About DrAlice

Dr. Alice Cash is one of the world’s few clinical musicologists. Based in Louisville, Kentucky, USA, she brings to her work over 40 years of professional experience as a college professor, clinical therapist, solo and chamber music performer and composer. Since 1990, Dr. Cash has been in the field of Music Medicine and conducted clinical research at the University of Louisville School of Medicine, under the guidance of Dr. Joel Elkes, Dr. Leah Dickstein, and Dr. Rif El-Mallakh. Her clinical work at the University of Louisville lead to her career in music medicine. In addition to her work with the University of Louisville, Dr. Cash lead the development of using music a hospital setting at Baptist East Hospital, Louisvile, KY. She has founded 3 companies: Healing Music Enterprises, Surgical Serenity Solutions and Crescent Hill Counseling.
"Tune Your Life with Music!"

Another VA Hospital Adopts a Surgery with Music Program

Facebooktwittergoogle_pluspinterestlinkedinmailFacebooktwittergoogle_pluspinterestlinkedinmail

When the VA Hospital in Louisville, KY decided to purchase 100 of our headphones and conduct a clinical study on the benefits of music with surgery, we, Surgical Serenity Solutions, were thrilled!!   At the time, we were not aware of any other Veteran’s hospitals that had a music with surgery program, but that has now changed!!

The VA Hospital in Durham, NC has started a program for music with surgery and it’s very similar to ours, but also different.  They are using iPods that are loaded with a variety of surgery playlists, connected to disposable headphones.   Their music was selected based on veterans’ preferences whereas mine is chosen specifically for it’s ability to induce rhythmic entrainment.  Both methods are good, I think, but I do like the aspect of cordless headphones that already contain the music that will be used for surgery, loaded onto headphones!

I’ll probably be talking to them about trying our our headphones later this week!  Will keep you posted!!  Meanwhile, which would YOU prefer?

Facebooktwittergoogle_pluspinterestlinkedinmailFacebooktwittergoogle_pluspinterestlinkedinmail

Surgical Serenity Solutions and insurance coverage

Facebooktwittergoogle_pluspinterestlinkedinmailFacebooktwittergoogle_pluspinterestlinkedinmail

How great would it be if the Surgical Serenity Solutions headset was completely covered by health insurance?  This Monday morning, I’ll be talking to an executive with one of the major insurance companies.  He is very interested in knowing more about the Surgical Serenity Solutions and understanding how music brings improved surgical outcomes.

Of course, those of us that have believing in and using music during surgery, KNOW about the multiple and rich benefits it brings.   But this is an old, old story.  Something new appears in our world, and people say “oh that will never work!”  “It’s just an old wive’s tale”  “there’s absolutely no scientific proof!”

Interestingly, these are the very reasons that caused Dr. Joel Elkes, professor of Psychiatry at the University of Louisville School of Medicine, to hire me in 1990.  He knew how powerful music can be in medicine, and he said  “all we really have is anecdotal evidence, Alice, and I want YOU to start doing the research that will provide empirical, scientific, evidence of music as medicine.

From 1990-2005, I focused on toning, chanting, music with Alzheimer’s disease, and music with preemies.  All through that time I was becoming increasingly aware that music before and after surgery was powerful in reducing anxiety and pain perception, but also that very few people realized this.

Fast forward to 2017:  hundreds of thousands of people now understand that music in the peri-operative period is valuable, but patients would prefer that the hospital would stock the pre-loaded, cordless,   headphones and that insurance would cover that.   My original plan, was to start the marketing of the headphones in plastic surgery practices, where people expect to pay out of pocket.  I’ve started that process, but getting in to see plastic surgeons is not easy.  I’m always eager to hear your ideas!!

Facebooktwittergoogle_pluspinterestlinkedinmailFacebooktwittergoogle_pluspinterestlinkedinmail

What clinical research shows about music with surgery

Facebooktwittergoogle_pluspinterestlinkedinmailFacebooktwittergoogle_pluspinterestlinkedinmail

Have you wondered about the clinical research behind our concept for music with surgery?  There are few other musicians, scientists, or music therapists seriously investigating the benefits of music for the patient, through headphones, during surgery.  And yet, there is quite a bit of research out there that shows over and over, that the benefits of less anxiety and less pain perception are there!!

In the mid-1990’s, when I first became aware of the early research, there were not that many studies, but many surgeons, and anesthesiologists knew intuitively, that music was an easy and powerful way to relax the patient and reduce the amount of medications needed.  But soon, this got to be kind of “hijacked” to make the music more for the surgeon.  Today we know that it’s actually important for both the patient and the surgeon to have their own “best” music.  The focus of Surgical Serenity Solutions has always been on music for the patient!!

For that reason, I want to offer you this month, the PDF of music and surgery research studies that I’ve put together for people preparing to have surgery, and their doctors and families!  This PDF has 15 of the most important studies to appear over the past 20 years or so and consists of a summary of the finds, as well as the complete citation if you want to know more!

Even though music and surgery is an ancient concept, the current application of it using cordless, pre-programmed headphones IS new and there are many physicians who don’t realize how many clinical research studies have been done successfully.  This will at least get you started on the road to understanding the viability of using the right music for the patient, and will let your doctor know of the legitimacy of the concept!

To get this free packet of Music and Surgery Research, simply go to www.SurgicalSerenitySolutions.com/music-surgery-research, and click on the download button!!  I will be adding to this each time a new study comes out!!  Questions, just post it below and I will answer as soon as possible!!

Facebooktwittergoogle_pluspinterestlinkedinmailFacebooktwittergoogle_pluspinterestlinkedinmail

Surgical Serenity Solutions may have a new owner!!

Facebooktwittergoogle_pluspinterestlinkedinmailFacebooktwittergoogle_pluspinterestlinkedinmail

Surgical Serenity may have a new owner!  Have you ever thought about owning an entrepreneurial start-up company that has a U.S. Patent and in-roads into some of the biggest hospital systems in the WORLD??  And sales that are doubling every year??

I had always thought that I’d sell Surgical Serenity Solutions to a group of anesthesiologists, surgeons, music therapists, or medical device company!!  I even dreamed to selling the business to APPLE and convincing them to start a medical device component!!  But, as I approach my retirement years, and as my treasure chest of grandchildren grows, a person has approached who is very interested in buying my business that fits none of these descriptions or labels!  What he has is GREAT success in sales!

I’m putting this out because I’d like to know if there are any other individuals or companies “out there” that might like to put in a bid.  Clearly it will go for much less than if I waited for Apple to realize what this company offers to patients around the world.  And I’m pretty sure that I’ll need to be a consultant for the first couple of years that someone else takes over.  At the moment, I’m focusing more on getting additional playlists that fit our characteristics for ideal surgical/medical/dental music.

Let me know ASAP if YOU or someone you know is interested in either investing or purchasing!

Facebooktwittergoogle_pluspinterestlinkedinmailFacebooktwittergoogle_pluspinterestlinkedinmail

More on the History of Anesthesia and Sedation

Facebooktwittergoogle_pluspinterestlinkedinmailFacebooktwittergoogle_pluspinterestlinkedinmail

Over 25 years ago, I began learning about the use of music as an adjunct to anesthesia.  I didn’t know that much about anesthesia and sedation, but I knew that I didn’t want any more than I absolutely needed.  I knew that anesthesia was powerful stuff, so when I found out that I would be having a baby (over 40 years ago!) I knew that I wanted to have natural childbirth and not a “saddleblock” or any kind of spinal anesthesia.  Not only did I just not like the idea of someone putting a needle in my back, but I knew enough women at that time, who had utilized the LaMaze Method or the Bradley Method, that I knew it was quite possible with proper preparation, childbirth classes, and a willing husband, which I had!

In 1990, when I stepped into the field of Music Medicine, one of the things that fascinated me was the concept of music as a way to enhance minimal anesthesia usage and a way to tap into the powerof rhythmic entrainment.

Timeline of Progress in Pain Management during Surgery:

CA 4000 BCE Sumerian artifacts depicting the opium poppy

CA 1600 BCE Acupuncture being practiced in China, according to pictographs on bones and turtle shells

CA 1187 BCE In Homer’s “Odessey,” the Greek goddess Circe, uses deleriant herbs to brew a tea, turning Odysseus’ men into swine.

64 AD  Dioscorides, a Greek surgeon in the Roman army of Emperor Nero, recommends mandrake boiled in wine to “cause the insensibility of those who are to be cut or cauterized.”

CA 800-1300 After herbal mixtures including opium, mandrake, henbane, and/or hemlock are steeped into a soporific or sleep-bearing sponge (“spongia somnifera”), the sponge is dampened so that anesthetic vapors or drippings can be applied to a patient’s nostrils. These sponges were likely historical cousins to the so-called Roman or Arabic sponges (used during crucifixions, surgeries, and other painful events).

1540:  German physician and botanist Valerius Cordus (1515–1544), synthesizes diethyl ether by distilling ethanol and sulphuric acid into what he called “sweet oil of vitriol.”

1779:  Franz Anton Mesmer (1734–1815)—In Mémoire sur la découverte du magnétisme animal, he describes using magnets and hypnosis to cure many ailments.

1805:  Pharmacist Friedrich Sertürner (1783–1841)—Isolates a new substance from opium, which he later names “morphium” after Morpheus, the god of dreams.

1842: William Clarke (1819‐1908)—In Rochester, New York, a medical student etherizes a single patient for a dental extraction.

1842:  Dr. Crawford W. Long (1815-1878) etherizes James Venable for removal of neck cysts on March 30, 1842. Dr. Long would become honored as the 1st anesthesiologist on a US Postage stamp (1940) and as the inspiration for the 1st “National Doctors Day” on March 30, 1991.

1845:  Dr. Horace Wells (1815-1848)-After bravely volunteering to inhale nitrous oxide for his own dental extraction back in December of 1844, Dr. Wells demonstrates nitrous oxide anesthesia for a tooth extraction near Massachusetts General Hospital, but the partial anesthetic is judged a “humbug.”

1846: On October 16, William T. G. Morton (1819-1868) made history by being first in the world to publicly and successfully demonstrate the use of ether anesthesia for surgery. This occurred at what came to be called “The Ether Dome,” at Massachusetts General Hospital on patient Edward Gilbert Abbott. Surgeon John Collins Warren noted, “Gentlemen, this is no humbug.” Dr. Oliver Wendell Holmes, Sr. (1809-1894)-suggests the terms “anaesthetic” and “anaesthesia” in a letter to William T. G. Morton. News of Morton’s ether demonstration was carried by the paddle steamship Acadiafrom Boston to Dr. Francis Boott and then on to Dr. James Robinson (1813-1862), who extracted a tooth on December 19, 1846, under ether anesthesia. In 1847 Robinson authored one of the first textbooks on anesthesia: A Treatise on the Inhalation of the Vapour of Ether for the Prevention of Pain in Surgical Operations.* On December 21, Scottish surgeons in Dumfries, Scotland (Dr. William Scott) and in London (Dr. Robert Liston) amputate limbs of etherized patients- the first such surgical anesthetics in the British Isles. Liston commented, “This Yankee dodge beats mesmerism hollow.” Dr. Liston describes the surgery in a letter to Dr. Francis Boott, which is published in The Lancet. The WLM owns this letter.

1847:  Prof. James Y. Simpson (1811-1870)-Scottish obstetrician begins administering chloroform to women for pain during childbirth. Chloroform quickly becomes a popular anesthetic for surgery and dental procedures as well. Chloroform was discovered independently in 1831 by the USA’s Samuel Guthrie, France’s Eugène Soubeiran, and Germany’s Justus von Liebig.

1853:  Drs. Charles Pravaz (1791-1853) and Alexander Wood (1817-1884)-These men independently invented the hollow hypodermic needle, which will be attached to an earlier invention, the syringe popularized in 1845 by Ireland’s Francis Rynd.

1884:  Dr. Karl Koller (1857-1944)-Viennese ophthalmologist and colleague of Sigmund Freud, introduces cocaine as an anesthetic for eye surgery.

1898:  Dr. August Bier (1861-1949)-Conducts the first spinal anesthetic using cocaine; 10 years later, he popularized the intravenous regional (“Bier”) block.

1902:  Dr. Mathias J. Seifert of Chicago coins the words “anesthesiology” and “anesthesiologist.” He asserted that an “ANESTHETIST” is a technician and an “ANESTHESIOLOGIST” is the scientific authority on anesthesia and anesthetics.

1923: Dr. Isabella Herb administers the first ethylene-oxygen surgical anesthetic. She demonstrated the remarkable trance-like state that low-dose ethylene could induce in human subjects.

1929:  The Anaesthetists’ Travel Club is organized by Dr. John S. Lundy, who will popularize use of the intravenous anesthetic thiopental (Pentothal) and will become the ASA President in 1946. The popularity of thiopental-as a swift-onset intravenous agent for inducing general anesthesia-will pave the way for other totally unrelated intravenous induction agents, such as ketamine, etomidate, and propofol.

1941:  Henry K. Beecher, MD- After his appointment to the USA’s first endowed chair in anesthesiology as Harvard’s Henry Isaiah Dorr Professor of Anaesthesia Research, Prof. Beecher will pioneer understanding of medical ethics, patient consent, clinical trials, the placebo effect, and “brain death.”

Dr. Robert Hingson develops Continuous Caudal Anesthesia, an innovation in obstetrical anesthesia that provides continuous pain relief for prolonged or difficult labor. In 1958, Dr. Hingson starts Brother’s Brother, a nonprofit charity for supplying medical, educational, and agricultural supplies worldwide. His needle-free “Peace Guns” would mass-immunize millions by jet injection and would be featured as the “Hypospray” in Star Trek and many science fiction films

1960:  Drs. Joseph Artusio, Alan van Poznak et al. begin human trials of the inhalational anesthetic methoxyflurane.

1999: In its report To Err is Human, the Institute of Medicine lauds the efforts of anesthesiologists in improving patient safety

By 1999, I was well on the road to trying to figure out how music could be used as an adjunct to anesthesia, in order to create a safer surgical experience by decreasing the amount of anesthesia, as well as anxiety and pain medication, before, during and after surgery!

The rest is history!!  For more information on this, please visit https://www.woodlibrarymuseum.org/history-of-anesthesia/

 

 

 

 

Facebooktwittergoogle_pluspinterestlinkedinmailFacebooktwittergoogle_pluspinterestlinkedinmail

Our most frequently asked questions about the Surgical Headphones

Facebooktwittergoogle_pluspinterestlinkedinmailFacebooktwittergoogle_pluspinterestlinkedinmail

Frequently asked questions

Hospital Model Headphones

freqently asked questions

The Cloud Kit

frequently asked questions

Patient Model Headphones

 

Our most frequently asked questions about the surgical headphones, change from month to month and depend upon our most recent updates.  Here are the Top 10 questions as of June, 2017:

  1.  Are the headphones intended for the Dr or the patient?
    1. The headphones are intended for the patient, so that the doctor can have his own ambient music.
  2.  Is the music already on the headphones?
    1. Yes, both models are preloaded with our proprietary music, which can be changed after surgery to whatever music you like.
  3.  Will the hospital have them waiting for me?
    1. Hospitals that now have headphones included some VA hospitals, some Cleveland Clinic hospitals, some parts of Mayo clinic in Minnesota, and soon—Johns Hopkins!  If you’re going anywhere else, best to purchase your own!
  4.  Can I purchase just one headphone?
    1. Absolutely!  The patient model is $97.00
  5.  Can I change the music on the headphones?
    1. Once your surgery is over, it’s easy to reload the microchip with the music of your choice.
  6.  Will my doctor let me wear them during surgery?
    1. 99 out of a 100 will.  We have written a short article for you to take to your Dr that tells about all of the research that has been done on music with surgery and our headphones in particular.
  7.  Is there any danger to wearing these headphones during surgery.
    1. No problems have ever been reported.  Some doctors worried about an electrical arc, which happened long ago with another piece of equipment.  Our headphones don’t have any metal in them.
  8.  Why should I wear them during surgery if I am asleep?
    1. Because the body responds to the steady rhythms of our proprietary music, entraining the heartbeat and the breathing.  This is the heart of our method and it works whether patient is asleep or awake.
  9.  Does anyone else make these headphones?
    1. Not yet, but we know we will eventually have competition.  That’s why we got a patent!!
  10.  Will insurance reimburse me for these headphones?
    1.  Not yet.  That is why we started selling them to patients first.   Now that patients know about their power and effectiveness, we are marketing them to hospitals, surgery centers and dental practices.  We foresee and day when insurance companies will not only reimburse for them, but they will INSIST on them!!

If these are not the questions you have, please let me know what YOUR question is!  I’d love to answer it for you!!

 

 

Facebooktwittergoogle_pluspinterestlinkedinmailFacebooktwittergoogle_pluspinterestlinkedinmail

Cosmetic Surgery and Surgical Serenity Solutions

Facebooktwittergoogle_pluspinterestlinkedinmailFacebooktwittergoogle_pluspinterestlinkedinmail

Plastic Surgery, rhinoplasty

Cosmetic Surgery

Plastic Surgery, Cosmetic Surgery, Aesthetic Surgery

Surgical Serenity Solutions, pre-programmed headphones with proven, scientifically selected calming music

Cosmetic surgery and Surgical Serenity Solutions.  Are you thinking of having a little plastic surgery?  It certainly is more popular than ever these days and can truly make a world of difference in how you look and feel.  Plastic surgery used to be the domain of the rich and famous…movie stars, heiresses, and royalty.  Today, the procedures that used to be prohibitively expensive, and required weeks and weeks of recovery time, can now be done as outpatient surgery, or even on your lunch hour!!

One of the reasons I became so interested in knowing more about plastic surgery was the immediate interest that plastic and cosmetic surgeons showed in the Surgical Serenity Solutions.  The reason is (I surmise!) that when a person decides to pay for a procedure that is unlikely to be reimbursed by insurance or Medicare/Medicaid, it is obviously something that they really want.  (Who doesn’t want to be more beautiful, shapely, or youthful looking?)  And typically, the office of a plastic surgeon is beauty and luxury personified.

If you’re going to pay many thousands of dollars out of your own pocket for a procedure that promises to improve your appearance and your self-esteem, you want to be as comfortable and pampered as you can possibly be.   Providing each patient with their own, personal, Surgical Serenity headphone, with the ideal slow, soothing music already programmed on them!  In a clinical study, conducted at the Robley Rex Veterans Hospital in Louisville, KY, patients wearing the light-weight, cordless headphones, experienced 20% less pain, than those who did not wear our headphones.

Since that study, the famous British medical journal, The Lancet, published a meta-analysis of 4000 research studies world-wide on the benefits of music with surgery.  In every study, music was highly recommended as a huge benefit to the patient in terms of anxiety reduction and pain reduction.  In addition, patients who listen to soothing, slow and steady music through cordless headphones, not only engage the process of rhythmic entrainment, but headphones also block the surgeon’s music, which is often lively and upbeat.  It also blocks conversations in the surgical area which the patient does not really want to hear.

Cosmetic surgeons and luxury esthetic surgery spas want to make their patients’ experience as painless and enjoyable as possible.  This is definitely one way to provide that patient experience, that patients want and deserve.

Facebooktwittergoogle_pluspinterestlinkedinmailFacebooktwittergoogle_pluspinterestlinkedinmail

New Uses for Serenity Solution Headphones: Parathyroid Surgery

Facebooktwittergoogle_pluspinterestlinkedinmailFacebooktwittergoogle_pluspinterestlinkedinmail

SSS in perioperative thyroid surgery

Patient before parathyroid surgery

Our Surgical Serenity Headphones have been used for so many different surgeries but this week a new one came to my attention:  parathyroid surgery.  This patient is a 67 y.o. lady with an impressive athletic career.  She has been winning trophies and medals for decades, but recently, in the course of some routine blood work, it was discovered that one of the parathyroid glands was malfunctioning and needed to be removed.

Of course, she wanted to use the Surgical Serenity Solutions headphones that she had bought several years ago for another surgery and had a positive experience. She told me that she has used them along and along for bouts of insomnia and stress, but that surgery is what she wanted to use them for primarily since she is very sensitive to anesthesia and wanted no more than absolutely necessary.

Since this was a new procedure, she checked in advance with the the surgeon and explained that these headphones were created specifically for surgery and are in use at Cleveland Clinic, as well as Mayo, Johns Hopkins, and VA Hospitals around the country!  The surgeon gave the green light and she prepared for her parathyroid surgery.

As fate would have it, things did not go exactly as planned!  The surgery started an hour later than scheduled, but patients said that she needed to anxiety meds while waiting because she had her headphones on and just closed her eyes and enjoyed the music while waiting to be called back.

Once it started, it took a little longer than anticipated because they decided to take part of her thyroid gland as well.  Of course she was asleep when that decision was made, but she reports she was so glad NOT to hear the conversation that went on about whether to remove part of the thyroid or not.

Surgical Serenity Solutions with parathyroid surgery

Patient after parathyroid surgery

Patient has been instructed to get lots of rest and not work out for a couple of weeks and she is OK with that.  This is the message friends:  even when you are super healthy and feeling no pain, a simple blood test can reveal a process going on in your body that you knew nothing about.  Be prepared!  These amazing headphones can be shipped to you overnight and they have been studies and tested in major hospitals around the country.  You can get your own set for under $100!  Go NOW to www.surgicalserenitysolutions.com/patient-products.  

 

 

 

Facebooktwittergoogle_pluspinterestlinkedinmailFacebooktwittergoogle_pluspinterestlinkedinmail

“How can Hospitals, Surgeons, Anesthesiologists make money Using Music in the Perioperative Period?

Facebooktwittergoogle_pluspinterestlinkedinmailFacebooktwittergoogle_pluspinterestlinkedinmail

Hospital, Surgeons and Anesthesiologists want to deliver the best possible patient care, when a patient comes in for surgery (or other procedures such as colonoscopy, endoscopy, or joint replacement.  They also need to make money!! Balancing these two goals is not always easy.   Hospital equipment tends to be very expensive because it is very stringently regulated.  In addition, patient satisfaction is extremely important.  Today, hospitals are held accountable for poor patient satisfaction scores and can be forced to pay back millions of dollars if patients give bad patient care evaluations.

One of the easiest and most affordable solutions is to utilize the Surgical Serenity Solutions pre-programmed headphones for the patient.  They have been tested around the country, including VA Hospitals and the Cleveland Clinic.  In one clinical study, they were found to decrease pain perception by 20%!  This is huge, especially in light of the current opioid crisis.  Help your patients experience less pain by utilizing our cordless headphones, pre-loaded with the perfect soothing, slow and steady music, designed to engage rhythmic entrainment.  To purchase, go to www.SurgicalSerenitySolutions.com

Facebooktwittergoogle_pluspinterestlinkedinmailFacebooktwittergoogle_pluspinterestlinkedinmail

The #1 Service Everyone Needs to Know about for Music in the Perioperative Period

Facebooktwittergoogle_pluspinterestlinkedinmailFacebooktwittergoogle_pluspinterestlinkedinmail

Are you having surgery or an anxiety-provoking medical procedure, you need to know about Surgical Serenity Solutions!  Our pre-loaded, cordless headphones have been on the market since 2009 and have been successfully used from coast to coast with hundreds of different medical procedures.

The music on our pre-loaded headphones is slow, soothing, steady music that was specially chosen by a clinical musicologist…me!!  Patients have raved about what a difference this music made to them and how they didn’t need ANY valium or other anxiety medication before their procedure.

Many patients have reported that even after having general anesthesia, they were NO nausea and vomiting afterwards and that they were able to go home in the shortest possible amount of time; often just hours.

There is so much clinical research documenting the many benefits of using music during the perioperative period including:

  • Less anxiety medication
  • Less pain medication
  • Less anesthesia
  • Blocking of disturbing conversation between medical staff
  • Blocking of sounds of surgery which can include drilling, hammering and sawing!
  • Faster recovery from the procedure, the anesthesia given and the incisions

The patient can now order their own headphones directly from www.SurgicalSerenitySolutions.com.  Don’t wait!  Get your headphones today, even before you need them.  They are also great for dental visits and procedures.  The whole family can use them!  Just go to www.SurgicalSerenitySolutions.com!

Facebooktwittergoogle_pluspinterestlinkedinmailFacebooktwittergoogle_pluspinterestlinkedinmail