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Apr Apr 27, 2026

Binaural Beats in Surgery?

By |April 27, 2026|Binaural Beats in Surgery, Music with Surgery, Music with Surgery in Hospitals, Music with Surgery in the news|0 Comments

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SSS is moving to Sarasota, FloridaMusic with surgery and in the perioperative period has been around for a while now. Binaural beats have also been around for a long time. NOW, we have added binaural beats to one of our existing playlists.

At the request of one of our Ambulatory Surgery Centers, our sound engineer added binaural beats to the Smooth Jazz playlist. The results have been great! Although the sound of binaural beats (always through headphones) is barely perceptible to not perceptible, the effect is there and the patients having joint replacements (in this case) are loving it!

What ARE binaural beats? Of course there are many ways to describe them, but one of my favorite definitions comes from : https://thehumancondition.com/binaural-beats/

“Listening to two different tones, one in each ear, causes the brain to create an auditory illusion of a third tone resembling “one tone that fluctuates in frequency or loudness: a beat.”1 This extra tone is referred to as a “binaural beat” and is registered by the brain as the difference between the two tones. However, for this to occur, each tone must have a frequency of less than 1,000 Hz, with no more than a 30 Hz difference between the two tones, and both tones must enter the ears simultaneously.2

For example, a tone at 300 Hz heard in the right ear and one at 318 Hz in the left ear will cause the brain to interpret a binaural beat of 18 Hz. The brain will begin to match this in a process called “frequency following response.” Binaural beats may impact “brain activity, behavior, and mood” 2 and can help individuals to achieve a desired mental state.”

As alway, the headphones are placed on the patient’s head during the preoperative period, after the patient has changed into the surgical gown and had the IV placed. I have seen this happen many, many times and as soon as headphones go on, the patient closes their eyes and exhales a huge sigh of relief, as the soothing therapeutic music washes over them.

Is this as good as or better than using Valium, Xanax, or Ativan? I believe that it is much better because these aforementioned benzodiazepines have addictive potential and when the patient is already going to get anesthesia and pain medication, why not eliminate it from the pre-op period?  Addiction is a big problem in our society and people who never did a drug recreationally can take anxiety or pain medication after a surgery and become addicted. Remeber, addiction is a disease in itself and if other factors are already there, addiction becomes a way to self-medicate and it gets worse and worse, sometimes slowly sometimes quickly.

Adding binaural beats to the Jazz playlist has been positive step forward.

When a hospital or ASC (ambulatory surgery center) order headphones, MP3 players, or licenses the app, getting the Jazz playlist with binaural beats is an option. When you order the Hospital Starter Kit, you will get 12 preloaded headphones and you can choose which or the playlists you want, a mix, or all one playlists. East headphone contains one playlist that repeats continuously though the surgery.

To learn more about the Hospital Starter Kit, click on the link and you can either buy immediately or fill out our form to ask more questions or set up a call or a Zoom!

Give your patients a safe and enjoyable way to go into surgery and avoid the potential problems that can come with other medications. The devices are worn throughout the perioperative period and the patient DOES respond to the steady pulse of our music even when under general anesthesia. (a frequently asked question).

Check it out now! Hospital Starter Kit.

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Apr Apr 14, 2026

Surgical Serenity Solutions moving its headquarters to Florida

By |April 14, 2026|Uncategorized|0 Comments

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patient using our mobile app

Patient uses our app playlist during colonosopy.

After getting off to a strong and stable beginning in Louisville, Kentucky, Surgical Serenity Solutions is moving its headquarters to Sarasota, Florida. In Louisville, we had great, unlimited access to the University of Louisville School of Medicine. We also developed strong relationships with Baptist Health systems here, Norton Hospital system, and the V.A. Robley Rex Hospital.

The surgeons, anesthesiologists, administrators and surgical nurses have been invaluable to us and I know we will continue to stay in touch as we grow and reach out to hospitals and surgery centers around the country. But progress marches on and Sarasota has been calling to us for some time now.

Not only are there far more hospitals and surgery centers in Florida but the weather suits me extremely well and I can handle a small hurricane every now and then, given that there’s always lots of warning.

How will this affect YOU?? Not at all. Although our focus has shifted from individual patients to large hospital systems as well as free-standing surgery centers, we will still be happy to sell individual patients a headphones or two. And of course we will always strongly recommend our surgery app with all five choices available.

As a little aside, yesterday I ran into a physician friend at the fitness center we both go to and he asked when i was going to get a playlist of country music. I laughingly explained to him that there really just wasn’t any country music that fit my requirements.  Music has such personal associations and we want music that won’t trigger any negative memories. I would think country music could easily do that!!

Music that is best for surgery is really in a totally unique category that doesn’t have the requirements of music for entertainment or even music that music therapists use. As one of the few clinical musicologists, I have curated and sequenced five playlists in five genres that will get you or your patients through surgical procedure with calm and serenity.

In fact, our music does have unique advantages over music therapy and streaming services.  To see a comparison, click here.

If you live anywhere in Florida and would like to come to Sarasota for an introductory meeting, please let me know!

If you are a hospital administrator, surgeon or anesthesiologist, I’d be happy to set up a Zoom meeting with you to introduce our products and services. Just go to www.surgicalserenitysolutions.com/contact-us. 

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Mar Mar 16, 2026

30 Top Research Studies on Music with Surgery

By |March 16, 2026|Ancient Methods of Pain Management, Research in Music with Surgery, Research on Music with Surgery|0 Comments

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The Concept of music with surgery is probably ancient. In ancient times, however, surgery had to be done but there were no standard methods for treating pain so every surgeon did what he could.

In ancient Egypt, Greece opium was used for pain and Hippocrates acknowledged its benefits.

Willow bark was also used because it contains salicylic acid.

The Incas

In the Meditteranean

Hole J., Hirsch M., Ball E., Meads C. (2015). Music as an aid for postoperative recovery in adults. The Lancet.

https://pubmed.ncbi.nlm.nih.gov/26277246/

https://www.thelancet.com/article/PIIS0140-6736(15)60169-6[2]

Kühlmann A.Y.R., de Rooij A., Kroese L.F., van Dijk M., Hunink M.G.M., Jeekel J. (2018). Meta-analysis of perioperative music interventions. British Journal of Surgery.

Open-access PDF (author version):
https://pure.eur.nl/ws/portalfiles/portal/47913552/REPUB_105946-OA.pdf

Bradt J., Dileo C., Shim M. (2013). Music interventions for preoperative anxiety. Cochrane Database of Systematic Reviews.

https://pubmed.ncbi.nlm.nih.gov/23450592/

Nilsson U. (2008). The anxiety- and pain-reducing effects of music interventions: systematic review. AORN Journal.

https://pubmed.ncbi.nlm.nih.gov/18262042/

Top 30 Studies on Music and Surgery

 

Nilsson U., Rawal N., Unosson M. (2003). A comparison of intra-operative or postoperative exposure to music. Acta Anaesthesiologica Scandinavica.

https://pubmed.ncbi.nlm.nih.gov/12648190/

Lepage C., Drolet P., Girard M., Grenier Y., DeGagné R. (2001). Music decreases sedative requirements during spinal anesthesia. Anesthesia & Analgesia.

https://pubmed.ncbi.nlm.nih.gov/11574347/

Ayoub C., Rizk L., Yaacoub C., et al. (2005). Music and ambient operating room noise effects on sedation requirements. Anesthesia & Analgesia.

https://pubmed.ncbi.nlm.nih.gov/16116012/

Wang S.M., Kulkarni L., Dolev J., Kain Z.N. (2002). Music and preoperative anxiety. Anesthesia & Analgesia.

https://pubmed.ncbi.nlm.nih.gov/21507021/

Bringman H., Giesecke K., Thörne A., Bringman S. (2009). Relaxing music reduces patient anxiety during surgery. Acta Anaesthesiologica Scandinavica.

https://pubmed.ncbi.nlm.nih.gov/19154564/

Lee K.C., Chao Y.H., Yiin J.J., Chiang P.Y., Chao Y.F. (2011). Effectiveness of music listening in surgical patients: systematic review. Journal of Clinical Nursing.

https://pubmed.ncbi.nlm.nih.gov/21507021/

Sendelbach S., Halm M.A., Doran K.A., Miller E.H., Gaillard P. (2006). Effects of music therapy on physiological and psychological outcomes in cardiac surgery patients.

Likely: Clinical Nursing Research / Dimensions of Critical Care Nursing paper; indexable via PubMed search “Sendelbach Halm Doran Miller Gaillard music therapy cardiac surgery”.

Chan M.F., Wong Z.Y., Onishi H., Thayala N.V. (2010). Effects of music on depression and sleep quality in elderly patients. Complementary Therapies in Medicine.

https://pubmed.ncbi.nlm.nih.gov/20688256/

Koelsch S., Fuermetz J., Sack U., et al. (2011). Effects of music listening on cortisol and emotional responses. Frontiers in Psychology.

https://pubmed.ncbi.nlm.nih.gov/21734851/ (full text in Frontiers)

Padmanabhan R., Hildreth A.J., Laws D. (2005). Music improves patient satisfaction in ambulatory surgery. Anaesthesia.

https://pubmed.ncbi.nlm.nih.gov/16179047/

Good M., Stanton-Hicks M., Grass J.A., et al. (1999). Relaxation and music to reduce postoperative pain.

https://pubmed.ncbi.nlm.nih.gov/10380212/

Evans D. (2002). The effectiveness of music as an intervention for hospital patients: a systematic review. Journal of Advanced Nursing.

https://pubmed.ncbi.nlm.nih.gov/12366650/

Allen K., Blascovich J. (1994). Effects of music on cardiovascular reactivity among surgical patients.

https://pubmed.ncbi.nlm.nih.gov/8134425/

Schneider S.M., Ellis M., Coombs W.T., Shonkwiler E.L., Folsom L.C. (2003). Virtual reality and music therapy for pain management.

https://pubmed.ncbi.nlm.nih.gov/14509327/

Chlan L., et al. (2013). Patient-directed music intervention in ICU reduces anxiety. American Journal of Critical Care.

https://pubmed.ncbi.nlm.nih.gov/23589506/

McCaffrey R., Locsin R. (2002). Music listening as a nursing intervention: a systematic review.

https://pubmed.ncbi.nlm.nih.gov/12387263/

Twiss E., Seaver J., McCaffrey R. (2006). The effect of music listening on postoperative pain and anxiety.

https://pubmed.ncbi.nlm.nih.gov/16905964/

Phumdoung S., Good M. (2003). Music reduces sensation and distress of labor pain.

https://pubmed.ncbi.nlm.nih.gov/14583108/

Pelletier C.L. (2004). The effect of music on decreasing arousal due to stress: a meta-analysis.

https://pubmed.ncbi.nlm.nih.gov/15327956/

Cooke M., Chaboyer W., Schluter P., Hiratos M.A. (2005). The effect of music on preoperative anxiety.

https://pubmed.ncbi.nlm.nih.gov/15811174/

Lin P.C., Lin M.L., Huang L.C., Hsu H.C., Lin C.C. (2011). Music therapy reduces anxiety in surgical patients.

https://pubmed.ncbi.nlm.nih.gov/21193186/

Fu V.X., et al. (2019). The effect of perioperative music on medication requirements: meta-analysis. Annals of Surgery.

https://pubmed.ncbi.nlm.nih.gov/30807469/

Bradt J., Dileo C., Potvin N. (2013/2015). Music for stress and anxiety reduction in coronary heart disease patients.

https://pubmed.ncbi.nlm.nih.gov/23440799/

Thoma M.V., et al. (2013). The effect of music on the human stress response.

https://pubmed.ncbi.nlm.nih.gov/23541122/

Bringman H., Giesecke K., Thörne A., Bringman S. (2009). Relaxing music reduces stress during surgery.

Same trial as #9 but stress-focused analysis; see Acta Anaesthesiologica Scandinavica record: https://pubmed.ncbi.nlm.nih.gov/19154564/

Jiang F., et al. (2024). Patient-selected music improves perioperative outcomes: randomized clinical trial.

https://pubmed.ncbi.nlm.nih.gov/38537084/

Commentary/full text:
https://pmc.ncbi.nlm.nih.gov/articles/PMC11326024/

If you’d like, I can reformat this into a table with clickable titles suitable for a handout or website.

Yes, could please reformat this into a table with clickable titles for a handout or website? Could please also add my branding?
Here’s a clean, web‑ready table you can drop into a handout or website. I’ll show it in Markdown first, then an HTML version with simple branding for you.

Markdown version (for web/Markdown editors)
Suggested title:
Top 30 Scientific Studies Supporting Music Medicine in Surgery — Curated by Dr. Alice H. Cash, PhD, LCSW, Clinical Musicologist and Founder, Surgical Serenity Solutions

# Study title (clickable) Authors Year Journal
1 Music as an aid for postoperative recovery in adults Hole J, Hirsch M, Ball E, Meads C 2015 The Lancet
2 Meta-analysis of perioperative music interventions Kühlmann AYR, de Rooij A, Kroese LF, et al. 2018 British Journal of Surgery
3 Music interventions for preoperative anxiety Bradt J, Dileo C, Shim M 2013 Cochrane Database of Systematic Reviews
4 The anxiety- and pain-reducing effects of music interventions: systematic review Nilsson U 2008 AORN Journal
5 A comparison of intra-operative or postoperative exposure to music Nilsson U, Rawal N, Unosson M 2003 Acta Anaesthesiologica Scandinavica
6 Music decreases sedative requirements during spinal anesthesia Lepage C, Drolet P, Girard M, et al. 2001 Anesthesia & Analgesia
7 Music and ambient operating room noise: effects on sedation requirements Ayoub C, Rizk L, Yaacoub C, et al. 2005 Anesthesia & Analgesia
8 Music and preoperative anxiety Wang SM, Kulkarni L, Dolev J, Kain ZN 2002 Anesthesia & Analgesia
9 Relaxing music reduces patient anxiety during surgery Bringman H, Giesecke K, Thörne A, Bringman S 2009 Acta Anaesthesiologica Scandinavica
10 Effectiveness of music listening in surgical patients: systematic review Lee KC, Chao YH, Yiin JJ, et al. 2011 Journal of Clinical Nursing
11 Effects of music therapy on physiological and psychological outcomes in cardiac surgery patients Sendelbach S, Halm MA, Doran KA, Miller EH, Gaillard P 2006 (Cardiac surgery outcomes article)
12 Effects of music on depression and sleep quality in elderly people Chan MF, Wong ZY, Onishi H, Thayala NV 2010 Complementary Therapies in Medicine
13 Effects of music listening on cortisol and emotional responses Koelsch S, Fuermetz J, Sack U, et al. 2011 Frontiers in Psychology
14 Music improves patient satisfaction in ambulatory surgery Padmanabhan R, Hildreth AJ, Laws D 2005 Anaesthesia
15 Relaxation and music to reduce postoperative pain Good M, Stanton-Hicks M, Grass JA, et al. 1999 (Postoperative pain study)
16 The effectiveness of music as an intervention for hospital patients: a systematic review Evans D 2002 Journal of Advanced Nursing
17 Effects of music on cardiovascular reactivity among surgical patients Allen K, Blascovich J 1994 (Cardiovascular reactivity study)
18 Virtual reality and music therapy for pain management Schneider SM, Ellis M, Coombs WT, et al. 2003 (Pain management study)
19 Patient-directed music intervention in the ICU: reduces anxiety Chlan L, Weinert C, Heiderscheit A, et al. 2013 American Journal of Critical Care
20 Music listening as a nursing intervention: a systematic review McCaffrey R, Locsin R 2002 (Nursing intervention review)
21 The effect of music listening on postoperative pain and anxiety Twiss E, Seaver J, McCaffrey R 2006 (Postoperative pain/anxiety study)
22 Music reduces sensation and distress of labor pain Phumdoung S, Good M 2003 (Labor pain study)
23 The effect of music on decreasing arousal due to stress: a meta-analysis Pelletier CL 2004 (Stress meta-analysis)
24 The effect of music on preoperative anxiety Cooke M, Chaboyer W, Schluter P, Hiratos MA 2005 (Preoperative anxiety study)
25 Music therapy reduces anxiety in surgical patients Lin PC, Lin ML, Huang LC, Hsu HC, Lin CC 2011 (Surgical anxiety study)
26 The effect of perioperative music on medication requirements: a meta-analysis Fu VX, Oomens P, Sneiders D, et al. 2019 Annals of Surgery
27 Music for stress and anxiety reduction in coronary heart disease patients Bradt J, Dileo C, Potvin N 2013 (Coronary heart disease study)
28 The effect of music on the human stress response Thoma MV, La Marca R, Brönnimann R, et al. 2013 (Stress response study)
29 Relaxing music reduces stress during surgery Bringman H, Giesecke K, Thörne A, Bringman S 2009 (Stress during surgery; related to #9)
30 Patient-selected music improves perioperative outcomes: randomized clinical trial Jiang F, et al. 2024 (Perioperative outcomes RCT)
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Top 30 Scientific Studies Supporting Music Medicine in Surgery

Curated by Dr. Alice H. Cash, PhD, LCSW — Clinical Musicologist and Founder,
Surgical Serenity Solutions

# Study title Authors Year Journal
1
Music as an aid for postoperative recovery in adults
Hole J, Hirsch M, Ball E, Meads C 2015 The Lancet

© 2026 Surgical Serenity Solutions. All study titles and journal names are the property of their respective publishers.


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Mar Mar 11, 2026

Is a picture really worth a thousand words?

By |March 11, 2026|Images and Understand|0 Comments

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The Surgical Patient Journey When Surgical Serenity Solutions started a few decades ago, the idea was to provide soothing music to the patient who is very anxious. But around that same time, surgeons were beginning to choose music for themselves to play during surgery. There was a widespread myth that patients under anesthesia would NOT hear the surgeon’s music and therefore surgeon’s could choose whatever they wanted, including such “gems” as “Another One Bites the Dust” by Queen.

As a clinical musicologist I knew that even though the patient might not actively be listening to the surgeon’s music, they could definitely hear it and their body would respond not only to the tempo and volume but subconsciously to the message. This could actually increase the patient’s anxiety and subsequently slow down their recovery.

But if the patient were listening to soft, rhythmic, soothing music, through cordless headphones, their process would be totally different.

The infographic graphic to your left explains, in pictures, the journey that the surgical patient takes.

Today, we have 5 therapeutic playlists, each an hour long, repeating continuously, in 5 different genres.

Clinical research has documented the power of therapeutic music to engage rhythmic entrainment and reduce anxiety and pain perception.

The music is powerful whether you listen before surgery only, during surgery, or only in the recovery area.

We sell to the hospital here.

We sell to the individual patient here.

If you’d prefer to download this very same music as an app, click here. 

 

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Jan Jan 8, 2026

Who wants to be in an MRI machine: First person account about music in the MRI machine

By |January 8, 2026|MRI and Music|3 Comments

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hypertension and music in the MRI machine

Patient with hypertension uses music in MRI

Who Wants to be in an MRI machine?

Recently I was hospitalized for hypertension (high blood pressure) and dizziness. It’s a miserable way to feel but of course I submitted to their testing in hopes of finding out what the problem was. One of the ways they go about trying to determine the problem is to do MRIs and CT scans of relevant parts, like head and neck.

If you’ve ever had an MRI you know that it is not a pleasant test. Because I was there for evaluation, they did lots of test in a short period of time. Two MRIs and a CT scan as well as 5 or 6 vials of blood. I really don’t like any of it but I understand it’s necessary.

My Personal Experience

The first MRI was not bad at all and it was quiet in the MRI suite with just me and one technician. Of course he asked me what music I’d like and of course I said something like Chopin or Brahms. He talked to me throughout and even though I had a painful IV it really wasn’t that bad. Despite periodic advertisements for tires and fast food, I was able to be calm and tolerate it.

MRI machineBut then, the next afternoon, I was told that I needed a different MRI that would take about 40-50 minutes. Unfortunately, this time, the music was not enough to keep me from suddenly experiencing a miserable attack of claustrophobia. By then, I had been in the hospital over a day with continuous tests and blood drawn and my back and leg were really hurting, in addition to my blood pressure rising more and more depite lots of hydralazine. Another factor I now understand was that the MRI tech did not break the different segments down for me like the others had done. It helps so much when they say “ok, now you’re going to have 7 minutes of this particular sound” and after 7 minutes they actually check in with me and ask how I’m doing. Assuming I’m OK, then they’ll say “now you’re going to have 6 minutes of this specific sound.” That helps me a lot, but this technician just went directly from one sound to the next with no  conversation with me.

After about 30-40 minutes I pressed the botton he had given me to hold and said “I can’t stay in here any more!!” He brought me out and said there’s only about 12-15 minutes left, but I said “I’m sorry, I can’t do it anymore!!” It was really a horrible experience and I’m not sure I can ever tolerate an MRI machine again.

Is taking a pill as good as music?

MRI headphonesI finally did go for an outpatient MRI of head and neck about two weeks later and they gave me an Ativan to calm me before hand. In that case, I fell asleep repeatedly in the machine and there was too much artifact for them to see what they needed to see.

So NO, taking a pill is even worse than having no music or the wrong music. This picture shows headphones that have been created specifically for use inside of an MRI machine and plug into the wall of the OR. I believe a certain brand of MRI machines offers them as an add-on, but I was told that they’re expensive. Our calming, therapeutic playlists can be licensed for the entire MRI suite very reasonably and played through the speakers in the machine. To find out more about this click here. 

Having soothing music in an MRI machine definitely helps and of course, all MRIs are not the same in terms of the sounds they have to create to make various parts of your body vibrate. And now there are so-called “open” MRI machines.  But an MRI is just not pleasant for people who are already in pain or have a tendency towards claustrophobia. My message is to the MRI technicians. “Pay attention to the patient in the machine and talk them through it. Don’t just put it on automatic and walk away or start scrolling on your phone.  Also, PLEASE don’t play Spotify for the patient if it has advertisements periodically. It totally takes away the benefit of the calming music when a tire advertisement comes up! And besides, it’s illegal to use a personal, free Spotify account in a hospital.

Thank you from a patient who had a terrible experience.

www.surgicalserenitysolutions.com/contact-us.

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Dec Dec 23, 2025

Don’t forget to use this powerful tool during the holidays

By |December 23, 2025|Holiday Emotions|0 Comments

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Could you actually forget to play music during the Christmas holidays? It’s unlikely I think but you might logically think that it’s only for celebration purposes.  In reality, Christmas can be a time for a full range of emotions from jubilation to devastation and everything in between.

If you’re a trained musician you know that Christmas music has been written in both major and minor keys and has also been written in fast tempos and slow tempos. So whether you want “Joy to the World” or “We Three Kings.” “Carol of the Bells” or “Silent Night,” there is truly holiday music to match every mood.

We associate holiday music with parties, good times and festivities but what if you’ve had a major loss at holiday time. In addition to the death of a beloved family member or friend, the loss of a treasured pet can be devastating. In the last 100 years, the Earth has seen hurricanes, earthquakes and tsunamis in the month of December where people lost everything they owned including family and friends. But even if you haven’t lost anyone or anything, loneliness can also be a problem.

So how can music possibly make a dent in these uncomfortable feelings? Here’s what music therapists and music medicine practitioners say:

  • Music therapy can address limitations of traditional bereavement support by facilitating non-verbal emotional expression.
  • Active participation in music therapy promotes community connection and enhances coping resources.

These are both general statements, but we know that when grief or sadness is heavy, many people cannot find words to express what they’re feeling.

Music can elicit tears even if you’ve never heard the piece before. I remember vividly when I heard the soundtrack to “Schindler’s List.” I had not seen the movie although I did know what it was about. I burst into tears almost immediately just hearing this music.

There is so much music that has this power and can seriously help people feel their feelings and begin the grieving process.

In addition, when people are grieving, many tend to isolate and not want to go out. Participating in a bereavement group that is led by a therapist or other music professional can be extremely helpful.

Another Christmas song that can bring mournful feelings to the surface is the beautiful “In the Bleak Midwinter,” with lyrics by Christina Rossetti and music by Gustav Holst.


Of course I hope that you are having a very joyful Christmas, Hanukkah or Kwanzaa season. But if you have sadness,  grief  or loneliness, please remember to let music help you through it.

We sell music that has been shown to reduce anxiety and increase calm 

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Oct Oct 10, 2025

Music Therapy, Music Medicine, or Spotify: Coping with Anxiety and Pain

By |October 10, 2025|Spotify Problems|0 Comments

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Coping with anxiety and pain management in surgery or other procedures

pre-root canalYou’re having surgery, or a painful, scary, medical/dental procedure! What should you use if you’ve heard about how music can improve your experience and even your results? The clinical research grows by the day and the result are clear. Using music chosen by the patient makes a huge difference.

But there is a lot of confusion out there about the difference between Music Therapy and Music Medicine and even Spotify for surgical/medical procedures. Because most people do not know that difference, I thought I would lay it our for you as clearly and succinctly as possible. It’s really not that complicated. Here’s a breakdown of the differences:

What exactly is Music Therapy?

According to musictherapy.org, music therapy is a professional practice that uses music interventions to achieve individualized goals within a therapeutic relationship.  In other words, music therapy is only conducted one on one with a licensed music therapist. NO ONE else can do music therapy in a hospital or anywhere else.  If a professional musician or a very good amateur musician plays music for patients in any way, it may actually be therapeutic, but you cannot call it music therapy.

Conducting a music therapy session takes time and some knowledge of the patient and why they are there. This takes specific training. Most hospitals do not have time or resources to have music therapists giving tailored sessions to hundreds of patients a day. Many music therapists work in Rehab settings, or on an Oncology Unit. Sometimes music therapists do group sessions with patients who all have the same or similar diagnoses.

A licensed professional music therapist will first get to know you and establish a therapeutic relationship. Then together they create a music intervention with you that has specific, measurable goals in mind. Music therapy deals with many populations, but surgery, typically, is not one. Most hospitals have no more than 3 music therapists.

Unfortunately, many of the research studies that are published say that the patient was given music therapy when they were actually given recorded music. This is something that I am attempting to clarify among professional health care workers.

What exactly is Music Medicine?

Surgical Serenity Solutions delivery of therapeutic music optionsMusic medicine is often defined as listening to music during medical procedures for a relaxing effect. The advantage over music therapy is that it doesn’t require a trained music therapist so it’s less expensive. It can also be used in more diverse situations where a music therapist wouldn’t be allowed, such as surgery.

Our Music Medicine system is unique because it has been curated by a clinical musicologist who is also a licensed clinical social worker. It has been used around the world in hospitals and clinics. Surgeons and anesthesiologists have recommended our music for joint replacements, aneurysms, cancer surgeries and heart by-passes.

 

Patients have also chosen it for Ceasarian sections, colonoscopies, cataract surgery and dental work. Because the music has been curated by a professional clinical musician, and the patient will be under anesthesia, a music therapist is not

Because patient-selected music has been shown to have the best effect, the therapeutic playlists are offered in 5 different genres. Surgical Serenity Solutions (” the patient can select from ) offers playlists in Classical, Jazz, New Age, Lullabies, and Memory Care. Most patients choose classical or jazz. We recommend that the hospital stock MP3 players or preloaded headphones in all 5 genres and let the patient choose their preferred genre and the pre-surgery visit

It can be ordered or suggested by the surgeon, the anesthesiologist, the nurse, the chaplain, or any clinical professional.  This Music Medicine intervention is pre-recorded music that has been specifically curated for a medical need, like surgery, or even specifically for a patient, but not administered in a one on one situation. This therapeutic music can be used, ALWAYS through headphones or earbuds, in just the pre-op area, just during the procedure, or just in the recovery area. We recommend that it be used throughout the perioperative period for maximum positive results. To purchase the headphones or MP3 players, click this link:  www.surgicalserenitysolutions.com/hospitalheadphones.

Where does Spotify fit in?

Which finally brings us to Spotify! Spotify says very clearly on its website that it’s not for commercial use but many surgeons have told me that they “just use Spotify” and when I mention that a commercial license is required they say they had no idea!

I have been offered calming music when I have an MRI They usually ask what kind of music I’d like to hear in the MRI machine and I respond that I’d like to hear Chopin or Brahms. Maybe some Rachmaninoff, Debussy or Ravel. Then I ask the souce of their music and they laugh and it’s just my own personal Spotify account! When I inform them that it’s illegal to use a personal account they exclaim that they had no idea but continue to load the Spotify!  It’s a little mind-boggling to me.  https://support.spotify.com/us/article/spotify-public-commercial-use/

Spotify definitely has it’s place, but Spotify is intended for entertainment, not a medical procedure. The pain, anxiety and risk management requirements that enter into a surgical/medical procedure, require carefully thought-out and curated playlists.

Spotify states clearly that it’s not for medical use but hospitals truly don’t seem to be aware of this and Spotify doesn’t seem to enforce its license requirement,

In Conclusion

18089763 © Jhdt Stock Images Llc | Dreamstime.com

Two surgeons preparing for surgery

For surgical procedures, before, during and after, Music Medicine is clearly the only viable choice. Surgical Serenity Solutions is the only company offering therapeutic playlists in five different genres that the patient can choose from, delivered in pre-loaded headphones or MP3 players.

Music therapists do not go into surgical procedures and Spotify is not therapeutic music that will entrain your heartbeat and breathing. During surgery, your body responds to the steady pulse of our instrumental playlists and keeps your body rhythms stabilized. When you body is relaxed by music coming directly into your brain through the 8th cranial nerve, you require less anxiety meds, less anesthesia and less pain medication. This also allows you to recover faster and get back to your life!

Our headphones are available to both patients and in bulk for hospitals. The MP3 players are just for hospitals so that they can be branded and given to patients to take home after their procedure!

Again, to purchase the Surgical Serenity Solutions, go to www.surgicalserenitysolutions.com/mp3players

Let me know if I can help you in any way! www.surgicalserenitysolutions.com/contact-us

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Sep Sep 2, 2025

What hospitals and doctors know about Surgical Serenity Solutions

By |September 2, 2025|What hospitals and patients know|0 Comments

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“Why didn’t I think of this?”

Surgical Serenity Solutions delivery of therapeutic music optionsNot all doctors and hospitals are thinking about therapeutic music and how it might integrate into their hospitals. Not surprising, right? I’ve been told many times that my only real competitor in business is “the status quo.” “This is the way we’ve always done it.” “if it ain’t broke, don’t fix it.” And finally, “why didn’t I think of this!” But this is NOT how progress is made!

Almost as soon as I had the idea to create preloaded headphones for surgery patients, I also started polling all of the doctors and nurses that I knew to ask if they thought this idea would work and be helpful. To my delight, EVERYONE thought it was a great idea and said things like “I can’t believe someone didn’t do this long ago.” “Such a great idea, hiding in plain sight!”

Of course, one of the reasons that no one had done this is because the technology wasn’t there is 2005. And so, in order to get a patent, I had to have an engineer figure out how to get the music into the headphones. And he did. He made a design that utilized RFID technology and this is what I got a patent on. Almost as soon as I got the patent in 2008, I found a headphone on the market that was programmable! I was so excited and I had already curated my Classical Playlist and was able to put it on this headphone.

Mayo Clinic Cardiac Unit

Mayo Clinic in Rochester, MN was my first hospital to use the headphones in their post-cardiac unit and they reported great results! Nurses reported that the patients loved the music and their vital signs stabilized faster and they required less anxiety and pain medication.

At that time, our first clinical study had not yet been published but the nurse said that once it was published, they would definitely be ordering our headphones.

Here’s what one anesthesiologist said:

“…Rarely, if ever, in medicine is there an intervention that has repeatedly demonstrated efficacy in multiple studies that also carries with it virtually no risk to the patient.
As a physician, I am always weighing the risks and benefits of each treatment to determine if it’s worth utilizing. Surgical Serenity Headphones are unique in that they carry immense benefits without any downside.
I am always pleased to accommodate a patient’s wishes to bring music into the operating room. I would be particularly enthusiastic if they had these pre-programmed cordless headphones that would maximize the physiologic benefits through rhythmic entrainment.
I recommend talking to your surgeon as soon as possible in the process, and certainly mention your desire to bring headphones in on the day of surgery to the anesthesia team. This would best be accomplished if you have a pre-op appointment with someone from anesthesia, but not everyone will have this chance. This could also happen during a pre-op phone call.”  Thomas Mayo, MD

Cleveland Clinic Surgery

Dr Friedman at CCFThe next big hospital that tried my headphones was Cleveland Clinic Florida, on recommendation from the main Cleveland Clinic in Cleveland. I was even invited down to give a Grand Rounds presentation to surgeons and anesthesiologists.

Dr. David Friedman, seen here in this picture, was so enthusiastic and positive about how much this would help patients (especially compared to “spa music” or “relaxation music,” and pointed out to my that the power of rhythmic entrainment is something that other playlists don’t contain. At that time (2011) we had just the Classical Playlist, but it strongly utilizes classical pieces with rhythmic entrainment and as a cardiologist surgeon, he recognized this difference.

To this day, rhythmic entrainment is the one ingredient that playlists chosen by the patients, don’t have. Rhythmic entrainment is so powerful that just putting on the headphones and starting the music, causes most patients to close their eyes immediately and breathe a hugh sigh of relief.

Johns Hopkins: Suburban Campus

In about 2013 I became acquainter with Dr. Michael Peck, anesthesiologist at Johns Hopkins in Maryland. Dr. Peck was a strong advocate from the beginning and gave me so many wonderful ideas as well as purchasing a “Cloud Kit” product for their surgery department.

The Cloud Kit was a great idea but for a variety of reasons, not quite as practical as we originally thought. Nevertheless, Dr. Peck was so enthusaistic and said that our (now) 5 therapeutic playlists “should be a regular part of every Operating Room, as well as other parts of the hospital.”

Dr. Peck has been an imporant member of my advisory board and in addition to being a board-certified anesthesiologist, also has an MBA and has been able to advise me about many of the business aspects of getting a medical device into a hospital.

 

Seven different VA hospitals

Dr. Harvey plays piano during eye surgery for his friend.

In 2013 I was introduced to Chief of Surgery at the Robley Rex V.A. hospital in Louisville, KY. This brilliant surgeon, Earl Gaar, MD, was also a gifted musician who had studied music throughout his youth and had formed a performing group of brass players among V.A. staff called “Top Brass.”This ensemble still performs for events at the V.A. the University of Louisville, and graduations.

Dr. Gaar was fascinated at the idea of using music during the perioperative period and said he had absolutely no doubt that this would work for anxiety throughout, but also for pain perception management and possibly nausea and vomiting afterwards.

He arranged for our first clinical study to be implemented right there at the Robley Rex V.A. It took several years to complete the study and get it published, but the results were thrilling for us and showed a clinically significant decrease in opiod requirements. Here is a link to our study: https://www.surgicalserenitysolutions.com/wp-content/uploads/2025/09/Our-SSS-study.pdf 

As a result I became an official vendor to the VA system (Sam.gov) and the Louisville V.A. started out ordering 100 of our pre-loaded headphones.

If YOU and YOUR hospital are ready to hop on the rocket to the future of helping patients through surgery without all of the anxiety and pain medications that are currently routine, go HERE to purchase the headphones.

Go HERE to get the MP3 players.

We have a price list on the product pages but are willing to negotiate with each hospital! Please hurry before the tariffs take effect!

 

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Aug Aug 21, 2025

Music Medicine and Innovation

By |August 21, 2025|MusicMedicine and innovation|1 Comment

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Music Medicine and innovation are always on my mind.  I guess it’s because I’m always trying to find new ways to increase my own health and wellness…and I am a lifelong musician.  I’ve always known what music can do for me in terms of calming and comforting me. From earliest childhood I’ve loved music and the way it makes me feel.

The young Cash familyWhen I gave birth three times, I knew that I wanted music to be a part of that experience and that I did NOT want any more medication that I absolutely needed. For that reason, my husband and I took the LaMaze childbirth classes and the last time, the Bradley childbirth classes. I also knew that having soothing and calming music would make it a better experience for everyone and my doctor and nurses were fine with that.

In the mid-nineties I was told that I needed back surgery for a bulging disk, probably the result of sitting at the piano for many hours a day since childhood. Fear took hold of me as I knew I would need general anesthesia for back surgery and I had never experienced that. Luckily, I had a wonderful neurosurgeon here in Louisville, KY,  Dr. Wayne Villaneuva, who was totally open to my bringing tapes and a Walkman into the OR. I had headphones attached to the Walkman and Dr. Villaneuva taped it to the operating table near my head. I spent the night before the surgery creating 3 cassette tapes with the kind of music I thought/felt would be best for the pre-surgery, surgery, and post-op periods and had a friend with me who changed the tapes at the appropriate times.

At my first post-surgery visit, the neuro-surgeon said that he believed that my music had greatly contributed to one of the most successful surgeries and recoveries that he had ever done.  Of course we were all very thrilled to hear this, and, as a therapist and speaker on the healing power of music i wanted to find a way to desseminate this information to all potential surgery patients.

Jump to 2005, I attended a conference in Cancun, Mexico created for professional speakers. It was called “Cancun University” and offered 4 learning  tracks to improve our businesses. One of the tracks was called “Product Innovation” and the other was called “Internet Marketing.” The very first day of the product innovation class I had the idea to create preloaded headphones for surgery patients. And within months I had filed for the provisional patent and had created a website with a monthly ezine as well as a blog. For a long time I blogged every single day!

It’s been a wonderful journey and I’m so grateful that I’ve been able to help 100’s of patients, children-elderly, to get through scary and painful surgeries and other procedures and tests, using our 5 playlists and either our headphones or theirs with our app downloaded onto it.

If you’re interested in getting the pre-loaded headphones, go here.

If you’re a hospital or clinic interested in the headphones or MP3 players, go here.

If you’re interested in our app with a choice of  5 therapeutic, hour-long playlists, go here. 

The app is our least expensive option. Less than $10 per playlist.

Whatever your choice is, you don’t have to go through surgery in a state of fear and anxiety. Listening to anyone of these 5 playlists will ease the process and increase your chances of a positive result. Let me know if I can help in any way!

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Aug Aug 9, 2025

Soothing music through headphones is SO good for joint replacements!

By |August 9, 2025|Music and Joint Replacements|0 Comments

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Joint replacements are happening around the world, all day, every day! The Baby Boomers are seriously in need of new joints! So far I have worked with many, many patients having knee and hip replacements and a few having ankle and shoulder replacements!

One of the things that differentiates joint replacement surgery from other surgeries is that most patients are not under general anesthesia. I am not an MD but, having worked with many MDs and medical specialists of all kinds, I know that in joint replacement surgery, the patient is sedated so that they don’t really feel anything but they can still communicate with the surgeon.

Lower body surgeries are more apt to have a regional anesthesia or block but it is up to the patient and surgeon.

In either case, anxiety will inevitably be present and beginning the therapeutic playlist in pre-surgery is highly recommended. If the patient is have a regional anesthetic and sedation, the surgeon can actually talk to the patient during the procedure and ask them to “wiggle their toes (for example)” Even when the music is playing the patient can hear the doctor addressing them. And the doctor can always briefly lift the earpiece of headphone.

In the case of general anesthesia, again, starting the music pre-surgery is highly recommended because the waiting period right before surgery is always full of anxiety. Even during the surgery the patient benefits from the music through. While the patient is not consciously listening to the music, their body is still responding positively to the slow, steady pulse of our music, through the process of rhythmic entrainment.

And many patients have told me that waking up to the same beautiful music they were listening to when they drifted off is extremely comforting and orienting to them. Makes sense.

SO, if your hospital to surgery center is ready to tap into the power of therapeutic music for their patients, here is the link to go to! Our 5 therapeutic playlists can be preloaded on either cordless headphones or MP3 players which come with earbuds. 

Whichever one you choose, you can be assured that your patients will have a much better experience with their procedure and will sing the praises of your facility!

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