Healing in Healthcare: Integrative Approach to Building Resilience in Providers & Patients

Presented to staff of SickKids hospital, as part of the Mindfulness & Compassion Rounds

Message from the organizer:

Note:  This is a very vital, sensitive, vulnerable, honest and emotional session of an adult recounting their healing journey post treatment. Some may find the presentation triggering. As a whole, we as a group felt it was important to share and to start to go deeper into the topic of healing a life; for all of us that give bedside care this is an important recounting.  This is Part One, we hope in the near future to present Part Two where she is today and how this has motivated her to support and heal others…and to bravely share her story.

Montana is a yoga and meditation teacher, guiding individuals facing health challenges to discover their inner wisdom and healing potential. As a former childhood cancer patient at SickKids, Montana's presentation will highlight how the absence of emotional, psychological, and spiritual dimensions in her treatment led to decades of mental and physical health challenges.

Through the design and implementation of an integrative approach to well-being for herself and her clients, she has found that patients access increased agency in healing, overcome hypervigilance and fear, and discover a sense of peace with their new-found identities and in their lives.

Montana strives to bridge the gap between biomedical and integrative healing for healthcare professionals and patients alike, recognizing that these tools must be accessible to everyone. Learn more about her practice and get in touch at: https://montanaskurka.com/

Montana Skurka is an OCT-certified Integrative Wellness Educator and yoga and meditation teacher with a Masters of Teaching degree from the University of Toronto specializing in mental health education. She has over ten years' experience coaching individuals and facilitating self-care groups, providing her students with tools and supports to access their innate healing potential. Montana's dedication to this therapeutic holistic work and the mind-body connection stems from her personal struggles navigating health crises throughout her childhood and young adulthood.

♾️ Inner Alchemy Healing

One-on-one support for individuals facing health challenges addressing the emotional, spiritual & mental dimensions of your journey

Drawing from my lived experience with disease & disorder, I offer you empathetic and personalized support

Through tailored meditation, restorative postures, Reiki and additional embodiment techniques, I guide individuals on a transformative journey, fostering relaxation, resilience and holistic sense of well being

Your body is wise beyond comprehension. I am here for you 🤍

Mental Health and Self-Care for Cancer Advocates

Each of us becomes involved in cancer advocacy because we are deeply personally affected by the devastating impact of cancer.

How can we do our work effectively, while simultaneously caring for ourselves as we navigate triggers and intense emotions?

This workshop offers a variety of tips and tools to support ourselves and one another’s self-care and mental health. It includes education on trauma and the nervous system, gentle yoga, mindful breathing, journaling and group discussion on themes explored.

This workshop was presented at the Health EMatters Conference for cancer advocates, held October 27-29th 2022 in Toronto, Canada.

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Jelly Belly

When I was seven years old, I was diagnosed with acute lymphoblastic leukaemia. I was on chemotherapy for three years, from the ages of seven to ten years old. I should note here that I am incredibly fortunate. I was treated at one of the best children’s hospitals in the entire world. This diagnosis would have been a death sentence not too long ago.

Prednisone 

One of the drugs that was part of my chemotherapy treatment is called prednisone. Prednisone  is a synthetic corticosteroid. Corticosteroids have many effects on the body, but they are most often used for their potential anti-inflammatory effects, particularly in those diseases and conditions in which the immune system plays an important role.

Here is a list of a few of the many side effects and adverse effects of this (life-saving) drug:

  • Depression

  • Insomnia

  • Mood swings

  • Weight gain / ‘moon face’

  • High blood pressure

  • Muscle weakness

  • Nausea / vomiting

  • Impaired wound healing

  • Ulcers

  • Diabetes

  • Osteoporosis

  • Increased frequency and severity of infections

  • Retardation of growth in children 

I was a young girl who was regularly taking a medication that made me unable to sleep, experience intense and frequent uncontrollable mood swings, and seemed to suppress my ability to feel full. I do not recall receiving any guidance or support in overcoming the emotional, psychological and spiritual challenges that this drug caused me over the years of my treatment.

Jelly Belly

Prednisone was only one of the medications used in my treatment plan to target the cancer cells. There was a little room I would go into where I would get what my family infamously called ‘the back needle’. I don’t need to go into detail about all the locations I received needles for you to get the idea that this process was difficult and scary. But the worst part for me was when they asked me to go on the scale.

My weight and height had to be tracked zealously. The nurses and doctors would make it abundantly clear: my height was too low and my weight was too high. I believed that I was to blame. In fact, there was a female oncologist at this hospital who had given me the nickname Jelly Belly. She probably thought it was funny and harmless. I felt an intense amount of self-disgust. I felt ashamed. I was so afraid. I couldn’t control my sadness or my grief or my fear. My life was spiralling out of control, and I believed that I had received the message loud and clear: if I lost weight, I would be good. I have always been a perfectionist with a deep desire to please those around me. I wanted to be a ‘good student’ at the hospital, and receive the message that I was finally an average height and weight. I was failing them, and I had to do better. I could not control my height, but there was something that I could control. I had to lose weight.

When Healthcare Leads to Suffering

When I look back on this story, it becomes abundantly clear how I developed an eating disorder by the age of eleven. I began carrying around a calorie book with me everywhere I went. I knew how many calories were in everything. The goal was to eat as few of them as possible. 

At that point, the cancer treatment had ended. The long-lasting psychological toll it took was never addressed, as far as I can recall. When the emotional and mental health aspects of illness are not addressed, this can lead to immense suffering:

Here’s the thing about trauma: those who experience trauma do not allow themselves to forget. We re-traumatize ourselves over and over again. I was ten years old and my goal was zero calories per day. I was a hard-working perfectionist, and I became incredibly proficient at starving myself.

The Expert

When I was seven years old, I was diagnosed with acute lymphoblastic leukaemia, a blood cancer that is the leading cause of cancer deaths in children. I am immensely fortunate to have been born in a city that has one of the best children’s hospitals in the world, and I received top-notch care by a large team of medical professionals. In a strange way, I look back at the years I spent undergoing chemotherapy with something akin to fondness; I was too young to grasp the severity of the situation and I had full faith in the experts who were fixing me.

Everyone was so kind, from Posey the Clown, to the nurses who became my friends, to the team of oncologists who allowed a hint of kindness to shine through their veil of intimidation. I was confident they all knew what they were doing. I knew they had everything under control because I was in a hospital, a place where experts (identified by their white coats and self-assurance) healed sick patients (identified by the balding heads of children and uncertainty of their guardians).

Two decades later as I reflect on that experience, I have realized that I learned from a very young age that I should not be trusted to take care of myself. After all, I was my own worst enemy. My bone marrow was making too many immature white blood cells, and I needed experts to repair the destruction my body had inflicted upon itself. To some extent, we all learn this lesson early on: parents know best, teachers know best, the government knows best… and some of us internalize this message more than others.

When one goes through a trauma such as childhood cancer, there is an understandable concern with treating the disease and tracking the side effects of the treatment. For instance, my height and weight were tracked zealously- I learned from an early age to fear the dreaded scale, but that is a different story- and I was followed for many years after treatment was completed to ensure that I was not displaying symptoms that would indicate relapse of the cancer.

There was much less of a concern regarding how the experience had effected my mental well-being. This seems perfectly reasonable to me. I probably wasn’t displaying any obvious symptoms of distress, and these were professionals who specialized in blood-related cancers, not psychology. Furthermore, who isn’t going to be affected negatively by this jarring experience at the tender age of seven? Perhaps I had been immersed in the world of mortality, death and suffering a little bit younger than what was expected, but surely once I left the confines of the hospital I would rejoin the ranks of innocent children and be on my merry way?

I had learned from a young age that I was the source of all problems, and that experts were the source of all solutions. It was not long after I completed chemotherapy that I began feeling completely and utterly out of control. This sense of intense anxiety manifested in many forms as time went on, and I continued to search for an expert who could fix me. Each time this failed, I grew more desperate. I have a sneaking suspicion that many people can relate to this experience in one form or another.

We live in a society of the expert. We look to experts to fix all our problems: our health, computers, fitness, business, family issues… and each of these individuals certainly occupy an important place in our modern culture. Progress and expertise have resulted in millions of people living longer and more comfortable lives. The form of leukaemia I was diagnosed with at seven was a death sentence until quite recently; it is now treated in children with a great success rate.

However, the proficiency and skill of an expert has its limits. It is only through mindfulness meditation and yoga that I have truly learned that I am the expert of myself. It seems so simple, but it took me two decades of searching for the perfect expert to realize that it was me. At first this seemed completely preposterous- I was the source of all my suffering and pain- I was clearly the enemy, not the saviour.

But after a few weeks of meditating, I began to learn how to inhabit moments, rather than constantly searching for distraction. I began to loosen the grip of control I held tight, and ironically, that led to a sense of greater peace and security. Meditation and yoga have taught me that my mind and body are infinitely wise; if I just tune in to the right channel, I can understand the lessons they are trying to bestow upon me. I will never again falsely believe that there is someone or something external to myself that can make me feel whole.