I worked a shift in emergency department last night.
Yesterday a 24 year old brought in by police because she told her ex she wished to kill her self. She had attempted over dose before. She said she does not wish to die. She said she did not buy enough Tylenol to overdose. She was right. She said she has a fear of abandonment and was trying to get her ex back. She had been through DBT and mindfulness training. I asked her what has she learned that she can use to help herself. She told me she can meditate.
I told her to stand and let me sit in her chair (I was tired from running around anyways)
I then asked her to pretend to teach me how to meditate. She chuckled and then laughed. I saw a huge smile on her face as she began guiding me in meditation. I just closed my eyes and had a little rest while she experienced a moment of freedom. Her preoccupation created by empathy displaced by her empathy.
I told her she was good at it. We had a little chat about her experience in the following perspectives:
1. her own neurodiversity as being highly empathetic.
2. that she is different because everyone is different.
3. the object of attention dictates the moment by moment experience
4. the purpose of meditation is to increase her ability to choose the object of attention.
5. equanimity and acceptance.
I sent her home.
Then I was asked to see a 25 year old that was agitated and aggressive having had her opioid overdose reversed with naloxone. She said she wanted to leave. I asked her what is she going to do about her addiction. She said she wants to get out of here and go get her hamburger at McDonalds (she has a coupon) and then go home. She said she won’t have money to.. till Friday. I asked her what is her specialness. She then for the first time looked at me and said that she is good to others. I asked her if that means she feels other’s pain; and that she escapes her pain by using substances. She then started to tear up. I told her she is stuck but it does not have to be so.
I share the following perspectives with her.
2. Ability to choose the object of attention can be increased through meditation.
3. Object of her attention dictates her experiences... suffering or otherwise.
4. Anapana meditation by Goenka.
5. Vipassana retreat at Egbert Ontario.
She continue to cry and told me that she will study it and has nothing to lose. I sent her home.
I email my blog to every patient I chat with and encourage them to reach out to me.
When your parrot falls in love, it's called polyamorous; When you play games with your parrot, it's called polygamous; When your p...
10 questions I’d like to ask each of my patient after each visit. A score out of 100 may be informative of necessary changes to current in...
The notion of outward “privileges” in life is inherently an imprecise judgement. It may mean differently to different individuals in their ...
I went to make a housecall to see a bedbound lady with rash in the deep fold under her breasts. Her son who takes exemplary care of her has...
Tribute to our children who survived the Death Squad of El Salvador but did not survive the Canadian Opioid CrisisA while ago, a good friend shared with me his story. Shortly after arriving in Canada as a teen refugee from El Salvador, he along with a ...
When I carry the mega delusion of immortality, I am helplessly tossed between cravings and fears. I think participation in the end of life ...
If Type 2 diabetes leads me to eat a more plant-based diet with 400 gram of non-starchy vegetableswhich not only puts diabetes into remissio...
The other day, a patient came to the after hour clinic; staff told me that he has an expired health-card number and wanted me to know. I i...
I will drink 2 cups of water. I will eat 5 oz of non-starchy vegetables before dinner. I will listen with curiosity to each one’s perspe...
Many seniors tell me they want to stay out of nursing home. I made this log for them to track their self-management between visits.
My son asked me how do I know I am OK? This is my answer: “Thanks for asking for my perspectives. It is just one perspective. At leas...