Category Archives: Joy

What to do about aches and pains

I’m a physician. Naturally, I want to heal those aches and pains. But let me clarify, that doesn’t mean I want to bury the pain so that you don’t feel it. It doesn’t mean I want to rush you out the door with a quick solution that doesn’t get to the bottom of WHY you are experiencing aches and pains. Pills, patches, cutting or stimulating nerves are not what I am talking about.

Anybody who has experienced any ache or pain, understands that there are different kinds of discomfort and even more reasons for the aches and pains. Whether it’s a paper cut, a fall off the jungle gym, an unexpected fall due to uneven ground, being wounded by another intentionally or in an accident, having a disease that causes painful lesions, or a surgery for treatment, experiencing a breakup or loss of a loved one, or experiencing painful emotions elicited by social media or the news, pain is meant to stop someone in their tracks and to notice it. In other words, it’s meant to be a massive distraction.

Patients often tell me that they have a high or low pain tolerance. Some people describe pain with suffering and some describe pain as a matter of fact “thing” in their life. For many, emotional or spiritual pain is more “painful” than the physical pain of a wound or disease process. As a physician, my purpose is to help you heal, and that always begins with understanding.

First, know that pain is a signal that something is “off” and that you need to shift some focus and energy to whatever it is that’s “off.” Your body is screaming for attention and pain is intended to immediately get your attention and to get you to respond to reduce pain, presumably to protect you. Pain is necessary. People who don’t feel pain, are at risk of dangerous infections, unnecessary wounds and even otherwise preventable death.

Pain has a physiological part and a mental part. It’s how the mental part understands and frames the pain that it can lead to suffering, or it can “numb” the pain or make it more “bearable.” Some people can use self-hypnosis to not feel pain. Others are told their wounds have healed or they may be missing a limb, but they still feel pain. What’s that about?

I don’t have the answers, but I do remember a time when I was a small child feeling awful with a high fever, headache and aching all over. I was scared, felt like there was something terribly wrong, that it would be forever. While I was suffering, my dad talked to me while caressing my forehead. He calmly explained that my body was raising the temperature to kill of the bad bugs that were making me sick. He appealed to my logic that this passes faster if I rest, drink fluids and let my body fight the infection. He reframed my entire experience and reassured me that my body was working so well, and he used the Japanese word, “gaman.” This word means patience and in this case, in a “suck it up” sort of way.

That mental reframing and confidence that my body was doing what it was supposed to do, that it was working to protect me and getting stronger, removed the suffering so I could sit in the aches and pains and practice gaman (patience). I recovered and learned how amazing the human body truly is. I learned I can practice gaman and I felt more competent and more courageous in taking on the next challenge as I was on the journey to learning how to trust my body to take care of me.

I don’t have the answers about how to deal with aches and pains and I may not be able to eliminate all suffering. I do believe the human body is designed to heal, repair and thrive and aches and pains are the body’s way of signaling to us. I don’t believe we need to suffer as much as we do. I do believe that we can build practices like gaman and use reframing to reduce the unnecessarily high level of suffering that often accompanies aches and pains and even disappointments. Working with my patients and those who seek my help, I get to watch this confidence and freedom that emerges as these skills and the practice gets established. If more of us can learn these skills and pass them on to our children and grandchildren, we may reduce suffering and allow more space for peace and joy.

Joys of Accepting and Mastering Discomfort (aka. Stress Management and Mastery)

Reflect back on your life. The further back you remember, the more you can find what stands out and matters most to you. Do your best, your happiest, your most cherished memories include relationships that had ups and downs? Do they include new experiences that could not be predicted, no matter how small or mundane? Do they include memories when you worked really hard and achieved something that seemed impossible and you felt so proud? Do they include those thrilling moments when you knew you had created something incredible?

Yes. The greatest joys and personal growth often come from moments in life when you work through the discomfort and get to the other side. There are times in life when we accept or are forced to accept situations that we do not choose, that throw us into the unpredictable and uncontrollable, that make us uncomfortable. We all have to get to the other side of that. Let me share with you how you can make that journey a bit easier.

Here are the steps to mastering the discomfort. Writing this down or talking about this with a close confidant or neutral person can be helpful.

  1. Identify your discomfort and figure out what is in your control and what is not in your control. What is causing you discomfort? Why? Describe and label it.
  2. Take what is NOT in your control & “put it away.” Imagine putting it into a storage container or a mental file cabinet or write it down and put it away. You can re-visit this later -if you want.
  3. Take what IS in your control & “work it.” Think about best and worst case scenarios.
  4. Consider worst case scenarios and figure out ahead of time everything in your control – that you can do – to prevent the worst case scenario and make a plan to do that. Figure out how you would manage it if the worse case still came to be. Consider how that scenario could be the Universe (whatever higher power you believe in) delivering you a gift to teach you something important you need to learn, to benefit you or another being, or to propel your personal growth forward and upwards. Recognize you are resilient and accept that you are doing the best you can with what IS in your control.
  5. Now, spend time focusing on what you DO want to have happen, the outcome you ARE aiming for. Visualize, dream, brainstorm, strategize and make plans to go for the BEST case scenario. Define it, label it, “see it.” Regularly repeat this step- the more the better.

Mastery is when you are in control of the discomfort rather than the discomfort in control of you. Remember that everything happens for a reason and we may not know the reason right away. Appreciate that the discomforts in our life are there as messages to help us refocus. Accept that there will be those times of discomfort and then make a plan to master the discomfort and keep moving forward. You’ve got this.

3 Questions for a More Joyful Life

assorted flowers in shallow focus lens

As a physician, I hear so many stories and witness so many ways to live life. Here is what I have observed and learned from those who live joyful lives. It’s so simple. We can all learn to live joyfully. At the start of each day, focus on being able to answer YES to these 3 questions:

  1. Did I genuinely laugh today?
  2. Did I experience love today?
  3. Do I have 3 “things” I am grateful for today? (for example: experiences, people, animals, privileges, surprises, gifts, blessings, etc.)

At the end of each day, answer the 3 questions. If you do not answer “yes” to one or more of these questions, reflect on your day and think about how to spend tomorrow, so that you can add another “yes” to the end of your day tomorrow.

person holding lighted sparklers

If you can genuinely answer “yes” to each of these, you were present for joy in your day and you had a perfect day. You may want to write a note to remind you about the details for each answer. Over time, you will have a personal journal of moments of joy in your life. How fun that will be to read.

The universal power of laughter, love and gratitude are immense…and contagious. They connect us to each other and to our universe. The more you practice this, the more joyful your life will be and it will spread to those around you.

***If you’d like to share your joy, add it to the comments below.***