Friday, 18 May 2018

Why Meditating on Your Breath Works

by Nina
Wheat Fields at Auvers Under Clouded Sky by Vincent van Gogh
"The research shows for the first time that breathing—a key element of meditation and mindfulness practices—directly affects the levels of a natural chemical messenger in the brain called noradrenaline. This chemical messenger is released when we are challenged, curious, exercised, focused or emotionally aroused, and, if produced at the right levels, helps the brain grow new connections, like a brain fertiliser. The way we breathe, in other words, directly affects the chemistry of our brains in a way that can enhance our attention and improve our brain health.” —from Trinity College Dublin

I always wondered why we are most often taught to meditate by focusing on the breath. Obviously, as ancient yogis discovered, meditating on the breath is particularly effective at quieting the mind. But why is that? Eventually I came up with my own theory. But I’m not going to share that theory with you today because some researches at Trinity College Dublin had a much more interesting theory, and they went ahead and developed a scientific study to study it! The study Coupling of respiration and attention via the locus coeruleus: Effects of meditation and pranayama  looked at the “neurophysiological link” between breathing and attention.They did this by measuring breathing, reaction time, and brain activity in the locus coeruleus, the part of your brainstem that produces noradrenaline, a hormone and neurotransmitter. (I’d say more about how they did the study, but frankly the original paper was somewhat impenetrable, and even though I usually glean some information from these types of papers, I’ve got nothing.

According to The Yogi masters were right—meditation and breathing exercises can sharpen your mind, the researchers discovered that your breath affects noradrenaline levels in your brain, with levels slightly increasing during the inhalation and slightly decreasing during the exhalation. 

In general noradrenaline readies your body and brain for action but levels go up when you are, as they said, “challenged, curious, exercised, focused or emotionally aroused,” not just when you’re in danger. In fact, levels are lowest while you are sleeping and start to rise when you wake up and become active. So, some amount is needed just for you to go about your day!

We have discussed the effects of this hormone in our post Understanding Your Autonomic Nervous System noting how it prepares your body and mind for action by stimulating your heart to beat faster and stronger and slightly raising your blood pressure to improve blood flow, and by opening your airways so you can breathe more easily. In extreme situations—where serious action on your part is needed—this hormone is part of what triggers your fight-or-flight response. In this state, your sympathetic nervous system actually turns off the background functions of nourishment, restoration, and healing that are provided by the parasympathetic nervous system because these functions will slow you down. 

In addition to readying you for action, noradrenaline also affects your ability to focus. Michael Melnychuk, the lead author of the study, says that both too much noradrenaline, which is present when you are stressed, and too little noradrenaline, which is present when you are sluggish, reduce our ability to focus. He says, however, “There is a sweet spot of noradrenaline in which our emotions, thinking and memory are much clearer."

You know I kind of wonder about this. I learned from psychologist Dan Libby that in the fight-or-flight state, it’s not so much that you can’t focus but rather that you can only focus on certain things, that is, fight or flight strategies (see Stress and Your Thought-Behavior Repertoire). So perhaps the “sweet spot” happens when you’re relaxed enough to think clearly but at the same time not too sleepy or exhausted. Regardless, how do we get to that sweet spot by practicing breath awareness or meditating on our breath? Michael Melnychuk says:

“It is possible that by focusing on and regulating your breathing you can optimise your attention level and likewise, by focusing on your attention level, your breathing becomes more synchronised."

This sounds like a kind of feedback loop that happens just on its own. When you focus your attention on your breath, even though you don’t intend to change it, bringing your awareness to it alone will likely slow it down and make it more even, which in turn increases your ability to focus on it, which in turn regulates your breath even more, etc. 

Besides being a particularly effective meditation technique, there is a good possibility practicing breath awareness or meditating on your breath can help with our aging brains! According to Ian Robertson, the principal investigator of the study, the sweet spot you reach when meditate on your breath (mindfulness meditation) “doses” your brain with the right amount of noradrenaline to grow new connections between your brain cells, something that doesn’t happen when your levels of noradrenaline are too high or too low. As he says:

"Our findings could have particular implications for research into brain ageing. Brains typically lose mass as they age, but less so in the brains of long term meditators. More 'youthful' brains have a reduced risk of dementia and mindfulness meditation techniques actually strengthen brain networks. Our research offers one possible reason for this—using our breath to control one of the brain's natural chemical messengers, noradrenaline, which in the right 'dose' helps the brain grow new connections between cells. This study provides one more reason for everyone to boost the health of their brain using a whole range of activities ranging from aerobic exercise to mindfulness meditation."

Now, what about pranayama, the breath practices where you intentionally control your breathing rather than allowing it to settle on its own? If you consider that more noradrenaline is released on your inhalation than on your exhalation, you can see how making your inhalation longer than your exhalation would be stimulating and making your exhalation longer than your inhalation would be calming. This allows you to use your breath practices to simulate yourself, calm yourself, or balance yourself as we describe in Pranayama: A Powerful Key to Your Nervous System. The study’s author seems to recommend pranayama to help you self-regulate, just as we do:

“In cases where a person's level of arousal is the cause of poor attention, for example drowsiness while driving, a pounding heart during an exam, or during a panic attack, it should be possible to alter the level of arousal in the body by controlling breathing.”

Of course, we know from experience that pranayama allows us to change our levels of "arousal." What Melnychuk is adding to that here is that balancing your nervous system with your breath will affect your noradrenaline levels, which in turn, should help you find the sweet spot where your ability to focused is maximized. So, if you're stressed out or sluggish, practicing pranayama to balance your nervous system before meditating on your breath seems like the way to go. If lack of experience with focusing is the only thing interfering with your ability to meditate, you could just go ahead and meditate on your breath.

It does seems possible, however, that a balancing breath (where the inhalation and exhalation are of equal length) would serve the same purpose as breath awareness. (Information on how exactly to get to that sweet spot either isn’t in the original paper or I just couldn’t find it. In the end, I was left with a number of questions!)

Ian Robertson, the principal investigator of the study, says the research shows that both these breath practices have a strong connection with “steadiness of mind.” With that term, he’s including not only attention but arousal (stress levels) and emotional control (related to stress levels). So that’s an argument for practicing both pranayama and meditation.

"Yogis and Buddhist practitioners have long considered the breath an especially suitable object for meditation. It is believed that by observing the breath, and regulating it in precise ways—a practice known as pranayama—changes in arousal, attention, and emotional control that can be of great benefit to the meditator are realised. Our research finds that there is evidence to support the view that there is a strong connection between breath-centred practices and a steadiness of mind."

2.2 When the breath is disturbed, the mind is unsteady. When the breath becomes focused, the mind becomes focused and the yogi attains steadiness. —Hatha Yoga Pradipika, translated by A.G. Mohan and Dr. Ganesh Mohan

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For information about Nina's upcoming book signings and other activities, see Nina's Workshops, Book Signings, and Books.

Thursday, 17 May 2018

Evolving Ideas about Yoga for Healthy Aging

by Baxter
The Cultivation of Ideas by Rene Magritte*
As I approach teaching my sixth Yoga for Healthy Aging Intensive this July 2018, I thought it would be useful to reflect on how my ideas about teaching Yoga for Healthy Aging have evolved since we began teaching this course.

Let me begin by saying that the core content and concepts of Yoga for Healthy Aging remain unchanged and are holding up beautifully since we started in the summer of 2015. But as I was reflecting on my perspective on the four physical skills of strength, flexibility, balance, and agility, it becomes more and more clear to me that maintaining strength is the foundational focus out of which the other three skills grow. Without at least adequate strength, it is hard to find balance and agility or take advantage of whatever flexibility you may already possess. Strength is already the first of the four physical skills we cover in the course, and I now make a point now of emphasizing this essential point right up front. I often suggest that if you are not sure where to start in your home practice in investigating the four skills, start with strength and you can’t go wrong. And I have also been intentionally discussing hyperflexibility, including cautions and approaches to working with it, during our talk on flexibility, because this affects many yoga practitioners and has been often overlooked in the past in mainstream yoga (see Are You Overly Flexibile? Hyperflexibility, Joint Hypermobility Syndrome and Generalized Joint Hypermobility).

Of course, as new information and concepts have come to light that support our ideas or advance our understanding of yoga and aging—especially from the writings of our talented blog contributors—I incorporate some of those findings into the course. For example, I now take some time to discuss the titin molecule in our muscles and how longer holds may improve flexibility in part due to changes in this structure in muscles (see Friday Q&A: How Long to Stretch). I also weave in newer information about brain health from the rich writings of Ram Rao, such as his 2017 post on meditation and the brain Meditation Techniques and Brain Structure) and his post on a new study on yoga and balance New Studies on Aging, Balance, and Yoga. And I will update our presentation on the flight-or-fight response based on Nina’s recent piece Why are we so stressed out? to reflect the most up-to-date understanding of this basic human reaction to stress. 

Because I’ve realized the limits of always doing poses the same way (you get really good at that body position, but not the vast array of other possible places to challenge yourself), and the benefits to the brain of continued new learning, I now place more emphasis on learning to vary your poses by changing them on your own. This allows you to creatively explore new body positions in your basic poses, challenging your strength, flexibility, balance, and agility in new ways, while stimulating your brain with new learning. For example, you could vary Warrior 2 pose by doing different arm variations, either to improve overall strength in your upper body or to improve brain health by engage your mind practicing new positions. (see the video Dynamic Warrior 2 with Crazy Arms  as an example  ). You can also use this creative approach to come up with new variations that help you to accommodate to your particular physical limitations and changing health status that are an inevitable part of life. 

These are just some of the ways my thoughts on teaching yoga for healthy aging have evolved so far, and as I continue learn new things myself I will continue to update the course to reflect my latest ideas. Who knows what I’ll learn between now and July! If you have not yet signed up for the July intensive in July 23rd-28th, 2018 at the Namaste Yoga Studio in Berkeley, CA, Early Bird pricing is good through June 1st. And for everyone in the San Francisco East Bay Area, Nina and I will have a book signing—open to the general public—during the intensive on Thursday, July 26th from 4:30-5:30pm. Click here to learn more about the intensive and get registered.

Subscribe to Yoga for Healthy Aging by Email ° Follow Yoga for Healthy Aging on Facebook and Twitter ° To order Yoga for Healthy Aging: A Guide to Lifelong Well-Being, go to AmazonShambhalaIndie Bound or your local bookstore.

Follow Baxter Bell, MD on YouTubeFacebook, and Instagram. For upcoming workshops and retreats see Baxter's Workshops and for info on Baxter see baxterbell.com.  

Wednesday, 16 May 2018

Cultivating an Attitude of Gratitude

by Beth
Contentment by Maxfield Parrish*
The word “gratitude” means to be thankful and appreciative for something or someone. An attitude of gratitude helps us live our lives with a greater sense of well-being, in spite of difficulties and disappointments. Feelings of gratitude change the brain by activating the production of dopamine and serotonin, the ‘feel good’ chemicals. And as Nina points out in It is not finding gratitude that matters; it is remembering to look in the first place, making an effort to find gratitude is just as important as experiencing it. 

I myself have used a combination of techniques to cultivate my attitude of gratitude and at this point in my life I can experience gratitude on three levels: 

Level One: Daily Life Stuff 
  1. After days of cold weather and rain, the sun comes out, the sky brightens, my mood lifts, and I experience a sudden onset of gratitude for sunshine. 
  2. As I contemplate my daily ‘to do’ list my mind says, ‘Do it all!” I feel anxious and tune into my body, which says, ‘Edit!’ The list gets re-shuffled, anxiety eases, and I experience an attitude of gratitude toward my body. 
  3. There’s a saying that suggests the best way to deal with a problem is to “sleep on it.” Sometimes that really works. After years of trying unsuccessfully to sell my house, I gave up and recruited housemates to help pay the bills. About a year later, I was attending a yoga training in Florida. Halfway through, I woke up one morning with a directive, which I assumed came from my subconscious. It said, “Go home and put your house on the market!” It was insistent. When I returned home, I put my house on the market. It sold within two weeks. Talk about feeling grateful! 

Level Two: Big-Ticket Stuff 

Here’s a list of things that I’m grateful for in spite of the difficulties and disappointments that come along with each and every one: 
  1. Health (in spite of aches, pains, moody blues, and chronic stuff) 
  2. My son (a kind and talented human being who has not yet made me a grandma!) 
  3. My condo (it comes with some irritating association rules plus car alarms that are always going off in the parking lot) 
  4. Sense of humor (I can laugh at, or at least see the humor in, life's absurdities, difficulties, and disappointments, especially my own) 
  5. Creativity (it has taken decades for me to find my voice and write but better late than never even when I’m blocked and frustrated!) 

Level Three: Santosha (Contentment) 

Gratitude and contentment are closely related. They’re like two peas in a pod. Gratitude can be seen as a subtler aspect, or shade, of santosha. In her book The Secret Power of Yoga, Nishala Joy Devi offers this example: 

“In South India, there is a heartfelt way of expressing one’s appreciation. Instead of saying, 'thank you,' they say, 'Santosha [I am content]'.” 

Santosha is one of the niyamas, from the 2nd limb of Patanjali’s Yoga Sutras. Ram offers this explanation in his post Santosha: Happiness, and Longevity

“Santosha Anuttamah Sukha Labhah

From an attitude of contentment/true happiness (santosha), mental comfort, joy, and satisfaction (anuttamah sukha) are obtained. —Swami Jnaneshvara 

To be contented and happy, even while experiencing life’s difficulties, becomes a process of growth through all kinds of circumstances.” 

We can approach santosha by finding a way to be satisfied with what we have even as we may be working to have more (free time, money, recognition, better job, etc.). It’s also the ability to remain centered and peaceful no matter what is happening: not getting too low when daily glitches and messy life situations show up (and they will) and not getting too excited when things go 100% the way we hoped (and we always hope they will). Finding the middle ground is not always easy but practicing gratitude is a steppingstone on the path to experiencing santosha consciously and more often. 

A quick search on the Internet offers lists of ways to practice. I found some with 7, 25, 29, 31 and 40 ways. These include waking up in the morning and naming five things that you are grateful for before your feet hit the floor, making daily entries in a gratitude journal, or choosing affirmations to repeat as you brush your teeth or make your breakfast smoothie. 

Here’s what I’ve chosen. I’ve been doing the first two practices for several years. The third one is new but it feels good. 

Suggested Gratitude Practices 

1. Affirmation 

Using affirmations helps to encourage a positive outlook. This one works to help cultivate an attitude of gratitude: 

“Thank You for Everything, I Have No Complaint Whatsoever.”

From what I’ve been able to find, the affirmation is attributed to Sono, a female Zen master, who lived about 150 years ago. I don’t know how accurate that attribution is but I use it because it helps me feel ‘santoshic’ (if that can be a word). 

2. Gratitude Popcorn 

This is my favorite practice. Make an intention to notice things to be grateful for throughout the day, every day. As you move from moment to moment, something inevitably floats to the surface and ‘pops’ into your consciousness. When that happens silently or out loud say, “Thank you” and smile. 

3. Chaturmukham Mudra for Santosha
This is from Mudras for Healing and Transformation by Joseph and Lilian LePage. The recommendation is to hold the mudra for 5–10 breaths, gradually working up to five minutes as long as you are comfortable. If desired, you can repeat this up to three times a day
  1. Touch the tips of all the fingers of each hand to the same fingers on the opposite hand. 
  2. Extend your thumbs straight up. 
  3. Keep your fingers separated and rounded as if holding a globe, with your wrists comfortably apart. 
  4. You can hold the gesture slightly away from your body or with your wrists resting comfortably against your abdomen. 
  5. Relax your shoulders back and down, with your elbows held slightly away from your body and your spine naturally aligned. 

“A contented heart is a calm sea in the midst of all storms.” — Anonymous 

Let an attitude of gratitude be your boat. 


Subscribe to Yoga for Healthy Aging by Email ° Follow Yoga for Healthy Aging on Facebook and Twitter ° To order Yoga for Healthy Aging: A Guide to Lifelong Well-Being, go to AmazonShambhalaIndie Bound or your local bookstore.

For information on Beth Gibbs' classes and upcoming workshops, see Beth's Classes and Workshops and for information about Beth, ProYoga Therapeutics, and Beth's book and CD, see proyogatherapeutics.com

Tuesday, 15 May 2018

Yoga FAQ, Chapter 3 by Richard Rosen

by Nina
Although we featured this chapter from Richard's book Yoga FAQ during our holiday gift week at the end of December 2017, I thought I rerun it today because this chapter by Richard answers questions about and related to the Vedas and Upanishads, which are from the two periods of yoga history (and prehistory) that I discussed in my post Is Yoga Really 5,000 Years Old? If you were left with questions after reading my post, such as "What are the Upanishads?", you may be able to find out the answers right here:


For answers to more frequently asked questions about yoga, you can find Yoga FAQ at AmazonShambhalaIndie Bound, or your local bookstore.

Subscribe to Yoga for Healthy Aging by Email ° Follow Yoga for Healthy Aging on Facebook and Twitter ° To order Yoga for Healthy Aging: A Guide to Lifelong Well-Being, go to AmazonShambhalaIndie Bound or your local bookstore.

Monday, 14 May 2018

Video of the Week: Dynamic Half Cow-Face Pose Arms

This dynamic sequence includes the top arm position of Cow-Face pose to improve flexibility in your shoulders and upper back and adds a static side bend to improve flexibility in the sides of your chest and waist.



Subscribe to Yoga for Healthy Aging by Email ° Follow Yoga for Healthy Aging on Facebook and Twitter ° To order Yoga for Healthy Aging: A Guide to Lifelong Well-Being, go to AmazonShambhalaIndie Bound or your local bookstore.

Follow Baxter Bell, MD on YouTubeFacebook, and Instagram. For upcoming workshops and retreats see Baxter's Workshops and for info on Baxter see baxterbell.com.  

Friday, 11 May 2018

Friday Q&A: Achilles Tendonitis and Tight Hamstrings


The Achilles Heel of Achilles
was Literally His Achilles Heel
Q: Tight hamstring and Achilles Heel are my problems. What would you suggest to help? I will be 70 soon. Yikes!!!! And yes, aging is affecting my practice. 

A few months on both issues. I try and keep my calf stretched and rest and take ibprofen for tendonitis of the Achilles. I do my yoga practices at home being careful in how long I hold poses. Lunges help the calf; leg stretches with my strap; walking on one side of my heel is more comfortable and going down stairs is uncomfortable for the heel. The tendon that is behind my ankles is sore. I had to change shoes so no pressure was on the tendon. My doctor diagnosed my Achilles heel last year. Not much they can do for it. As I stated before, I am a very young 70, hahaha, and have practiced for almost 13 years with my local teacher. She is retired so I am on my own. I have already hurt a hip muscle in a class I took. I do notice, practicing on our own at home can cause injuries. So that is my story. 

A: I’m going to start by discussing the tendonitis of her Achilles tendon that this reader has, and then address the issue of her tight hamstrings and how to work with those given her tendonitis. (Readers, everyone has an Achilles heel—it’s that part of the body that his mother, Thetis, held while dipping Achilles into River Styx to make him invulnerable. What the reader who submitted the question has is tendonitis in the Achilles heel. —Nina) 

The Achilles tendon is considered the thickest and one of the strongest tendons in the body. It attaches the two large muscles on the back of the calf, the gastrocnemius and the soleus, to the heel bone. If that tendon becomes inflamed and begins to break down, almost always due to overuse, we call it “tendonitis.” The inflammation of the tendon is accompanied by swelling and tenderness, making it painful to walk normally on that heel. The risk factor for developing tendonitis in this location that is most relevant here is advancing age (others include being male, obese, flat footed, some types of sports training, having high blood pressure or psoriasis, and the use of certain antibiotics). In the case of our reader, she has already been diagnosed with the condition, so what can she do to improve or heal this painful tendon? 

Well, she is already trying a few things that are a good idea from where I am sitting: regular stretching of the calf muscles, wearing appropriate shoes to cushion the tendon area, taking appropriate rest, and being careful about how long she holds her yoga poses. The one adaptation she mentions that could be problematic is walking on the side of the heel, which may be less painful in the moment, but may lead to compensations in her way of walking or gait that in turn could lead to other parts of her lower body, such as her knee, hip, or lower back pain down the line. 

In light of this, I suggest that she wear the special fitted shoes with heel cushioning and good arch support (instead of being barefooted) around the house and even when she practices yoga for a while to avoid aggravating the Achilles tendon. I have had several students with a variety of foot/ankle issues do this in class while there tissues where healing to good effect. 

In addition to these practices and cautions, I recommend: 

1. Do non-weight-bearing yoga poses to take the pressure off the Achilles tendon and allow it to rest each day. This may aid in recovery over time. These poses include those done prone or supine on the floor, for example, Reclined Hip Stretch sequence or Locust pose, and supported poses on chairs, for example, Warrior 2 version 3. However, if you are finding that you can actually do all of your standing yoga poses without worsening your tendonitis symptoms, you could skip this step. 

2. Continue to stretch your calf to affect the Achilles tendon. Yoga poses that are good for this include:
  1. Warrior 1 and 2 (the back leg calf) 
  2. Half and classic Downward-Facing Dog poses 
  3. Reclined Leg Stretch pose, version 1 with strap on arch or ball of foot with relaxed ankle and strong downward pull on foot 
  4. Lunge pose, versions 1-3, and the Dropped Knee version with back toes turned under 
Also, see Shari’s post Stretching a Tight Ankle for two targeted stretches for the two big calf muscles 

3. Add in eccentric strengthening exercises. An example of this is standing in Mountain pose and coming onto your toes by lifting both heels up as high as you comfortably can and then slowly lowering your heels to the floor. It is the slow lowering that creates this kind of strengthening. I recommend repeating this dynamically 6-8 times, and gradually adding more repetitions as tolerated.

Physical therapists have found great success using eccentric strengthening of the calves for Achilles tendonitis, with vast majority of patients seeing noticeable improvement. However, they do mention that with these types of exercises pain symptoms often worsen in the short run though they improve with continued practice. Because of this, before you practice this technique, I recommend getting guidance from a physical therapist or yoga therapist experienced in this area. So consider revisiting your physical therapist to have them teach you their way of eccentrically strengthening your calf muscles called Hakan Alfredson’s heel drop protocol exercises. 

When you get the go-ahead to practice eccentric strengthening, yoga poses you can practice to eccentrically strengthen your calf and Achilles tendon include: 
  1. Mountain pose with heel lifts, as described above, lifting your heels on an inhalation and slowly lowering your heels on an exhalation, repeating 6-8 times initially and adding more repetitions over time. 
  2. Dynamic Arms Overhead with heel lifts, as described for Mountain pose. See youtube.com for a video.
  3. Downward-Facing Dog pose with heel lifts, as described for Mountain pose. 
Now about the tight hamstrings. Your hamstrings are the muscles that start at your sitting bones, run done the backs of the upper legs, and attach just below your knees. These muscles take your legs back, as in the back leg in Warrior 1 pose, and also help bend the knees. How can you tell if you have tight hamstrings? One way is if you cannot touch the floor in Standing Forward Bend pose without bending your knees. There are many reasons why you may have tight hamstrings, including genetic predisposition, lack of regular stretching, activities that naturally tighten hamstrings, such as running, biking, hiking, inactivity, and other conditions that could impact them, such as sciatic nerve irritation, lumbar disc disease, and nerve entrapment. If they are tight due to any of the last three reasons, please get clear input from your medical specialist regarding cautions in addressing the hamstring tightness.

Considering the Achilles tendonitis, here are several ways I’d suggest to stretch your hamstrings:

1. Reclined Legs Stretch pose, versions 1 and 3, with the strap on the arch or ball of the foot, avoiding the heel pad if the strap causes pain on the affected side. This pose also stretches the calf as I said above, so it is a two for one!  

2. Half Downward-Facing Dog pose and Downward-Facing Dog pose, as mentioned above, with attention to hamstring stretch sensations.

And if your heel is slow to recover or continues to be painful, consider a private session from an experienced yoga teacher or yoga therapist, even via Skype if no one is locally available, to have an outside set of eyes look more objectively your yoga practice to see what is helping and what might be hindering your recovery. 

Finally, although physical therapist Shelly Prosko is discussing an acute complete rupture of the Achilles tendon in her post Sudden Acute Traumatic Injury, this post could also provide you with other valuable ideas and options on the healing process, such as using the lens of the koshas through which to view your health decisions and the benefits yoga tools other than asana, such as pranayama and meditation and self-reflection, in guiding your healing.

—Baxter

Subscribe to Yoga for Healthy Aging by Email ° Follow Yoga for Healthy Aging on Facebook and Twitter ° To order Yoga for Healthy Aging: A Guide to Lifelong Well-Being, go to AmazonShambhalaIndie Bound or your local bookstore.

Follow Baxter Bell, MD on YouTubeFacebook, and Instagram. For upcoming workshops and retreats see Baxter's Workshops and for info on Baxter see baxterbell.com.