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  • Hockey Safety Tips (for Teens)

    Hockey Safety Tips (for Teens)

    The nonstop action and high-speed team play makes ice hockey a popular sport. As fun as it is, though, injuries can happen — some of them very serious.

    To stay as safe as possible as a hockey player or hockey goalie, follow these tips.

    Staying Safe & Preventing Injuries

    What Hockey Safety Gear Do Players Need?

    Before playing ice hockey, it’s important to get all the right equipment and make sure you know how to put it on and use it correctly. All players need:

    Helmet

    When it comes to preventing serious injuries, a helmet is the most important piece of gear. Helmets should be certified by the Hockey Equipment Certification Council (HECC ), include a full-face mask with a protective chin cup and chin strap, and should fit you properly. Keep the chin strap fastened and tightened so the helmet stays in place.

    Skates

    Be sure to get skates that fit you well. They need to be laced up tight, so the wrong size can really hurt your feet. Skates should have plenty of ankle support and a steel or hard plastic toe cup. Keep skates sharp so they work better and are less likely to get caught in ruts in the ice.

    Shoulder Pads, Elbow Pads, Knee Pads, & Shin Pads

    These are all specific to hockey. For example, gear used in soccer or lacrosse won’t give you the protection you need for playing hockey. Lower leg (knee and shin) pads should have a hard plastic exterior and reach the top of your skates.

    Hockey Pants

    Also called breezers, these should come down to the knee and offer padding in the front, rear, and sides of the upper legs and midsection.

    Gloves

    Another sport-specific item, hockey gloves should let your hands move freely while protecting you well past the wrist.

    Athletic Supporter and Cup

    These items are available as part of hockey undershorts or may be sold separately.

    Neck Protector

    Also called a neck guard, this gear protects the neck from injury (for example, from a skate blade or hockey stick). Choose one that fits you well and covers as much of the neck as possible.

    Cut-Resistant Base Layers

    Even with all the padding worn in hockey, any exposed skin areas are still vulnerable to accidental cuts from skate blades or forceful hits. For that reason, it’s now recommended that all players wear cut-resistant socks, wrist sleeves, and undergarments (base layer shirts and pants).

    Mouth Guard

    This protects the teeth, lips, cheeks, and tongue, and can help prevent jaw injuries.

    What Safety Gear Do Goalies Need?

    Hockey goalies need a whole different set of equipment to stay safe. If you are going to play that position, you need a helmet, skates, a neck protector, and an athletic cup specifically made for goalies. You should also wear:

    Throat Protector

    Worn in addition to a neck protector, this gear is worn to block a fast-moving puck or stick from hitting the neck. It is “flapper-style,” which means it attaches to your helmet and dangles just below the face mask, so it can move freely when the helmet moves.

    Leg Pads

    These need to be the right length and thick enough to protect against hard slapshots. Wear pants and socks underneath leg pads to cover any exposed skin.

    Arm Pads & Chest Protector

    Arm pads should reach all the way to the wrist. Chest protectors should wrap slightly around the sides to keep your entire front well protected.

    Blocker Glove

    This glove should let your fingers grip the stick easily but be very thick and cover most of the forearm.

    Catcher Glove

    Similar to a first baseman’s glove in baseball, a catcher glove should have thick padding over the wrist and palm and should come well up the forearm.

    How Can I Stay Safe During Hockey Training & Games?

    Before starting the season, you should get a sports physical. Your doctor can check for any health problems and talk about sports safety. Most schools won’t let athletes play unless they’ve had a sports physical during the past year. And being in good shape can help players avoid injuries.

    It’s important to get comfortable on the ice before you learn hockey skills. It can help to take skating lessons and practice how to stop, turn, fall, and get up from a fall. It’s also helpful to know how to skate backward and stop and turn while skating backward.

    To stay safe, you should:

    • Always warm up and stretch before practice and matches.
    • Follow the rules and use proper techniques. Learn how to collide with the boards safely and not with your head. This helps to prevent spinal injuries.
    • Make sure your coach will be at all practices and games and will enforce all league safety rules.
    • In general, never hit another player on the head, never check from behind, and never use the stick as a weapon.
    • Stop playing if you feel pain or get hurt. Get checked by an athletic trainer, a coach, a doctor, or a nurse before going back on the rink.
    • Know the symptoms of a concussion, like a headache, dizziness, or confusion. If you hit your head or don’t feel well, tell your trainer or coach right away. Follow return-to-play guidelines.
    • Stay hydrated by drinking plenty of liquids before, during, and after games and practices.
    • Know the team plan for emergencies.

    What Else Should I Know?

    Follow your coach’s safe, fair play rules at practices and games. Be respectful of the referees and don’t argue with their calls. Stay calm if an opposing player does something you disagree with. Don’t take it personally or start a fight — let the referees handle it.

    It can help to play different sports throughout the year to prevent repetitive stress injuries (overuse injuries). These injuries happen when someone trains too much or makes the same motions over and over.

    Safety in Other Sports

    Safety matters whether you’re playing hockey or doing another athletic activity. To help prevent injuries in other sports, check out these articles:

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  • Joint-Friendly Workouts and Bone-Strengthening Exercises for a Faster Metabolism

    Joint-Friendly Workouts and Bone-Strengthening Exercises for a Faster Metabolism

    As people enter their 40s, the body begins to experience natural changes, muscle mass declines, metabolism slows, and bones lose density. This makes strength training over 40 an essential part of maintaining health, function, and vitality.

    By incorporating simple resistance workouts that emphasize proper form and joint protection, adults over 40 can safeguard their strength, prevent injuries, and support an active lifestyle well into later years.

    Why Strength Training Matters After 40

    Muscle loss, medically known as sarcopenia, typically starts around the mid-30s and accelerates with age. Without regular physical activity, adults can lose up to 5% of muscle mass per decade.

    This loss directly affects balance, strength, and everyday energy levels. Incorporating strength training over 40 helps counteract this process by stimulating muscle fibers and improving overall body composition.

    Unlike high-intensity workouts that can strain joints, well-planned resistance sessions promote metabolism boosting strength without excess wear and tear.

    Strength training also enhances hormone balance, supports cardiovascular health, and regulates blood sugar levels. These benefits go far beyond appearance, they contribute to long-term wellness and independence.

    Joint-Friendly Workouts for People Over 40

    As joints become more sensitive with age, it’s important to choose joint-friendly workouts that strengthen muscles while supporting mobility. These workouts focus on low-impact movements that minimize stress on the knees, shoulders, and back.

    Examples of joint-friendly workouts include:

    • Resistance band routines: Portable and easy to adjust, resistance bands allow a full range of motion without overloading joints.
    • Bodyweight exercises: Moves like wall push-ups, modified planks, and glute bridges offer strength improvements using natural resistance.
    • Swimming or water aerobics: The buoyancy of water reduces joint strain while still providing muscular resistance.
    • Yoga and Pilates: These improve flexibility, alignment, and awareness of joint positioning.

    Practicing proper warm-ups and controlled movement patterns prevents injury and ensures comfort during exercise.

    For those returning to fitness, starting with simple resistance training helps build foundational strength before progressing to weights or machines. Listening to the body’s signals, particularly in the knees, hips, and shoulders, is key to longevity in training.

    Exercises That Naturally Strengthen Bones

    Bone density declines gradually after age 40, particularly for women during and after menopause. To combat this, bone-strengthening exercises play an essential role in maintaining skeletal health. Weight-bearing and resistance-based movements help bones stay dense and resilient by stimulating bone cells known as osteoblasts.

    Proven bone-strengthening exercises include:

    • Squats and lunges: These activate large muscle groups in the legs and stimulate bone growth in the hips and spine.
    • Step-ups: Gentle impact combined with bodyweight resistance encourages bone adaptation in the lower body.
    • Dumbbell presses and rows: Strengthening the arms and shoulders also supports the upper back, maintaining good posture and reducing fracture risk.

    Unlike endurance-based activities, these movements create healthy microstress on bones, encouraging them to repair and rebuild. Combining these sessions with good nutrition, especially calcium and vitamin D, helps maximize results.

    Boosting Metabolism Through Strength Training

    As metabolism naturally slows with age, building and maintaining lean muscle becomes one of the most effective ways to keep it active, according to the World Health Organization. Each pound of muscle tissue burns more calories at rest than fat tissue, which means even small gains in muscle translate to noticeable increases in daily energy expenditure.

    Metabolism boosting strength workouts often include compound movements that work multiple muscle groups at once. Good examples are:

    • Push-ups or modified push-ups: Strengthen the chest, arms, and core simultaneously.
    • Deadlifts with proper form: Engage the lower back, glutes, and legs, leading to efficient calorie burning.
    • Planks and variations: Build core stability while engaging multiple major muscles.
    • Circuit training: Alternating between upper- and lower-body exercises with short rest periods elevates heart rate and keeps metabolism high even after a session ends.

    Combining strength training over 40 with quality sleep, balanced meals, and hydration further enhances metabolic health. Over time, this approach helps stabilize energy levels and makes it easier to maintain a healthy weight.

    A Beginner Routine for Simple Resistance Training Over 40

    Starting a new exercise routine at midlife doesn’t require complicated equipment or fitness memberships. A consistent simple resistance training plan performed two to three times per week can bring noticeable improvements in strength, flexibility, and confidence.

    A sample weekly program might include:

    Day 1 (Upper Body Focus):

    • Wall push-ups – 3 sets of 10–12 reps
    • Seated band rows – 3 sets of 12 reps
    • Dumbbell shoulder press – 2 sets of 10 reps
    • Biceps curls – 2 sets of 12 reps

    Day 2 (Lower Body Focus):

    • Bodyweight squats – 3 sets of 10 reps
    • Step-ups on a low platform – 3 sets of 12 reps
    • Glute bridges – 3 sets of 15 reps
    • Standing calf raises – 2 sets of 12 reps

    Day 3 (Full-Body Mobility and Core):

    • Plank holds – 3 sets of 20–30 seconds
    • Bird dogs – 3 sets of 10 reps each side
    • Gentle yoga or stretching – 15–20 minutes

    Proper form and posture are critical, especially for those just starting. Beginners should prioritize control and range of motion before focusing on weight or intensity.

    As endurance builds, light dumbbells or resistance bands can be added for progressive overload. Consulting a trainer or physical therapist ensures exercises are done safely, particularly for those with existing joint conditions or previous injuries, as per the Centers for Disease Control and Prevention.

    Mistakes to Avoid When Doing Strength Training Over 40

    Even experienced exercisers can make errors that hinder progress or increase injury risk. Common missteps include:

    • Skipping warm-ups and cooldowns: Cold muscles are prone to strain, while skipping stretching can limit flexibility over time.
    • Overtraining: Insufficient rest prevents muscle recovery and can cause chronic fatigue or joint inflammation.
    • Lifting too heavy too soon: Gradually increasing resistance is safer and more sustainable than sudden weight jumps.
    • Ignoring recovery: Adequate sleep, hydration, and nutrition play a direct role in muscle repair and joint support.

    Avoiding these pitfalls helps make joint-friendly workouts more sustainable for long-term consistency.

    Stay Strong and Active After 40

    Maintaining strength after 40 is less about chasing performance goals and more about building resilience that supports everyday life. Engaging in strength training over 40 helps preserve joint function, strengthens bones, and keeps metabolism high, all factors that directly contribute to quality of life.

    By incorporating joint-friendly workouts and bone-strengthening exercises, adults can remain active without discomfort or risk of injury. Consistent, simple resistance training routines bring gradual yet lasting improvements in posture, coordination, and muscle tone.

    The body may change with age, but its ability to adapt never truly fades. With practical strength sessions and mindful habits, staying strong, flexible, and energized at any age becomes not just possible, but entirely achievable.

    Frequently Asked Questions

    1. How long does it take to see results from strength training over 40?

    Visible results can appear within 6–8 weeks of consistent workouts, though strength and energy improvements often occur sooner. Progress depends on diet, sleep, and workout frequency.

    2. Can strength training over 40 help with weight management?

    Yes. Strength training builds lean muscle, which burns more calories at rest and supports healthy weight regulation even without intense cardio.

    3. Is it safe to lift weights daily after 40?

    Not recommended. Muscles and joints need rest to recover. Training 2–4 times per week with rest days in between helps prevent overuse and injury.

    4. Do I need supplements for strength training over 40?

    In most cases, a balanced diet provides sufficient nutrients, but supplements like protein, vitamin D, or calcium can help if dietary intake is low, always consult a healthcare provider first.



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  • Pet Psychic | Animal Communication Readings

    Pet Psychic | Animal Communication Readings

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  • A Meditation to Nourish an Undefended Heart

    A Meditation to Nourish an Undefended Heart

    So, what does care look like in the presence of difficulty? I think we can safely say that we all care, but are we caring about the right things? These are the words of Hafiz, a poet from antiquity: “My dear, is it true that your mind is sometimes like a battering ram, running all through the city, shouting so madly inside and out about the 10,000 things that do not matter?”

    I think we all have moments in our lives that wake us up to what matters most. I have one: when my son Valentino was about a month old, I had to rush him to the hospital. It’s there that we learned he needed emergency surgery. It wasn’t even me running into that hospital with him—it was every parent who ever carried their sick child or sick baby. It’s easy to forget in those moments that what we’re actually doing is learning something about this human condition. 

    So…what does it even mean to live with an “undefended heart”? How do we train the heart to relax so we can learn about this phenomenon of being human? And how do we make it less about our individual pain, but connect instead to THE pain, and all the beings who share this condition with me? Because that’s when we’re able to allow the most caring part of ourselves to come forward. 

    It’s not easy, though. We have to keep an eye out for where we get stuck and bring compassion to that very place, to that VERY experience. Really loving means having to surrender a part of ourselves. The practice of compassion, then, is waking up to all the barriers we put up between ourselves and love. 

    Seeing where we’re hooked or locked up is important because there’s no chance of freedom if we can’t first recognize where we’re stuck. And if we can’t differentiate between an unskilful response and a skilful one, we’re sure to remain in our unconscious patterns. Tara Brach puts it this way, “Each time you meet an old emotional pattern with presence, you’re awakening to truth can deepen. There’s less identification with the self in the story and more ability to rest in the awareness that’s witnessing what’s happening. You become more able to abide in compassion, to remember and trust your true home rather than cycling repetitively through old conditioning. You are actually spiralling toward freedom.”

    As we open to what’s difficult, we will also open to understanding. Last week we talked about the ability to stay with the sensations in the body and not the mind’s story about what’s happened or is happening. We can usually bear the sensations. It’s the stories that overwhelm us. It’s the story that we’re always going to feel like this; that we’ve always felt like this; that whatever is happening is the only thing happening. 

    With this practice we can learn how to direct awareness in a very specific way—particularly with regards to the heart’s relationship to pain. We may not be able to save the world, but we do have to find a way to respond, to hold our experience of the world. Knowing in our hearts that we are not separate from this world is an important first step. Because, as we allow ourselves to be touched, we encounter the courage of the undefended heart. And our willingness to touch, to be moved, to hang out in this realm can bring a kind of beauty to the hard stuff of life.

    A Meditation to Nourish an Undefended Heart

    Watch the Video:

    Listen to the Audio:

    Read and practice the guided meditation script below, pausing after each paragraph. Or listen to the audio practice.

    1. Find a position that’s comfortable, steering your awareness inward. Let go of any demands you may sense in this moment; just let them fall away.

    2. Check in on your heart and your belly. As you do, let’s set an intention to meet whatever arises with as much gentleness and acceptance as possible.

    3. Bring to mind someone you’re familiar with. Let’s make it a person we see regularly, perhaps at the grocery store or in our neighborhood. What we’re doing is expanding our circle of care out to those we feel neutral about (so no big feelings either way). Picture them in your mind, knowing that they, too, have their own difficulties. They too know pain, struggle.

    4. Now let’s offer them the same care that we wished for ourselves last week. I care about your difficulties. May you be held in compassion. May your heart be at peace.

    5. Bring to mind all the different people you regularly cross paths with. Offer them the same phrases we offered ourselves: I care about your difficulties. May you be held in compassion. May your heart be at peace.

    6. As we close this practice, notice if there are any ways in which you’re judging yourself. Are you telling yourself that you’re not doing this well enough, or expecting something else to happen? No need for judgment here. We all just get to set our intention and care about what arises. 

    Over the course of the next week, allow yourself to see where compassion naturally arises and where it may need a little bit of help to flourish.


    About The Author



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  • Autoinflammatory diseases: MedlinePlus Medical Encyclopedia

    Autoinflammatory diseases: MedlinePlus Medical Encyclopedia

    SAIDs occur due to a defect in the immune system. This may be due to a genetic mutation, or there may not be a clear cause. Environmental factors may trigger the response in some people.

    Your immune system protects you by detecting and fighting harmful substances in the body. These include bacteria, viruses, fungi, chemicals, toxins, and foreign particles (such as a splinter).

    Your immune system involves:

    • Innate immunity — this is the protection you were born with. Innate immunity involves barriers that keep harmful materials from entering your body. Examples include your skin, stomach acid, and mucus. This is the first line of defense against invaders.
    • Adaptive immunity — this is the protection you gain as your body learns over time which substances are harmful. Your immune system builds a defense against that specific substance. Vaccines work by training your adaptive immunity to recognize harmful invaders, for example flu viruses, and attacking them.

    SAIDs occur due to an abnormal reaction of innate immunity. Autoimmune diseases occur due to an abnormal reaction of
    adaptive immunity.

    When innate immunity is activated, it triggers your immune response. Certain chemicals in the body are released at the infection or injury site causing signs of inflammation, including redness, heat, pain, and swelling. Inflammation is part of the body’s self-healing process. As you recover from your illness or injury, inflammation goes away.

    SAIDs occur when innate immunity is activated without a clear cause. This may cause inflammation to occur in excess or to last for long periods of time. Excess inflammation can damage healthy tissues in the skin, bones, eyes, liver, heart, or kidneys.

    The defective MEFV gene responsible for the most common autoinflammatory disease, familial Mediterranean fever (FMF), was first identified in 1997. Since then, many SAIDs have been identified. Not all have a clear genetic cause.

    There are more than 50 SAIDs, including:

    • Familial Mediterranean fever (FMF)
    • Tumor necrosis factor receptor-associated periodic syndrome (TRAPS)
    • Cryopyrin-associated periodic syndromes (CAPS)
    • Hyperimmunoglobulinemia D with periodic fever syndrome (HIDS)
    • Aicardi-Goutières syndrome
    • Blau syndrome
    • Adult Still disease
    • Hereditary angioedema
    • Behçet disease

    Each SAID affects people differently. Some occur for a few years and never return. Some last a life-time and need ongoing
    management.

    SAIDs can be passed down in families. So if your parent or siblings have an SAID, you are more at risk for also developing it.

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  • What Does Personalized Nutrition Actually Deliver?

    What Does Personalized Nutrition Actually Deliver?

    There’s a lot of focus on personalized nutrition, but maybe we should focus on taking personal responsibility for our health.

    “Personalized nutrition (PN) is rooted in the concept that one size does not fit all,” and who doesn’t want to think they’re special? The idea of personalized nutrition is inherently appealing to our ego; that’s why simple messages recognizing individuality deeply resonate with us and why such messages are popular in marketing and sales. This focus on uniqueness has spurred the creation of personalized foods, along with the suggestion that “3D Food Printing seems to be a good candidate for food customization.”

    Now, there certainly are some legitimate differences between people. Some have a peanut allergy and keel over if they eat a peanut, others have celiac disease and need to avoid gluten, and some are genetically lactose-intolerant. There’s an enzyme mutation common in some parts of Asia that protects against alcoholism because people with the altered enzyme don’t metabolize alcohol as efficiently, so toxic metabolites build up. I published a fascinating video about fast versus slow caffeine metabolizers and the difference in health benefits that actually extends to athletic performance. Caffeine is ergogenic—performance-enhancing—but only in fast metabolizers, shaving more than a minute off 10 kilometers (about 6 miles) of cycling, whereas slower metabolizers either got no benefit or the caffeine actually slowed them down, adding two minutes to their cycling time, depending on which kinds of genes they have that code the enzyme that breaks it down. You can see these results below and at 1:24 in my video How Useful Is Personalized Nutrition?.

    But for most people, in most situations, we are more similar than different.

    While there is a specific minority of people who need a more personalized approach to nutrition, there is currently insufficient evidence to support truly personalized nutrition for most people. Yet a surprising number of direct-to-consumer genetic testing companies have proliferated, offering personalized nutrition advice. For example, there are supplement-hawking companies that claim to help consumers optimize micronutrient status based on a handful of genetic variants, even though most variants explain just a few percent of the difference in levels between people.

    Personalized nutrition is part of a broader push towards personalized medicine, also known as precision medicine. There is a “massive cultural allure” of personal control over diagnosis, treatment of disease, and prevention, spurring demand and intense commercialization. But unlike monogenetic diseases—which are rare genetic diseases caused by a single malfunctioning gene, like hemophilia or sickle cell anemia—most diseases are caused by a complex interaction between multiple genes and environmental factors, which pose a “major challenge for the realization of personalized medicine.”

    Take something like adult stature, for example. Researchers have found at least 40 locations on our chromosomes that have been associated with human height, which is strongly inherited. The genes from parents account for about 80% of the difference in height between people, yet those dozens of identified genes explain only about 5% of height variation between individuals.

    Researchers find those genetic links by using genome-wide association studies, in which all the chromosomes are scanned to look for statistical associations between diseases and any particular stretches of DNA. That’s interesting, but companies marketing genetic susceptibility tests are reinterpreting these data as if they predict individual risks. But all you’re really getting are modest genetic associations with a slight increase in disease risk and with little predictive power when compared to more significant contributions of things we already know, like lifestyle behaviors. Currently, the practice of using a person’s DNA to predict disease “has been judged to provide little to no useful information.”

    For example, let’s say a person’s genetic analysis says they’re at slightly greater risk for some grave condition compared to others in their ancestral group. This person was advised to exercise, keep their weight down, not drink too much alcohol, and eat fruits, vegetables, and whole grains. It’s sound advice, but we should be living this way regardless of our genetic risk. And we know—at least we should know—these simple, basic strategies to reduce risks of common chronic diseases. “The problem, of course, is that very few individuals live this way. Actually, to be more precise, almost nobody lives this way.” That’s not just hyperbole—nationwide surveys show that nearly everyone in the United States consumes a diet that’s not on par with even the wimpy recommendations of the Dietary Guidelines.

    Indeed, almost “no one in the United States is eating a healthy diet.” Findings like that remind us that when it comes to public health, “worrying about personalizing our preventive strategies based on genetic risk information borders on the absurd.”

    Doctor’s Note

    Here’s the video I mentioned about fast versus slow caffeine metabolizers and the difference in health benefits extending to athletic performance: Friday Favorites: Do the Health Benefits of Coffee Apply to Everyone?.

    For more about lifestyle approaches, check out related posts below.



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  • How Laparoscopic Cholecystectomy Works and What to Expect During Recovery

    How Laparoscopic Cholecystectomy Works and What to Expect During Recovery

    Gallbladder removal surgery, also known as laparoscopic cholecystectomy, is one of the most common procedures performed to treat gallbladder conditions such as gallstones, inflammation, or infection. Often called a keyhole gallbladder operation, it’s a minimally invasive technique that allows patients to recover faster and experience less discomfort compared to traditional open surgery.

    Understanding how the procedure works and what to expect during gallbladder surgery recovery helps patients prepare for a smoother healing process and informed post-operative care.

    What Is Gallbladder Removal Surgery?

    Gallbladder removal surgery is a medical procedure designed to remove the gallbladder — a small, pear-shaped organ located under the liver that stores bile. Bile helps digest fats, but when gallstones or inflammation occur, they can block bile ducts, causing severe abdominal pain, nausea, and digestive issues.

    The most common method used today is laparoscopic cholecystectomy, which involves small incisions and the use of a thin tube fitted with a camera (a laparoscope). Surgeons perform the operation using specialized instruments, avoiding the need for one large incision typical of open surgery.

    Laparoscopic surgery offers several advantages: smaller scars, reduced pain, lower risk of infection, and a quicker post-op recovery time. In most cases, patients can go home the same day or within 24 hours.

    People often wonder whether gallbladder removal is a major surgery. While it is a surgical procedure requiring general anesthesia, the laparoscopic approach significantly minimizes trauma to the body, making it less invasive and easier to recover from than open operations.

    How Laparoscopic Cholecystectomy Is Performed

    A keyhole gallbladder operation typically follows several precise steps. Before surgery, patients undergo imaging tests such as ultrasound or CT scans to assess the gallbladder’s condition and confirm the presence of gallstones or inflammation.

    1. Preparation and anesthesia: Patients receive general anesthesia to ensure they’re asleep and pain-free during the operation.
    2. Creating incisions: The surgeon makes a few small cuts in the abdomen, usually around the navel and upper stomach area.
    3. Insertion of the laparoscope: Through one incision, a thin tube with a tiny video camera (laparoscope) is inserted. This allows the surgeon to view the gallbladder and surrounding organs on a monitor.
    4. Removal of the gallbladder: Using delicate surgical instruments inserted through other incisions, the gallbladder is carefully separated from the liver and bile duct before being removed through one of the openings.
    5. Closing the incisions: Once the procedure is complete, the small incisions are closed with sutures or surgical tape.

    The entire surgery typically takes about 45 to 90 minutes. Most patients experience mild discomfort or shoulder pain afterward, caused by the gas used to inflate the abdomen during the procedure. This discomfort usually subsides within a few days.

    What Happens After Gallbladder Surgery

    After a laparoscopic cholecystectomy, patients are taken to a recovery area for monitoring as they wake up from anesthesia. If the surgery is uncomplicated and vital signs remain stable, many can return home later the same day, according to Mayo Clinic.

    During the first few days of gallbladder surgery recovery, mild abdominal soreness, fatigue, or bloating are common. Pain is often managed with prescribed or over-the-counter medication. Patients are encouraged to walk short distances to prevent blood clots and promote healthy circulation.

    Diet plays an important role during early recovery. Doctors usually recommend starting with light, low-fat foods and gradually reintroducing a normal diet as the digestive system adjusts to the absence of the gallbladder.

    Some people experience mild changes in digestion, particularly when eating high-fat or greasy meals, but this often improves over time.

    Gallbladder Surgery Recovery Time and Post-Op Care

    Recovery time after gallbladder removal surgery varies depending on the patient’s health, age, and whether the procedure was laparoscopic or open.

    For a laparoscopic cholecystectomy, most people can resume normal activities within one to two weeks. Some may return to light work within a few days. In contrast, open surgery typically requires a hospital stay of a few days and up to six weeks for full recovery.

    Key factors that influence post-op recovery time include proper wound care, following dietary advice, and avoiding heavy lifting until cleared by a doctor. Patients should also watch for warning signs such as increased pain, swelling, fever, or jaundice, which could indicate infection or complications.

    Light activity, gentle walking, and rest are all crucial in the early weeks. Following the surgeon’s instructions is the best way to avoid setbacks and ensure a safe recovery.

    Diet and Lifestyle After Gallbladder Removal

    Living without a gallbladder is entirely possible, as the liver continues to produce bile even after surgery. However, bile flows directly into the small intestine instead of being stored, which can affect how the body digests fats at first.

    During gallbladder surgery recovery, patients may notice temporary digestive changes such as frequent bowel movements or mild bloating. A balanced diet that limits fatty, spicy, and processed foods can help ease these symptoms.

    Recommended foods include:

    • Lean proteins such as chicken, fish, and tofu
    • Fruits and vegetables high in fiber
    • Whole grains and low-fat dairy
    • Smaller, more frequent meals instead of large, heavy ones

    Over time, most people can return to a normal diet without issue. Maintaining a healthy weight and following a balanced eating plan also supports long-term digestive health after laparoscopic cholecystectomy.

    Risks and Complications of Laparoscopic Cholecystectomy

    Although gallbladder removal surgery is considered safe, like all procedures it carries some risks. The most common issues include minor bleeding, infection at the incision sites, or leakage of bile from the bile ducts. Rarely, injury to nearby organs or ducts can occur.

    Complications are relatively uncommon and are typically treatable when detected early. Patients should call their doctor immediately if they experience persistent pain, fever, yellowing of the skin or eyes (jaundice), or fluid leaking from the incisions, as per Johns Hopkins University.

    Choosing an experienced surgical team and following all post-operative instructions greatly reduces the likelihood of complications and promotes faster healing.

    When to Contact a Doctor During Recovery

    During post-op recovery time, it’s important to be aware of concerning symptoms that require medical attention. These include:

    • Increasing abdominal pain or swelling
    • Redness or pus around incision sites
    • Fever or chills
    • Nausea or vomiting persisting beyond a few days
    • Shortness of breath or chest pain

    Regular follow-up visits allow doctors to ensure that healing is on track and that there are no signs of infection or bile leakage. These appointments also provide an opportunity to discuss dietary adjustments and return-to-work plans.

    Adjusting to Life After Gallbladder Removal Surgery

    For most individuals, gallbladder removal surgery offers relief from painful gallstones and the digestive discomfort associated with gallbladder disease. Thanks to modern laparoscopic cholecystectomy techniques, the keyhole gallbladder operation allows for smaller incisions, shorter hospital stays, and faster gallbladder surgery recovery.

    With attentive care, a gradual return to normal activities, and attention to diet, patients typically regain their energy and well-being within weeks. Understanding the post-op recovery time and knowing what to expect helps ensure a confident and healthy return to everyday life after the procedure.

    Frequently Asked Questions

    1. Can gallbladder removal affect your weight?

    Some people notice minor weight changes after surgery, often linked to dietary adjustments. However, the procedure itself does not cause weight gain or loss.

    2. How long after gallbladder surgery can you travel?

    Most patients can travel within one to two weeks if recovery is smooth. Long trips should be delayed until a doctor confirms it’s safe.

    3. Is it normal to feel tired weeks after surgery?

    Yes, mild fatigue is common as the body heals and adapts. Rest, hydration, and balanced meals can help restore energy levels.

    4. Can you drink coffee after gallbladder removal?

    Yes, in moderation. However, strong or highly caffeinated coffee may cause mild digestive upset in early recovery, so it’s best reintroduced gradually.



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  • Stay Strong From Adolescence to Older Adulthood

    Stay Strong From Adolescence to Older Adulthood

    Staying active does not require complicated routines or expensive equipment. Simple daily exercises can build strength, flexibility, cardiovascular endurance, and balance from adolescence through older adulthood. The key is consistency, progressive overload, and choosing movements that support real-life function. When done correctly, basic exercises improve bone density, muscle mass, metabolic health, and even mental clarity.

    Across every age group, the body adapts to challenges. Muscles grow stronger, bones respond to impact, and the heart becomes more efficient at delivering oxygen. Whether you are a teenager building peak bone mass or an older adult preserving mobility, structured movement keeps the body resilient. A well-designed routine can help you stay healthy at any age while reducing injury risk and supporting long-term independence.

    Basic Exercises Daily Routine to Stay Healthy at Any Age

    Building a daily movement habit starts with simple, consistent activity. According to the Centers for Disease Control and Prevention (CDC), adults should aim for at least 150 minutes of moderate-intensity aerobic activity weekly plus muscle-strengthening exercises on two or more days per week. These recommendations can be adjusted in intensity for teens and older adults while keeping the same foundation. Following these guidelines improves heart health, insulin sensitivity, muscular endurance, and overall longevity.

    • Brisk Walking (3–4 mph): Aim for 20–30 minutes daily at a pace where conversation is possible but breathing is elevated; add hills or stairs for progression.
    • Bodyweight Squats: 3 sets of 10–15 reps; keep knees tracking over toes and chest upright; progress to jump squats (teens) or chair sit-to-stands (older adults).
    • Wall Push-Ups: 3 sets of 8–12 reps; slow 3–4 second lowering phase; progress to floor push-ups as strength improves.
    • Resistance Band Seated Rows: 3 sets of 12–15 reps; squeeze shoulder blades and control the release for posture support.
    • Core Work (Planks, Bird-Dogs, Dead Bugs): Hold 20–60 seconds; maintain spinal neutrality and steady breathing.
    • Glute Bridges and Lunges: 3 sets of 10–15 reps; improve hip strength and balance.
    • Single-Leg Balance Drills: Hold 20–30 seconds per side to enhance stability and reduce fall risk.

    Exercises for Teens: Building Bone Density and Muscle Mass

    Adolescence is a critical period for strengthening bones and building muscle mass. Based on a study conducted by the National Institutes of Health (NIH), up to 90% of peak bone mass is developed by late adolescence, making weight-bearing and resistance exercises essential during these years. This stage presents a powerful opportunity to improve skeletal strength and reduce future osteoporosis risk. Properly structured exercises for teens can enhance both athletic performance and long-term health.

    • Compound Strength Training (3–4x per week): Squats, deadlifts, bench press, rows, pull-ups; 3–4 sets of 8–12 reps at moderate intensity.
    • Plyometrics: Box jumps, lateral bounds, and medicine ball throws to stimulate bone remodeling and power development.
    • Sprint Intervals: 20 seconds high intensity followed by 40 seconds recovery for 8–10 rounds to boost anaerobic capacity.
    • Core Training: Hanging leg raises, hollow holds, Russian twists for trunk stability and injury prevention.
    • Recovery: Allow 48 hours between training the same muscle groups to support muscle repair.
    • Nutrition Support: 20–30g protein post-workout; adequate iron intake for adolescent girls to prevent fatigue.

    Stay Healthy Older Adults: Balance, Strength, and Fall Prevention

    Maintaining strength and balance becomes increasingly important with age. According to the National Institute on Aging (NIA), regular strength and balance exercises significantly reduce fall risk in adults over 65). Falls are a major cause of injury in older adults, but targeted physical activity can improve coordination and confidence. Even gradual improvements in muscle strength and stability enhance independence and daily function.

    • Chair Squats / Sit-to-Stand: 10–15 controlled reps to strengthen quadriceps and improve mobility.
    • Single-Leg Stands: Hold 30–60 seconds per side; progress by closing eyes or turning the head gently.
    • Heel-to-Toe Walking (Tandem Walk): Improves gait stability and coordination.
    • Tai Chi or Slow Weight-Shifting Movements: Enhances body awareness and ankle/hip balance strategies.
    • Light Resistance Training (2–3x weekly): Use bands or light dumbbells to counteract sarcopenia.
    • Nordic or Weighted Vest Walking: Safely increases cardiovascular demand and bone stimulation.

    Stay Strong for Life With Simple Daily Exercise

    Building a habit of simple daily exercises supports health from adolescence through older adulthood. Teens strengthen bones and muscles during critical growth years, adults maintain metabolic and cardiovascular function, and older individuals preserve balance and independence. The body responds to consistent, progressive movement regardless of age.

    Staying healthy at any age comes down to moving well, challenging the body appropriately, and allowing time for recovery. Walking, strength training, and balance work form a powerful combination that requires minimal equipment yet delivers meaningful results. When practiced regularly, these foundational exercises support resilience, confidence, and long-term vitality.

    Frequently Asked Questions

    1. How long should a daily exercise routine be?

    A simple routine can last 20 to 30 minutes per day. Consistency matters more than duration. Even shorter sessions provide benefits if performed regularly. The goal is sustainable daily movement.

    2. Can older adults safely start strength training?

    Yes, most older adults can begin strength training with medical clearance if needed. Starting with bodyweight or resistance bands is ideal. Proper form and gradual progression reduce injury risk. Supervision from a qualified trainer can help build confidence.

    3. Are bodyweight exercises enough to build muscle?

    Bodyweight exercises can effectively build strength, especially for beginners. Progression through tempo changes, added repetitions, or more challenging variations increases intensity. Over time, adding resistance may further enhance gains. Consistency remains the most important factor.

    4. How does exercise improve bone density?

    Weight-bearing and resistance exercises stimulate bone remodeling. Mechanical stress signals bone cells to strengthen tissue. This process helps maintain or improve bone density over time. Regular impact and strength work are especially important during adolescence and aging.



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  • The Fine Art Of “Failing With Presence”

    The Fine Art Of “Failing With Presence”

    When I was 23 and just starting out in journalism, I made an awful mistake. While covering a high-profile trial in San Jose, California, I wrote that a woman who hadn’t been charged with any crime had plotted a murder.

    The woman I’d wrongly incriminated sued me and my newspaper for libel, demanding $11 million. Had she won, it would have killed my career and financially damaged my employer.

    Alas, this wasn’t my first reporting error.

    In the preceding weeks I’d made a series of smaller mistakes, mostly getting names and dates wrong, although once I’d quoted a rancher as telling me he had to leave to “shoot a horse” when he’d really said “shoe” a horse. He called the news desk the morning that story appeared to demand a correction, saying his sister worked for the Humane Society and had given him hell.

    As these errors piled up, I feared my days at the newspaper were numbered. But I still couldn’t seem to slow down and take the time to check my work. Instead, whenever possible, I blamed the flubs on others. The rancher had mumbled. The copy editor hadn’t done his job. My editors were overworking me and I was tired.

    By the time of the libel lawsuit, I’d run out of excuses. But surprisingly, instead of firing me, the paper’s managing editor—a tough-on-the- outside Lou Grant type who until then had been my biggest fan—suspended me for three days, giving me just one more chance. He also bluntly suggested I use the time to get professional help.

    “You’re sabotaging yourself,” he warned.

    I had no choice but to change: to stop looking for excuses, and to do the hard work to become the kind of person I’d long wanted to be.

    I took his advice and, even before I left the newsroom that day, tracked down a psychiatrist to make my first appointment. I couldn’t bear the thought of losing a job that was then my whole identity, and understood in that moment that I had no choice but to change: to stop looking for excuses, and to do the hard work to become the kind of person I’d long wanted to be—both more competent and more trustworthy. In other words, I had to start being more accountable. The main problem was, I still had so little faith that I could make such a big change.

    Slow Down to Speed Up

    This was (ugh, how time flies!) 1981. Mindfulness wasn’t a mainstream thing yet. But Freudian psychoanalysis, couch and all, was available for those who had really good insurance or could otherwise find the money to pay. My psychiatrist was still in training, reporting to a supervisor. He offered me a hefty discount that made it just affordable.

    His mantra was, “Mistrust your sense of urgency,” which was at once the most helpful thing I’ve ever heard and the most difficult thing I’ve ever done. Again and again, he urged me to sit still and experience my feelings, rather than doing what I most yearned to do, which was to run from them, in any way I could. It’s embarrassing to look back on all the hours I wasted in ridiculous debates with him about whether I really needed therapy at all, and in trying to change the subject, and in throwing myself harder into work and pleading exhaustion as a reason to cancel appointments.

    But at last something shifted and I managed to face my all-but-overwhelming shame at having screwed up so repeatedly—and, more deeply, in believing I was destined to keep screwing up. Only then could I see how much shame had determined my behavior until then, particularly in my insistence on looking for other things and people to blame for my own mistakes. My editor was right—I had been sabotaging myself, for reasons that would take a long time to understand. Four years, to be precise.

    A couple of decades later, when I was bringing up my kids, a wise swim coach observed my eldest son’s fast but awkward freestyle and told him, “You’ve got to slow down to speed up.” Sparing the grisly details, my own speed, just as clumsy, had some roots in childhood events that had conditioned me to tune out whenever I was stressed. Sticking with the therapy helped me first slow down enough to bring my brain’s pilot back into the cabin and stop making those mistakes, and then to patiently learn why I’d been making them. As time went on, my psychiatrist also helped me stop playing the victim whenever I was challenged. He insisted that I behave with integrity, beginning by charging for missed appointments whenever I canceled without a good reason.

    Eventually, this practice—although it still wasn’t popularly called that—of learning to be aware of when I felt like outrunning my feelings and then patiently returning to face them would help make me not only a more careful journalist, but also a better listener. That, in turn, helped me be a better friend, wife, daughter, and mother than I otherwise ever could have been. I’m not suggesting that four years of therapy is the best solution for anyone making errors at work. But for me, slow accountability saved my life.

    Working with the Shame Response

    Once you stop to notice, you may be surprised by the prevalence, variety, and depth of human error. From the simple fender-bender on your way to work to immensely more devastating plane crashes, botched surgeries, and downright horrific cases of parents leaving babies in hot cars, we constantly, mysteriously, act against our own self-interest.

    Once you stop to notice, you may be surprised by the prevalence, variety, and depth of human error.

    My own experience with a far less consequential but still potentially devastating error early in my life has made me obsessed by human error, and particularly how people recover from the shame of seemingly incomprehensible mistakes. Mitch Abblett, a clinical psychologist and former executive director of the nonprofit Institute for Meditation and Psychotherapy, shares this interest, writing powerfully about the way shame can paralyze us.

    “The shame response is very old and comes from a primal part of the brain,” he told me in a recent interview. “As a psychologist I think of our evolutionary biology: Tens of thousands of years ago, if we did something that caused us to feel shame, it was related to our very survival, to fear that we’d be rejected from our social group and die.”

    Abblett says a mindfulness practice can help people move past seemingly intolerable shame, as they ride out the physical sensations arising from shame and the “indignant arrogance” he says often accompanies it to arrive at regret, an emotion that more easily allows us room to make wiser choices—and to be more accountable. He gave the example of the 2007 documentary film, The Dhamma Brothers, which followed four convicted murderers on a 10-day meditation retreat in an Alabama prison. The prisoners said it was agonizing at first to sit still with the awareness of what they’d done to others and what others had done to them. But once they stuck with it, it was also liberating.

    Taking Accountability for Failure

    It’s interesting to contrast the Dhamma Brothers’ experience with the movement, over the last several years, to destigmatize failure in a hurry. “Fail fast, fail often!” and “Move fast and break things!” are the relentlessly cheery slogans of Silicon Valley, a place in which three-fourths of startups go bust. The archives of the TED Talks—the Valley’s influential e-sermons—include more than a dozen presentations about failure, many of which tout its “surprising” benefits. A paean to “celebrating failure” by Astro Teller, the “Captain of Moonshots” at Google’s idea factory, X, has been viewed more than 2.6 million times.

    In 2009, the same ethos inspired a popular program called “Fuckup Nights,” in which entrepreneurs take the stage to talk about their business disasters. The Mexican entrepreneur Leticia Gasca founded the project after her startup, a philanthropic effort to help Native women sell their handicrafts, went bust. Since then, “Fuckup Nights” have been held in more than 250 cities in 80 countries. Gasca’s organization also offers workshops to businesses to help “create a culture that celebrates trying, rather than stigmatizing failure,” according to their website. Using storytelling and a Q&A session, the workshops aim to “eliminate shame to turn it into accountability and autonomy.” FailCon, a similarly themed day-long conference, was founded around the same time by Palo Alto software designer Cassandra Phillips and has also gone global.

    My reporting errors were in another class than the Silicon Valley sorts of failures, which mostly involve mistaken strategies and decisions. But both kinds of blunders share two important things: the potential to harm other people—say, when livelihoods are lost after businesses go bankrupt—and the corresponding need for someone to take responsibility and make changes. Both, in other words, demand accountability. And that might require something more mindful and systematic than just sharing stories of failure.

    Sam Silverstein agrees. A former manufacturing business owner and author of several books about accountability, Silverstein’s main point, which he stresses repeatedly, is that accountability never happens in isolation. “It’s always a matter of being accountable to someone,” he told me. “Accountability is keeping your commitments to people. We’re responsible for things, but we’re accountable to people.”

    I thought back on my tough-love treatment by the managing editor, and how much I’d wanted to redeem myself in his eyes. I also remembered the bond I’d established with my psychiatrist, who so skillfully, over months and years, had gained my trust and respect. It made sense that accountability depends on these kinds of strong relationships, which require long and steady investments of time. Still, I don’t believe you can achieve it without also devoting a lot of individual effort.

    As I recalled all that work with the psychiatrist, predating the mindfulness movement, it felt as if he’d helped me build up my muscles to face down shame on my own the next time it emerged. At the end of our time together, it was up to me to keep those muscles in shape, by honestly questioning my behavior and, importantly, by making sure I always had other relationships in my life—both in and out of work—that would help hold me accountable.

    Failing With Presence Is Slow, Daily Work

    My slow accountability practice has helped me in my marriage and in deepening friendships, but it’s probably helped the most in my relationships with my children. I grew up with the notion—handed down from my own mother—that mothers should be perfect, that we’re older and thus wiser and our mandates shouldn’t ever be challenged. But times have changed, and I do believe that even as parents should set limits for our children, we should also model virtues, including being humble and owning up to our mistakes. So even though my first instinct, after forgetting, for instance, to pick them up from Hebrew School (leaving them waiting an extra 20 minutes) was to deny it ever happened or to make an excuse, I instead took a breath, took the hit, and apologized (sincerely but not excessively) for losing track of time. One of the greatest and also most painful things about having children is they inevitably give us so many opportunities for humility, as long as we’re willing to recognize them and not get defensive or play the victim.

    That kind of accountability happens over time, and because of deep relationships. Contrast that with Fuckup Nights, which offer the hope of a quick catharsis: a funny, self-deprecating story in the spotlight and you’re done. But the more I thought about them, the more they seemed like just another version of running away.

    In fact, the slapdash Silicon Valley approach to failure has been getting some pushback from the people you might least expect. “Every time I listen to Silicon Valley types or students bragging about failing fast and often like it’s no big deal, I cringe,” Gasca said in her own TED Talk last year. She was now extolling the notion of failing “mindfully,” which she described as being aware of the consequences of what you’ve done and the lessons learned—and the responsibility to share those lessons with the world. In other words: failing with presence.

    Somewhat similarly, Phillips, the FailCon founder, told me she’d recently abandoned that effort out of frustration. “I was tired of people not discussing the actual takeaways, the next steps, and taking ownership for what really happened,” Phillips wrote me in an email. Something like that would demand regular, smaller conversations over time, she explained—something she wasn’t then interested in doing. But I understood her point. Genuine accountability depends, as Silverstein told me, on relationships of trust, which take time to develop, as well as on each of us building the habit of rigorous introspection.

    Any way you look at it, it’s not a speedy process.

    Why Our Brain Thrives on Mistakes 

    A slowly growing body of research suggests that our common aversion to failure is itself a failed strategy. Being curious about our mistakes is the royal road to learning. And mindful techniques can help. Read More 



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