every pity party, anger-fest, and offensive gathering that you are invited to. Just say, “Thank you for sharing; I choose not to receive that.” And move on. No need to give further explanation; which only leads to further confrontation.

We were given an awesome power – the power to choose. Yet, sometimes we do not exercise that power wisely. Stopping is a spiritual action. When we are in the midst of a major or even a not so major decision, stop, take a breath, and then choose. And remember, making no choice, is also a choice. Make the choice to live an amazing and confident life.

Live passionately with confidence!
Coach Carolyn

9:38 AM

Forgiving on Purpose

Posted by Doncrack |

I posted the topic of forgiveness on my leadership blog, Equip and Empower after giving a talk on leadership to a class of seminarians. The topic was a lively one and very provocative. I love purposeful, provocative conversations -- they are so filled with passion!

You can read the post I wrote over up the block, but I wanted to just bring up the topic here because it is a sticking point to living a life of passion and purpose. I wanted to bring up some points for you to perhaps meditate and journal about over the weekend.
  • Do you have an issue of unforgiveness in your life?
  • Is it upsetting your peace?
  • What would you like to do about it?

Three simple questions to meditate on and journal about. I believe an exercise worth looking at. Forgiveness is such a loaded and provocative issue that these three questions are all we need to handle at one time.

If you are so willing, please share with me what came up for your in your journaling time.

Live free and on purpose,
Coach Carolyn

8:36 AM

Lessons in Facing Your Fears

Posted by Doncrack |

“The best remedy for those who are afraid, lonely or unhappy is to go outside, somewhere where they can be quiet, alone with the heavens, nature and God. Because only then does one feel that all is as it should be and that God wishes to see people happy, amidst the simple beauty of nature.” ~ Anne Frank

“Nothing in life is to be feared. It is only to be understood.” ~ Marie Curie

“All of us are born with a set of instinctive fears--of falling, of the dark, of lobsters, of falling on lobsters in the dark, or speaking before a Rotary Club, and of the words "Some Assembly Required.” ~ Dave Barry

"Fear makes the wolf bigger than he is." ~ German Proverb

"Courage is not the lack of fear but the ability to face it." ~ Lt. John B. Putnam Jr.

Live fearlessly and passionately,
Coach Carolyn

 
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