Surgical Serenity Jazz Playlist is Creating “Buzz”

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As soon as I wrote that title, I thought “Hmmm…maybe people could misinterpret that “buzz” word.  Of course what I’m talking about is that our Jazz playlists for surgery is getting lots of acclaim.  A lady contacted me last night saying that she had begun to run a low-grade fever and was feeling puny and depressed about the Covid-19 virus.  She decided to download one of the Serenity playlists and said that she couldn’t believe how soothing and comforting it was!  I wish I had recorded the phone call because she mentioned several things like “better than Valium” and how the saxophone just carried her to a whole different place where everything was beautiful and healthy and optimistic.  This was really exciting for me to hear because the Jazz Playlist is the only one that I specifically commissioned for Surgical Serenity since Jazz is not  style that I play.  Dozens have people have told me that they really do love it and that it is a “Go-To” when anxiety hits!  To get a download of the playlist, go to www.SurgicalSerenitySolutions.com/buyanapp.

Speaking to Drs about the power of rhythmic entrainment.

The instruments in this playlist are Piano, Saxophone, String Bass, and light drums with brushes.  The musicians are all international Jazz professionals with 30+ years experience each.  No wonder it turned out so well!  But the real key to why all of playlists work so well is that ingredient of rhythmic entrainment.  An article in “Science Direct” quotes these facts about rhythmic entrainment from:

Rhythmic entrainment as a musical affect induction mechanism

Rhythmic entrainment represents an affect induction mechanism.

Rhythmic entrainment occurs on the perceptual, autonomic, motor, and social level.

The basal ganglia play a key role in the link of rhythmic entrainment and affect.

Rhythmic entrainment supposedly induces positive valence and social dispositions.

Abstract

One especially important feature of metrical music is that it contains periodicities that listeners’ bodily rhythms can adapt to. Recent psychological frameworks have introduced the notion of rhythmic entrainment, among other mechanisms, as an emotion induction principle. In this review paper, we discuss rhythmic entrainment as an affect induction mechanism by differentiating four levels of entrainment in humans—perceptual, autonomic physiological, motor, and social—all of which could contribute to a subjective feeling component. We review the theoretical and empirical literature on rhythmic entrainment to music that supports the existence of these different levels of entrainment by describing the phenomena and characterizing the associated underlying brain processes. The goal of this review is to present the theoretical implications and empirical findings about rhythmic entrainment as an important principle at the basis of affect induction via music, since it rests upon the temporal dimension of music, which is a specificity of music as an affective stimulus.

So, although I certainly didn’t invent or discover rhythmic entrainment, Surgical Serenity Solutions was the first company to apply these principles to the surgical experience!  Get these playlists NOW at www.SurgicalSerenitySolutions.com/buyanapp.

Please let me know your questions or comments!

 

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Can the patient hear music when under anesthesia?

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music can be heard while under anesthesia

Patient sleeping after Propofol

Can the patient hear music when under anesthesia?  This is a questions that many people misunderstand.  There are many different ways that people perceive music, and hearing is but one of those ways.   Music creates vibrations and the human body is very sensitive to vibration.  You can easily test this out by donning some noise-canceling headphones, or even put your hands tightly over your ears, than walk up to your TV or some speakers that are nearby.  You may not hear the music, but you will feel the vibrations coming from the source of the music and the pulse of the rhythm.  THAT allows for the power of the rhythmic music to entrainment.

For many years, patients and physicians both have believed that music could not be heard when under general anesthesia.  Because of this, most physicians did not consider playing music for the patient, and the patient did not consider asking for it.  A prominent exception to this was Dr. Kenton Leatherman, here in Louisville, KY, who realized in the early 1950’s how benficial beautiful music in the OR could be for patients.  Dr. Leatherman told me that he actually paid a woman to play light classical and folk music on a record player in the corner of the OR.  This was the day of 78 RPM records so she was turning over or changing a record every few minutes.  Dr. Leatherman was famous for his lengthy and arduous surgeries and he related to me that he felt the music helped to keep his energy level up, as well as keeping the patient calm and relaxed with excessive anesthesia.

So if you are planning for a surgery or medical procedure like an endoscopy, colonoscopy or cataract surgery, please either choose some slow, soothing, steady music to bring in on your iPhone or iPod, or get some of the Surgical Serenity Solutions pre-loaded, cordless headphones for surgery!  To purchase, click HERE!

 

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Surgery with Music is becoming available around the world!

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Surgical Serenity Solutions

Surgery with Music is available in hospitals around the world

Surgery with music has been available in certain hospitals for many years. But it was always the exception, not the rule.  In the late 20th century, and the early 21st centure, hospitals and medical schools began to take seriously all of the anecdotal reports that were being published in holistic medicine books and journals.

As the research came out, we had more and more empiracal evidence that surgery music can make significant differences in the amount of anxiety the patient experiences, the level of pain that the patients perceives, and the amount of nausea and vomiting the patient experiences, in the post-op period.  These three things combine to reduce the overall time for the procedure to be performed and finally discharged from the hospital or surgery center.

By 2009 there was actually a product on the market to deliver the “scientifically-chosen, best music for surgery,” delivered through cordless headphones, which is the preferred choice for patients having surgery.  The surgeon’s preferred music usually comes through a speaker in the operating room.

Now, patients have a choice of two kinds of headphones and a hospital can purchase a “Cloud Kit” that consists of  10-preprogrammed headphones, sitting on a USB hub, with a pop-up dispenser for disposable earpiece covers!  The Cloud Kit is in many large hospitals around the world, as well as dental clinics.

If YOU, the patient, are having a dental surgery, root canal, extraction, or a medical procedure such as colonoscopy, cataract surgery or joint replacement, please consider getting yourself some of these amazing headphones!!  Patients love them and usually end up requiring less medication, which leads to a faster and safer recovery!  Just go to www.SurgicalSerenitySolutions.com/patient-products to purchase either headphone or the music download.

 

 

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More on the History of Anesthesia and Sedation

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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/

 

 

 

 

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Will Surgical Serenity be covered by insurance?

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Will the Surgical Serenity headphones be covered by insurance?

C-section Serenity Headphones

Waiting to go into surgery.

This is a fair question, and one that I get asked fairly often.  The Surgical Serenity Solution has the capability to reduce anxiety before surgery, anesthesia requirements during surgery, and pain medication after surgery.  The Surgical Serenity Solution can decrease nausea and vomiting in the PACU so that patient is able to be discharged to hospital room or home sooner and begin their overall recovery.  This ingenious and revolutionary tool has the ability to create a win-win for both patient and hospitals by contributing to patient health, but also increase patient satisfaction scores for hospital and allowing them to have faster turnover and treat more patients in the same time period.

So when will health insurance start paying for this?  The insurance industry is a conservative industry and I believe that they will require more studies on this, even though we have at least a couple of hundred in the last two decades.  I believe that BC/BS of California already covers some tapes/CDs that have affirmations for healing on them and actually issues them to patients with various health challenges from chemo to surgery to depression.  I see no reason that they won’t eventually cover the Surgical Serenity Solution, too.

In the meantime, we are working tirelessly to find a headphones that is so affordable for hospitals, that they can actually GIVE them to patients when they arrive at the hospital the morning of the surgery and use them throughout the process and them take them home to keep during their recovery and afterwards!

Are YOU having surgery soon?  Do YOU want to use the absolute best music during your procedure and afterwards?  Just go to www.SurgicalSerenitySolutions.com now and get some for yourself.  They hold 4G of music, so you can add whatever music you want afterwards and use them for years to come.  You’ll be so glad that you did!

 

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Surgery Music Now Available for Download!

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We are so enthusiastic and excited about our Surgical Serenity Music, that we offer JUST the download if you feel that you cannot afford our lightweight, high-quality cordless headphone!  The download alone is only $99.  The headset with music already loaded onto it, is $197.97!

We believe that the Surgical Serenity Solution is slowly revolutionizing the way the surgery is being performed.  There are so many studies now, including a study on our own music and headphone (!) that there is absolutely NO doubt that music before, during and after surgery, can make a big difference in how fast and well the patient will recover.  Who knew that something as simple as choosing the right music for the patient could make such a powerful improvement to surgical outcomes??

Actually, I knew that back in the early 1990’s when I began reading the medical and music medicine literature.  It was quite obvious that, through the process of rhythmic entrainment, the patient’s heart-rate and breathing will begin to synchronize with the pulse of the music.  This relaxes the patient and keeps them relaxed through the procedure so that less medication is needed.  As a clinical musicologist, I know JUST the music to choose for the best results.  Right now the music is classical piano, but we are close to having a NEW AGE playlist, a children’s playlist, and one for elderly patients!

Don’t miss out on this!  You can download the music in minutes or order now for overnight delivery!  Just click on the picture of the headphones!

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Really?? Music DURING Surgery? Yes!!

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Recently, there has been a lot in the popular press (Huffington Post, etc) about the fact that so many surgeons play music during surgery and that it actually does help them to cut and stitch faster and more accurately.  This is wonderful news!  But is the patient just lying there, anesthetized, not aware of the surgeon’s music?

Anecdotal reports abound from patients who say that, even though they were under general anesthesia, they heard conversations that they wish they had not heard.  Statements such as “oh, it’s worse than we thought,” or “this lady is not going to last very long with that tumor.”  People report that, even under general anesthesia, they heard the drill, the hammers, and the saws that replaced the knee, the hip or the shoulder joints.

Not only do patients often hear these anxiety-provoking sounds, but their bodies do respond to the music that the surgeon is playing.  Now there are many surgeons that play perfectly wondering music, but often it is upbeat and loud and with lyrics that are not positive in nature.  One local surgeon was reported to play the Queen song, “Another One Bites the Dust!”  I would be furious if I thought my surgeon was listening to that!

Now we have numerous studies that document benefits of music DURING surgery:

1.  “Music Eases the Stress of Surgery”  Damir Janigro, Neuroscientist, Cleveland Clinic, Cleveland, OH

Results: Listening to melodic music decreased the activity of individual neurons in the deep brain, says Janigro, adding that the physical responses to the calming music ranged from patients’ closing their eyes to falling asleep. Some patients even settled into a nice round of snoring. And when lead neurosurgeon Ali Rezai needed patients to perform an action, such as lifting a limb, during the procedures, he simply removed their earphones and relayed instructions. Once the music resumed, patients returned to their snoozing

Conclusion: With the right music patients can be more relaxed in the operating room. And that relaxation may mean not only that procedures involve less medication — to control blood pressure, which increases with stress — but perhaps that patients have quicker recovery times and shorter hospital stays. Janigro anticipates that following institutional approval, music will be used during certain neurosurgical procedures at the clinic as early as 2010. He hopes other hospitals will soon follow Cleveland’s lead. “This type of surgery can be a traumatizing experience, and using music can decrease anxiety,” he notes.

2. ” Listening to Music decreases the Need for Sedative Medication during Colonoscopy” Department of Gastroenterology, Medical College Hospital, Kozhikode 673 008, Kerala Published: Indian J Gastroenterol. 2006 Jan-Feb;25(1):3-5

3.  “How music therapy may benefit surgery patients” SCOPE blog of Stanford University School of Medicine.

The researchers (from the University of Kentucky, Dept of Music Therapy) say that music selected by trained personnel is preferred because specific guidelines should be followed to maximize the positive effect on patients, however the patient’s musical tastes should still be considered.

The researchers suggest that several playlists be offered so the patient can choose the one that best suits their tastes.

The researchers also note that the tempo, rhythm and volume of the music should be carefully controlled to maximize the positive effect. Calm, slow, gentle music was shown to produce the most positive results and facilitate relaxation and pain reduction in patients, they said.

– See more at: http://scopeblog.stanford.edu/2012/11/20/how-music-therapy-may-benefit-surgery-patients/#sthash.mYSPtnPW.dpuf

Tomorrow’s post will review the use of music during recovery!

 

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Benefits of Music with Surgery: Revisited

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As our Surgical Serenity Solution isn’t exactly well-known, I spend a lot of time explaining to people of all kinds, what the benefits of music before, during, and after surgery can be!  Luckily, you can also search within this blog as well as my Healing Music Enterprises Blog, and my Brain and Music blog, for lots of other posts I’ve written through the years about the use of music during surgery.

Most of my readers know intuitively that music has great power to calm, soothe, comfort and heal.  Having surgery is an extremely stressful event and very few people go into it except by medical necessity.  Fear and anxiety are sky-high, and for many, many reasons.  First of all, patients are afraid because of whatever is causing them to need surgery:  cancer, joint replacement, heart valves or by-passes, need for a C-section, and on and on.  Then there is the very real fear of anesthesia and what could happen if they have a bad reaction to it.  This is especially true if they have not had general anesthesia previously.

When our scientifically-chosen music is administered to the patient through pre-programmed cordless headphones, research shows a significantly decreased amount of anesthesia and pain medication is needed, during and after the procedure!  As a result, the patient recovers faster and has fewer post-op side-effects such as nausea, vomiting and dizziness.

Of course depending on what the surgery or procedure is, the patient will not be dancing out of the recovery room or hospital, but if we can decrease not only the side-effects experienced, but also the length of hospital stay, then using carefully chosen music, through cordless headphones, is definitely the way to go!!

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Music and Surgery: Research on Benefits Continues to Emerge

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When you hear someone say that music before, during and after surgery is beneficial, you assume that its a certain type of music that has been specifically chosen for surgery, right?  After talking to people and working with patients and physicians and nurses about this for 25 years, I’ve heard it all!

It started out primarily with the surgeon deciding that he would be happier if HE had music playing in the OR, so he chose music that he felt would help him do a better job operating.  I’ve heard of surgeon’s choosing classical, rock and roll, smooth jazz, chant, and lots more.  This music usually is played through iPod speakers on a counter or shelf, or even through a boombox on the floor.

The thought was that the patient was either under general anesthesia and wouldn’t really hear it or they would be under regional anesthesia and would probably also enjoy it!  Pretty “iffy” I’d say, since taste in music varies wildly.  Then I came along in the late 90’s saying that even when patient was under general anesthesia, they could benefit from having their own slow, steady music, because of a process known as rhythmic entrainment.

The way this works is that our bodies respond to a nearby strong, steady beat by synchronizing with it, or entraining with it!  This is a well-documented phenomenon, first noticed in the 1700’s by a Dutch physicist named Daniel Huygens.  One of the things the anesthesiologist and staff do during surgery is to keep the heartbeat, breathing, blood pressure and body temperature at a resting, normal level.  This can be greatly helped along by tapping into rhythmic entrainment, utilizing music with a slow, steady beat and a soothing mood.

This is the music that we have already programmed onto your Surgical Serenity headphones to achieve the Surgical Serenity Solution!  A research study that came out just a couple of years ago reported that listening to music “during all three stages proved beneficial. Overall, patients who listened to music were less anxious, required less sedative medication, recovered more quickly and reported better satisfaction with their medical experience. But while some studies show that listening to classical music could yield the most positive results, the latest findings underscore the importance of taking into account patients’ musical tastes.” –

To that, I would add that when the patient is going under general anesthesia, probably classical music is best overall.  Our study here at the VA Hospital utilized exclusively classical music, and although most of the men were not classical music afficianados, once they had been explained why this specific music was chosen, they were happy to give it a chance…and experienced all the benefits listed above!!

The comment below was from a blog that was citing this study above, done at the University of Kentucky by music therapists.  However, it is not necessary to have a music therapist present to use our pre-programmed surgical headphones!  That’s one of the money-saving benefits to hospital and patient.

I will write lots more about this in future blog posts but do let me know your thoughts and your questions!  Thank you!

See more at: http://scopeblog.stanford.edu/2012/11/20/how-music-therapy-may-benefit-surgery-patients/#comments

June Pegram Says:

I had a full hysterectomy in 2005 at Stanford and my physician provided me with a cd to listen to in preparation for the surgery. The premise was to listen to the cd an follow the exercises provided along with the music. Having the music, prepared me in ways that I never would have dreamed- it actually changed my life, even to this day. There was no pre-op nervousness and before I knew it, I was in my recovery room still listening to the music. What a peaceful and relaxing way to enter something normally so stressful. My recovery was just as wonderful and I listened to the cd every night during recovery. Years later I find myself humming a few bars of the relaxation song to calm me down when I am tense. The cd has since been lost to me during several moves, but I truly wish I still had it. Music is very beneficial to the psyche and physical attributes towards preparation and healing and I will use it from now on…

– See more at: http://scopeblog.stanford.edu/2012/11/20/how-music-therapy-may-benefit-surgery-patients/#comments

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Case Study: Abdominal Aortic Aneurysm Repair

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This 70-year-old gentleman had undergone surgery many times and, although he wasn’t excessively anxious about his procedure, he was quite intrigued by the idea of using music with his surgery, especially since he is a huge fan of classical music.  Here is his story:

Jim came to my office for about 30 minutes, a week before his surgery.  We talked about his procedure and how music might positively affect the total experience.  Jim is huge classical music afficianado, so when he found out that our proprietary music is classical, he was thrilled.  When he was told that after his surgery, he could put any music he wanted on the headphones and continue to use them for probably another 5-10 years, he was excited!

After his serious surgery, Jim wanted to come back to my office to tell me his story.  You’ll hear his story in the video above, but just let me encapsulate by saying that he was told before the surgery that it would probably take 4-5 hours.  It took slightly less than 2!  He was told that he would be in ICU for probably 3-4 days.  After one night in ICU and continuing to wear his headphones, he was discharged from the hospital to his home in exactly 24 hours!

Of course Jim attributes all of this to his headphones and we are agreeing with him!  Don’t you want to try them too?

To purchase your own:  www.SurgicalHeadphones.com

 

 

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