Ep: 105: BJ Miller: Palliative medicine physician and educator on life and death and everything in between

Dr. BJ Miller is a longtime hospice and palliative medicine physician and educator. He currently sees patients and families via telehealth through Mettle Health, a company he co-founded with the aim to provide personalized, holistic consultations for any patient or caregiver who needs help navigating the practical, emotional and existential issues that come with serious illness and disability. Led by his own experiences as a patient, BJ advocates for the roles of our senses, community and presence in designing a better ending. His interests are in working across disciplines to affect broad-based culture change, cultivating a civic model for aging and dying and furthering the message that suffering, illness, and dying are fundamental and intrinsic aspects of life. His career has been dedicated to moving healthcare towards a human centered approach, on a policy as well as a personal level.

 

Some interesting insights from this episode:

  • “I had a basic hunger and curiosity to understand the world in which I was living and to understand myself”.
  • Early on, as he was recovering from the accident with three less limbs, he forced himself to reframe his situation. That life wasn’t going to be extra difficult going forward but just uniquely difficult. And that suffering is something we all deal with in our own way.  Eventually his emotions would catch up with his mind whereby he truly felt that way.
  • Studying art history in college taught him perspective. It taught him how he was in control as to how he perceived his life and how he framed his life experience.
  • In palliative care, you don’t just treat the pain, you treat the suffering.
  • “If you don’t know the depths of sorrow, you aren’t going to know the peaks of joy.”
  • As dying patients reflect back upon their lives, it’s not so much regret over what decisions they made but how they imbued whatever decisions they made. Did they do it with love, did they infuse their spirit into whatever they were doing. That’s what matters most.

 

Notes:

The Center for Dying and Living

Book: A Beginner’s Guide to the End: Practical Advice for Living Life and Facing Death

TED Talk: What Really Matters at the End of Life

Ep 65: Deepak Chopra: Medical Doctor, Spiritual Advisor, and Mindfulness Guru

Deepak Chopra is a world-renowned pioneer in integrative medicine and personal transformation.  He is the founder of The Chopra Foundation, a non-profit entity for research on well-being and humanitarianism, and Chopra, a modern-day health company at the intersection of science and spirituality.  Deepak is also a Clinical Professor of Family Medicine and Public Health at the University of California, San Diego.  He is the author of over 90 books, including numerous New York Times bestsellers, the latest one titled Total Meditation: Practices in Living the Awakened Life.  TIME magazine has described Dr. Chopra as “one of the top 100 heroes and icons of the century.”

 

Some interesting insights from this episode:

  • Western medicine is necessary for acute intervention but for chronic disease, other than when caused from a gene mutation, lifestyle heavily influences the outcome. Sleep, stress management, exercise, breathing, nutrition, and self-regulation have a significant impact on the onset and management of chronic disease.
  • Modern industrially produced food is ruining the body’s ecosystem which is causing inflammation of the microbiome which is causing inflammatory disease including chronic disease.
  • Total meditation is the practice of bringing the mind into a meditative state whenever you want. So when you notice that you’re feeling stressed or anxious, you just simply return to the mind’s natural state of inner peace and quiet.
  • Total consciousness is pure knowing which is beyond perception and thought. You know without knowing.
  • We’re “asleep” when we act unconsciously and we’re “awake” when we act consciously. Examples of being asleep include speaking without thinking, arriving at snap judgments, and acting out of habit. Examples of being awake include thinking before you speak, anticipating consequences of your actions, and not jumping to conclusions.
  • If you had the answers to just three questions whenever you wanted them, you would achieve all your goals and your life would thrive. Those three questions are: What am I doing right? What isn’t working for me? What is my next step?
  • “Excellence is the ability to actualize worthy goals, the ability to love and have compassion, and the ability to always be in touch with your deeper awareness.”

 

Links:

Deepak Chopra website

Total Meditation book

Chopra Meditation and Well-Being iPhone app

The Chopra Foundation

Never Alone mental and emotional health resource